330064_PERMIT FILE_20171231

©1 o I0
Itype or visir: t,,^ompn specnon v tiperanon Keview v arructure Lvatuaaon V tecnmcal Assistance
Reason for Visit: utine 0 Complaint O Fallow -up O Referral O Emergency O Other .0 Denied Access
Date of Visit: 2. r Arrival Time: Departure Time: County: Region:
Farm Name: S,� �:.� y1Q�,r- ��>Q �p �✓ �'L �} �iy, Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: 41//n, 54/:7 107 tL4� Integrator:
Certified Operator:
Phone:
Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Design C*urrent
Design
Current
Design
Current
Capacity Poean
rwine
to Finish
La er
Dai Cow
ean to Feeder
Non -La er
DairyCalf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder
DrF P,oult , '
Ca acit
P■o
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood
Turkeys
-Cow -
Qther
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
o ❑ NA
gNo
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
❑ 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
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
ElYNo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
[]Yes
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Facili Number: - Date of Inspection: 5 2S
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ;FNo
❑ 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):
S. 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 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 teat, 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 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes P/No NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below, ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ 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?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ Yes (:? �o ❑ NA ❑ NE
❑ Yes 7140 D NA ❑ NE
❑ Yes o ❑ NA ❑ NE
❑ YesWNb❑NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes go ❑ NA ❑ NE
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. [:]Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facili Number: - (` Date of Ins ection: Z 44
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey [:]Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes No Q NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes hio ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
[]Yes
No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
Yes
No
[3NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
No
[] NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? if yes, check the appropriate box below.
❑ Yes
No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32, Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
[:]Yes
❑ No
❑ NA
❑ NE
Comments (refer to question ##):.Explain any YES answers and/or any additional recommendations or any other. comments.4
Use drawings of facility to better explain situations (use additional pages as necessar.0.,
5
Reviewer/Inspector Name:
Phone: fi91—y7-017
Reviewer/Inspector Signature:
Page 3 of 3
Date: _5-/ 2 .5-/ 1/
21412011 I

zi-12g1i7
C
(Type of Visit: 0 Co nce Inspection U Operation Review Q Structure Evaluation Q Technical Assistance I
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access it
Date of Visit: rrival Time: Departure Time: ® County:
Farm Name: -rfl t„f Y1 Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:: /
Certified Operator: ` T JZ�\ S I`-7 V% vt c1/%—
Sack-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Region:
Design
Swine Capacity
Wean to Finish
Current
Pop.
Wet Poultry
La er
Design
Capacity
Current
Pop.
Design C►urrent
Cattle Capacity Pop.
Daia Cow
Dairy Calf
Dairy Heifer
Wean to Feeder
Non -Layer
Feeder to Finish
Farrow to Wean
Farrow to Feeder
ry P,Onitr
Design
Ca acit
Current
Pao P.
Dry Cow
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other HPoults
Other I I 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 DWQ)
❑ Yes No ❑ NA FINE
❑ Yes ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes VP❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes N ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes o ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

Facility Number: - Date of Inspection: v2 fix. 2--
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
�0"❑ NA ❑ NE
❑ NA ❑ NE
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �(� r /y
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA
(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 No ❑ NA
waste management or closure plan?
❑ NE
❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental eat, 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 61co❑ 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 Ej No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need [:]Yes No ❑ NA ❑ NE
maintenance or improvement?
11. is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN [] PAN > 10% or 10 lbs. ❑ 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 ❑ N
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes LiJZo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes �
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes V No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes o
❑ 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 14No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Tran fers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspectio ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Eacili Number: - Date of Inspection: 2,2
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑Yes l❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes�;ZNo ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes gNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
[] Yes
[] No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ No
❑ NA
❑ NE
permit`? (i.e., discharge, freeboard problems, aver -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency'?
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question #) Explain a'riy:YES answers and/or any''additional recommendations or any otliei cotninents:',
Use drawings of facility to better explain situations (use additional pages as necessary).
Reviewer/Inspector Name:
Phone
Reviewer/Inspector Signature: Date
Page 3 of 3
� ! 2-
21412011

-3 - N ^ 1-2
Type of Visit: ID Co nee Inspection U Operation Review O Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: ® Departure Time: / O D County: Region:
Farm Name: [)M 7cw11 F?f(Z4 . Owner Email:
Lf
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: �� "? F1 ie
Certified Operator:
Back-up Operator:
Title: Phone:
Integrator:
Certification Number:
Certification Number:
Location of Farm: Latitude: Longitude:
�D sign
Curreut
i
Design
Chrrent�
Design Current
Swine
Capacity
op.
Wet Paul#ry
Capacity Pop.
Cattle
Capacity
Pop.
�'1
�L�RIflbill�n
I
7f�twi
HlAAxlll�il�iftani, >
IlfCl�f§IIli
iSiYcc�I39A9CN�1€�t
Wean to Finish
La er
Dai Cow
Wean to Feeder
Non -La er
Dai Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design
Curren#
Dry Cow
Farrow to Feeder
D 6,.Poultry,
Ca act
Po .
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Lilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
"
Other
Turkey Poults
Other
I
I
10ther
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
�N0 NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
❑ 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 o NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yestlo*'�
❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ❑ No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facili umber: 3 h Date of Ins ection:
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 o ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 6.01
•0` 6.0
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 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 hreat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes VNo
❑NA ❑NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ 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 o NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes o ❑ 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): j30,w+n_.f
13. Soil Type(s): _
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes ❑ o
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ YesTNo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes❑
NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
NA
❑ NE
Required„Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ YesNA
❑ NE
the appropriate box.
❑ WUP ❑Checklists [:]Design [—]Maps ❑ Lease Agreements
❑Other:
2 1, Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste TransWeather
/0��NA
Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I " Rainfall Inspectionsdge
Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes ❑ No
❑ NA
❑ NE
Page 2 of 3
21412015 Continued

Facili ' Number: jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? [] Yes ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes5NoO NA ❑ NE
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 GAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
Reviewer/Inspector Name;
❑ Yes ❑ No ❑ NA ❑ NE
❑Yes ❑No ❑NA ❑NE
[] Yes ❑ No [] NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
Phone: / 1 f- `l 24 0
Reviewer/Inspector Signature: 4 S-
Page 3 of 3
Date:
21412015

T
(Type of Visit: Co anee Inspection U Operation Review Q Structure Evaluation Q Technical Assistance
SAP,/ p p � Emergency 0 Other 0 Denied Access
Reason for Visit: Routine Complaint Follow-up Referral 0
Date of Visit: Arrival Time: Departure Time: County: Region:
Farm Name: .5A t n rt 0g— r D d 5 ?CPCAI j Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: Phone:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Integrator:
Certification Number:
Certification Number:
Longitude:
liesignI1111,05rrent Design Current
Design Current
Swine Capacity Pop. Wet Poult y Capacity Pop.
Cattle Capacity Pop.
Wean to Finish La er
Dairy Cow
Wean to Feeder
-Layer
Dairy Calf
Dairy Heifer
Feeder to Finish
# w f
Farrow to Wean
Design Current
P.
La ers
Non -La ers
Dry Cow
Farrow to Feeder
Non -Dairy
Farrow to Finish
Beef Stocker
L-L(3-
Beef Feeder
lBeef Brood Cow
Boars
Pullets
I
Turkeys
Other
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. is any discharge observed from any part of the operation?
❑ Yes
2rNo ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ NA
yNo
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
g ❑ 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
A
❑ NE
1 Is there evidence of a past discharge from any part of the operation?
❑ YesZC3
A
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ YesA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facility Ndmber: 3 Date of Inspection:
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): ' Z ( t '2 2- `-
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?
Vo
No ❑ NA ❑ NE
❑ NA ❑ NE
Structure 6
❑ Yes VNtoENA ❑ NE
❑ Yes o ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t heat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes N❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? [:]Yes ��O_
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?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes o
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes o
❑ 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 Lor❑
NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ YesVNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes <�o
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes ;-No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage &Permit readily available?
❑Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
0 Yes VNo
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. [:)Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections S dge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412014 Continued

Faci I ity Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes -f J l�tNA
A ❑ NE
25. is the facility out of compliance with permit conditions related to sludge? If yes, check ❑Yes No ❑ 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 ONo
o NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ 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 #): Ezplam'any YES answers and/or any additional =recoM'uiendations or any other comments.",',.
Use drawings of facility to better explain situations use additional pages as necessa
Reviewer/Inspector Name: Phone:
Reviewer/Inspector Signature: �311 -L,< '7agj —2 L. Date: c) _6
Page 3 of 3 21412014

4 11 6.1'1 w
Type of Visit WQ"Com ce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit:' r r Arrival Time: ® Departure Time: County:
Farm Name: LD �O`� 2 _ Owner Email:
Owner Name: _
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Title:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Location of Farm: Latitude: 0 e 0 i = f1 Longitude: 0 e 0 6[�«
Design Current
Fesign .11gent
llesign Current
Swine Capacity Population
Wet Poultry pacity Population
Cattle Capacity Population
❑ Wean to Finish
❑ Layer
❑ Dai Cow
❑ Wean to Feeder
❑ Non -Layer
❑ Dai Calf
❑ Feeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ Dry Cow
❑ Farrow to Feeder
ElNon-Dairy
❑ Farrow to Finish
❑ Layers
El Beef Stocker
❑ Gilts
❑Non -La Non -Layers
❑ Beef Feeder
❑ Boars
❑ Pullets
❑ Turkeys
El Beef Brood Cow
Other
❑ Other
❑ Turkey Poults
❑Other
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page 1 of 3
❑ Yes ZNo ❑ NA ❑ NE
❑ Yes No NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No NA = ❑ NE
❑ Yes o NA ❑ NE
[I Yes No ❑ NA ❑ NE
12128104 Continued

Facility Number: 33 — Date of Inspection1
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
NA
❑ NE
a. If yes, is waste level into the structural freeboard?
El Yes
;�o�OEINA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure
5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): -7
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
V<011"❑ 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 thr , 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`? El Yes No ❑ NA El 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 El Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ZNo NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes o ❑ 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) �JAV-? _5
13, Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment? ❑ Yes
2No NA ❑ NE
NV
El NE
NA ❑ NE
❑ NA ElNE
No ❑ NA ❑ NE
,����3�p5;;. di43�':�a D;�"�'�����'�a�•€�YF
Comments ,(refer to question:#):' Explain any YES answers and/or any.. recommendations or�any others comments J
Use drawings of facility to betteriexplain situations: (use additional pageszas necessary):
Reviewerllnsp ector Name "' l'= ` Alone: 79 / fZP C,
;- g _ �. l
Reviewer/Inspector Signature: % , <o ue Date: & / C o ( I J
Page 2 of 3 12128104 Continued

Facility Number: 3 — �j Date of Inspection
Reguired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes OZNo 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 ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ONo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stacking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspectio;'N�ozo
(her Code
22. Did the facility fail to install and maintain a rain gauge? ❑ YesNA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes N NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? El YesVNo[1
A ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ YesA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ YesA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ YesA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ 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
❑ 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
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
P gg
Addrhonal Comments and/or Drawin s
a
a►
T
Page 3 of 3 12128104

.� r 2_71Lf
Type of Visit: 40 Coroutilne
nce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance I
Reason for Visit: 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: —/0 -111 Arrival Time: � Departure Time: � County: Region:
Farm Name: 14;.1 n � Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title:
Onsite Representative: '9' Ncv) s/L t i'? P7 Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Design Current
Swine Capacity Pop.
Wean to Finish
Design Current
Wet Poultry Capacity Pop.
Layer
Design C►urrent
Cattle Capacity Pop.
Dairy Cow
Wean to Feeder
Non -La er
I
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design Current
Dr, P,ault . Ca aci Pao
Layers
Non -Layers
DIX Cow
Farrow to Feeder
Farrow to Finish
Non -Dairy
Beef Stocker
Beef Feeder
Gilts
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)
❑ Yes No [] NA ❑ NE
❑ Yes ❑ NA ❑ NE
[] YesgNo❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes [] NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes o ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes [] No ❑ NA ❑ NE
of the State other than from a discharge?
Page l of 3 21412014 Continued

;acilityrNumber: - d Date of Inspection:
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?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes
Structure 5
V❑ NA ❑ NE
0No❑ NA ❑ NE
Structure 6
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environment rest, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ 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 2fNo ❑ NA ONE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need [:]Yes roO
NA ❑ NE
maintenance or improvement?
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.)
❑ 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
❑ o ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ NA
rN/o
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes❑
NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Reauired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
o ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No ❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps [:]Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
No ❑ NA
0 NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections [:]Monthly and V Rainfall inspections
ludge Survey
22, Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ NA
.❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
[:]Yes
No ❑ NA
❑ NE
Page 2 of 3
21412014 Continued

Facility Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 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 first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes ED"N ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes;No
No NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document [] Yes ❑ NA ❑ NE
and report mortality rates that were higher than normal?
24. 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?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes []No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
[:]Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑NA ❑NE
❑NA ❑NE
❑NA ❑NE
Comments (refer to question #): Explain°any YES answers.andlor any additional r'ecommendatlons or,any otherPcomtnents.•
Use drawings of facility to better explain situations (use additional pages as necessary).
Reviewer/Inspector Name:
Reviewer/inspector Signature:
Page 3 of 3
Phone: '79
Date: 9 �d
21412014

c�r2S-tY
(Type of Visit: eO Compliance Inspection () Operation Review p Structure Evaluation Q Technical Assistance I
Reason for Visit: O Routine O Complaint Q Follow-up O Referral Q Emergency O Other Q Denied Access 1
Date of Visit: Arrival Time: Departure Time: County:
Farm Name: 51Z " '7 el a'✓ �, �S' �1?t'Vh Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: Phone:
Onsite Representative:
Integrator:
Certified Operator: Certification Number:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Region:
Design Current
Design Current
Design C►urrent
Swine Capacity Pop.
Wet Poultry, Capacity Pop. Cattle
Capacity Pop.
Wean to Finish
Layer Dairy Cow
Wean to Feeder
-Layer
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
'' Design Current Dry Cow
Farrow to Feeder
Non-Dai
Farrow to Finish
La ers Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turke Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
ZNo ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
No NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
[3 Yes
Io 0 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
N
❑ NE
2. Is there evidence of a past discharge from any part of the operation?:
❑ Yes&No
o NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
❑ No ❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Facility Number: 13 - & Date of Inspection: 2�
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
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): f
No ❑ NA
No ❑ NA
Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes o ❑ NA
❑ Yes No ❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t at, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes j No NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes o ❑ 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?
Waste Application
M. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes NVNNo
❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes❑ NA ❑ NE
❑ Excessive Ponding 0 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
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
NA
Foo
❑ NE
18. Is there a lack of properly operating waste application equipment?]
Yes
NA
❑ NE
Reauired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? [] Yes eNo
❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ 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 dNo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis [] Waste Transfers ❑ Weather Code
❑ Rainfall [:]Stocking [] Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes P yNo [] NA ❑ NE
Page 2 of 3 21412011 Continued

Facili Number: - Date of Inspection: L
9
24. Did the facility fail to calibrate waste application equipment as required by the permit? Yes ZCo NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes Ef 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 o ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ZNo 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?
24. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
[] No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question #): Explain 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). .
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
1_s �X C©��
Phone: G%1 ,. — Z
.r
Date: Z t
21412011

Lz. ( U
Type of Visit: 0 rRoutine
fiance Inspection U Operation Review U Structure Evaluation U Technical Assistance
Reason for Visit: 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County:
Farm Name: fj /z 1 'Vl .n &= 1) ay � f b; Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current
Swine Capacity Pop.
Wean to Finish
Design Current Design Current
Wet Poultry C►apacity Pap. Cattle C►apacity Fop.
Layer I IDairy Cow
Wean to Feeder
Nan -La er I
I Dairy Calf
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Dairy Heifer
Design Current Dry Cow
Dr. P,oultr. Ca aci l;o . Non -Dairy
Farrow to Finish
Layers
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?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes 0 No ❑ NA ❑ NE
❑ Yes o ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes No ❑ A ❑ 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 ro
NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes 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. 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): f% Z-ii 7
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?
ue'V - ❑ NA ❑ NE
o ❑ NA ❑ NE
Structure 6
❑ Yes ffNo ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmenta re t, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes N ❑ 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 No
NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? if yes, check the appropriate box below.
❑ Yes o
❑ 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 Wirid Drift ❑ Application Outside of Approved Area
12. Crop Type(s): L� S�� . 7�"'"Gj l/c
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ YesFN
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑Yes
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
VNo
❑ Yes❑
NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes 10
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes VNo
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes No
❑ NA
❑ NE
the appropriate box.
❑WUP []Checklists ❑Design [:]Maps [:]Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis [] Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? []Yes No ❑ NA, ❑ NE
Page 2 of 3 21412011 Continued

Facility lumber: jDate of Inspection: Z
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes t`-'IN
❑ NA ❑ NE
'5�
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to 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 INO
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately,
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question #): Explain. any YES answers and/nr,,any additional iie6mineiidati6ns�ar'any,other coniments < r } i x )"'
..-''
Use;drawingsof_.�facility. to'better explai:nsitivations(nse,a.dditionalpages'.a's.he»ces,sary),
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: : s.
Date: ,;Lr 2 S
21412011

Type of Visit /D Corout,
fie Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit e 0 Complaint 0 Follow up 0 Emergency Notification Other ❑ Denied Access
ility NumberI IQ
Date of Visit: ime:
act
Not O erational 0 Below Threshold
Permitted 0 Certified 0 Conditionally Certifled 0 Registered Date Last Operated or Above Threshold:
Farm Name: .✓ S,u ^ +� 7 [`� County:
Owner Name:
Mailing Address:
Facility Contact:
Title:
Onsite Representative:
Certified Operator: /TZ
/�—
Location of Farm:
Phone No:
Phone No:
Integrator:
Operator Certification Number:
❑ 5wine ❑ Poultry ❑ Cattle ❑Horse Latitude ' 1 �4 Longitude 0 0«
Swine
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current Design Current
Capacity Population
Cattle
Ca aci Po ulation:a aci Po ulation Poultry
❑ Layer I ❑ Dairy
❑ Non -Layer Non -Dairy
❑ Other .;
Total Design Capacity
Total SSLW
Number of Lagoons I -Jr' I L Subsurface Drains Present JLJ Lagoon Area JU Spray Field Area
HoldingiPonds 1 Solid 'Traps ❑Liquid Waste Management Sy stem
Discharges & tr am Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Sprav Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. if discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collectign 8& Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches):
tl
05103101
❑ Yes {�No
❑ Yes L7No
❑ Yes �o
❑ Yes EJ a
❑ Yes LJ�vo
❑ Yes
ElYe No
Structure 6
Continued

Facility Number: —
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 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. 1s there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type `.
13. Do the receiving crops dider with thost designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit 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 ErNo
❑ Yes C24
❑ Yes No
El Yes ;�
❑ Yes � `VU
❑ Yes No
❑ Yes No
❑ Yes �21"Noo
El Yes LI N/ El Yes KNo
El Yes
❑ Yeso
❑ Yes
❑ Yes lQlvo
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
Q4-0"
�]z
� No
V
00
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Gomments,(referto:question #} Explain ariy YES
answers andlor�any recommendations o<any otherecoiiiinents..,`
Use drawingss.ofifacility to better explain situations:°(use additio sary): ❑Field Copy ❑Final Notes
r nalpages as neces
PA ..,. n�... 3,,.�:,
T
Reviewer/Inspector Name f?i
Reviewer/Inspector Signature: Date: 3 A
05103101 Continued

f` •f . ri _ .rf• -t-k "f
{ F
Facility Number: — 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 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 Anmlication
10. Are there any buffers that need maintenance/improvement?
11. 1s there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type (I
❑ Yes
❑ Yes '2
❑ Yes
❑ Yes No
❑ Yes 'C 2 o
ElYes VNo
15�
El Yes
13. Do the receiving crops differ with thoseldesignated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes [�]'fVo/
14. a) Does the facility lack adequate acreage for land application? ❑ Yes
I,—dN�/
b) Does the facility need a wettable acre determination? ❑ Yes
c) This facility is pended for a wettable acre determination? ❑ Yes N
15. Does the receiving crop need improvement? ❑ Yes N
16. Is there a lack of adequate waste application equipment? ❑ Yes No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes o
19, Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ic/ WUP, checklists, design, maps, etc.) ❑ Yes N�
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes
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?
(ic/ discharge, freeboard problems, over application) ❑ Yes No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes
24. Does facility require a follow-up visit by same agency? ❑ Yes o
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes o
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
-
'Comments (refer to question "#): YEaplain any YES anaweTs`andlor any recommendahonsYor anyTdther,comments;`r::=
ilsc riiw gs of facility to'betE r explain ituatio`n"s, (use additt�nal pagesas necessary) ❑Field Copy ❑Final Notes,
'
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:
05103101 Continued

Facility Number: 45 —
Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes hlo
❑ Yes o
❑ Yes Vo
❑ Yes 2<0
❑ Yes
❑ Yes jNo
El Yes o
Additional Comments and/or Drawings:.
w
05103101

F
f Visit Com nce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
n for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: I �D Arrival Time: Departure Time: County: Region:
Farm Name: A „��� n -Nc 17o4 %mii Owner Email:
Owner Name: _
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: /
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: = o = 1 Longitude: = ° ❑ 1 �
Design Current
Swine Capacity Fopula#ion
Design Current Design C►urgent
Wet Foultry Capacity Population Cattle Capacity Population
❑ Vican to Finish
Layer
El Dairy Cow
Wean to Feeder
LLEEQ3 Non -Layer
I
❑ Dairy Calf
❑ Feeder to Finish
❑ Dairy Heifer
El Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
Dry Foultry
❑ Layers
❑ D Cow
El Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
mber of Structures:
Non -La ers
❑ Gilts
❑ Pullets
❑ Boars
❑ Turke s
Other ❑ Turkey Points
❑ Other 1110Other
F
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
C. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page i of 3
❑ Yes fo ❑ NA ❑ NB
❑ Yes �No[ODNA
NA [I NE
El Yes FINE
❑ Yes NA ❑ NE
❑ YesrNo
NA ❑ NE
El Yes NA ❑ NE
12128104 Continued

Facility Number:33 —
Date of Inspection -Q
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes 2<01�EaNA ❑ NE
El Yes o El NA El NE
Structure 5 Structure 6
❑ Yes o ❑ NA ❑ NE
❑ Yes to ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
S. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes:N�o
Q 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 El Yes ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes O<o ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes J o ❑ 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) r,k- r IrV -, S .
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
Ld No ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
6�0❑ NA
❑ NE
16. 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
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
L ill'o ❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendationsior any�othor. comments t`*
T
Xseldraw ings of faeility to�better. explain situations (use additional pages'as necessary).- ��"
;.
a
ReviewerAnspector Name
Phone:
Reviewer/Inspector Signature:
Date:
Page 2 of 3 12128104 Continued

Facility Number: 3j — I"ZJ Date of Inspection o G
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
ElYes No ❑.NA ❑ NE
❑ Yes Flo ❑ NA ❑ NE
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
o ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V
Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
No ❑ NA ❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes�N�o(O__]�NA
<NoNA ❑ NE
24.
Did the facilityfail to calibrate waste application equipment as re required b the permit?
Ppq Y
❑ Yes
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
Vo '❑ NA ❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
No [] NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ 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
❑ 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
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additional Comments apd/or Drawings:".01
Pi,, l " J e-, +' S /" ds--- 5�rv-p_.
b-( ov- be
Page 3 of 3 12128104

Division of Water Quality (-7
Facility Number O Division of Soil and Water Conservation
0 Other Agency
F
fVisit Com ceInspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
n for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County: Region:
Farm Name: `�(L i�/l 01— l5�1 IVW. -V Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: L-r' C sf_''_//�� f1 4r
Certified Operator: Inn a'n
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
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: [= c = { Longitude: = o = ' = «
Design Current Design Current.
Capacity Population Wet Poultry ` Capacity Population
ELayer
Non -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ urkey Pouets
❑ Other
Discharees & Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design I Current
Cattle Capacity ,Population.
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocket
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
e. 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?
"i
❑ Yes eNo ❑ NA ❑ NE
❑ Yes VNo
❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
i
❑ Yes NA ❑ NE
❑ YesyNo
NA ❑ NE
❑ Yes NA ❑ NE
12128104 Continued

I Facility Number: 3 j -6 (r I Date of Inspection 4 D 7
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes NA ❑ NE
a. If yes, is waste level into the structural freeboard? El Yes;?o ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):L�(
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes RfNo ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not property addressed and/or managed ❑ Yes 1.2 o .❑ 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 thr , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes Eo
NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ElYesNA❑ 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 ElYes 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 �oO A ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or ] 0 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drill ❑ Application Outside of Area
12. Crop type(s) C--&' n
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
PTNo ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
Ell< ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
U<o❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
[ ' _ ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
EfNo'❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/Inspector Name Phone: (�/ '1 r?' i� t i z&V a
Reviewer/Inspector Signature: 46,7e( Date: Q r y 1i
12128104 Continued

Facility Number: — Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes [ fo ❑ NA El NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropirate box. ❑ wup ❑ Checklists ❑ Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes �No[0:1 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 ❑ ther Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes PN:
NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
if yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
Comments and/or Drawings:
❑ Yes N NA El NE
❑ Yes N NA ❑ NE
❑ Yes No NA ❑ NE
❑ Yes No ❑ NA ❑ NE
El Yes El No El NA ❑NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
12128104

6(3e;. oT
a
Facility' Number-
�
'$D"bivision of Water Quality
O Division of Soil and Water Conservation ;
O Other Agency y
Type of Visit ;Routine
m nce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: ( 0 Arrival Time: E=Departure Time: County: Region:
Farm Name: O3 D h Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Other
❑ Other
Title:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: = 0 0 = Longitude: ❑ 0 ='
Design Current Design Current
Capacity -Population . Wet Poultry Capacity Population
Is ❑ Layer
1 ID Non -Layer 1.
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Puuets
❑ Other
Discharzes & 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?
Cattle
Design Current
Capacity -Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes 0 /No ❑ NA ❑ NE
❑ Yes /Vo/❑ NA ❑ NE
❑ Yes 'ONo ❑ NA ❑ NE
❑ YesrNoD
❑ NE
❑ Yes ❑ NE
❑ Yes ❑ NE
12128104 Continued

Facility Nut6ber: — (�
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate'?
❑ Yes
oA
❑ NE
a. If yes, is waste level into the structural freeboard?
ElYes
;5-__�DINA
❑ 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
(dNo ❑ NA
❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
No ❑ NA
❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre , 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:No
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 El Yes ❑ 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 o ❑ 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) soy
13. Soil type(s) t
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
15. Does the receiving crop and/or land application site need improvement`? ❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[-] Yes
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ Yes
�] ❑ NA
❑ NA
❑ NA
FNoEl
❑ NA
NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
Comments (refer to question ft Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/Inspector Name Phone:
Reviewer/Inspector Signature: Date:
12128104 Continued

Facility Number: Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes No "NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design El Maps [I Other
21, Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes �❑ 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 eather Code
22. Did the facility fail to install and maintain a rain gauge? El Yes Ng/❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes N ❑ NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ YesPNo
❑ NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? El YesNA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? El Yes❑ NA El NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes❑ NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ 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
❑ 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
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Page 3 of 3 12128104

Type of Visitf Q%om nce inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit Routine O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: Zft Arrival Time: ®;Departure Time: County:
Farm Name: 5 �� f ^''► — 1� 0 'T&1W h Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Phone:
Title: Phone No:
Certified Operator: - tip
Back-up Operator:
Location of Farm:
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Latitude: ❑ o
1►1Tit
Integrator:
Operator Certification Number:
Back-up Certification Number:
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Puults
❑ 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:
Dairy Cow_
_Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood C
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
Region:
❑ Yes 4 No NA ❑ NE
❑ Yes N ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes �4o ❑ NA ❑ NE
12128104 i Continued

Facility Nu mber:.3 I—� (. Date of Inspection �g
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 07 11
Structure 2 Structure 3 Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes 1\fo ❑ NA ❑ NE
❑ Yes R<�❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes P<O ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thr t, 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 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 ZfNo NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 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) C I 1 � . �tll!ii e 0q4)r --P / Z cf1 -- e\
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[] Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. is there a lack of properly operating waste application equipment?
❑ Yes
No NA
Z,EINA
❑ NA
NA
NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
,;$�>.�t��.a3F'�..1? �- •�
Comments refer�t& uestion # Ex lain an gYE5 answers and/ortony,recantmendations or°any other comments:
Use drawtnygs obf taXc[tlity¢ o.k�etter egxp1, in situations (usc addittona�l:pages3as.,ngecessary,):
n'7 xi#.k.RY1:EtzTZ,�t�.P�.S: 1�`s �_��_ _: �LIL�'`i'.'t'$AF
7
Reviewer/Inspector Name Phone: 7 tf Zt3Zj
Reviewer/Inspector Signature: ae_ mac. Date:
Page 2 of 3 12128104 Continued

Facility Number: — !j Date of Inspection Zi
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps [I Other
❑ Yes No - NA ❑ NE
❑ Yes:No ❑ NA ❑ NE
21,
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
0< ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
�2Annual 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
ZNo ❑ 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
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
N ❑ NA
ElNE
26.
Did the facility fail to have an actively certified operator in charge?
ElYes
L/I N ElNA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
No ❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ 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
❑ 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
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additiongl,Goinments�and/or
Page 3 of 3 12128104
Page 3 of 3 12128104

122outine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other
umber Date of Inspection
Tim.c.i' !Inspection 24 hr. (hh:mm)
Wermitted ©Certified ©Conditionally Certified [] Registered 13 o -'t-r ..........................
I N tOp Date Last Operated:
Farm Name: J.q County: *; .................. .......................
..../4-0, '�/Z:" , -
............................................... ...... r ... ol ........
OwnerName: ................................................... ........................................................................ Phone No: .......................................................................................
FacilityContact: .............................................................................. Title: ..................................... I .......................... Phone No: ...................................................
MailingAddress: .................. ................................................................... . .......................................... .......................................... ..........................
Onsite Representative Integrator: ..... x1or
..... ........... ...... ............................................................... ........ — .....................................................................
Certified Operator:.................................................. ............ .................... Operator Certification Number:..........................................
Location of Farm:
.................................................................................................................... : .......................................................................................................................................
Latitude = 0 =1 =11 Longitude = 9 =1 =11
�-'JeCurrent
­ii'�'� �,i'C 9
Des igCurrent
apVcity.-.P6pulatbDn.'
Ou rY Ciipaiity� opu ation "-C j
Poultry apiicity:, wp'
1''T60ula"I"'!
L2[iiWean to Feeder❑
Layer EEI:D:airy
Feeder Finish
❑to Non -Lay er ;;"10 Non -Dairy
Farrow to Wean
J­
0 Farrow to Feeder
Finish 0 Farrow to
"J Oa esigw ap
[I Gilts
4A,
7 Boars
J4 -Aiij
er,of L Niimbl agoom
Subsurface Drains Present 1EILagoon Area I0 Spray Field Area
lf'i�j �'V t 091 j!.Ji? ji Vi
IdingX, onds Z Solid Traps"; :FEI No fiquid Waste Management System
A t' 7. 11�'�. T.'-'�' I
I
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: 0 Lagoon E] Spray Field [-] Other
a, If
t.
discharge
of the State?
fl
(If yes,
discharge
. Identifier: U
Freeboard (inches): ...............
/..10 ............. .................................... ................................... .................................... ............................
5. Are there any immediate threats to the integrity of any of the structures observed? (ic/ trees, severe erosion,
seepage, etc.)
3/23/99
[] Yes No
El Yes
El Yes No
E] Yes xf
N No o
No
C1 Yes 0
❑ Yes
N 0
o/
Z
0 Yes rN
Structure
El Ye-sf 0 No
Continued on back

Date of Inspection
Facility Number: 3 — 't
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?
12. Crop type , S
❑ Excessive Ponding ❑ PAN
�° dG
❑ Yes o
❑ Yes
❑ Yes No
❑ Yes No
❑ Yes N
❑ Yes eNo
13.
Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
14,
a) Does the facility lack adequate acreage for land application?
❑ Yes
b) Does the facility need a wettable acre determination?
❑ Yes
c) This facility is pended for a wettable acre determination?
❑ Yes
15.
Does the receiving crop need improvement?
❑ Yes
16.
Is therea lack of adequate waste application equipment?
❑ Yes
Required
Records & Documents
17..
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
19.
Does record keeping need improvement? (iel irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
20:
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(iel discharge, freeboard problems, over application)
❑ Yes
23.
Did Reviewer/Inspect r-fail to discuss review/inspection with on -site representative?
❑ Yes
24.
Does facilit uire a follow-up visit by same agency?
❑ Yes
25.
We any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
Rio yiglaiigns;off dgf�cier�c es iv re nQte� �jtrif oh s;v�sat; Yoh wili teegiye ti i`u>rt r.
corresporicience: about this visit. : ...... ........................::: :

Facility Number: Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes No
❑ Yes 0
❑ Yes No
❑ Yes o
❑ YesjNoZ
N
El Yes
El Yes
ALI

Type of Visit EYComp ' ce 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 or visit. . Z D Time:
Q Not Operational Q Below Threshold
© Permitted [3 C/ertified< 13 Conditionally Certified [3 Registered Date Last Operated or Above Threshold: .........................
Farm Name: '% l ...1.� .' n 0""' �— 4 Z County:. G.c . �........................................
......... ..... ...........................................I............ '
OwnerName:.......................................................................................................................... Phone No:.......................................................................................
FacilityContact; ...............................................................................Title:............................................................... Phone No:....................................................
Mailing Address:
OnsiteRepresentative; .......................................................................................................... Integrator: ......ry.C"?,,,,,,,,.........................................................
Certified Operator: /.✓! t� Operator Certification Number :.........................................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • • 44 Longitude ' =( s
Design Current Design Current Design Current
SwinCattle
Capacity Population
ffWean to Feeder ❑ Layer ❑ Dairy
❑ Feeder to Finish JE1 Non -Layer ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total DesigmCapacity
❑ Gilts
❑Boars Total`SSLW.
Number ofZagoons ❑Subsurface Drains Present ❑Lagoon Area ❑ Spray Fietd Area
- Holding Ponds /:Solid Traps ❑ No Liquid Waste Management System
_.,T..f
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. Ii'discharge is observed, what is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon system? (.If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
❑ Yes
❑ Yes ,d too
❑ Yes
❑ Yes No
❑ Yes 174/01,
❑ Yes
01/01/01 Continued

y Facility Number-_ — 7l
Waste Collection &'Treatment
Date of .Inspection
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
............................................................................................................................................. ............................
Freeboard (inches):..........�................................................................
......f.................................................................................... .
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
13, Do the receiving crops differ designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
1�acutbps preseuY,?
18. Is there a w _well-wit-iin-25n-fee of the sprayf eld boundary?
❑ On -site ❑ Off -site
❑ Yes
Structure 6
❑ Yes 2 ;V U
❑ Yes ® No
❑ Yes [ No
❑ Yes
❑ Yes No
❑ Yes No
El Yes o
❑ Yes dNo
El Yes I;N0
❑ Yes LJ too
❑ Yes [��
❑ Yes No
❑ Yes l�No
❑ Yes ❑ No
❑ Unknown ❑ Yes ❑ No
Required Records & Documents
19. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
20. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
21. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
22. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
23. Did the facility fail to have a actively certified operator in charge?
24. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
25. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
26. Does facility require a follow-up visit by same agency?
27. Were any additional problems noted which cause noncompliance of the Certified AWMP?
Odor Issues
28. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
29. Are there any dead animals not disposed of properly within 24 hours?
01/01/01
❑ Yes
❑ Yes
ElYes Fo
❑ Yes ElYes
El Yes ;�O��
El Yes No
❑ Yes o
❑ Yes o
❑ Yes ❑
❑ Yes pXb
Continued

Facility Number: Date of Inspection Z C
30. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
3 I. Is the land application spray system intake not located near the liquid surface of the lagoon?
Printed on: 1/4/2001
❑ Yes r �No
❑ Yes Co
32. 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 Z rNo
33. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes 2-
34. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? El Yes o
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
01 /0l /0l

Type of Visit CO Corn nce Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit Routine 0 Complaint 0 Fallow up 0 Emergency Notification 0 Other ❑ Denied Access
Fa 'lity Number Date of Visit: b Time:
Not Operational 0 Below Threshold
Permitted ©Certified ©Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
,,�•„er, 1 Farm Name: „ .,,Co!aJ'lr ±'t E2z�_:'4-- County:
Owner Name:
Mailing Address:
Facility Contact:
Onsite Representative: J
Certified Operator:
Location of Farm:
Title:
Phone No:
Phone No:
Integrator:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑Morse Latitude 0 6 " Longitude ' 6 66
Design
Current Design
Currentz
Design�Current
SwineCapacitV
Population Poultry
ulatlon d
'aoa
L�Mean to Feeder
❑ Layer
❑ Dairy
❑ Feeder to Finish
❑ Non -Layer I
❑ Non-Dai
? ❑ Farrow to Wean
! ❑ Other
h
El Farrow to Feeder
❑Farrow to Finish
Total Design Capacity_
❑ i ., Gilts
TotaI�SSLW
Boars
# Numberof. [.agnons © ❑Subsurface Drains Present ❑ La oon Area
.. .
�HI
Spray Field Area
Holding-;Ponds"/'Solid Vaps
�E* ❑ No Liquid Waste
Management System
I
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ)
2. is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste oll etion _4 Trgatment
4. Is storage capacity (Freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches): l
05103101
❑ Yes L'J No
❑ Yes 9No
❑ Yes
❑ Yes ZI Np/
❑ Yes
❑ Yes
❑ Yes No
Structure 6
Continued

Facility Number: ' —P I - r 1�
6 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes [o
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes;NN'o
(If any of questions 4-6 was answered yes, and the situation poses an
Immediate public health or environmental threat, notify DWQ)
T Do any of the structures need maintenance/improvement? ❑ Yes ZNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes No
12. Crop type i2e-4—.
13. Do the receiving crops d ffer with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes No
14. a) Does the facility lack adequate acreage for land application? El o
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15.
Does the receiving crop need improvement?
❑ Yes
❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
No
Re aired Record5 & Documents
/
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
le— NNo
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
o
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
20.
is facility not in compliance with any applicable setback criteria in effect at the time of design?
[EllYes�N�
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes or
22. Fail to notify regional DWQ of emergency situations as required by General Permit? jNpX
(ie/ discharge, freeboard problems, over application) ElYes23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ElYes
24. Does facility require a follow-up visit by same agency? ❑ Yes N
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Reviewerllnspector Name
Reviewer/Inspector Signature:
M r
Field Copy ❑ Final Notes
Date:
O5103101
Continued

Type of Visit A!�Com ce inspection O Operation Review Q Lagoon Evaluation
Reason for Visi Routine O Complaint O Fallow up Q Emergency Notification O Other ❑ Denied Access
Facility Number t Date of Visit: 9 O Time:
Q Not Operational Q Below Threshold
© Permitted [3 Cerdfied 13 Conditionally Certified [3 Registered Date Last Operated or Above Threshold: .........................
FarmName: "� n 0-1e ��,.� �--- County: 5.....................................1......................_....................................... �-.....................................................................
OwnerName: ................................................... ........................................................................ Phone No:.......................................................................................
MailingAddress:...................................................................................•----•--••----•--...................................................................................................... ..........................
FacilityContact: ................................................................ .............. Title: ................................................................ Phone No:...................................................
Onsite Representative: .............................................................................................. Integrator:.......................
Certified Operator:....61..S tL 1,� n Operator Certification Number:.... ......................................
lv.o............................................................................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude * ' " Longitude • ' «
ItDesign `: ,i l Curren
Swine C :. Ip I"'1' A
'elation' `'.
a ace ! . ,o u a _..
U
❑ Wean to Feeder
, i ❑ Layer
❑Feeder to Finish
3
; ❑ Non -Layer
❑Farrow to Wean
❑ Farrow to Feeder
I' (] Other aa
1��k el�TOtAI Desl
rjFQb t€f
❑ Farrow to Finish
�7Ai
❑ Gilts
❑ Boars
�❑ Non -Dairy
i
1[[ ry !
1 ! , ;, ! S
EN ,�! 1 'Iy�
,n',CSpBCIty
� !4 � ^� ;,
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 4 <No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes Ta
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 o
2. Is there evidence of past discharge from any part of the operation? ❑ Yes o
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes o
Waste Collection & Treatment
_ eat
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ a
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure
Identifier: .........................................................................................................................................
Freeboard (inches): ��----- ��
12112103 Continued

k'Acility Number: — Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
❑ Yes
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 maintenancelimprovement?
❑ Yes
o
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
❑ Yes
❑ Yes
No
;Z0
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
N
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Yes
9No
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type r ,... S
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
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
Odor Usues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
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
Air Oualitv revresentative immediatelv.
❑ Yes" V ,
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
-f h t., f0! - •B^' a E!5 EJst ,aafQe � �:F�
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.es:F"�'s[. .!{bs .i.%ta��E :,ti?(�. r.[..s y,[[�,3s)�.'K.;,�.Ea,F�33,E�.s I�E€�€$±(rl(' ,.€.b.�±LE�. ..x._.:a.t.�.,¢,.EF.Ft.:.:,.,.�;.�wi.,a.:..e€,,'xtm.or,lY:b,,dt. :tit:•F}.:CwEI:..:.ti.€H�.,ae.,.lPf,,,.'�$p., ;8a$PC.;Yb�d,iEe1$ab.,,t IMF!
s'rBf#..�•# 3ENP.� 3{final Notes �f .
E#3r
jl
ie
,
Pt.
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: % t
12112103 Continued

Facility Number: 3 Date of Inspection i
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
23. Does record keeping need improvement? If yes, check the appropriate box below.
❑ 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?
25. Did the facility fail to have a actively certified operator in charge?
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
28. Does facility require a follow-up visit by same agency?
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
3I. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
32. Did the facility fail to install and maintain a rain gauge?
33. Did the facility fail to conduct an annual sludge survey?
34. Did the facility fail to calibrate waste application equipment?
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall [:]Inspection After V Rain
❑ Yes
❑ Yes E �No�
❑ Yes
❑ Yes No
❑ Yes o
❑ Yes o
❑ Yes o
❑ Yes �To
❑ Yes ITV o
❑ Yes ]GTNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ 120 Minute Inspections ❑ Annual Certification Form
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit
r t sa` <t '%- �€ ¢ '. „ I es �, ;iss;9g;€ !i z=°1` .,€ - i!3i : �:; c€; n ii: tl - a ri P _ie¢ 5a9 3t.:. € S, _ .a{ 3i 3 s s ;.r.gyF�c M'k,ii . f, .:3 si �� }:is•�
nalEComments'and/ovDrawm"";.'6i.}p�{�,- � �� ��3y'�t�•$g@tg`e-.;� is ,i� , , E ,�}. . �C �itt�tiSl ��1.� ,fLs�i� ,4gWS� 'it � ,E�.j r i., .iq I;. .L . � y.� �p�j{
�
r
T
12112103

I
a
Division of Water QualitJ.y
Facility .UM 0 3, 6 Q Division of Sail and Water Conservation
Other Agency
Type of Visit Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit 91ioutine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of visit
7 /y b
Arrival Time:
Departure Time: County:
Farm Name:
Q •S12
"n n P,_ ,O�
(07- l - Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Phone:
Integrator:
Certified Operator: _41111 _SIL, n a o-rZ Operator Certification Number:
Phone No:
Back-up Operator:
Back-up Certification Number:
Region:
Location of Farm: Latitude: ❑ e = 6 =, Longitude: = e = 1 = 1{
Design Current a n,.' Design Current
Swine Capacity Population Wet Poultry Capaci Population
�. �.
Design Current
Cattle `Cappcity Population
❑ nto Finish
❑ La er
❑Dai Cow
Wean to Feeder
30 Q'
-Layer
iry Calf
Feeder to Finish
❑ Farrow to Wean
';
.Dry, Poultry
'
❑ Layers
❑ Non -Layers
;�
u
r �„ ❑ DairyHeife3
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocket
❑Beef Feeder
❑ Beef Brood Cow
Number of Structures:
❑ Farrow to Feeder°�"`"°"�''"
❑ Farrow to Finish
❑ Gilts
El Pullets
❑ Boars
Other
❑ Other
❑ Turkeys
ElTurkey Poults
JEJ Other
I
°—AMMU�r,�
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation?
❑ Yes 2rNo
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
N
a. Was the conveyance man-made?
❑ Yes ❑
❑ NA
❑ NE
b. Did the discharge reach waters of the State? If es, notify DW
g ( y fy Q}
❑ Yes No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes 06
ElNA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
ElYes2�0
❑ NA
ElNE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
El Yes
NA
❑ NE
other than from a discharge?
12128104
Continued

l
c
Facility Number:
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in): `L
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes N ❑ NA El NE
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes �No[:]
NA El NE
[I Yes NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thr , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes L N NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
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 No ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
[]PAN ❑ PAN > 10% or 10 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?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination!❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18, Is there a lack of properly operating waste application equipment?
❑ Yes
VN ❑NA El Z
NA ❑ NE
rNoO
❑ NE
El NE
❑ NE
IReviewer/Inspector Name�f Phone: I
Reviewer/Inspector Signature. 1�����/� // Date: 7 J /�//vS
121,28104 Continued

R
Facility Number: Date of Inspection
Renuired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑,Other
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
t No ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ 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?
El
No El NA
El NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
NA
❑ NE
24. Did the facilityfail to calibrate waste application equipment as re required b the ermit?
PPq Y P
❑ Yes
N NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ NA
El
26.
Did the facility fail to have an actively certified operator in charge?
El Yes!No
No
NA
El NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
El Yes
o
NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ 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
❑ 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
❑ No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
12128104

Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)'?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a, If discharge is observed, was the conveyance rnan-made?
1), II'discharge is observed, did it reach: ❑ Surface Waters ❑ Waters of the State
c. II' discharge is observed. what is the estimated flow in gal/min?
d. Does discharge hypass a lagoon .system?
2. Is there evidence of past discharge from any part of the operation? ,
3. Were there any adverse impacts to the waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
�l �i
Freeboard(inches): ................ ................... .........................................................................................
[] Division f ©il snit Water Conse'ryatton- peeation Review
' on of Soil and Water Conservation - Compliance.Inspection'
S'D? tsion of Water. Quality Compliance Inspection 1
t'
3 E 1 6[ tkkl �14E' i
�OtherAgency' �Operat�onRwt�!v'r E,�'t:
5
i {'i - Q�
.. i� ,.,.#�
��<<„,�i!„tF1
1Q'Routine 0 Complaint Q Follow-up of DWQ inspection Q Follow-up of DSWC review Q Other �
Facility Number Da1v of lnspectiou Zd
Time of Inspection � 24 hr. (hh:mm)
© Permitte Certified 0 /Conditionally Certified (3 Registered E3 Not O erational Date Last Operated:
Farm N. .'.......1!� G DQ^�.f0�+-� Counh... ......................
Owner Name:.... I. � ShM.n..P....... 0.w.'.... Phone No:....?:.f.�.....
Facility Contact: ...; -41.9-^.................................................
.ritle:.......... .......... ... Phone No:
MailingAddress:.............� � p �. Gai �j t1�� � L.................,................................................................................ ..........................
n....... ..............................................................
Onsite Representative:.. ......, lntegrator:.......V.............................................................
....
Certified Operator: ,,,,,,,%�% ,r,K„e,l,,,,,,,,,,,,,, Operator Certification Number:......................,..................,
................................. ..................
Location of Farm:
G
T
Latitude 0 4 °° Longitude • 1 66
Design Current Design Current Design Current '
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
can to Feeder (} ❑ Layer I I ❑ Dairy
❑ Feeder to Finish ❑ Non -Layer I JE1 Nan -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons 2
I❑ Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
No
No
❑ Yes
❑ Yes
❑ Yes
❑ Yes rl
❑ Yes o
❑ Yes
❑ Yes ❑ No
Structure 6
...............................................................................
Continued on bac(A
1/6/99

F,,acility Number: Date of Inspection
5. Are there any immediate t rcats 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 pact of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markets with required top of dike, maximum and minimum
liquid level elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvcit�cnt?
I. Is there evidence of over application'? ❑ Ponding ❑ Nitrogen
12. Crop type (] ................. ......................................................................
■
❑ Yes O N
❑ Yes
ZIvy
❑ Yes
J3 No
❑ Yes
ZNo
❑ Yes
N
❑ Yes
No
............................................................................ '
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. Does the facility lack wettable acreage for land application? (footprint)
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 certified operator in responsible charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, board problems, over application)
23. Did Rcvwer/Inspector fail to discuss review/inspection with on -site representative?
24. D facility require afollow-up visit by same agency?
XWviolations `or. Fdeiici' ncie's .were noted. ria:rin'g.this visit:. I'.titi vviil.ret eive nay Mri ier. -.'
...... .. n .. tjb. ..this pis . . I ............... . .
(refer.to question #):.Explain any YES answers and/or any;recorririiendations'or any other comments.
`g 'of facilit lO Bette, , ex lain situa
tions. use addit�ona! pages
Y p ( p ges as necessary); { f r €
ReviewerAnspector Name
Reviewer/Inspector Signature:
❑ Yes eNo
❑ Yes No
❑ Yes eNo
❑ Yes o
❑ Yes No
❑ Yes
❑ Yes
❑ Yes N
❑ Yes No
❑ Yes N
❑ Yes o
❑ Yes No
AL
1�1
Date: ZZ24
r

Revised January 22, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number_-�a y
Farm Name: g ( -6• 1 P-j- n a.- b o +VG--_
On -Site Representative:. 2 /
Inspector/Reviewer's Name: 7e't,)ei z
Date of site visit:_ Ll l U I � 9 _
Date of most recent WUP: ?L/ 149E ___
Operation is'fladged for a wettable
acre determination due to failure of
Part II eligibility item(s) F1 F2 F3 F4
.' O�on not required to secure WA
determination at th' time based on
exemption E1 kg2,,E3 E4
Annual farm PAN deficit: 2 7 pounds
Irrigation System(s) - circle #: 1. hard -hose traveler; 2. center -pivot system; 3, linear -move system;
4. stationa rin ent pipe; 5. stationary sprinkler system w/portable pipe;
. stationary gun system w/permanent pipe; . stationary gun system w/portable pipe
PART I. WA Determination Exemptions (Eligibility failure, Part 11, overrides Part I exemption.)
E1 Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I or PE.
2 Adequate D, and DzID3 irrigation operating parameter sheets, includina 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 Ill. (NOTE: 75 % exemption cannot be
applied to farms that fail the eligibiiity checklist in Part 11. Complete eiiaibility
checklist, Part 11 - F1 F2 F3, before completing computational table in Part III).
PART ll. 75% Rule Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required because operation fails one of the eligibility
requirements listed below:
F1 Lack of acreage which resulted in over application of wastewater (PAN) on spray
field(s) according to farm's last two years of irrigation records.
F2 Unclear, illegible, or lack of information/map.
F3 Obvious field limitations (numerous ditches; failure to deduct required
buffer/setback acreage; or 25% of total acreage identified in CAWMP includes
small, irregularly shaped fields - 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 Par` lil.

Revised January 22, 1999
.ity Number _-
,art III. Field by Field Determination of 75% Exemption Rule for WA Determination
TRACT
NUMBER
FIELD
NUMBER"
TYPE OF TOTAL
IRRIGATION ACRES
SYSTEM
CAWMP
ACRES
FIELD COMMENTS-'
%
3.3
rI�L-,� J4W1W[o=ft - i1yurdriL, Nutt, zUrie, Ur pUinL riuiiiL)ers [11dy ut ut;ec m piece Ur rie,a numbers eepencina on LLwvmH
and type of irrigation system. If pulls, etc, cross more than one field, inspector/reviewer will have to combine fields to
calculate 75% field by field determination for exemption if possible; otherwise operation will be subiect to WA
determination.
FIELD NUMBER' - must be clearly delineated on map.
COMMENTS - back-up fields with CAWMP acreaee exceeding 75% of its total acres and having received' less than 50%
of its annual PIN as documented in the farm's previous two years' (1997 & 1998) of irrigation records, cannot serve as the
sole basis for requiring a WA Determination. Back-up fields must be noted in the comment secticn and must be accessible
by Irrigation system.

,.
`[j Drvision, of Sail and Water Conservation.- Operation Review
1 Dtvrsiom'of Soil and Water Conservation -:Compliance Inspection
It
❑ Division of •Water Quality - Compliance Inspection
Other A 4qc" Operation Review r i
;. , g„ Y.. t. W.... �,Ew 6"r .
10 Routine 0 Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Facility Number Date of Inspection
Time of Inspcction 0 24 hr. (hh:mm)
© Permitted [] Certified [] Conditionally Certified [J Registered [3 Not O erational Date Last Operated:
r
FarmName: ......................................................................................................... County: 4r�r'%,................ ............. ................
Owner Name: ................................ Phone No:........ .
Facility Contact:.............................................................................. Title ..... Phone No
NlailingAddress........................................................................................................................................................................................................... ..........................
Onsite Representative: 1--1V.I) 51411VOI� Integrator: ................ ......................................................................
Certified Operator: ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
Latitude ' ° •4 Longitude 4
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer I I I[] Dairy
❑ Feeder to Finish JE1 Non -Layer I Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Nu her of Lagoons.. ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps JCI No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation'?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
h• If discharge is observed, did it reach WatCI' nl the State'? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/ruin?
d. Does discltargc hypass a lagoon system'? (11'ycs, 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? [I Spillway
Structure 1 Structure ? Structure 3 Structure 4 Structure 5
ldcntificr:(� 1 �-
F'reeboard tinches):
r
❑ Yes ❑ 0
❑ Yes No
❑ Yes ] No
❑ Yes No
❑ Yes No
❑ Yes gJ No
❑ Yes No
Structure (�
.... ..... ......I........... ................................... .............. --.................... ................................... ...-........ ............... I...... ...................................
5. Are there any immediate threats to the integrity of any of the structures observed'? (le/ trees, severe erosion, ❑Yes ,�] No
scepagc, etc.)
3/23/99 Continued on back

Facility Number: '27 �� Date of Inspvction
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
�
closure plan?
❑Yes
❑/1�To
(If any of questions 4-6 was answered yes, and the situation poses an
rr
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
26es
❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
❑ 0
/
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
❑.No
y/
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
[YNo
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
V'No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes
dNo
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
ZNo
b) Does the facility need a wettable acre determination?
❑ Yes
C2"No
c) This facility is pended for a wettabie acre determination?
❑ Yes
No
15. Does the receiving crop need improvement?
❑ Yes
[7No
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑40
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
eNo
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
❑ Yes
No
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
PNo
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
R No
24. Does facility require a follow-up visit by same agency?
❑ Yes
1� No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
7No
0' Io viol:atioris:or• defeiencie5 mere nbfed• during'this;visit: Y' 64t will•Teceiye iio;'further • ; •
;cor'res• ondeike: about. this visit. .....:.:......... ....................
3 f YE - -. ,.'- ..'
Comments (refer toquestton #} Explain any,!, answers and/ any recommendations or any other comments
,ar r s � -
IIse dcawrngs of facelity to better explain s_ituatioos � (use additional pa"ges as necessary)
/V1= 6-o ra �u�, s a � ti 5 �� �S Y P-1 0-0 err , s P� � � cy�, q�C/
•
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:
3/23/99

i Facility Number — Date of Inspection
Odor ISSues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ 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 o
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 dNo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes XNo
3/23/99

0 Sion of Soil and Water Conservation [3 Other Agency
Vsion of Water Quality
t"Routine O Complaint. O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Date of Inspection El=
Facility Number (o
� Time of Inspection 7 �~ 24 hr. (hh:mm)
E3 Registered Certified © Applied for Permit [3 Permitted 10 Not Operational Date Last Operated :.....................
Farm Name: �42
. ....�'./L+...... `.............f............. ....�Z'...................... County: L.� .� r
Owner Name: ....3.g..��-,..s�.................. .. Phone No: 2S2
Facility Contact .......f2i� Q................................................. Title:
Mailing Address:.......... `�........r6.. ..i ��.�........Y.U!. b........ G
yy��
Onsite Representative:..o.-1
Certified Operator ;...... I.... . .....................................Sn h
Location of Farm:
.. Phone No: ......
a. .....3.3. 6...............................................................................
Integrator: ......... !�
Operator Certification Number:.......
F......................................................... .�
Latitude �• �' �" Longitude �• �' �"
General
1. Are there any buffers that need maintenance/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 gaUtnin?
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
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
❑ Yes
❑ Yes
❑ Yes No
❑ Yes No
El Yes N
❑ Yes N
El Yes N
Cl Yes No
❑ Yes o
❑ Yes ❑ No

'aeilitry N*mber: 3 —G
8. Are there lagoons or storage ponds on site which need to be properly closed?
'tructures (Lagoons.11olding fonds Flush Pits etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure L Structure 2 Structure 3
Identifier:
.....
Freeboard (ft): ......... .... ................... ...............
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?
Structure 5
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ..1.�....................
.......................................................
"".......
""..........
......
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss reviewlinspection with on -site representative?
22. Does record keeping need improvement?
23. Does the facil4'fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes No
❑ Yes o
Structure 6
❑ Yes No
❑ Yes lr0
❑ Yes o
❑ Yes 6No
❑ Yes o
❑ Yes �Ko
❑ Yes
❑ Yes
❑ Yes No
❑ Yes 5No
❑ Yes
❑ Yes
❑ Yes
24. Were a additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes
25. re any additional problems noted which cause noncompliance of the Permit? ❑ Yes
No.vialations-or deirciencies.were-noted during this" visit.- You:will recei ve',ni &furtlier•
coeresO6Wehce about -this: visit::.: :.. .
N
N
No

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Steve W. Tedder, Chairman
Alton R. Skinner
Alton R. Skinner Farms #2
Rt 4 Box 640
Tarboro NC 27886
Dear Mr. Skinner:
096?FA
'.Alri 0 21
C) E N R
Subject: Classification of Animal Waste Management Systems
Facility: Alton R. Skinner Farms #2
Facility ID #: 33-64
County: Edgecombe
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study Commission on
Agricultural Waste, was enacted by the North Carolina General Assembly on June 21, 1996. This bill
requires that a certified operator be designated as the Operator in Charge (OIC) by January 1, 1997, for each
animal waste management system that serves 250 or more swine, 100 or more confined cattle, 75 or more
horses, 1,000 or more sheep, or 30,000 or more confined poultry with a liquid animal waste management
system. Our records indicate that your facility is registered with the Division of Water Quality and meets
the requirements for designating an OIC.
A training and certification program is available for animal waste management system operators. For
information on the training programs please contact your local Cooperative Extension Agent. Operator
certifications are issued by the Water Pollution Control Systems Operators Certification Commission
(WPCSOCC). For information on the certification process, please contact the Technical Assistance and
Certification Unit at [phone]. The type of training and certification required for the operator of each
system is based on the nature of the wastes to be treated and the treatment process(es) primarily used to treat
the animal waste. There are two types of animal waste management systems, type A and type B. Type A
animal waste management systems are generally used to treat waste generated by monogastric animals
which produce a low -fiber waste. Type B animal waste management systems are generally used to treat
waste generated by ruminants and other animals which produce a high -fiber waste. The type of training and
certification an operator receives should correspond with the type of system(s) they intend to operate. For
more information on the classification of your system please contact the Technical Assistance and
Certification Unit.
As the owner of an animal operation with an animal waste management system, you must designate an
Operator in Charge and must submit the enclosed designation form to the WPCSOCC. If you do not
intend to operate your animal waste management system yourself, you must designate an employee or
engage a contract operator to be the Operator in Charge. The person designated as the Operator in Charge,
whether yourself or another person, must possess a currently valid certificate of the appropriate type.
�Sincerely,
Joseph B. McMinn, Supervisor
Technical Assistance and Certification Unit
cd/AW OIC Designation
Enclosure
cc: Raleigh Regional Office
Water Quality Files
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

W-
;�� r
Routine
Facility Number
int O Follow-up of D
0 Registered © Certified © Applied for Permit 13 Permitted
Farm Name:
Owner Name: .......................
Follow-u of DSWC review Q Other
Date of Inspection
Time of Inspection 24 hr. (hh:mm)
Not Operational Date Last Operated:.........
.............. County:.. .tr�.t 'll ? .. 6 .... .......................
PhoneNo:........................................................... ............................
FacilityContact............................................................................... Title:................................................................ Phone No: ,...,..............................................
Mailing Address:.................................................................................................................................................. ..........................
..............................l....::................... r-�
Onsite Represent<ktive:.�,L.LCr..................... ............ Integrator:................. ................................
.....................................
Certified Operator: ................................ ................... .............................................. ............... Operator Certification Number:.........................................
Location of Farm:
Latitude 0 �46 Longitude • 6 «
4
Destgn ;:.= Current Design Current.,•
Design ' '' Current v
Swtne
Capacity Population Poultry Capacity Population Cattle
Capacity Population.:,
Wean to Feeder
❑ Layer
❑Dairy
k�
❑Feeder to Finish
❑Non -Laver
:_
❑ Non -Dairy
❑ Farrow to Wean
,....
❑ Other 1
f}
Ems.
❑Farrow to Feeder
❑ Farrow to Finish
Total Design CapaCtiy
❑ Gilts
❑ Boars
Total SSLViW
"Numb e[ of Lagpons . Holding Ponds
❑ Spray Field Area
❑ Subsurface Drains Present
❑ Lagoon Area
k
h
a
❑ No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement?
❑ Yes
PrNo
2. Is any discharge observed from any part of the operation?
❑ Yes
�No
Discharee originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a, If discharge is observed, was the conveyance man-made?
❑ Yes
j No
(�
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
❑ Yes
No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system`? (if yes, notify DWQ)
❑ Yes
PINo
3. Is there evidence of past discharge from any part of the operation?
❑ Yes
0 No
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
XNo
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
❑ No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
E^o
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
❑'No
7/25/97
Continued
on back

v
Facility Number::
8. Are there lagoons or storage ponds on site which need to be properly closed?
ructures -(Laeoonsffilding Ponds Flush Pits c
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3 Structure 4
❑ Yes IA No
❑ Yes o
Structure 5 Structure 6
Identifier: ............. ......
....
.. .....-----
Freeboard(fr):...............!,/.......... ..... ................ .................... .................................. .... ................................ .................................. ......................................
10. Is seepage observed from any of the structures? ❑ Yes XNo
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes RNo
l2. Do any of the structures need maintenance/improvement? plyes ❑ 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 level markers?
Waste_ Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type bExaw...A....c,��--...................................................................................
l6. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22, Does record keeping need improvement?
For Certified or Permitted Facilities Only-
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes )INo
❑ Yes )No
...............................
❑ Yes 2fNo
❑ Yes 15No
❑ Yes XNo
❑ Yes VNo
❑ Yes [2fNo
❑ Yes PNo
❑ Yes ;2�qo
❑ Yes ZrNo
.IzYes ❑ No
0 No.vio'Ntions-or deficiencies.were-noted-during this"visit.' You.w'i11 receive -no' further : -
correspondeirtce about this;visit.
❑ Yes �No
c orsf°�tz� dry VZ *E_1647- or—
C) r/7C__ L/ Et;- �: q r�./,c1 )94tt r J 1-0 S T7HL (r
No c.��c,�.T illE'�7J r-d l�t'lm/'5 S/Mar�s#�,,�77 Hw
Reviewer/Inspector Name
Reviewer/Inspector
Date:

All, 4
APR 28 2014
NCDENR L.-.-
North Carolina Department of Environment a� d Natur 1. p a Resources-.__�_..-a
Pat McCrory
Governor
April 21, 2014
Alton Skinner
Alton R. Skinner Farms #2
704 Ellis Road
Tarboro, NC 27886
Subject: Permit No. AWI330064
Alton R. Skinner Farms #2.
Animal Waste Management System
Edgecombe County
Dear Alton Skinner:
John E. Skvarla, III
Secretary
In accordance with your application received March 31, 2014, we are hereby forwarding to you this
Permit issued to Alton Skinner authorizing the operation of the subject animal waste management system.
You had indicated the animal population at this facility to be zero until such time as the waste storage
lagoon at this facility is properly closed.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste structures on the Alton R. Skinner Farms #2, with an annual capacity of no greater than
an annual average of zero (0) Swine.
The Permit shall be effective from the date of issuance until rescinded, and replaces the COC No.
AWS330064 issued to this facility on October 1, 2009. You are subject to the conditions of this permit
until the closure of all waste storage basins and the rescission of this permit. You must submit a letter to
the Division of Water Resources to request rescission of the Permit by providing documentation of
closure of all containment basins.
The issuance of this Permit does not excuse the Permittee from the obligation to comply with all
applicable laws, rules, standards, and ordinances (local, state, or federal) nor convey any property rights
in either real or personal property.
Per 15A NCAC 2T. 0111(c), a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards, a 100-ft separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
Please be advised that any violation of the terms and conditions specified in this Permit may result in
revocation of this Permit or penalties in accordance with NCGS 143-215.6A through 143-215.6C, the
Clean Water Act, and 40 CFR 122.41, including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under this Permit after the expiration date of this Permit, an
application for renewal must be filed at least 180 days prior to expiration.
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Phone: [phone] Internet, www.ncdenr.gov
An Equal Opportunity V Affirmative Action Employer — Made in part by recycled paper

This Permit is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership. .
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Water
Quality Regional Operations Section Staff may be reached at [phone]. If you need additional
information concerning this Permit, please contact the Animal Feeding Operations Branch staff at (919)
807-6464.
Sincerely,
for Thomas A. Reeder, Director
Division of Water Resources
cc: Raleigh Regional Office, Water Quality Regional Operations Section
Edgecombe County Health Department
Edgecombe County Soil and Water Conservation District
WQROS Central Files (Permit No. AWI330064)
AFO Notebooks

0�
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
INDIVIDUAL SWINE ANIMAL WASTE MANAGEMENT SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Alton Skinner
Edgecombe County
FOR THE
continued operation and maintenance of an animal waste management system for the Alton R. Skinner
Farms #2, located in Edgecombe County, consisting of zero (0) Swine and the application to land as
specified in the Facility's Certified Animal Waste Management Plan (CAWMP).
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
I. PERFORMANCE STANDARDS
The animal waste management system operated under this Permit shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of pollutants
to surface waters, wetlands, or ditches. Application of waste to terraces and grassed
waterways is acceptable as long as it is applied in accordance with Natural Resources
Conservation Service (MRCS) Standards and does not result in a discharge of waste to
surface waters, wetlands, or ditches. If the Facility has a discharge of waste that reaches
surface waters or wetlands resulting from a storm event more severe than a 25-year, 24-
hour storm, it will not be considered to be in violation of this Permit, as long as the
Facility is in compliance with its CAWMP and this Permit.
2. No discharge of waste shall result in a violation of the water quality standards established
for receiving waters as per Title 15A, Subchapter 2B, Section .0200 of the North Carolina
Administrative Code (NCAC) and Title 15A, Subchapter 2L of the NCAC.
3. The facility's CAWMP is hereby incorporated by reference into this Permit. The
CAWMP must be consistent with all applicable laws, rules, ordinances, and standards
(federal, state and local) in effect at the time of siting, design, and certification of the
Facility.

4. Any proposed increase or modification to the annual average that exceeds the thresholds
set by North Carolina General Statues (NCGS) 143-215.1013(1) will require a
modification to the CAWMP and the Permit prior to modification of the Facility.
5. Animal waste shall not be applied within one hundred (100) feet of any well, with the
exception of monitoring wells. The allowable distance to monitoring wells shall be
established on a case -by -case basis by the Division.
IL OPERATION AND MAINTENANCE REQUIREMENTS
The collection, treatment, and storage facilities, and the land application equipment and
fields shall be properly operated properly and maintained at all times.
A vegetative cover shall be maintained as specified in the Facility's CAWMP on all land
application fields and buffers in accordance with the CAWMP. No waste shall be
applied upon areas not included in the CAWMP.
Soil pH on all land application fields -must be maintained in the optimum range for crop
production.
4. Land application rates shall be in accordance with the CAWMP. In no case shall land
application rates exceed the agronomic rate of the nutrient of concern for the receiving
crop. In no case shall land application rates result in excessive ponding or any runoff
during any given application event.
If manure or sludges are applied on conventionally tilled, bare soil, the waste shall be
incorporated into the soil within two (2) days after application on the land. This
requirement does not apply to no -till fields, pastures, or fields where crops are actively
growing.
Pesticides, toxic chemicals, and petroleum products shall not be disposed of in the animal
waste management system.
Domestic and/or industrial wastewater from showers, toilets, sinks, etc. shall not be
discharged into the animal waste management system. Washdown of stock trailers
owned by and'used to transport animals to and from the Facility only will be permissible
as long as the system has been evaluated and approved to accommodate the additional
volume. Only those cleaning agents and soaps that are EPA -approved according to their
labels, will not harm the cover crop, and will not contravene the groundwater standards
listed in 15A NCAC 2L may be utilized in the Facility covered by this Permit.
Instruction labels are to be followed when using cleaning agents and soaps.
8. Disposal of dead animals resulting from normal mortality rates associated with the
Facility shall be done in accordance with the Facility's CAWMP and the North Carolina
Department of Agriculture and Consumer Services (NCDA&CS) Veterinary Division's
statutes and regulations.

9. Unless accounted for in temporary storage volume, all uncontaminated runoff from the
surrounding property and buildings shall be diverted away from the waste
lagoons/storage ponds to prevent any unnecessary addition to the liquid volume in the
structures.
10. A protective, vegetative cover shall be established and maintained on all earthen
lagoon/storage pond embankments (outside toe of embankment to maximum pumping
elevation), berms, pipe runs, and diversions to surface waters or wetlands. Trees, shrubs,
and other woody vegetation shall not be allowed to grow on the lagoon/storage pond
embankments. All trees shall be removed in accordance with good engineering practices.
Lagoon/storage pond areas shall be accessible, and vegetation shall be kept mowed.
11. At the time of sludge removal from a lagoon/storage pond, the sludge must be managed
in accordance with the CAWMP. When removal of sludge from the lagoon is necessary,
provisions must be taken to prevent damage to the lagoon dikes and liner.
12. Lagoons/storage ponds shall be kept free of foreign debris including, but not limited to,
tires, bottles, light bulbs, gloves, syringes or any other solid waste.
13. The Facility must have at least one of the following items at all times: (a) adequate
animal waste application and handling equipment, (b) a lease, or other written agreement,
for the use of the necessary equipment, or (c) a contract with a third party applicator
capable of providing adequate waste application.
14. No waste shall be applied in wind conditions that might reasonably be expected to cause
the mist to reach surface waters or wetlands.
15. The Permittee shall maintain buffer strips or other equivalent practices as specified in the
Facility's CAWMP near feedlots, manure storage areas, and land application areas.
16. Waste shall not be applied on land that is flooded, saturated with water, frozen, or snow
covered at the time of land application.
17. Land application of waste is prohibited during precipitation events. The Permittee shall
consider pending weather conditions in making the decision to land apply waste.
18. Land application activities shall cease on any application site that exceeds a Mehlich 3
Soil Test index for Copper of greater than 3,000 (108 pounds per acre) or Zinc of greater
than 3,000 (213 pounds per acre).
19. Any major structural repairs to lagoons/storage ponds must have written documentation
from a technical specialist certifying proper design and installation. However, if a piece
of equipment is being replaced with a piece of equipment of the identical specifications,
no technical specialist approval is necessary [i.e. piping, reels, valves, pumps (if the .
gallons per minute (gpm) capacity is not being increased or decreased), etc.] unless the
replacement involves disturbing the lagoon/storage pond embankment,

III. MONITORING AND REPORTING REQUIREMENTS
An inspection of the animal waste collection, treatment, and storage structures, and
runoff control measures shall be conducted and documented at a frequency to insure
proper operation For example, lagoons/storage ponds, and other structures should be
inspected for evidence of erosion, leakage, damage by animals or discharge.
2. Highly visible waste -level gauges shall be maintained to mark the level of waste in each
lagoon/storage pond that does not gravity feed through a free flowing transfer pipe into a
subsequent structure. The gauge shall have readily visible permanent markings. The
waste level in each lagoon with a waste level gauge shall be monitored and recorded
weekly on forms supplied by, or approved by, the Division.
A representative Standard Soil Fertility Analysis, including pH, phosphorus, copper, and
zinc, shall be conducted on each application field receiving animal waste at least once
every three (3) years. An analysis of the animal waste shall be conducted in accordance
with recommended laboratory sampling procedures as close to the time of application as
practical and at least within sixty (60) days (before or after) of the date of application.
This analysis shall include the following parameters:
Nitrogen Zinc Phosphorus Copper
4. The Permittee shall record all irrigation and land application event(s) including hydraulic
loading rates, nutrient loading rates and cropping information. The Permittee shall also
record removal of solids and document nutrient loading rates if disposed on -site or record
the off -site location(s). These records must be on forms supplied by, or approved by, the
Division.
If, for any reason, there is a discharge from the animal waste management system
(including the land application sites), to surface waters or wetlands, the Permittee is
required to make notification in accordance with Condition III.9. The discharge
notification shall include the following information:
a. Description of the discharge: A description of the discharge including an estimate of
the volume discharged, a description of the flow path to the receiving surface waters
or wetlands and a site sketch showing the path of the waste. Also, an estimation of
the volume discharged.
b. Time of the discharge: The length of time of the discharge, including the exact dates
and times that it started and stopped, and if not stopped, the anticipated time the
discharge is expected to continue.
c. Cause of the discharge: A detailed statement of the cause of the discharge. If caused
by a precipitation event, detailed information from the on -site rain gauge concerning
the inches and duration of the precipitation event.
d. All steps being taken to reduce, stop and cleanup the discharge. All steps to be taken
to prevent future discharges from the same cause.
e. Analysis of the waste: A copy of the last waste analysis conducted as required by
Condition 111. 3.

6. A copy of this Permit, the Facility's permit, certification forms, lessee and landowner
agreements, the CAWMP, and copies of all records required by this Permit and the
Facility's CAWMP shall be maintained by the Permittee in chronological and legible
form for a minimum of three (3) years.
7. Within fifteen (15) working days of receiving the request from the Division, the
Permittee shall provide to the Division one (1) copy of all requested information and
reports related to the operation of the animal waste management system. Once received
by the Division, all such information and reports become public information, unless they
constitute confidential information under North Carolina General Statutes (NCGS) 132-
1.2, and shall be made available to the public by the Division as specified in Chapter 132
of the NCGS.
8. The Division may require any additional monitoring and reporting (including but not
limited to groundwater, surface water or wetland, waste, sludge, soil, lagoon/storage pond
levels and plant tissue) necessary to determine the source, quantity, quality, and effect of
such waste upon the surface waters, groundwaters or wetlands. Such monitoring,
including its scope, frequency, duration and any sampling, testing, and reporting systems,
shall meet all applicable Division requirements.
9. Regional Notification:
The Permittee shall report by telephone to the appropriate Division Regional Office as
soon as possible, but in no case more than twenty-four (24) hours following first
knowledge of the occurrence of any of the following events:
a. Any discharge to ditches, surface waters or wetlands.
b. Failure to maintain storage capacity in a lagoon/storage pond greater than or
equal to that required in Condition V. 2. of this Permit.
C. Over applying waste either in excess of the limits set out in the CAWMP or
where runoff enters surface waters or wetlands.
d. Failure of any component of the animal waste management system resulting in a
discharge to surface waters or wetlands.
Any failure of the animal waste management system that renders the Facility
incapable of adequately receiving, treating or storing the waste and/or sludge.
f. Any deterioration or leak in a lagoon/storage pond that poses an immediate threat
to the environment or human safety or health.
For any emergency, which requires immediate reporting after normal business hours,
contact must be made with the Division of Emergency Management at 1-800-858-0368.

The Permittee shall also file a written report to the appropriate Division Regional Office
within five (5) calendar days following first knowledge of the occurrence. This report
shall outline the actions taken or proposed to be taken to correct the problem and to
ensure that the problem does not recur. The requirement to file a written report may not
be waived by the Division Regional Office.
IV. INSPECTIONS AND ENTRY
1. The Permittee shall allow any authorized representative of Department, upon the
presentation of credentials and other documents as may be required by law and in
accordance with reasonable and appropriate biosecurity measures, to:
a. Enter the Permittee's premises where the regulated Facility or activity is located or
conducted, or where records must be kept under the conditions of this Permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the
conditions of this Permit;
c. Inspect, at reasonable times any facilities, equipment (including monitoring and
control equipment), practices, or operations regulated or required under this Permit;
and,
d. Sample or monitor, at reasonable times, for the purpose of assuring permit
compliance, any substances or parameters at any location.
V. GENERAL CONDITIONS
The issuance of this Permit shall not relieve the Permittee of the responsibility for
compliance with all applicable surface water, wetlands, groundwater and air quality
standards or for damages to surface waters, wetlands or groundwaters resulting from the
animal operation.
The maximum waste level in lagoons/storage ponds shall not exceed that specified in the
Facility's CAWMP. At a minimum, maximum waste level for lagoons/storage ponds
must not exceed the level that provides adequate storage to contain a 25-year, 24-hour
storm event plus an additional one (1) foot of structural freeboard except that there shall
be no violation of this condition if (a) there is a storm event more severe than a 25-year,
24-hour event, (b) the Permittee is in compliance with its CAWMP, and (c) there is at
least one (1) foot of structural freeboard.
Any containment basin, such as a lagoon or a storage pond, used for waste management
shall continue to be subject to the conditions and requirements of this Permit until
properly closed. When the containment basin is properly closed in accordance with the
Natural Resource Conservation Service (MRCS) North Carolina Standard for Closure of
Waste Impoundments, February 2005 or any subsequent amendment, the containment
basin shall not be subject to the requirements of this Permit. The Permittee must submit a
letter to the Division to request rescission of the Permit_ by providing documentation of
closure of all containment basins.

Closure shall also include a minimum of 24 hours pre -notification of the Division and
submittal of the Animal Waste Storage Pond and Lagoon Closure Report Form to the
address identified on the form within fifteen (15) days of completion of closure.
4. Failure of the Permittee to maintain, in full force and effect, lessee and landowner
agreements, which are required in the CAWMP, shall constitute grounds for revocation
of its COC to operate under this Permit.
5, This Permit is not transferable. In the event there is a desire for the Facility to change
ownership, or there is a name change of the Permittee, a Notification of Change of
Ownership form must be submitted to the Division, including documentation from the
parties involved and other supporting materials as may be appropriate.
6. The issuance of this Permit does not prohibit the Division from reopening and modifying
the Permit, revoking and reissuing the Permit, or terminating the Permit as allowed by the
appropriate laws, rules, and regulations.
7. The Groundwater Compliance Boundary is established by 15A NCAC 2L and 15A
NCAC 02T .0111(c). An exceedance of Groundwater Quality Standards at or beyond the
Compliance Boundary is subject to the requirements of 15A NCAC 2L and the Division
in addition to the penalty provisions applicable under the NCGS.
VI. PENALTIES
Failure to abide by the conditions and limitations contained in this Permit; the Facility's
CAWMP; and/or applicable state law; may subject the Permittee to an enforcement
action by the Division including but not limited to the modification of the animal waste
management system, civil penalties, criminal penalties, and injunctive relief.
2. The Permittee must comply with all conditions of this Permit. Any Permit
noncompliance constitutes a violation of state law and is grounds for enforcement action;
for Permit coverage termination, revocation and reissuance, or modification; or denial of
Permit coverage renewal application.
3. It shall not be a defense for a Permittee in an enforcement action to claim that it would
have been necessary to halt or reduce the permitted activity in order to maintain
compliance with the conditions of this Permit.
This Permit issued the 21 st day of April, 2014.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
•
for Th a A. Reeder, Director
North olina Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number AW1330064

Rio
Nutrient Management Plan For Animal Waste Utilization
05-31-2001
This plan has been prepared for:
Dogtown
Alton R. Skinner
Route 4 Box 640
Tarboro, NC 27886
252-823-5715
)I�rkm * Z
This plan has been developed by:
Margaret Knight
Edgecombe SWCD
201 St. Andrew Street
Tarboro, NC 27886
252-827-5896
I-bkf,4 (M./I II
Dev toper ignature
Type of Plan: Nitrogen Only with Manure Only
Owner/Manager/Producer Agreement
I (we) understand and agree to the specifications and the operation and maintenance
procedures established in this nutrient management plan which includes an animal waste
utilization plan for the farm named above. I have read and understand the Required
Specifications concerning animal waste management that are included with this plan.
I Al�- � - - 17/--; 1
Signature (owner) Date
Signature (manager or producer) Date
This plan meets the minimum standards and specifications of the U.S. Department of
Agriculture - Natural Resources Conservation Service or the standard of practices
adopted by the Soil and Water Conservation Commission.
Plan Approved By:
Tec)inicai Specialist Signa re Date
F^;
496754 Database Version 1.06 Date Printed; 05-31-2001 Cover Page 1 f 6
RECEIVED / pENR / DWq
Aquift*r Protection ,Section s
APR 0 2 2009 Q

Nutrients applied in accordance with this plan will be supplied from the
f ] following source(s):
Commercial Fertilizer is not included in this plan.
Ut
Swine Wean -Feeder Lagoon Liquid waste generated 122,240,000 gals/year
by a 800 animal Swine Weanling-Feeder Liquid Manure Slurry operation.
This production facility has waste storage capacities of approximately 360
days.
Estimated Pounds of Plant Available Nitrogen Generated per Year
Broadcast
234
Incorporated
377
Injected
446
Irrigated
194
Actual PAN Applied
Year 1 442
Year 2 1 672
Notes:
In source ID, S means standard source, U means user defined source.
The following minimum criteria must be met in order for a plan to use a User Defined Source to determine the
total pounds of PAN in lieu of NRCS Standards:
1. Recommended standard procedures for collecting the waste samples to be analyzed must be followed.
2. The samples must be analyzed either at the NCDA Waste Analysis Laboratory or at a private lab. The
analysis reports must be available.
3. Records of annual volumes of lagoon liquid applied must be available.
4. A minimum of 3 years of records of both nutrient concentrations and annual liquid volumes must be used to
determine the farm averages. A minimum of three samples (one per quarter with seasonal variation) must be
collected annually for analysis. For dairys with waste storage ponds, the minimum annual sample number is
two.
5. Extreme sample analysis values should not be used to determine the averages. From the standards database
based on 1,403 data points, one statistical standard deviation from the mean deviates 48% for swine lagoon
liquid nitrogen. Therefore, any value used to calculate the 3-year farm average N concentration that lies
outside of the range of the mean + or - 48% should not be used to calculate the farm average.
If, at a minimum, these criteria have been met for the most recent 3-year period, then the waste utilization plan
may be revised indicating a change in the total PAN on the farm as deternuned from site specific data.
-------- -- - -- --- --- - -- - ---------- -- ... - ---- - -
496754 Database Version 1.06 Date Printed: 05-31-2001 Source Page I

The Waste Utilization table shown below summarizes the waste utilization plan for this operation. This plan provides an estimate of the number of acres of
cropland needed to use the nutrients being produced. The plan requires consideration of the realistic yields of the crops to be grown, their nutrient requirements,
and proper timing of applications to maximize nutrient uptake.
This table provides an estimate of the amount of nitrogen required by the crop being grown and an estimate of the nitrogen amount being supplied by manure or
other by-products, commercial fertilizer and residual from previous crops. An estimate of the quantity of solid and liquid waste that will be applied on each field
in order to supply the indicated quantity of nitrogen from each source is also included.
A balance of the total manure produced and the total manure applied is included in the table to ensure that the plan adequately provides for the utilization of the
manure generated by the operation. Animal operations that generate liquid waste and utilize waste storage facilities (lagoons or holding ponds) may apply more or
less waste in any given year than is annually generated by the facility. In order to determine whether the plan adequately utilizes the waste produced by the
facility, the storage capacity table included in this plan should be reviewed to ensure that the design capacity of the storage facility is not exceeded during the
planning period.
Depending on the requirements of the crop and the nutrient content of the waste, some nutrients will likely be over or under applied if animal waste is being
utilized. Waste should be analyzed before each application cycle and annual soil tests are required if animal waste is being applied. Soil tests should be used to
balance the nutrient application amounts with the realistic yields of the crop to be grown. Nutrient management plans may require that the application of animal
waste be limited so as to prevent over application of phosphorous when excessive levels of this nutrient are detected in a field.
Waste Utilization Table Year 1
Nitrogen
Comm.
Res.
Manure
Liquid
Solid
Liquid
Solid
PA
Fert.
(1bs/A)
PA
Manure
Manure
Manure
Manure
Nutrient
Nutrient
Nutrient
Applied
Applied
Applied
Applied
Req'd
Applied
Applied
(acre)
(acre)
(Field)
(Field)
nbs/A)1
1000
Source
Total
Use.
RYE
Applic.
Applic.,
Tract
Field
1.D.
I Soil Series
Acre
Acres
Crop
RYE
Unit
Period
N
N
I N
Method
lbs/A
pal/A
I tons
1000 Rats
tons
8558
lla
ill
Roanoke
2.3
2.3
orn,Grain
120.0
Bushels
2/15-6/30
130
0
0
Broad.
130
67,808.6
6.0
155,959.9
0.0
8558
1 la
Ul
Roanoke
2.3
2.3
Wheat, Grain
55.0
Bushels
911-3/31
0
0
0
Broad.
0
0.0
0.0
0.0
0.0
8558
11b
U l
Cape Fear
1 A
1-0
orn, Grain
135.0
Bushels
2/15-6/30
143
0
0
Broad.
143
74,589.5
0.0
74,589.5
0.0
------------- -------------------------------------------------------------------------------------------- -------- --.---------------------------------------------------- -- -----------------------------
496754 Database Version 1.06 Date Printed: 05-31-2001 WUT Page 1

Waste Utilization Table
Year 1
Tract
I Field
source
I.D.
soil Series
Total
Acre
Use-
Acres
Crop
RYE
RYE
Unit
Applic.
Period
Ni"gen
PA
Nutrient
Req'd
Obs/A)
Comm.
Fe".
Nutrient
Applied
Res.
(1bs/A)
I N
Applic,
I Method
Manure
PA
Nutrient
Applied
Liquid
Manure
Applied
(acre)
Solid
Manure
Applied
(acre)
Liquid
Manure
Applied
(Field)
Solid
Manure
Applied
(Field)
N
N
lbs/A
1000
gaVA
tons
1000 gals
tons
85581
1 lbil
Ul
I Cape Fear
1.01
1.0
Meat, Grain
1 60.4
1 Bushels
9/1-3/31
1 01
01
0
1 Broad.
0
0.0
1 0.0
0.0
0.0
Lagoon Liquids
Total Applied, 1000 gallons
230,549
Total Produced, 1004 gallons
122,240
Balance 1000 allons
-108 309
Manure Solids
Total Applied, tons
0
Total Produced, tons
4
Balance tons
1
0
Notes: 1- In the tract column, symbol — means leased, otherwise, owned.
2. Symbol' means user entered data.
-- -------------------------------------------------------- - -------------- -------------------------------------------------------------------------------------------------- ------- --------------------
496754 Database Version 1.06 Date Printed_ 05-31-2001 WUT Page 2

Waste Utilization Table
Year 2
Tract
Field
Source
I.D.
Soil Series
Total
Acre
Use.
Acres
Crop
RYE
RYE
I Unit
Applic.
Period
Nitrogen
PA
Nutrient
Req'd
1 /A
Cormn.
Fert.
Nutrient
Applied
A
Res.
(lbs/A)
N
Applic.
I Method
Manure
PA
Nutrient
Applied
Liquid
Manure
Applied
(acre)
Solid
Manure
Applied
(acre)
Liquid
Manure
Applied
(Field)
Solid
Manure
Applied
(Field)
N
N
lbs/A
1000
al/A
torts
1000 Rals
tons
8558
I is
U1
Roanoke
2.3
2.3
eat, Grain
55.0
Bushels
9/1-3131
106
0
0
Broad.
106
55,290.1
0.0
127,167.3
0.0
8558
I la
UI
Roanoke
2.3
2.3
or hum, Grain
55.0
CWT
3115-8/31
92
0
0
Broad.
92
47,987.6
0.0
110,371.6
0.0
8558
1 lb
Ul
Cape Fear
1.0
1.0
Vlteat, Grain
60.0
Bushels
911-3/31
112
0
0
Broad.
112
58,419.7
0.0
58,419.7
0.0
8558
l lb
Ul
Cape Fear
1.0
1.0
o hu Grain
65.0
CWT
3115-$/31
l05
0
0
Broad.
105
54 768.5
0.0
54 768.5
0.0
Lagoon Liquids
Total Applied, 1000 allons
350,727
Total Produced, 1000 gallons
122,240
Balance 1000 gallons
-228.487
Manure Solids
Total Applied, tons
0
Total Produced, tons
0
Balance tons
0
Notes: 1- In the tract column, symbol —means ]eased, otherwise, owned-
2. Symbol * means user entered data.
--------------------------------------------- ----------------------------------- -----------------------.-.
496754 Database Version 1.06 Date Printed: 05-31-2001
------------------------------------------------------
WUT Page 3

The Available Waste Storage Capacity table provides an estimate of the number of days of storage
capacity available at the end of each month of the plan. Available storage capacity is calculated as the
design storage capacity in days minus the number of days of net storage volume accumulated. The start
date is a value entered by the user and is defined as the date prior to applying nutrients to the first crop in
the plan at which storage volume in the lagoon or holding pond is equal to zero.
Available storage capacity should be greater than or equal to zero and less than or equal to the design
storage capacity of the facility. If the available storage capacity is greater than the design storage
capacity, this indicates that the plan calls for the application of nutrients that have not yet accumulated.
If available storage capacity is negative, the estimated volume of accumulated waste exceeds the design
storage volume of the structure, Either of these situations indicates that the planned application interval
in the waste utilization plan is inconsistent with the structure's temporary storage capacity.
Available Waste Storage Capacity
Source Name
Swine Wean -Feeder Lagoon Liquid
Design Storage Capacity (Days)
Start Date j
12/01
360
Plan Year
Month
Available Storage Capacity (Days)
1
i
299
1
2
271
1
3
240
1
4
360
1
5
360
1
6
330
1
7
299
1
8
268
1
9
238
1
10
207
1
11
177
1
12
146
2
1
115
2
2
87
2
3
360
2
4
330
2
5
360
2
6
360
2
7
329
2
8
298
2
9
268
2
10
237
2
11 1
207
2
121
176
* Available Storage Capacity is calculated as of the end of each month.
-- --------------------------------- -------------------------------------------- ---------- ------------- ----------- ----- - - -----
496754 Database Version 1.06 Date Printed: D5-31-2001 Capacity Page 1

Required Specifications For Animal Waste Management
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 that 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 Management Plan when there is a change in the
operation, increase in the number of animals, method of application,
receiving crop type, or available land.
3. 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 by disldng 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).
-
------------------ -------------------.....-------..---------------------------.----------- -------------------------- ---------------------------- -
496754 Database Version 1.06 Date Printed; 05-31-2001 Specification Page 1

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 soil 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.
10. Nutrients from waste 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 canal.
Animal waste, other than swine waste from facilities sited on or after
October 1,1995, shall not be applied closer that 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 a 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
..... ..... ........... ---------------------------------- ----------------------- .................... ---------------------------------. --..............
496754 Database Version 1.06 Date Printed: 05-31-2001 Specification Page 2

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.
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 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
-------------------------------- ...................... .---...... ........... -------------------------------------------- ---..-----
496754 Database Version 1.06 Date Printed: 05-31-2001 Specification Page 3

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
soils 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 maintained 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.
------------------ -------------- ---------------------------- —--------- --- ------------- ----------------------------------------------- ---------
496754 Database Version 1.06 Date Printed: 05-31-2001 Specification Page 4

Crop Notes
The following crop note applies to field(s): I lb
Com CP, Organic Soils
In the Coastal PIain, corn is normally planted when soil temperatures reach 52 to 55 degrees fahrenheit.
Review the Official Variety "green book" and information from private companies to select a high
yielding variety with the characteristics needed for your area and conditions. Plant 1-2" deep. Plant
populations should be determined by the hybrid being planted. Increase the seeding rate by 10% when
planting no -till. Phosphorus and potassium recommended by a soil test can be broadcast or banded at
planting. When planting early in cool, wet soil, banded phosphorus will be more available to the young
plants. An accepted practice is to apply 20-30 lbs/acre N and 20-30 lbs/acre phosphorus banded as a
starter and one-half the remaining N behind the planter. The rest of the N should be applied about 30-40
days after emergence. The total amount of N is dependent on soil type. When including a starter in the
fertilizer program, the recommended potassium and any additional phosphorus is normally broadcast at
planting. Plant samples can be analyzed during the growing season to monitor the overall nutrient status
of the corn. Timely management of weeds and insects are essential for corn production.
The following crop note applies to field(s): 1 lb
Wheat: Coastal Plain, Organic Soils
In the Coastal Plain, wheat should be planted from October 20-November 25. Plant 22 seed/drill row foot
at 1-1 1/2" deep and increase the seeding rate by 5% for each week seeding is delayed beyond the
optimum time. See the seeding rates table for applicable seeding rate modifications in the current NCSU
"Small Grain Production Guide". Also, increase the initial seeding rate by at least 10% when planting
no -till. Adequate depth control when planting the wheat is essential. Review the NCSU Official Variety
"green book" and information from private companies to select a high yielding variety with the
characteristics needed for your area and conditions. Apply no more than 30 lbs/acre N at planting.
Phosphorus and potash recommended by a soil test report can also be applied at this time. The remaining
N should be applied during the months of February -March. The total N is dependent on the soil type.
PIant samples can be analyzed during the growing season to monitor the nutrient status of the wheat.
Timely management of diseases, insects and weeds are essential for profitable wheat production.
The following crop note applies to field(s): I lb
Grain Sorghum
The following crop note applies to field(s): I la
Corn 1: CP, Mineral Soil, low -leachable
In the Coastal Plain, corn is normally planted when soil temperatures reach 52 to 55 degrees fahrenheit.
Review the Official Variety "green book" and information from private companies to select a high
yielding variety with the characteristics needed for your area and conditions. Plant I-2" deep. Plant
populations should be determined by the hybrid being planted. Increase the seeding rate by 10% when
planting no -till. Phosphorus and potassium recommended by a soil test can be broadcast or banded at
planting. When planting early in cool, wet soil, banded phosphorus will be more available to the young
plants. An accepted practice is to apply 20-30 lbs/acre N and 20-301bs/acre phosphorus banded as a
starter and one-half the remaining N behind the planter. The rest of the N should be applied about 3040
days after emergence. The total amount of is dependent on soil type. When including a starter in the
fertilizer program, the recommended potassium and any additional phosphorus is normally broadcast at
---------- --------------------------------------------------------------- -- ----- ...............
..... .----
496754 Database Version 1.06 Date Printed: 05-31-2001 CropNote Page 1

planting. Plant samples can be analyzed during the growing season to monitor the overall nutrient status
of the corn. Timely management of weeds and insects are essential for corn production.
The following crop note applies to field(s). 1 la
Wheat: Coastal Plain, Mineral Soil, low leachable
In the Coastal Plain, wheat should be planted from October 20-November 25. Plant 22 seed/drill row foot
at 1-1 112" deep and increase the seeding rate by 5% for each week seeding is delayed beyond the
optimum time. See the seeding rates table for applicable seeding rate modifications in the current NCSU
"Small Grain Production Guide". Also, increase the initial seeding rate by at least 10% when planting
no -till. Adequate depth control when planting the wheat is essential. Review the NCSU Official Variety
"green book" and information from private companies to select a high yielding variety with the
characteristics needed for your area and conditions. Apply no more than 30 lbs/acre N at planting.
Phosphorus and potash recommended by a soil test can also be applied at this time. The remaining N
should be applied during the months of February -March. The total N is dependent on the soil type. Plant
samples can be analyzed during the growing season to monitor the nutrient status of the wheat. Timely
management of diseases, insects and weeds are essential for profitable wheat production.
The following crop note applies to field(s): 1 la
Grain Sorghum
496754 Database Version 1.06 Date Punted: 05-31-2001 Crop Note Page 2

s
State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James S. Hunt, Jr., Governor
Jonathan B, Howes, Secretary
E:3F=HNF;Z
DIVISION OF WATER QUALITY
July 28, 1957
Mr. Alton Skinner
Route 4, Box 640
Tarboro, North Carolina 27886
Subject: Compliance Evaluation Inspection
Facility # 33-64
Skinner Farm 4 2
E'dgecombe County
Dear Mr. Skinner:
On July 23, 1997, Mr. Buster Towell from the Raleigh Regional
Office conducted a. compliance inspection of the subject animal
facility. The inspection is part of. the Division's efforts to
determine compliance with the State's animal waste nondischarge
rules.
The inspection determined that the operation was not discharging
wastewater into waters of the State and that operations were
proceeding according to your approved Animal Waste Management Plan.
As a result of the inspection, the facility was found to be in
compliance with the State's animal nondischarge regulations.
Effective wastewater treatment and facility maintenance are an
important responsibility of all animal waste producers. The
Division of Water -Quality has the responsibility to enforce water
quality regulations in order to protect the natural resources of
the State. '
The Raleigh Reg::ona.l Office appreciates your cooperation and
compliance. If you have any questions regarding this inspection
please call Mr. Buster Towell at [phone].
Sincerely,
Ca ett,
Wa-:�er Quality Section Supervisor
cc: Edgecombe County Health Department
Mr. A.B. Whitley, Edgec,ombe Sail and Eater
Conservation D:'strict
Ms. Margaret O'Keefe, DSWC-RRO
DWQ Compliance Group
RRO Files
3800 Barrett Drive, Suite 101. !' FAX [phone]
Raleigh, North Carolina 27609 Ntwf
4 c
An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 50% recycled/10% post -consumer paper

Date of Inspection
F . Facility Number
Time of Inspection $ d 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: ❑ Re&Wired ❑ Applied for Permit (ex:1.25 for 1 hr 15 min)) Spent on Review ZS
ertified ❑ Permitted I or Inspection includes travel andprocessing)
❑ Not Operational Date Last Operated: .....................................................................................................................................................
Farm Name: . .1 :. ''.. 5l`'! r+.h..�•i2........ !rr :...t County: f.1...Q............................................
Q _
Land Owner Name:. .. '!...�.1�..nn.c.-tz ........... ........... Phone No: �.i...l.. Z3 ". ]...71 ~....
......... ...................... ........... ...............................
FacilityConetact:...pn....,��!9t'.'^ C................................................. Title:................................................ Phone No:..........................................................
MailingAddress•.. f�..�.... ��..�. �.....��..�V .............��3-r (N �.......rl�G.......:�..7.. �..6........................................................................
Onsite Representative:...1�!L S�J.. ?.!�.......................................... Integrator• .
CertifiedOperator: ............................Jl... ...L t-............. ........................ ...................... Operator Certification Number: ..................................... ...
Location of Farm:
Latitude 4 Lf Longitude ' 4 6,
General
1. Are there any buffers that need maintenance/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/min?
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 maintenance/improvement?
❑ Yes 7so
❑ Yes
❑ Yes 5�
❑ Yes No
❑ Yes
❑ Yes
❑ Yes N
❑ Yes No
Continued on back

-171
Facility Number: Z .......
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (,agaons and/or lig1dinss Potj4S)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft): Structure 1 Structure 2 Structure 3
............ ... .......�.,- v -/ I ........ I...........
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 APPlication
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
❑ Yes 0'No
❑ Yes
❑ Yes�N�o
❑ Yes No
Structure 5 Structure 6
15. Crop type ms ................... ................................... ........... ........... ................................... ........................ I.....................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
Eqr Certified Facilities Oilly
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
❑ Yes 5No
Yes
❑ Yes
es ❑ No
❑ Yes
❑ Yes 0'No
❑ Yes 2<0
❑ Yes 0 No
❑ Yes
❑ Yes ;IN9,1
❑ Yes No
❑ Yes jNo
N
❑ Yes N
❑ Yes
Reviewer/Inspector Name
Reviewer/Inspector Signature: _ Date: 2
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

0 0
State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Mr. Alton Skinner
Rt. 4 Box 640
Tarboro, NC 27886
A��
E:)P.HNF;Z
Division of Soil and Water Conservation
May 15, 1997
SUBJECT: Operation Review Summary and Corrective Action Recommendation
Afton R. Skinner Farms #2
Facility No. 33-64
Edgecombe County
Dear Mr. Skinner,
On May 12, an Operation Review was conducted of Carolina Farm, facility no. 33-6. This Review,
undertaken in accordance -with G.S. 143-215.10D, is one of two visits scheduled for all registered livestock
operations during the 1997 calendar year. The Division of Water Quality will conduct a second site inspection.
During the Review, it was determined that waste was o being discharged to the waters of the State, and
the animal waste collection, treatment, storage and disposal were properly maintained and operated
under the responsible charge of a certified operator. A copy of the completed review form is enclosed for your
information. The following observations and management deficiencies were discovered and noted for corrective
action or response:
1. The trees present in the lagoon need to be removed. Please contact your local NRCS or Soil and
Water Conservation District office for assistance.
2. The vegetation on the berm of the lagoon needs to be mowed to allow for easy access and visual
inspection of lagoon.
The Division of Soil and Water Conservation appreciates your cooperation with this Operation Review.
Please do not hesitate to call me at 919/571-4700 ext. 208 if you have any questions, concerns or need
additional information.
Sincerely,
Margaret O'Keefe
Environmental Engineer I
cc: Edgecombe Soil and Water Conservation District
Judy Garrett, Water Quality Regional Supervisor
DSWC Regional Files
3800 Barrett Drive, Suite 101, T FAX [phone]
Raleigh, North Carolina 27609 Nif " An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 50% recycled/ 10% post -consumer paper

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
December 1, 1999
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Alton R. Skinner
Alton R. Skinner Farms #2
Rt 4 Box 640
Tarboro NC 27886
Farm Number: 1-33 = 64M
Dear Alton R. Skinner:
/ • •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
You are hereby notified that Alton R. Skinner Farms #2, 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
1617 Mail Service Center
Raleigh, NC 27699-1617
If you have any questions concerning this letter, please call Dianne Thomas at [phone] extension 364 or
Charles Alvarez with the Raleigh Regional Office at [phone].
13incerelyll��
for Kerr T. Stevens
cc: Permit File (w/o encl.)
Raleigh Regional Office (w/o encl.)
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

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
ALTON R. SKINNER
ALTON R. SKINNER FARMS #2
ROUTE 4, BOX 640
TARBORO NC 27886
Dear Alton Skinner:
March 9, 2000
Subject:
ffl�,;WA
NCDENR
NORTH CAROL.INA DEPARTMENT O1=
ENVIRONMENT AND NATURAL RESOURCES
pEt1NR RAWGH
rcintdAi-L11-i•1C�-_ ....._�
XdUi-tional Information Request
AIton:R .Sk nner--Farms #2
Animal Waste Operation
,dgecombe_County�
The Non -Discharge Permitting Unit has completed a preliminary engineering review of the subject application.
Additional information is required before we can continue our review. Please address the following by April 8, 2000:
Lagoon capacity documentation shows that your facility was built in 1996. Please also include any site
evaluations, wetland determinations, or hazard classifications that may have been applicable at that time.
The original Table 1 of your waste utilization plan was "suspended" and was replaced by a new Table 1.
That table needs to be signed by both the landowner and technical specialist to acknowledge the changes.
The new table also has a hand-written note at the bottom that says "landowner will overseed with rye". In
that case, rye crop should also be listed on the table itself and should show field number, soil type, lbs NI
acre, acres, lbs N utilized, and months of application for the rye crop.
Please note that all WUP revisions must be signed and dated by both the owner and the technical specialist.
Please reference the subject permit application number when providing the requested information. All information
should be signed, sealed, and submitted in duplicate to my attention at the address below. The information requested by this
letter must be submitted on or before April 8, 2000 or the Division will return your application as incomplete in accordance
with 15A N.C.A.C. 2H .0200 and your facility will be considered to be operating without a permit.
Please be advised that operation of the subject animal waste management system without a valid permit is a violation
of North Carolina General Statute 143-215.1 and will subject you to the enforcement authority of the Environmental
Management Commission.
If you have any questions regarding this request, please call me at [phone], extension 363,
Sincerely,
JR Joshi '
Non -Discharge Permitting Unit
cc: Raleigh Regional Office, Water Quality
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

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Jaynes B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Alton R. Skinner
Alton R. Skinner Farms #2
Rt 4 Box 640
Tarboro NC 27886
Dear Alton R. Skinner:
NCDENR
NORTH CAROL-INA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 8, 1999
I
co
Subject: Conditional Approval
Animal Waste Management System
Facility Number 33=64 .
Edgepombe County
Our records indicate that your facility was conditionally certified in order to fulfill the requirements of
completion of your Certified Animal Waste Management Plan Certification. This letter is to inform you of your
unresolved conditional approval status. Any facility receiving a conditional approval must notify Division of Water
Quality (DWQ) in writing within 15 days after the date that the work needed to resolve the conditional certification
has been completed. Any failure to notify DWQ as required, subjects the owner to an enforcement action. As of
December 7, 1999, we have no record of any information from you, advising us of the status of your conditional
approval. Therefore, please fill out the attached form and have your technical specialist and landowner sign the form
in the appropriate areas.
The completed form must be submitted to this office on or before 45 days of receipt of this letter. Please be
advised that nothing in this letter should be taken as removing from you the responsibility or liability for failure to
provide DWQ with proper notification of your conditional certification status or possible failure to comply with the
requirement to develop and implement a certified animal waste management plan by December 31, 1997.
If you have any questions regarding this letter, please do not hesitate to contact me at [phone]
extension 571.
Sincerely,
� r
E
Sonya L. Avant
Environmental Engineer
cc: Raleigh Regional Office
Edgecombe County Soil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 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
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Alton R. Skinner
Alton R. Skinner Farms #2
Rt 4 Box 640
Tarboro NC 27886
Dear Alton R. Skinner:
1 ffl1;!W'J
•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 30, 1999
Int i
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 33:64�
Edgecombe•C uouo hty
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 sludgestresiduals, 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. IRRI, IRR2, DRY I, DRY2, DRY3, SLURI, SLUR2,
SLD1, 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.
Sincerely
t�
Kerr T. Stevens, Director
Division of Water Quality
cc: Raleigh Regional Office
Edgecombe County Soil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699.1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10%a post -consumer paper

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
May 5, 2000
INTIA
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Alton R. Skinner TF,
Alton R. Skinner Farms #2 —.-?
Route 4, Box 640 i
Tarboro NC 27886IAj/ 1 2 20
-�Sub-i,ec : Certificate of Coverage No. AWS330064
LOEHNR RALEIGH REGIONAL OFEiCE
—_—_. k Alton R. Skinner Farms #2
Swine Waste Collection, Treatment,
Storage and Application System
Edgecombe County
Dear Alton Skinner:
In accordance with your application received on February 7, 2000, we are forwarding this
Certificate of Coverage (COC) issued to Alton R. Skinner, authorizing the operation of the subject
animal waste collection, treatment, storage and land application system in accordance with General
Permit AWG100000. This approval shall consist of the operation of this system including, but not
limited to, the management of animal waste from the Alton R. Skinner Farms #2, located in Edgecombe
County, with an animal capacity of no greater than 800 Wean to Feeder and the application to land as
specified in the Certified Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until April 30, 2003. 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, with no discharge of wastes to
surface waters. An adequate system for collecting and maintaining the required monitoring data and
operational information must be established for this farm. Any increase in waste production greater than
the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the CAWMP and this COC and shall be completed prior to
actual increase in either wastewater flow or number of animals.
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.
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This
request shall be made within 30 days of notification by the Division.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]B
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Certificate of Coverage AWS330064
Alton R. Skinner Farms #2
Page 2
This COC is not automatically transferable. A name/ownership change application must be
submitted to the DWQ prior to a name change or change in ownership.
r
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the
right to apply for an individual non -discharge permit by contacting the engineer listed below for
information on this process. Unless such a request is made within 30 days, this COC shall be final and }
binding.
The subject farm is located in the Raleigh 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 JR Joshi at [phone] ext. 363.
Sincerely,
�6 err T. Stevens
cc: (Certificate of Coverage only for all cc's)
Edgecombe County Health Department
zRaleigh=Regiona]_Office;-W.ater_Quality_ Section
Edgecombe County Soil and Water Conservation District
Permit File
NDPU Files

r
State of North Carolina
Department of Environment and Natural Resources �Rn 0F/ j
Division of Water Quality �"`7?. d
Non -Discharge Permit Application Form 410 p� ^ pN
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) Oi`sr�o CIG+v
General Permit - Existing Animal Waste Operations '.fie o
.
The following questions have been completed utilizing information on file with the Division. Please revie the
information for completeness and make any corrections that are appropriate. If a question has not been completed by
the Division, please complete as best as possible. Do not leave any question unanswered.
GENERAL INFORMATION:
1.1 Facility Name: Alton R. Skinner Farms #2
1.2 Print Land Owner's name: Alton R. Skinner
1.3 Mailing address: Rt 4 Box 640
City, State: Tarboro NC Zip: 27886
Telephone Number (include area code): 823-5715
1.4 County where facility is located:
1.5 Facility Location (Directions from nearest major highway, Please include SR numbers for state roads. Please include a copy
of a county road map with the location of the farm identified): 1 mile south of intersection of US 64 and SR 1606 (Mildred
1.6 Print Farm Manager's name (if different from Land Owner):f.� �. ��/�✓�`�'
1.7 Lessee's / Integrator's name (if applicable; please circle which type is listed):
1.8 Date Facility Originally Began Operation: _ -SE'P7eM86YL {o
1.9 Date(s) of Facility Expansion(s) (if applicable): A/ IA
2. OPERATION INFORMATION:
2.1 Facility No.: 33 (county number); 64 (facility number),
2.2 Operation Description: Swine operation ..t, MAY
Wean to Feeder
800- Certified Design Capacity
DENIER RALEIGH REGIONAL OFFUJ
Is the above information correct? ©yes; E]no. If no, correct below using the dFsign capaciiy of'the facility
The "No. of Animals" should be the maximum number for which the waste management structures were designed.
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Cattle No. of Animals
0 Wean to Feeder 0 Layer 0 Dairy
0 Feeder to Finish 0 Non -Layer 0 Beef
0 Farrow to Wean (# sow) 0 Turkey
0 Farrow to Feeder (# sow)
0 Farrow to Finish (# sow)
Other Type of Livestock on the farm: No. of Animals:
FORM: AWO-G-E 5/28/98 Page 1 of 4 33 - 64

3.
2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
system): 3.3 : Required Acreage (as listed in the AWMP): 1.9
2.4 Number of lagoons/ storage ponds (circle which is applicable): 2
2.5 Are subsurface drains present within 100' of any of the application fields? YES or V (please circle one)
2.6 Are subsurface drains present in the vicinity or under the lagoon(s)? YES or (please circle one)
2.7 Does this facility meet all applicable siting requirements? (Swine Farm Siting Act, NRCS Standards, etc.) (Swine Only)
or NO (please circle one)
What was the date that this facility's swine houses and lagoon were sited? / Q `i
What was the date that this facility's land application areas were sited? 1 lqq
REQUIRED ITEMS CHECKLIST
Please indicate that you have included the following required items by signing your initials in the space provided next to each
item.
Applicants Initials
3.1 One completed and signed original and one copy of the application for General Permit - Animal
Waste Operations;
3.2 Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is land applied;
3.3 Two copies of the entire Certified Animal Waste Management Plan (CAWMP). If the facility
does not have a CAWMP, it must be completed prior to submittal of a general permit application
for animal waste operations.
The CAWMP must include the following components. Some of these components may not
have been required at the time the facility was certified but should be added to the
CAWMP for permitting purposes:
i,�3.I The Waste Utilization Plan (WUP) must include the amount of Plant Available
Nitrogen (PAN) produced and utilized by the facility.
3.3.2 The method by which waste is applied to the disposal fields (e.g, irrigation,
injection, etc.)
L.3-3.3 A map of every field used for land application.
3.3.4 The soil series present on every land application field.
3.3.5 The crops grown on every land application field.
3.3.6 The Realistic Yield Expectation (RYE) for every crop shown in the WUP.
3.3.7 The PAN applied to every land application field.
3.3.8 The waste application windows for every crop utilized in the WUP.
3.3.9 The required NRCS Standard specifications.
3.3.10 A site schematic.
L3!3.11 Emergency Action Plan.
4' .12 Insect Control Checklist with chosen best management practices noted.
-,?'3.I3 Odor Control Checklist with chosen best management practices noted.
i,a.3.14 Mortality Control Checklist with the selected method noted.
.15 Lagoon/storage pond capacity documentation (design, calculations, etc.). Please be
sure to include any site evaluations, wetland determinations, or hazard classifications
that may be applicable to your facility.
06.16 Operation and Maintenance Plan.
If your CAWMP includes any components not shown on this list, please include the
additional components with your submittal.
FORM: AWO-G-E 5/28/98 Page 2 of 4 33 - 64

r
Facility Number: 33 - 64
Facility Name: Alton R. Skinner Farms #2
4. APPLICANT'SS CERTIFICATION:
I. �72�i✓ /` _ ski.✓•✓-12
pry �I�CQ
(Land Owner's name listed in question 1.2), attest that
this application for ToA/ le, .�,�i.a/n/r7L -* 2- -(Facility name listed in question 1.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application package
will be returned to me as incomplete.
Signature "`� Date
5. MANAGER'S CERTIFICATION: (complete only if different from the Land Owner)
I, (Manager's name listed in question 1.6), attest that this
application for (Facility name listed in question 1.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application package
will be returned as incomplete.
Signature
Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON -DISCHARGE PERMITTING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
FAX NUMBER: [phone]
FORM: AWO-G-E 5/28/98 Page 3 of 4 33 - 64

Drr7SION OF WATER QUALITY REGIONAL OFFICES (1/98)
Asheville Regional WQ SuperAsor
59 Woodfin Place
Asheville, NC 28801
Cszg3 251.6208
Fax (en) 251-6452
Avery .
Buncombe
Bunco
Caldwell
Cberokee
clay
Graham
Haywood
Henderson
Jackson
Macon
Madison
McDowell
Mitchell
Polk
Rutherford
Swain
Transylvania
Yancey
Fayetteville Regional WQ Supervisor
Wachovia Building, Suite 714
Fayetteville, NC 2S301.
[phone]
Fax [phone]
Washington Regional WQ Supervisor
943 Washington Square Mill
Washington, NC Z7889
OS) 946-6481
Fax (,2 -, 975-3716
Beaufort James -
Betie - Laroir
Chowan.
Pamlico
Craven
Pasquotank
CmTimck
Perquimans
Dare
Pitt
Gams
Tyren
Greene
Washington
Hertford
Wayne
Hyde
Mooresville Regional WQ Supervisor
919 North Main St met
Mooresville, NC 28115
[phone]
Fax [phone]
Raleigh Regional WQ Supervisor
38W Bic, Dr.
Raleigh, NC 27611
[phone]
Fax [phone]
Chatham Nash
Durbarn Northampton
Edgecombe Orange
Franklin Perron
Granville Vance
Halifax Wake
Johnston W anon
Lae Wilson
W- mi.agcaa Region. WQ Supervisor
127 Cardinal Drive Extension
Wilmington, NC 2 QS-3945
[phone]
Fax [phone]
Anson
Moors~
Alexander
Lincoln Brunswick New Hanover
Blades
Richmond
Cabarrus
Mecklenburg Cirtere:t Ondaw
Cumberland
Robeson
Catawba
Rowan Columbus Pender
Haro=
Sampson
Cleveland
Stanly Duplin
Hoke
Scotland
Gaston
Union
Montgomery
-
Irede]1
Winston-Salem Regional WQ Supervisor
585 Waughtown Street
Wmston-Sal= NC 27107
(33Q 7714600
Fax (�36) 771401
lllamae
Allethany
Atbe
Cjswell
Davidson
YOM hTrV1i
Rockingham
Randolph
Stokes
Suary
Watanga
W-LIket
Yadkin
FORM: AWO-G-E 5128198 Page 4 of 4

4
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{
Animal Waste Management Plan Certification
(Please type or print all information that does not require a signature)
- Name of Farm: k tj G—c 'FA ? -MS Facility No:
w
WATERQU'uNSF
OiV
Owner(s) Name: A MbtJ S1t-t Nn __Phone No: Eta 3 5 71.5
Mailing Address: ' R-r. i y x Wit? TkrI o
Farm Location: Fourteen Digit Hydrologic Unit:_ CL3 o i o .��,5 0 c) O
Latitude and Longitude: 35: :51' Sod �`� .� IS 5 County: E1�6E�r�t�c
Please attach a copy of a county road map with location identified and describe below (Be specific: road
names, directions, milepost, etc.): 1-aC06i3 any 56_ l f 40 _
ri
Type of Swine No. of Animals
KWean to Feeder Boo
❑ Feeder to Finish
a Farrow to Wean
❑ Farrow to Feeder
O Farrow to Finish
Type of Poultry No. of Animals Type of Cattle No. of Animals
❑ Layer ❑ Dairy
0 Pullets ❑ Beef
Other Type of Livestock: Number of Animals:
Acreage Available for Application: 3.3 Required Acreage: 1.9
Number o agoons Storage Ponds : Total Capacity: EQ 643, 9 Cubic Feet (ft3)
Are subsurface drains present on the farm: YES or (0 (please circle one)
Owner / Manager Agreement
I (we) verify that all the above information is correct and will be updated upon changing. I (we) understand the operation and
maintenance procedures established in the approved animal waste management plan for the farm named above and will
implement these procedures. 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
Environmental Management before the new 8nimals are stocked. I (we) understand that there must be no discharge of animal
waste from the storage or application system to surface waters of the state either directly through a man-made conveyance or
from a storm event less severe than the 25-year, 24-hour storm and there must not be run-off from the application of animal
waste. I (we) understand that nun -off of pollutants from lounging and heavy use areas must be minimized using technical
standards developed by the Natural Resources Conservation Service. The approved plan will be filed at the farm and at the
office of the local Soil and Water Conservation District. I (we) know that any modification must be approved by a technical
specialist and submitted to the Soil and Water Conservation District prior to implementation. A change in land ownership
requires written notification to DEM or a new certification (if the approved plan is changed) within 60 days of a title transfer.
Name of Land Owner: ?IIaan R. 5k%nne r
Si
Date: //- 7- 9G
Name of MaXf
f different from owner):
Signature: 4 Date: //- 7- 94 _
AWC -- April 24, 1996

r
Technical Specialist Certification f
1. Asa technical specialist designated by the North Carolina Soil and Water Conservation Commission
pursuant to 15A NCAC 6F .0005, I certify that the animal waste management system for the farm
named above has an animal waste management plan that meets or exceeds standards and specifications'
of the Division of Environmental Management (DEM) as specified in 15A NCAC 2H.0217 and the
USDA -Natural Resources Conservation Service (NRCS) and/or the North Carolina Soil and Water
Conservation Commission pursuant to 15A NCAC 2H.0217 and 15A NCAC 6F .0001-.0005. The
following elements are included in the plan as applicable. While each category designates a.technical
specialist who may sign each certification - (SD, SI, WUP, RC, I), the technical specialist should only
certify parts for which they are technically competent:'- -
I.I. Certification of Design
A) Collection. Storage. Treatment System
Check the appropriate box
Existing facility without retrofit (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with
waste utilization requirements.
Q New, expanded or retrofitted facility (SD)
Animal waste storage and treatment structures, such as but not limited to collection systems,
lagoons and ponds, have been designed to meet or exceed the minimum standards and
specifications.
Name of Technical Specialist (Please Print):__ /4, R,
Affiliation: IV RC S
Address(Agency): o. &x 0 L1206AO tic a zeff6 Phone No.: l 79oo
Signature: - Date:
B) Land Appligatign Si e (WUP)
The plan provides for minimum separations (buffers); adequate amount of land for waste .
utilization; chosen crop is suitable for waste management; hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print):
Affiliation: _ AIRCS .�
Address(Agency): O 7A4&,eo nrc. BBB Phone No.: (a 41- 7fdo
Signature: - ;6. Date: &%6
C) Runoff Cgntrols from ExterioLLpts
Check the appropriate box
Ili Facility without exterior lots (SD or WUP or RC)
This facility does not contain any exterior lots.
❑ Facility with exterior lots (RC)
Methods to minimize the run off of pollutants from lounging and heavy use areas have been
designed in accordance with technical standards developed by NRCS.
Name of Technical Specialist (Please Print)- I TL 1
Affiliation: NRCS
Address(Agency): F- o, C /0 . 7,448ogo , kc �9-79 Phone No.: 6 `{I " 79ep
Signature: Date:
AWC -- April 24, I996 2

D) Aoulication and Handling Equiownt
Check the appropriate box
© Existing facility with existing waste application a ui ment (WUP or I)
Animal waste application equipment specified in the plan has been either field calibrated or
evaluated in accordance with existing design charts and tables and is able to apply waste as
• - necessary to accommodate the waste management plan: (existing application equipment can
cover the area required.by the plan at rates not to exceed either the specified hydraulic or
nutrient loading rates, a schedule for timing of applications has been established; required
buffers can be maintained and calibration and adjustment guidance are contained as part of the
plan).
16 New or expanded facility: or existing facility without existing waste application equipment (I)
Animal waste application equipment specified in the plan has been designed to apply waste as
necessary to accommodate the waste management plan; (proposed application equipment can
cover the area required by the plan at rates not to exceed either the specified hydraulic or
nutrient loading rates; a schedule for timing of applications has been established; required
buffers can be maintained; calibration and adjustment guidance are contained as part of the
plan).
Name of Technical Specialist (Please Print):_ A, B, # /7-LL y, 7 L-c
Affiliation: N RCS
Address(Agency): P. -AOX /D reea2o , NC 27 t? Phone No.:� �i - 7foo _
Signature: Date: Z05ZZ .&
III. Certification of Installation
A) C41tclign. Storage. Treatment Installation
New, expanded or retrofitted facility (SI)
Animal waste storage and treatment structures, such as but not limited to lagoons and ponds,
have been installed in accordance with the approved plan to meet or exceed the minimum
standards and specifications.
For existing facilities without retrofits, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation:
Address (Agency): Phone No.:
Signature: Date:
AWC -- April 24, 1996 3

B) Land Application Site (WUP) _
I
Check the appropriate box
Q The cropping system is in place on all land as specified in the animal waste management plan. it
91 Conditional Approval: all required land as specified in the plan is cleared for planting; the
cropping system as specified in the waste utilization plan has not been established and the
owner has committed to establish the vegetation as specified in the plan by Q / f 7'
(month/day/year); the proposed cover crop is appropriate for compliance with thi wfiste
utilization plan.
❑ Also check this box if appropriaie
if the cropping system as specified in the plan can not be established on newly cleared
land within 30 days of this certification, the owner has committed to establish an interim
crop for erosion control;
Name of Technical Specialist (Please Print):T A. B. WHi�yt
Affiliation: RCS
No.: &411-79o0
/Z! g
This following signature block is only to be used when the box for conditional approval in III. B
above has been checked.
I (we) certify that I (we) have committed to establish the cropping system as specified in my (our) waste
utilization plan, and if appropriate to establish the interim crop for erosion control, and will submit to
DEM a verification of completion from a Technical Specialist within 15 calendar days following the date
specified in the conditional certification. I (we) realize that failure to submit this verification is a
violation of the waste management plan and will subject me (us) to an enforcement action from D.EM.
Name of Land Owner
Signature:
Date: '/1- 7- 9C
Name of Manager(if different from owner):
Signature: Date:
Facility with exterior lot
Methods to minimize the run off of pollutants from lounging and heavy use areas have been
installed as specified in the plan.
For facilities without: exterior lots, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation:
Address(Agency): Phone No.:
Signature: Date: --
AWC -- April 24, 1996 4

• .r,
D) Annlication and Handling Eau iomentJnstallalion. (WUP or I)
Check the appropriate block
JW!
❑ Animal waste application and handling equipment specified in the plan is on site and ready
for use; calibration and adjustment materials have been provided to the owners and are
contained as part of the plan.
❑ Animal waste application and handling equipment specified in the plan has not been
"installed but the owner has proposed leasing or third party application and has provided a
signed contract; equipment specified in the contract agrees with the requirements of the
plan; required buffers can be maintained; calibration and adjustment guidance have been
provided to the owners and are contained as part of the plan.
® Conditional approvalAnimal waste application and handling equipment specified in the
plan has been purchased and will be on site and installed by / 127
(month/day/year); there is adequate storage to hold the waste un it the eq ipment is installed
and until the waste can be land applied in accordance with the cropping system contained
in the plan; and calibration and adjustment guidance have been provided to the owners and
are contained as part of the plan.
Name of Technical Specialist (Please Print): A, 3, my r/=!fY Z -
Affiliation• /V&9
Address(Agency): P.D. -Sax ,/D 7de8c4eo , we- 1-1666 PhoneNo.: 4P`/t-7900
Signature:
The following signature block is'only to be used when the box for conditional approval in III D
F ibove has been checked.
I (we) certify that I (we) have committed to purchase the animal waste application and handling
equipment as specified in my (our) waste management plan and will submit to DEM a verification of
delivery and installation from a Technical Specialist within 15 calendar days following the date specified
in the conditional certification. I (we) realize that failure to submit this verification is a violation of the
waste management plan and will subject me (us) to an enforcement action from DEM.
Name of Land Owner :__ItOar - K- JKin ti er
Signature:
Date: 7 -96
Name of Manager(if different from owner):
Signature: Date:
Please return the completed form to the Division of Environmental Management at the
following address:
Department of Environment, Health, and Natural Resources
Division Of Environmental Management
Water Quality Section, Compliance Group
- P.O. Box 29535
Raleigh, NC 27626-0535
Please also remember to submit a copy of this form along with the complete Animal Waste
Management Plan to the. local Soil and Water Conservation District Office and to keep a copy in
your files with your Animal Waste Management Plan.
AWC -- April 24, 1996

TECHNICAL SPECIALIST FOR ANIh L WASTE MANAGEMENT CERTIFICATION
R$SIGNATI02Z CATEGORY
CODE i
:r.,• AREA OF AUTHORITY.. }
Collection,' Storage,
SD (design)
- 4g6ons, storage ponds, dry stadke;-istorage structure(3•,•"
and/or Treatment
SI (installation)"
compoaters, pushoff ramps, curbing -and other similar
structures
Waste Utilization Plan
WUP
- design and installation (development and
implementation) of land application"plans
including crop and acreages available to meet nutrient
budget, -hydraulic and nutrient loading rates, placement
of application site buffers
- measurement of existing storage volume'
-"confirmation of existence and compatibility of land
application equipment with waste utilization plan.
- certification of cropping systems
- confirmation of absence of exterior. -,Tots'.,;', ­
- confirmation of sludge and effluerkt-removal and
application at agronomic rates for-.140on-closure
Runoff Controls
RC
- design and installation of filter stripaj-rt1rass
channels, and related bmps used to reduce•runoff from
exterior lots (primarily dairy pperat-ioiis)'
Irrigation Equipment
I
- design and installation of irrigation.systems to
include pipe size, pump horsepower, nozzle size, system
layout, thrust blocks, etc, and operation plan to meet
criteria of Waste Utilization Plan (hours per set, etc.)
Technical Specialists are designated by the Soil and Water Conservation Commission pursuant to i5A NCAC GF.0005.
Technical Specialists should only certify parts of a plan for which they are technically competent.

ti24? is
C
E
1 k
L
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�..�..... ... .. n. :::..... ... .... .....ev v....... ...... n.v .................... ...... :... ..Jx .::2y: ::. a, f::-:.:... r:.�-... ... ..4... .Sn- }` ... �. .......E ..... .. :.. ... : ... ... .. .. a::e. ... :: .. a:e. r .....
.:.--:::v v..:: .......S: va:..u-::::3.f :::.:::-+-.:....L...:::... .... :..: �::: k.}:?:::.�:4.1.ix� .... rn ...., ...n x.n.y c.drn. xr .•, �. ... �'?}.:� ♦^� ^.;`:i }}.?.
Producer: q�_-Tz,N K_ s k1NN1E2
Location: tl4 m1J_K- Noknj oti sP- «`0
Telephone: Ba3 - sF7iS
Type Operation: NUeSE,�y
Number of Animal Units: coo
The waste from your animal facility must be land applied at a specified
rate to prevent pollution of surface and/or ground water. The plant
nutrients in the animal waste should be used to reduce the amount of
commercial fertilizer required for the crops on 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.
leveral factors are important in implementing your waste utilization plan
4n 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 acre per year. Do not apply waste on
saturated soils or on land when the surface is frozen. Either of these
conditions may result in runoff to surface waters. 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.
:his waste utilization plan, if carried out, meets the requirements for
compliance with 15A NCAC 2H.0217 adopted by the Environmental Management
commission

' r
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm: OL-'bnl SK11vNff_ Ny25&R-Y
Owner/Manager Agreement
bo)4_0� 0-/
I (we) understand and will follow and implement the -specification 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 Environmental 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
it 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) kpie rt
signature :� Date: 7-
Name of Manager (If different from owner:
Signature:
Technical Representative: {please print}
V l VF
Affiliation: 0,0_ -c f alwle_�
Address (Agency)
Signature:
Date:
Date:j////Z

Amount of Waste Produced Per Year(gallons, tons etc.
oo animals X 191 gal. waste/animal/year = I5 ,),e oo gals. waste/year.
Amount of Plant Available Nitrogen PAN Prod ced Per Year
6 00 animals X -iB lbs. PAN/animal/year = 3Bq _lbs. PAN/year. (PAN from
N. C. Tech. Guide Std. 633)
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 1: ACRES OWNED BY PRODUCER
Tract Field Soil Crop Lbs. N Acres Lbs. N Month of
# No. Type Per Ac.* Utilized Application
,7r,
L'r'�
�Nwfimlm
r
_--_`W�
* 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 maybe over applied while
meeting the N requirements. Beginning in 1996, the Costal Zone Management
Act will require farmers in some eastern counties of North Carolina to have
a nutrient management plan that addresses all nutrients. This plan only
addresses Nitrogen.
;OTE :

i
Amount of Waste Produced Per_Yeartgallons, tons,etc.)
oo animals X (CO gal. waste/animal/year =_ I5a, eo0 _ gals. waste/year.
Amount of Plant Available Nitrogen PAN Produced Per Year
600 animals X •`fig lbs. PAN/animal/year =_�$`� -- lbs. PAN/year. (PAN from
N. C. Tech. Guide Std. 633)
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 1.: ACRES OWNED BY PRODUCER
Tract Field Soil Crop Lbs. N Acres Lbs. N Month of
# No. Type Per Ac.* . Utilized Application
!Yj u �— S e p `R�—
11�Cc• - S e to
* 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 exipectation.
NOTE: The applicator is cautioned that P and K may be over applied whale
meeting the N requirements. Beginning in 1996, the Costal Zone Management
Act will require farmers in some eastern counties of North Carolina to have
a nutrient management plan that addresses all nutrients. This plan only
addresses Nitrogen.
NOTE:

.Table Z: 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
# Type Per Ac.* Utilized Application
*See footnote for Table 1.
Totals from above Tables
Acres Lbs. N
Utilized
Table 1 3.3 ("6,0
Table 2
Total 1 3, 3 (vG a
Amount of N 11Podu J4Y
Surplus or eficit
NOTE: The Waste Utilization Plan must contain provisions for periodic land
application of sludge at agronomic rates. The sludge will be nutrient rich
lend will require precautionary measures to prevent over application of
J tutrients or other elements.
See attached map showing the fields to be used for.the utilization of waste
water.

Application of Waste by Irrigation
Field
No.
Soil Type
Crop
Application
Rate(In/Hr)
Application
Amount(In.)
phis table is not needed if waste is not being applied -by irrigation, however a similar
table Will be needed for dry litter or sludge.
Your facility is designed for 31c Q- days of temporary storage and the
temporary storage must be removed on the average of once every +e-ar
In no instance should the volume of waste being stored in your structure .
exceed Elevation 43.0 r
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: 4 ;A(LT
J
j)Ump1rj6 A C4X 1 /41'1 r>PJ 'f3.o' - S7-OP
h- A-r-&Ij 4/. 3' .

REQUIRED SPECIFICATIONS
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. Illegal discharges are subject
to the assessment of civil penalties of $10,000 per day by the
Division of Environmental Management for every day the discharge
continues.
2. The Field Office must have documentation in the design folder that the
producer either owns or has long term access to adequate land on which
to properly apply the waste. If the producer does not own adequate
land to properly dispose of waste, he shall provide NRCS with a copy of
a written agreement (sample enclosed) with a landowner who is within a
reasonable proximity, allowing him/her the use of the land for waste
application for the life expectancy of the production 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 on soil type, available moisture,
historical data, climate conditions, and level of management, unless
there are regulations that restrict the rate of application of other
nutrients.
4. Animal waste may be applied to land that has a Resource Management
System (RMS) or an Alternative Conservation System (ACS). If an ACS
is used, the soil loss shall be no greater than 10 tons per acre per
year and appropriate filter strips will be used where runoff leaves the
field. These filter strips will be in addition to "Buffers" required
by DEM. [See FOTG Standard 393 -- Filter Strips and Standard 390
(Interim) - Riparian Forest Buffers.]
5. Odors can be reduced by injecting the waste or disking after waste
application. Waste should not be applied when the wind is blowing.
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" in the
Technical Reference - Environment file for guidance.)
7. Liquid Waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur off site 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

conditions conducive to odor or flies and provide uniformity of
application.
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 no more than 20 to 25 percent of the leaf area is covered
by solids.
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 crops planted to take up released nutrients.
Waste shall not be applied more than 30 days prior to planting of the
crop on bare soil.
11. Animal waste shall not be applied closer than 25 feet to surface
water. This distance may be reduced for waters that are perennial
provided adequate vegetative filter strips are present. (See Standard
393 - Filter Strips)
12. Animal waste shall not be applied closer than 100 feet from water
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 overspraying. 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
should not be applied on grassed waterways that discharge directly
into water courses, and only then at agronomic rates provided the
application 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. Lagoons and other uncovered waste containment structures must maintain
a maximum operating level to provide adequate storage for a 25-year,
24-hour storm event in addition to the one (1) foot mandatory
J freeboard.
18. A protective cover of appropriate vegetation will be established on
all disturbed areas (lagoon embankments, berms, pipe runs, etc.). If
needed, special vegetation shall be provided for these areas and shall
I

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. Lagoon berms and structures should be inspected regularly
for evidence of erosion, leakage, or discharge.
19. 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.
20. 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.

THIS DESIGN IS FOR A SINGLE STAGE. LAGOON
CLIENTS NAME ----_=______------____--_ __> A. SKINNER,'.r
COUNTY __-_�-_____________.____--___> Edgecombe:��,
' TODAYS DATE-_==-____------_____--------_-> JULY 16,1996
DISTANCE TO NEAREST NONFARM RESIDENCE => 2100 FEET
NUMBER OF PIGS WEANLING TO FEEDER =____> 800
NUMBER OF PIGS FEEDER TO FINISH =======> 0
NUMBER OF SOWS FARROW TO WEANLING =___> 0
• NUMBER OF SOWS FARROW TO FEEDER 0
NUMBER OF SOWS FARROW TO FINISH =______> 0
DEGREE OF ODOR CONTROL ________________> 1.0
(minimum 1.0 cu. ft. per lb SSLW)
(maximum 3.0 cu. ft. per lb SSLW)
NUMBER OF YEARS OF SLUDGE ACCUMULATION > 0.0 YEARS
TOP LENGTH AT NORMAL WATER LEVEL =_____> 228.0 FEET
TOP WIDTH AT NORMAL WATER LEVEL =___-__> 48.0 FEET
NORMAL WATER LEVEL ELEVATION -=========> 41.3 FEET
SEASONAL HIGH WATER TABLE ELEVATION =__> 41.3 FEET
LAGOON BOTTOM ELEVATION _______________> 35.3 FEET
Depth of Permanent Water 6.0 feet
(minimum depth without sludge = 6 feet)
(minimum depth with sludge = 8 feet)
SIDE SLOPES =__________________________> 1.0:1
Permanent Volume Required 24000.0 cubic feet
Permanent Volume Provided 56171.4 cubic feet
ADDITIONAL DRAINAGE AREA IN SQUARE FEET> 0 SQUARE FEET
(i.e. pumpout pond & other outside area)
LENGTH OF PUMPING CYCLE -_______----____> 360 DAYS
GALLONS OF FRESH WATER ADDED DAILY ====> 0 GALLONS
EXCESS RAINFALL ABOVE EVAPORATION =====> 13.4 INCHES
25YR/24HR STORM RAINFALL ______________> 6.7 INCHES
FREEBOARD _____________________________> 2.0 FEET
ESTIMATED TOP OF DAM ELEVATION ========> 46.9 FEET
Temporary Storage Volume 35440.9 cubic feet
Top of Dam Elevation = 46.9 feet
Inside Dimensions of Lagoon at Top of Dam
Length = 240.0 feet Width = 60.0 feet
Begin Pumping Elevation = 43.8 feet
Stop Pumping Elevation = 41.3 feet
Volume To Be Pumped = 27534.6 cubic feet

1. STEADY STATE LIVE WEIGHT
8007head weanling to -feeder x 30 lbs.
0 head.'feeder to finishing x 135 lbs.
0 sows farrow to`wieanling x 433 lbs.
0 sows farrow to:.�-feeder x'522 lbs.
0 sows farrow to finish x 1417 lbs.
- 24006
lbs
= 0,
lbi;
= 0 lbs"
-
y
= 0
lbs
- 0
lbs
..
TOTAL STEADY STATE LIVE WEIGHT (SSLW) - 24000 lbs
• 2. SLUDGE ACCUMULATION
ti
J
Sludge accumulates at the rate of 0.080 cu. ft. per year
per pound of STEADY STATE LIVE WEIGHT in swine.
Years of sludge accumulation in.design? 0.0
Sludge Volume =
0.0 cubic feet
3. REQUIRED LIQUID VOLUME OF LAGOON
Design for 1.0 cu. ft. per pound SSLW
Total Volume = (SSLW * Design factor) + Sludge Volume
Total Volume = 24000.0 cubic feet
4. NORMAL LAGOON LIQUID LEVEL
Maintain normal lagoon liquid level at elevation 41.3 feet
Construct lagoon bottom elevation 35.3 feet
Lagoon size for normal lagoon liquid volume using prismodial formula
SS/END1 SS/END2 SS/SIDE1 SS/SIDE2 DEPTH
1.0 1.0 1.0 1.0 6.0
AREA OF TOP
LENGTH *WIDTH =
228.0 48.0
AREA OF BOTTOM
Lb * Wb -
216.0 36.0
10944.0 (AREA OF TOP)
7765.9 (AREA OF BOTTOM)
AREA OF MIDSECTION
(Lm * Wm)
222.0 42.0 9318.7 (AREA OF MIDSECTION)
CU. YD. = [AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM] * DEPTH/6
10944.0 37274.9 7765.9 1.003
VOLUME OF LAGOON AT NORMAL LAGOON LIQUID LEVEL=56171.4 CU. FT.
VOLUME NEEDED = 24000.0 CU. FT.
THE SURFACE DIMENSIONS OF THE LAGOON AT NORMAL LIQUID LEVEL
ARE 228.0 FEET LONG BY 48.0 FEET WIDE

5. DIKE
Place spoil as a continuous dike to elevation
6. TEMPORARY:'STORAGE REQUIRED
DRAINAGE AREA:
Lagoon (top of dike) Length Width=
239.2 59.2 14161 square feet
Additional Drainage Area
6A.
6B.
6C.
.9
465
0 square feet
TOTAL DA 14161 square feet
Pumping
cycle to be 360 days.
Volume
of waste produced
Volume
= 24000 SSLW * 0.0101481 gallon/lb.
SSLW/day
in the pumping cycle / 7.48 gallons per cu.
ft.
Volume
= 11721.9 cubic feet
Volume
of wash water
This is
the amount of fresh water used for washing
floors or
volume
fresh water used for a flush system. Flush
systems that
recycle
the lagoon water are accounted for in 6A.
Volume
= 0 gallons/day * 360 days in
the pumping
cycle divided by 7.48 gallons per cu. ft.
Volume
= 0.0 cubic feet
Volume
of rainfall in excess of evaporation
Use period
of time when rainfall exceeds evaporation by largest
amount.
Excess
rainfall (difference) = 13.4 inches
Volume
= 13.4 inches * DA / 12 inches per
foot
Volume
= 15812.7 cubic feet
Volume
of 25 year - 24 hour storm
Volume
= 6.7 inches * DA / 12 inches per
foot
Volume
= 7906.4 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
6A. 11721.9 cubic feet
6B. 0.0 cubic feet
6C. 15812.7 cubic feet
6D. 7906.4 cubic feet
TOTAL TEMPORARY STORAGE 35440.9 cubic feet

7. DEPTH OF STORAGE REQUIRED (ABOVE NORMAL LIQUID ELEVATION OF:` LAGOON) --
Depth required = Volume of temporary storage divided' by., surface-'•. �;,,,
area of lagoon.
- Depth required = 35441 cu.ft. / 10944 sq.-,ft. 2�
Depth required = 3.2 feet
Normal lagoon liquid elevation = 41.3 feet
Depth required - 3.2 feet
Freeboard - 2.0 feet
Top of Dam - 46.5 feet
THE DIMENSIONS OF THE INSIDE EDGE OF THE DAM AT ELEVATION 46.5
ARE 239.2 FEET BY 59.2 FEET
_8. SET BEGIN PUMPING ELEVATION
PUMPED STORAGE VOLUME
6A.
6B.
6C.
TOTAL PUMPED VOLUME =
11721.9 cubic feet
0.0 cubic feet
15812.7 cubic feet
27534.6 cubic feet
Depth required = Volume of pumped storage divided by surface
area of lagoon at normal water level.
Depth required = 27534.6 cu.ft. / 10944.0 sq. ft.
Depth required = 2.5 feet
DESIGNED BY:
DATE: I/P/
APPROVED BY:
DATE: 7/l eel

r
The purpose of this plan is to provide guide?inss for carrying out
the routine operation and maintenance work needed to keep this 9-dine
waste management system functioning as planned. Routine maintenance
is considered to be normal good care of the system. Good
maintenance adds to beauty, usefulness, and permanence.
A. Maintenance
The routine maintenance of the lagoon involves the following:
1. Maintenance of a vegetative cover on the embankment top and
side s lopes . ,rj is
being established on these areas. Beginning in ISU and
each year thereafter, the embankment should be fertilized
with 800 pounds'of 10-10-10 per acre to maintain a vigorous
stand.
2. Control of brush and trees on the embankment. This may be
done by mowing, spraying, or chopping, or a combination of
all three. This will need to be done at least once each
year and possibly twice in years favorable to heavy growth
of vegetation.
Maintenance inspections of the lagoon sho-.:ld be made during, the
-initial filling of the Lagoon and at least monthly. Items to be
checked should include, as a minimum, the fallowing:
1. Waste Inlet -Pipes, Recycling Pipes, and overflow Pipes
a. separation of joints
b. cracks or breaks
C. accumulation of salts or miner_ls
d. overall condition of pipes
2. Lagoon surface
a. undesirable vegetative growth
n. floating or lodged debris
3. Embankment
a. settlement, cracking
b. side slope stability
C. Wet or damp areas on
d. erosion due to lack
wave action
e. rodent damage
or "jug" hclEs
- slumps Cr bulges
the back sicce
of vegetation or as
1
a result of

r. APR 23 '98 10:29AM JOHNSTON CO. COOP EX
P.3/4
4. Transfer Pump - recycling and irrigation pumps
a. overall pump operation
b. leaks
C. loose fittings
5. surface water diversion
a. adequate vegetation
b. diversion capacity
C. ridge -berm height
E. onera�g�
Your animal waste management facility was designed for z
total of �?00 sowsJanimals (_ VE4AJ to Fee6m' ) .
The lagoon Contains both permanent and temnorary'storage..
The permanent storage is not to be pumped in order to ensure
that anaerobic action will occur. The design storage
includes permanent storagg of one cubic foot par pound of
steady state live weight.
The temporary storage portion of the lagoon includes
capacity for the volume of waste produced over 180 days, the
amount of rainfall in a 25 year 24 hour storm event plus an
additional "heavy rain" factor, and rainfall in excess of
-evaporation. Your facility is designed for 180 days of
temporary storage; therefore, it will need to be pumped
every six months. Begin pump -cut of the lagoon when fluid
level reaches elevation y3,8 as marked by permanent
markers. Stop pump -out when the fluid level ruches
elevation y!.'} Pumping can be started or stopped at anytime between znese two elevations for operating convenience
as site conditions permit, such as weather, soils, crop, arc
equipment in order to apply waste without runoff or
leaching.
The attached waste management plan must be followed. This
plan recommends sampling, and testing cf waste (see
Attachment s) before land application. The waste material
should be analyzed before each application cycle to
determine its nutrient content. i sail test of the area of
application.should be made annually Lo insure ;.e waste is
applied as reasonably and practically possible z.a
recommended rates.
waste treatment lagoons must be prat arre:: :! i th a volume c=
water equal to one-half of the treatment vclums before
', as os are introduced. Precnarg, n `_"!Qces the
concentration of the initial waste _n-erinc the lagoon
tHereby reducing odors. Solids show=_ to covered with
effluent at all times.

APR 23 '9e 10:30AN JOHNSTON CO. COOP EX
P.4/4
M
Pi es that are used for recycling effluent to use as flush
water and irrigation intakes must be placed Winches Below
t e sur ace ana as far from the an ez pipes as possible in
order to provl.ae a c eaner MGM ror riushingand to
reduce odors when irrigating on land. When these PlPes are
placed through the embankment, they should Se Installed no
more than two zeWFE Below to of 01ke ana not in the highest.
section of fill. The pipe trench should_be compacted with
ciao material. - -
After five years the waste treatment lagoon must be checked
for sludge accumulation annually. if sludge has encroached
into the treatment volume, the sludge :gust be removed and
applied at agronomic rates based on analysis of the sludge.
Treatment volume must have a minimun ct 4 feet of depth free
of sludge at all times.
In December 1992, the Environmental Management Commission
(EMC) in North Carolina revised water quality regulations
that address animal operations. These rules became
effective cn February 1, 1993 (15A NCAC 2H .0200). This
animal operation shall he operated within the requirements
cf these rules and regulations.
3

D6GTo wn1
lvlortality Management Methods
(check which method(s) are being implemented)
Burial three feet beneath the surface of the ground within 34 hours after
knowledge of the death. The burial must be at least 300 feet from any flowing
stream or public body of water.
Rendering at a rendering plant licensed under G.S. 106-168.7
Complete incineration
In the case of dead poultry only; placing in a disposal pit of a size and design
approved by the Department of Agriculture
Any method which in the professional opinion of the State Veterinarian would
make possible the salvage of part of a dead animal's value without endangering
human or animal health. (Written approval of the State Veterinarian must be
attached)
l])iseosaj o-+ Edgecombe Couriy &W Wasf, Fa,-)Jy W;fW,,,
I Hours a'F KaowleJQ- e{C De-+k �Ckpi` or Sun�ay5CFac���
.14
e iascJ A+ T►+a� Tme) I
December 18, 1996

Doc rowAt 54e► % 3 3-W+ k�
EMERGENCY ACTION PLAN
PHONE NUMBERS
DWQ-419-S11 -49ao
EMERGENCY MANAGEMENT SYSTEM Asa- 4o41- 843
SWCD Asa, - (.41- 19 do
NRCS asa- e4r -71900
This plan will be implemented in the event that wastes from your operation are leaking,
overflowing, or running off site. You should not wait until wastes reach surface waters or
leave your property to consider that you have a problem. You should make every effort to
ensure that this does not happen. This plan should be posted in an accessible location for
all employees at the facility. The following are some action items you should take.
1. Stop the release of wastes. Depending on the situation, this may or may not be
possible. Suggested responses to some possible problems are listed below.
A. Lagoon overflow -possible solutions are:
a. Add soil to berm to increase elevation of dam.
b. Pump wastes to fields at an acceptable rate.
c. Stop all flows to the lagoon immediately.
d. Call a pumping contractor.
e. - Make sure no surface water is entering lagoon.
B: Runoff from waste application field -actions include:
a. Immediately stop waste application.
b. Create a temporary diversion to contain waste.
c. Incorporate waste to reduce runoff.
d. Evaluate and eliminate the reason(s) that caused the runoff.
e. 'Evaluate.the application rates for the -field's where -runoff occurred.
- ---- ---C:-Leakage from the waste pipes and sprinklers -action include:..--._._._.._
a. Stop recycle pump.
b. Stop irrigation pump.
c. Close valves to eliminate further discharge.
d. Repair all leaks prior to restarting pumps.
D: Leakage from flush systems, houses, solid separators -action include:
a. Stop recycle -pump.
b. Stop irrigation pump.
c. Nlake sure no siphon occurs.
d. Stop all flows in the house, flush systems, or solid separators.
December 18, 199b

li
e. Repair all leaks prior to restarting pumps.
E: Leakage from base or sidewall of lagoon. Often this is seepage as opposed to
flowing leaks- possible action:
a. Dig a small sump or ditch away from the embankment to catch all seepage,
put in a submersible pump, and pump back to lagoon.
b. If holes are caused by burrowing animals, trap or remove animals and fill
holes and compact with a clay type soil.
c. Have a professional evaluate the condition of the side walls and lagoon
bottom as soon as possible.
2. Assess the extent of the spill and note any obvious damages.
a. Did the waste reach any surface waters? -
b. Approximately how much was released and for what duration?
c. Any damage noted, such as employee injury, fish kills, or property damage?
d. Did the spill leave the property?
e. Does the spill have the potential to reach surface waters?
f. Could a future rain event cause the spill to reach surface waters?
g. Are potable water wells in danger (either on or off of the property)?
h. How much reached surface waters?
3: Contact appropriate agencies.
a. Durina normal business hours, call your DWQ (Division of Water Quality)
regional office; Phone l-""4741"After hours, emergency'number:' 919-733-3942.
Your phone call should include: your name, facility, telephone number, the details
of.the incident from item 2 above, the exact location of the facility, the location or
direction of movement of the spill, weather and wind conditions. The corrective
measures that have been under taken, and the seriousness of the situation.
b. If spill leaves property or enters surface waters, call local EMS Phone number
c. instruct EMS to contact local Health Department. '
d. Contact CES, phone numbed'." 4sY-Ja;1oca1 SWCD office phone number
and local NRCS office for advice/technical assistance phone number - -2S-q- (-q 1- 74 co
4: If none of the above works call 911 or the Sheriffs Department and explain your
problem to them and ask that person to contact the proper agencies for you.
5: Contact the contractor of your choice to begin repair of problem to minimize off -site
damage.
a. Contractors Name: _g4 sfe r.% Z Gfa d i'hT
b. Contractors Address: Pf- 4- :�grbom � t4
c. Contractors Phone: ,asa- ru-7
9
December 18, 1996

v
6: Contact the technical specialist who certified the lagoon (NRCS, Consulting
Engineer, etc.)
a. Name:_ - T& WH?- LL Y--M- NIZC-1
b. Phone: s 5a- f - oa
7: Implement procedures as advised by DWQ and technical assistance agencies to
rectify the damage, repair the system, and reassess the waste management plan to
keep problems with release of wastes from happening again.
3 - December 18, 1996

• ;.fir •�
Insect Control Checklist for Animal Operations
Source Cause BMPs to Control Insects Site Specifie Practices
Liquid Systems
Flush Gutters • Accumulation of solids lid Flush system is designed and operated
sufficiently to remove accumulated solids from
gutters as designed.
el__� Remove bridging of accumulated solids at
discharge
Lagoons and Pits • Crusted Solids Maintain lagoons, settling basins and pits where
pest breeding is apparent to minimize the .
crusting of solids . to a depth of no more than 6 -
8 inches over more than 3011/6 of surface.
Excessive Vegetative • Decaying vegetation Maintain vegetative control along banks of
Growth lagoons and other impoundments to prevent
accumulation of decaying vegetative matter
along watces edge on impoundment's perimeter.
Dry Systems
Feeders Feed Spillage Design, operate and maintain feed systems (e.g.,
bunkers and troughs) to minimize the
accumulation of decaying wastage.
CK Clean- up spillage on a routine basis (e.g., 7 - 10
day interval during summer; 15-30 day interval
during winter).
Feed Storage Accumulations of feed residues Reduce moisture accumulation within and
around immediate perimeter of feed storage
areas by insuring drainage away from site
and/or providing adequate containment (e.g.,
covered bin for brewer's grain and similar high
moisture grain products).
0""lnspect for and remove or break up accumulated
solids in filter strips around feed storage as
needed.
AT1`7 '-wember 11, 1996, Page 1

Source Cause BMPs to Control Insects. Site Specific Practices
Animal Holding Areas • Accumulations of animal wastes 9Y' Eliminate low areas that trap moisture along
and feed wastage fences and other locations where waste
accumulates and disturbance by animals is
minimal.
❑ Maintain fence rows and filter strips around
animal holding areas to minimize i
accumulations of wastes (i.e., inspect for and
remove or break up accumulated solids as
needed).
Dry Manure Handling Accumulations of animal wastes ❑ Remove spillage on a routine basis (e.g., 7 - 10
Systems day interval during summer, 15-30 day interval
during winter) where manure is loaded for land
application or disposal.
N f A ❑ Provide for adequate drainage around manure
stockpiles.
❑ Inspect for and remove or break up accumulated
wastes in filter strips around stockpiles and
manure handling areas as needed.
For more information contact the Cooperative Extension Service, Department of Entomology, Box 7613, North Carolina State University,
Raleigh, NC, 27695-7613.
AM1C -November 11, 1996, Page 2

Swine Farm Waste Management Odor Control Checklist
Source Cause HMI's to Minimize Odor Site Specific Practices
Farmstead • Swine production D Vegetative or wooded buffers; '
O'Recommended best management practices;
EJ- Good judgment and common sense
Animal body:surfaces • Dirty manure -covered animals O—Dry floors
Floor surfaces • Wet manure -covered floors R—Slotted floors;
waterers located over slotted floors;
❑ Feeders at high end of solid floors;
❑ Scrape manure buildup from floors;
M' Underfloor ventilation for drying
Manure collection pits • Urine; [YTrequcnt manure removal by flush, pit recharge,
• Partial microbial decomposition or scrape;
G,' nderfloor ventilation
Ventilation exhaust fans • Volatile gases; CYFan maintenance;
Dust li'Efficient air movement
Indoor surfaces •
Dust
lYWashdown between groups of animals;
❑ Feed additives;
❑ Feeder covers;
Cl Feed delivery downspout extenders to feeder
covers
Flush tanks •
Agitation of recycled lagoon
❑ Flush lank covers;
liquid while tanks are filling
Q- txtend fill lines to near bottom of tanks with
anti -siphon vents
Flush alleys •
Agitation during wastewater
91-1Jnderfloor flush with underfloor ventilation
conveyance -
Pit recharge points •
Agitation,of recycled lagoon
❑ Extend recharge lines to near bottom of pits
liquid while pits are filling
NSA with anti -siphon vents
Lift statists •
Agitation during sump tank
N�R ❑ Sump tank covers
filling and drawdown
Outside drain collection •
Agitation during wastewater
6Y,6ox covers
or junction boxes
conveyance
AMOC - November 11, 1996, Page 3

Source
BMPs to
End of drainpipes at
•
Agitation during wastewater
OExtead discharge point of pipes underneath
lagoon.
conveyance
lagoon liquid level
Lagoon surfaces
•
Volatile gas emissions;
(-Proper lagoon liquid capacity;
•
Biological mixing;
Q-Torrect lagoon startup procedures;
•
Agitation
0 Minimum surface area -to -volume ratio;
RMinimum agitation when.pumping;
Cl Mechanical aeration;
Cl Proven biological additives
Irrigation sprinkler
•
High pressure agitation;
9-Irrigate on dry days with little or no wind; .
nozzles
.
Wind drill
©''Minimum recommended operating pressure;
R___P'ump intake near lagoon liquid surface;
0--Pump from second -stage lagoon
Storage tank or basin
•
Partial microbial decomposition; 9-'Bottom or midlevel loading;
surface
•
Mixing while filling;
0 Tank covers;
•
Agitation when emptying
Cl Basin surface mats of solids;
13 Proven biological additives or oxidants
Settling basin surface
•
Partial microbial decomposition; 0 Extend drainpipe outlets underneath liquid
•
Mixing while filling;
K/� level; i
:,
•
Agitation when emptying
0 Remove settled solids regularly
Manure, slurry or sludge
•
Agitation when spreading;
0 Soil injection of slung/sludges;
spreader outlets .
•
Volatile gas emissions
f/� 0 Wash residual manure from spreader after use; s
!
O Proven biological additives or oxidants
Uncovered manure,
•
Volatile gas emissions while
0 Soil injection of slurry/sludges
slurry or sludge on field
drying
0 Soil incorporation within 48 Izrs.;
surfaces
0 Spread in thin uniform layers for rapid drying;
0 Proven biological additives or oxidants
Dead animals
•
Carcass decomposition
EP-froper disposition of carcasses
Dead animal disposal
•
Carcass decomposition
0 Complete covering of carcasses in burial pits;
pits
N/A p Proper location/construction ofdisposal pits
Incinerators
•
Incomplete combustion
�fJ 0 Secondary stack burners
Awary November 11, 1996, Page 4

Source Cause BMPs to Minimize Odor Site Specific Practices
Standing water around • Improper drainage; M—'Orade and landscape such that water drains
facilities . Microbial decomposition of away from facilities
organic matter
Manure tracked onto • Poorly maintained access roads itlrl+arm access road maintenance
public roads from farm
access
Additional Information:
Available From
Swine Manure Management; 0200 Rule/BMP Packet
NCSU, County Extension Center
Swine Production Farm Potential Odor Sources and Remedies ; EBAE Fact Sheet
NCSU - BAE
Swine Production Facility Manure Management: Pit Recharge - Lagoon Treatment, EBAE 128-98
NCSU - BAE
Swine Production Facility Manure Management: Underfloor Flush - Lagoon Treatment; EBAE 129-88
NCSU-BAE
Lagoon Design and Management for Livestock Manure Treatment and Storage; EBAE 103-83
NCSU - BAE
Calibration of Manure and Wastewater Application Equipment ; EBAE Fact Sheet
NCSU - BAE
Controlling Odors from Swine Buildings ; PIN-33
NCSU - Swine Extension
Environmental Assurance Program ; NPPC Manual
NC Pork Producers Assoc
Options for Managing Odor; a report from the Swine Odor Task Force
NCSU Agri Communications
Nuisance Concerns in Animal Manure Management: Odors and Flies ; PRO 107, 1995 Conference Proceedings
Florida Cooperative Extension
t
t.�
AMOC - November 11, 1996, Page 5

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4,t 4, S csa iF
RECEIVED
WATER OIJAU YsFrTrON
FEB 0 7 2000
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fJI f .>i� ,.t ' CN . { ..r �w'�'�1, ��y�pr� 1"Z�`� '4'e�� r�`•}, � a e e � f rr� k."
y}! YsAp y � �t rL ty h^i t F'r ,�{�i �r� � ��Tfr' x C F ,w •j'r rr �jp�•1•t�_ F:s
a• J - 1,r t ° ilk r rj k �s�
• r �; ��".? �'3'c fig. {3 ly, 7 s - -4iA .
k t� ij1 i;' i�fr�'r''' •x,��` `d"?• :��'T c.aPy`�

. IV,
lb l
9 *1

r.or+

on each side of the pipe to provide support free from voids.
Care should be taken to avoid deforming, displacing, or
damaging the pipe during this phase of t%e operation.
6A final backfill
6.4.1 General. After pipeline testing, final backfill shall be
placed and spread in approximately uniform layers in such a
manner as to fill the trench completely so that there will be no
unfilled spaces under or about rocks or lumps of earth in the
backfill. Final backfill shall be free of large rocks, frozen clods
and other debris greater than 76 mm [3 in.i in diameter, Rolling
equipment or heavy tampers should be used to consolidate the
final backfill only after the minimum depth of cover has been
placed and only with pipe having wall thicknesses greater than
that of SDR-41.
SECTION 7-SPECIAL CONSIDERATIONS
7.1 Bell holes for rubber gasket Joints. When the pipe being in-
stalled is provided with rubber gasket joints, bell holes shall be
excavated in the bedding material to allow for the unobstructed
assembly c f the joint. Care should be taken that the bell hole is no
larger than stecessary to accomplish proper joint assembly. When the
joint has been made, the bell hole should be carefully filled with
TABLE 11 , THRUST BLOCKING AND ANCHORS FOR UNDERGROUND IRRIGATION PIPELINES
/.
4
js.� 0 A
a d i
`✓
Step 1. Multiply the working pressure by the appropriate value
shown in the following table to obtain total thrust In N (lb):
PIPELINE THRUST FACTORS', t
Pipe Size Dead End 90' 45' 22-1I2'
In. mm or Tee Elbow Elbow Elbow
1-112
38.1
2.94
4.16
2.25
1.15
2
50.8
4.56
6.45
3.60
1.78
2.112
63.6
6.65
9.40
5.10
2.60
3
76.2
9.80
13.9
7.51
3.82
3.112
88.9
12.8
19.1
9.81
4.99
t2161
101.6
CIE&Z
4
effi5L
6.31
5
127.0
24.1
35.0
18.9
9,63
6
152.4
V 9
49.2
26.7
13.6
8
203.2
59.0
83.5
45.2
23.0
10
254.0
91.5
130.0
70.0
36.8
17
304.8
129.0
182.0
98.5
60.3
Based on thrust per kPa (psi) pressure
t Blocking for cross may not be needed with long branch lines.
Step 2. Determine the bearing strength of the soil from the table
below:
BEARING STRENGTH OF SOILS
Solis and Safe Bearing Loads lb1ft2 kPa
Sound Shale
10 000
478.8
Cemented Gravel and Sand
difficult to pick
4 000
191.6
Coarse and fine compact Sand
3 000
143.6
13ed"ttun Clay -Cart be spaded
2,060
96.8
Soft Clay
1 000
47.9
Muck
0
0
Step 3. Dhide the total thrust obtained In Sten 1 by the bearing
strength of U.e soil to set the area needed, m2 (ftz).
SIDE THRUST ALTERNATE PROCEDURE
in.
Pipe Size
mm
Side Thrust -per Degree*
lb N
1.112
39.1
5.1 22.7
2
50.8
7.9 35.1
2-112
63.5
11.6 51.6
3
76.2
17.1 76.1
3-112
88.9
22.4 99.6
4 -
101.6
28.3 125.9
5
127.0
43.1 191.7
6
152-4
60.8 270.6
8
203.2
103.0 458.2
10
254.0
160.0 111.7
12
304.8
225.0 1000.8
• Based on side thrust per 689 kPa (100 psi) pressure per degree of
deflection.
NOTE: Multiply side thrust from tAble'by.dcgrees of dellection
times kPa (psi) divided by 100 to obtain total side thrust in N (lb).

A3"0-10 Irrinstion Watar Conveyance
Table 3.--PVC and AB5 thermoplastic plpe (SDR-PR}--,1PSj
[Nemm��a�e1
(PVC-ASTM-0-2241) •
(ASS-ASTM-0-2282)
Dimension and !ulerance
PVC
pre-isure rating
Outside diameter
'
(lb/!n.2)
ABS
pressure
rating
pipe
g0a
Wall thickness
Material
Tolerance
Material
1120
Avg O.D.
Max and Min
size
l
Mln Tolerance
Average
1318
2112
1210
1208
(lrt,J
1220 2116
211212110
(frt.1 (ln.)
(in.)
(in. (in.)
1 /2
17
0.060
+0.020
0.840
0.004
0.008
200
160
125
100
13.5
315
250
200
160
.062
+.020
.008
250
200
160
125 .
VA
21
200
160
125
100
.060
+.020
1.050
.004
.015
160
125
100
80
17
250
200
160
125
.062
+.020
.010
200
160
125
100
13.5
315
250
200
160
.078
4.020
.010
250
200
160
125
1
26
160
125
100
80
.060
+.020
1.315
.005
.015
125
100
80
21
200
160
125
100
.063
+.020
.015
160
i25
100
80
17
250
200
160
125
.077
+.020
.010
200
100
125-
100
13.5
315
250
200
160
.097
+.020
.010
250
200
160
125
1-1/4
32.5
125
100
130
.060
+.020
1.660
.055
.015
100
80
26
160
125
100
80
.064
+.020
.015
125
100
60
21
200
180
125
100
.079
+.020
.015
180
125
100
80
17
250
200
160
125
.098
+.020
.012
200
160
125
100
13.5
315
250
200
160
.123
+.020
.012
250
200
160
125
1-1/2
32.5
125
100
80
.060
+.020
1.900
.006
.030
100
60
26
160
125
100
80
.073
+.020
.030
125
100
80
21
200
160
125
100
.090
+.020
.030
160
125
100
80
17
250
200
160
125
.112
+.020
.012
200
160
125
100
13.5
315
250
200
160
.141
+.020
.012
250
200
160
125
2
32.5
125
100
80
.060
+.020
2.375
.006
.030
100
80
26
160
125
100
fl0
.091
+.020
.030
125
100
80
21
200
160
125
100
.113
+.020
.030
160
125
100
80
17
250
200
160
125
.140
+.020
.012
200
160
125
100
13.5
315
250
200
160
.176
+.021
.012
25n
200
160
125
2-1/2
32.5
125
10U
80
.083
+.020
2.875
.007
.030
IN
80
26
160
125
100
80
.110
+.020
.030
125
100
80
:I
200
160
125
100
.137
+.020
.030
180
125
100
60
17
250
200
160
125
.169
+.020
.015
200
160
125
100
13.5
315
250
200
160
.213
+.026
.015
250
200
160
125
3
32.5
125
100
80
.108
+.020
3.500
.008
.030
2n
160
125
t00
80
.135
+,020
030
125
100
80
21
200
160
125
100
.167
+,020
.030
160
125
100
80
17
250
200
160
125
.206
+.025
.015
200
160
125
100
13.5
315
250
200
160
.259
A.031
.015
250
200
160
125
3-1/2
41
100
80
.098
+.020
4.000
.008
.050
32.5
125
100
80
.123
{-.020
.050
26
160
125
100
80
.154
+.020
.050
125
100
80
21
200
160
126
100
.190
+.023
.05C
160
125
100
80
17
250
200
160
125
.235
+.028
.015
200
160
125
100
13.5
315
250
200
160
.296
+.036
.015
250
200
160
125
4
41
100
80
.110
+.020
4.500
009
.050
32.5
125
100
60
.136
+.020
.050
26
160
125
100
80
.173
4-.021
.050
125
t(10
60
21
2015
1fi0
125
100
.214
-+•.026
.050
160
125
100
80
17
250
200
160
125
.265
+,032
.015
200
160
125
100
1;,5
315
250
200
160
.333
+.040
.015
250
200
160
125
3
41
100
80
.136
+.020
5.563
010
050
32.5
125
100
80
171
+.021
.050
26
160
125
100
60
.214
-.027
050
125
100
80
21
200
160
125
100
.265
- 032
050
160
125
100
80
17
250
200
160
125
.327
+.039
030
200
160
125
IN
13.5
315
250
200
160
.412
4-.049
.030
250
200
160
125
SCS, October 1977

johns -Manville
TA . BLE E- 8 Head Loss
(CONT) Table
In PSI through
100 ft. of pipe
Based on Hazen and
W,11,ams Formula
60 PSI
.PVC
Pressure, Pipe
. rials-:1
,m!n.
.116-
l, dia,
Vol.
Fit Loss
See psi
4 46' 281
JV d1a.
Vel -
TV Loss
See Psi
273 0,
-W dia.
Vel.
Fit Less
S4 011
212 0.4
21 d5r. -
Vd.
Ftf Loss
Sue psi
2w
Vol,
Fit Lost
See psi
3" die.
Ve 1.
Fit Lost
S-C PF1
C dia.
Val.
Ft/ Los
See psi
Vel.
FV Lost
See PSI
61 dia
Vol.
FU 9Ls,
See psi
diga,
Vol.
it
!Ft/ LrAs
So' �.j
10- d1a.'
F IV) Loss
Se P
See psi
12' d1a.,
Ve 1.
Ft/ Loss
Sec psi
7 -6.68
.96 61
4. 4
07
7'
CA4 1.97
2
is OWU
0.71
.0
19
r
6:4
7
M�
7
8. 6 4
8
5.21 5
-5 R2
0.
3.71
3 2.97
b.25
3.78
6.65 UP
4.
.2.53.
17A.
15
6, 5-1
3.4
371 37
4.02
9
F .27
6.52 .24
Egoio
7,
-
Internal blameters:
Size, Nom. In. W. in.
2 2.193
2 Y2 .2.655
3 3.2,30
4 4.154
5 5Aa5,
6 6.115
8 7.961
10 9.924
12 1.770
.00 2.48
7.43
1
J,
2. .
17
T
-2y-
_10
Z7-:'-
T 67 0'
H:
A 41 -
.32 -
4
.53 -0. Y8_
n-- -
0.2-
A4- 5.
.77 OF. 8
AS-012'
_Q. 40
7 7-,
12111,14-
-
n6_OW7
Y F1
-9. a LK
X:
a -0. f-
79
1_1
3
1 84 Ij
I.
8.19
w
- --- __
-
9. 29
f 6-
M.
t
Iff-w-
...;w
T,
5 76W
5.98 , O.Sr
Coc, -wersion Factors -Head Loss.
fi pressure'l6ss values given in the table are for coefficient of 1.13 forC=140
M ft --W,C =ISO. They may be converted to pressure loss for other 1,30 for C 13a
-birtnean' 6 c;kihOdrits of flow means of Ifie. fo'll6wing-multiplying factors: 1.51 for C 120
1t
1.77 for C= 110 3.22f'O�-rC="86_" -
.2.12forC.=10'0, 4�16for b =76
2.58 for C =i. 90 5-46for c'=6.0.

BERKELEY PUMPS
TYPE "B" RATING CURVES
ENGINE DRIVE
CURVE 4117
DATE 9-1-88
PAGE 0.51
SUPERSEDES
Curve 4117 Page 0,61
Dated 8-17-81
Case: Ustarki C.I. ftILN*. L-1026 UK&— L-1026 VARIOUS ILP. K
w.tw C.I. pao-wo. M-1802 mdt," M-1802 w.. 9" full T.D.G.L. fm train -Wat *1
Max W1 W20
X.
251 . L . .... .., ..... . .. ... .. .... . . ........... 7 '
0 50 100 150 200 250 300
CAPACITY IN U.S. GALLONS PER miNUTE
C-8610 Bat -on T-1355 supenso" C-9576 Dow 4-17-80 0. 8-u-so MODEL82zom
Ceso'. HmWW C.I. P&MN.. L-3482 machpia. L-3482 VARIOUS ILP-1111, cyclod,
Impacef: M.1drw C.I. Pitt -No. 11-50511 it.,x" M-6915 cu. 10-7/16" full
400
350
3300
250
200
150
100
50
0
201
102e
0
TDSLI
20
10
0
TOW
CAPAWY IN U.S. GALLONS PER MIkUrg
C-8573 T-3753 C . -8513 om- 7-31-79 a.H 12-8-80

':-RFORMANCE SPECIFICATIONS
TiDrq ue--J� ti I N ni) .....
......
P;;'!: T -+Jc , - f) c c d — r
. .. .... ...
.. .
FuLl Pulcio
NET Power
NET
NFT esFc
hp (kW)
IaPt (Wm)
lbi"hp r (9,'KWbl
5 --S
ILI
162
I
SPEC I F I C A T I O N S
PERFORMANCE CURVE
I" I,X-C,

�
32.4;n.
(62--n)_________.
(!P�4PR&L SPECIFICATIONS
SPECIFICATIONS
,CA�
............
'-. ............
'-_'_,-,
-----'-�14CV4
_.......... ---/W���)
__^____'
Ty-)n«0
L�umCraoxwurt (Y4m)-iu(1o*1)....................... ­....... ......
--.u.o/(5)
(92)
kkrKlIngkinmentat
$YO�M SPECIFICATIONS
�--tystem
uVolt _.......
... '......... uo
---_--.---_---.
000�
12 'Volt Symon-mip....... ..................................... -....... --... ............
.............
Air SitateM
Air to
21,116 In.
P-Y�—)___-_��
wU-dmumAir Inu-ktmcsavllbn
nmv A!rc/,�.nvr-.n.nz()Vul>----....................
.25
CImoao ---.----.----'.---u��
nighicAir Flow-0/min (miimin)......... -----..........
----''8fJ���
-__.__--.-_-_-^ - ...................................
'--_-
xm.mtnieoUedD4uumPiNDwiozr��...v^n/ ...........
........... ........... lJ�C�>
Exhaust System
Exh-'-_'-''''_---~--------. ........
---............
-'---.......... 7_-, ~=�
............. 5$m
-__-.............
..... ~-
Cooling System
Fuel System
Fud -_--___--_------_'--'-.Jarnm
Gv%!t:nkw _"___-.......... .... .....................................
...................---_-
`^~~^~'/r............... ......................................................... ......................
------
NO C%,nsvmp?k!n-4h,1v
oEERE POWER MUMS
P/J Wx 5100
Wau�W� 1A 50704
»honc']19)2y2t"
FAX 8\9YZ9-7-jo7.5
--�------_�-23�/�
----'-'----_4V�6 0)
-_---__---�����
-----'-'--^-'��0).
--_--'_'_'^�50�
�---,'-.--.'--..,f.l13.9)
............... ............................. 7J06.0

7
AFNORrHAMI,-,R/CAN ENGINE COMPANY ENGINE Dr°ri rUoR
3003 Thurston Avonue Greensboro, N.C. 27406
PHONE:[phone] FAX:[phone]
DEEM.
SERIES 220 POWER UNIT PRICING
CWTIP UOUS NET
Hq�POWER/'RPM REALER hFr LISTPRICE
l L
a'';V)D 37.7 @ -3000 001001M
i' ► ddMMMM&�
Lti: us trial Power Units .incl;xde: water pump, fuel injection pump, oil filter, fuel
tJansfer pump, fuel filter, blower fan blade, electric fuel shut off, cold starting
3A, 12 volt starter and alternator, SAE #5 flywheel housing, flywheel 7.5 O.C.,
r..�.'Jiator with shroud and guard, single stage air cleaner, front and rear engine
s"`y.is:ts, muffler with rain cap, instrument panel with key sw, --h, coolant
c .�q:,,xat�ixe, oil pressure and alternator warning lights, pre -heat light and timer.
prices are f.o.b. Greensboro,
i'J: i.(:es are subject to change without: notice.

�ia.lw+a �'G d7�PG
•® .yt Zoeo
WAgG11z�
u ; HOC }
�R.QiSL�� ¢efTNlUS1$
wcDE,A/,e
-4c .2,74
]QE. . 1.�� i�9�zr.• �a+��,,...,.-� a�a�t..�++.� � �tJS3foa45� P�
�. Y° tea,. N�j"�,, r. / ��': /�� ✓�..`w.L� _:... / 9'7T� -r-r7�
76
- 0�
/., gloLc

Application of Waste by Irrigation
Field
No.
Soil Type
Crop
Application
Rate(In/Hr)
Application
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 sludge.
Your facility is designed for .3650-,days of temporary storage and the
temporary storage must be removed on./the average of once every Car
In no instance should the volume of waste being stored in your structure
exceed Elevation 43,0 1
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: c ,AtLT pUmP•IJG A7 Ce-C V 147)vrJ Lf3.o I - '5-1ziP
�+N& A--1 E���+r?TYDti3 Ifi, 3 ' ,
1}
J

TRACT
FIELD
SOIL
TYPE
CROP
CODE
YIELD
POUNDS
AW N PER
AC
COMM N
PER AC OR
RESIO. N
ACRES
LBS AW N
USED
APPLIC
TIME
8558
11
Ca
BH
4
20C
0
1
200
APR - SEP
8558
11
Ru
8H
4
200
0
2.3
460
APR -SEP
8558
11 1Ca
WA
1
50
a
1
50
OCT-MAR
8558
11
Ra
WA
1
50
0
2.3
ifs
OCT-MAR
825
TOTALS FROM TABLES 1 AND 2
ACRES
LBS AW N USED
TABLE 1
3.3
825
TABLE2
0
0
TOTAL
3.3
925
AYAILALE N
324
SURPLUS OR R&&Cg-
441
The landowner may choose to overseed this field with rye.
Revised by: 'f f
Dote; n TJU
Facility Owner.
Date: 0 _
Facility Manager.
Date; ��

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
ALTON R. SKINNER
ALTON R. SKINNER FARMS #2
ROUTE 4, BOX 640
TARBORO NC 27886
Dear Alton Skinner.
IT M qvF,.T
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
March 9, 2000 'Sc DON
WAROUWV
1t" U 7 24a�
Noylos"Ile per(6 9
Subject: Application No. AWS330064
Additional Information Request
.Alton R. Skinner Farms #2 -
Animal Waste Operation
Edgecombe County
The Non -Discharge Permitting Unit has completed a preliminary engineering review of the subject application.
Additional information is required before we can continue our review. Please address the following by April 8, 2000:
Lagoon capacity documentation shows that your facility was built in 1996. Please also include any site
evaluations, wetland determinations, or hazard classifications that may have been applicable at that time.
The original Table I of your waste utilization plan was "suspended" and was replaced by a new Table 1.
That table needs to be signed by both the landowner and technical specialist to acknowledge the changes.
The new table also has a hand-written note at the bottom that says "landowner will overseed with rye". In
that case, rye crop should also be listed on the table itself and should show field number, soil type, lbs NI
acre, acres, lbs N utilized, and months of application for the rye crop.
Please note that all WUP revisions must be signed and dated by both the owner and the technical specialist.
Please. reference the subject permit application number when providing the requested information. All information
should be signed, seated, and submitted in duplicate to my attention at the address below. The information requested by this
letter must be submitted on or before April 8, 2000 or the Division will return your application as incomplete in accordance
tivith 15A 1`,.C.A.C. 2H .0200 and your facility wi!! be considered to be operating without a permit.
Please be advised that operation of the subject animal waste management system without a valid permit is a violation
of North Carolina General Statute 143-215.1 and will subject you to the enforcement authority of the Environmental
Management Commission.
If you have any questions regarding this request, please call me at [phone], extension 363.
cc: Raleigh Regional Office, Water Quality
Permit File
Sincerely,
JR Joshi
Non-Dis
arge Permitting Unit
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

Y -Yrd, e
lip Z

I /V- 1J r
on each side of the pipe to provide support free from voids.
Care should be taken to avoid deforming, displacing, or
damaging the pipe during this phase of t,le operation.
6A Final backfill
6.4.1 General. After pipeline testing, final backfdl shall be
placed and spread in approximately uniform layers in such a
manner as to fill the trench completely so that there will be no
unfilled spaces under or about rocks or lumps of earth in the
backfill. Final backfill shall be free of large rocks, frozen clods
and other debris greater than 76 mm (3 in.l in diameter. Rolling
equipment or heavy tampers should be used to consolidate the
final backfill only after the minimum depth of cover has been
placed and only with pipe having wall thicknesses greater than
that of SDR•41. le,
SECTION 7-SPECIAL CONSIDERATIONS
7.1 Sall holes for rubber gasket joints. When the pipe being in-
stalled is provided with rubber gasket joints, bell holes shall be
excavated in the bedding material to allow for the unobstructed
assembly c f the joint. Care should be taken that the bell hole is no
larger than necessary to accomplish proper joint assembly,, When the
joint has been made, the bell hole should be carefully filled with
TABLE 11 -- THRUST BLOCKING AND ANCHORS FOR UNDERGROUND IRRIGATION PIPELINES
s
Step 1. Multiply the working pressure by the appropriate value
shown in the following table to obtain total thrust In N (lb):
PIPELINE THRUST FACTORS*. t
Pipe Size Dead End 90• 45• 22.112•
In. mm or Tee Elbow Elbow Elbow
1-112
38.1
2.94
4.16
2.25
1.16
2
50.8
4.56
6.45
3.50
1.78
2-112
63.6
6.65
9.40
5.10
2.60
3
76.2
9.80
13.9
7.51
3.82
3.112
88.9
12.8
18.1
9.81
4.99
cilk.
101.6
C20W=D
<9d"t
6.31
5
127.0
24.7
35.0
18.9
9,63
6
152.4
V 8
49.2
26.7
13.6
e
203.2
59.0
83.5
45.2
23.0
10
254.0
91.5
130.0
70.0
35.8
12
304.8
129.0
182.0
98.5
50.3
Based on thrust per kPa (psi) pressure
fi Blocking for ctoss may not be needed with long branch lines.
Step 2. Determine the bearing strength of the soil from the table
below:
BEARING STRENGTH OF SOILS
Sons and Safe BearW4 Loads ib1ft2 kka
Sound Shale
10 000
478.9
Cemented Gravel and Sand
difficult to pick
4 000
191.5
Coarse and fine cornpact Sand
3 000
143.6
'-Medium Clay -Can be spaded
2,060
96.8
Soft Clay
I 000
47.9
Muck
0
0
Step 3. DhIde the total thrust obtained in Step 1 by the bearing
strength of the soil to get the area needed, m2 (ftz).
SIDE THRUST ALTERNATE PROCEDURE
Pipe Size Side Thrust -per Degree*
iA. nun Ib N
1-112
38.I
5.1
22.7
2
50.9
7.9
$ 5.1
2-112
63.5
11.6
61.6
3
76.2
17.1
76.1
3-112
88.9
22.4
99.6
4 '
101.6
28.3
125.9
5
227.0
43.1
191.7
6
152.4
60.8
270.5
8
203.2
103.0
458.2
10
254.0
160.0
711.7
12
304.8
225.0
1000.8
• Based on side thrust per 689 kPa (100 psi) pressure per degree of
deflection.
r
6ada,j ;
NOTE: Multiply side thrust from table'by.degrees of deflection
times kPa (psi) divided by 100 to obtain total side thrust in N (lb). _LL

s30-00-10 Irripatlan Watnr Conveyance
Table 3.-PVC and A13S thermoplastic pipe (SDR-PRy--;!PS)
lHonthf4adodt
(PVC-ASTM-0--2241) •
-
(ASS-ASTM-0-2262)
Dimension
and tc!erance
PVC
pressure rating
Outside diameter
`
(Ib/(n.$)
ASS
pressure
rating
Nominal
Wall
thickness
(Ib/(n.2)
Material
Tolerance
Materl4i
pipe
SIZ7 I
SOR
Min
Tolerance
Average
` 1120
1
i
1.
Avg O.D. Max and Min
1318
2112
1210
1208
(!n.)
1
11220
118
2I2110
((In.J ! {ln.J
(In.J
(in.J (in.J
T
112
17
0.060 1 +0.020
0.840
0.004
0.008
200
160
125
100
13.5
315
250
200
160
.062
+.020
.008
250
200
160
125 .
3/4
21
200
160
125
100
.060
+.020
1.050
OOt
.015
160
125
100
80
17
250
200
160
125
.062
+,020
.010
200
160
125
100
13.5
115
250
200
160
.078
+.020
.010
250
200
160
125
1
26
160
125
100
80
.060
+,020
1.315
.005
.015
125
100
80
21
200
180
125
100
.063
+.020
.015
160
125
100
80
17
250
200
160
125
.077
+.020
.010
200
160
12S
. 100
13.5
315
250
200
160
.097
+.020
.010
250
200
160
125
1-1/4
32.5
125
100
so
.060
+.020
1.660
.055
.015
100
80
26
160
125
100
80
.064
+.020
.015
125
100
80
21
200
160
125
100
.079
+.020
.015
180
125
100
80
17
250
200
160
125
.096
+,020
.012
200
160
125
100
13.5
315
250
200
160
.123
+,020
.012
250
200
160
125
1-1/2
32.5
125
100
80
.060
+.020
1.900
006
.030
100
80
26
160
125
t00
80
.073
+.020
.030
125
100
80
21
200
160
125
100
.090
+,020
.030
160
125
100
80
17
250
240
160
125
.112
+.020
.012
200
160
125
100
13.5
315
250
200
160
.141
+.020
.012
250
200
160
125
2
32.5
125
100
60
.060
+,020
2.375
.006
.030
100
80
26
160
125
100
80
.091
+.020
.030
125
100
80
2`
200
160
125
100
.113
+.020
.030
160
125
100
80
17
250
200
160
125
.140
+.020
012
200
160
125
100
13.5
315
250
200
160
.176
�.021
.012
25n
200
160
125
2-1/2
32.5
125
100
80
.083
+.020
2.875
.007
.030
100
80
26
160
125
100
80
.110
+.020
.030
125
100
80
11
200
160
125
100
.137
+.020
.030
180
125
100
60
17
250
200
160
125
.189
+.020
015
200
160
125
100
13.5
315
250
200
160
.213
+.026
.015
250
200
160
125
3
32.5
125
100
80
.108
+.020
3.500
.008
.030
29
160
125
100
80
.135
+-.020
.030
125
100
80
21
200
160
125
100
.167
+.020
.030
160
125
100
80
17
250
200
160
125
.206
+.025
.015
200
160
125
100
13.5
315
250
200
160
.259
-6.031
.015
250
200
160
125
3-1/2
41
100
80
.098
4-.020
4.000
.008
.050
32.5
125
100
80
.123
+.020
.050
26
160
125
100
80
.154
+.020
050
125
100
80
21
200
160
125
100
.190
+.023
.05C
160
125
100
80
17
250
200
160
125
.235
+.028
.015
200
160
125
100
13.5
315
250
200
160
.296
+,036
'015
250
200
160
125
4
41
100
80
.110
+,020
4.500
009
'050
32.5
125
100
60
.138
+.020
.050
26
160
125
100
80
.173
+-021
.050
125
100
80
21
200
160
125
100
.214
+.026
050
160
125
100
80
17
250
200
16o
125
.265
+.032
.015
200
160
125
100
15,5
315
250
200
160
333
+.040
.015
250
200
160
125
3
Al
100
80
.136
+.020
5.563
010
nso
32.5
125
100
Be
.171
-.021
.050
26
160
t25
100
80
.214
+.027
'OSO
125
100
80
21
200
160
125
100
.265
- 032
050
160
125
100
80
11
250
200
160
125
.327
+.039
030
200
160
125
100
13.5
315
250
200
160
.412
+.049
.030
250
200
160
125
3CS, October 1977
(�d

Johns -Manville
r
TABLE E-8
(CONT)
Head Less
Table----
Irn PSI through
10o it. of pipe
Based on Hazen and
Williams Formula
Ring -Tile® :PVC
Pressure' Pipe
Gals.
,mrn.
8
_
V dia.
Vel.
Ft/ Loss
Sec psi
4.462.81
1V." dia:
Yel.
FU Loss
Sec psl
427 0.
1Yr" dia.
Ytl.
Ft/ Loss
Sec si
2.120.46
2" dia,
Yut.
FU Loss
Sec psl
lye dta.�
Yel.
Ftl Loss
See psi
3' dii.
Vel.
FU Lass
S.c psi
4' die
Val.
fV Loss-;
Sec psi '
6" dis.
Vet.
FU Loss
Sec psi
6" dia.
Vet.
FU Loss
Sec psi
_
ll". dli.
Vol. >
FU Loss
Sec psi.
10" dia.,
Val. •
FU Lass
Sec .psi
12' dla.'
Vef.
Ft/ • Loss
See' psi
........ -
--
4.64 1.97
-
. 3 i�5
�----}F_
�-
_
--
- --7�
-'1_10
-
-
- -
_-
----
---
_ -- -
-- -
--- .
__
.2
-
-
.6w
-
-- -
-- --
(u05..
8 .1
4.
-
-
-
1
.40
1
-
o;-._
`T
-
- -
-
--
ly.tKl A.
.6
.1
2 Sd :2�d
'3`2i G:za
05
'� 9YTR_
_:_ _^
'tom
- -
-
i-8
.49 0.27
mg-ts-07
- -
-= --
- -. -_
- :-
a
"71is b-�-i
43
3. a
`
-
�.
3715:ii
703'b:46.
7.z9-01
rWo:as-
2. r6, ri.1
sg�� . f .
,i1 i2
�2 a`ia
-
..
- --
0-0-0 3 •
'Y5Q. a
z a'�
50-
YOM
--- Internal blameters
_ _ Size, Norn. in. I,D.-in.
: -- i'/z i .7:�4
_-� 2 2.193
- 2'7z 2.6,55�9.29ff
3 3.2,i0
5..135,77
fi
7.961
10 9.924
12 11.77+]
��0-,1
2
1
2 0.
-^
-
77 1.
0
-
�` e`i.
4
. M
a.s6-a-z,_
- .
: sass
-
-i�f
i1o:_2&
:6'a i
t 6.'3'�
.7a�
yYi
H-00
_
-
-
AK�2
b 282-
718 a:ao
-- -
_
_-------
-�-
�7�
--
--
_--
__
rr '
C•c',nverslon Factors --Head Loss.
pressure'loss values given in the table are for coefficient of
ffo ki ,C-150. They m4y be converted to pressure loss for other
ti cy f0i nts at flow by means oflfie. #olioie ow-.. multiplying factors:
1.13 for C=140 1.77 for C=110 3.22 far C =80
1,30forC=130 .2.i2forC.='10b 4.16f6rC=70 '
1.51 for C=120 - 2.58 for C = 90 5.46 for C =60 f

•
4
BERKELEY PUMPS
CURVE 4117.
DATE 9-1 88
TYPE "B" RATING CURVES PAGE
Su.pe,RSEDES
ENGINE DRIVE Curve 4117 Page 0.51
a te dy 86- 17 - 81
cso4: Nmmdml C.I. fteLN*. L-1026 ModLmo. L-1026 VARIOUS F-P-M,
tmpvtw: mot"m C.I. Famm.. M-1802 m.-&" M-1802 D4.. 9" full T. D.A. t. toF rroo wow M
w W-W 11 F. ft"
Wq m-3t 0
.. . ..... ..... 4. .. ...... I .... I .... ..... ..... ...... ......
......................
.
.. ..... . . .......
......... ......... ...... .. ........... ... ...... .
......... ... .
.. ...... .. ............. ........... .
. ..... ... .. ..... ....... ... ......... . . ...
... ....... ......
. . .. ........... ..
.. ......... .......... .7� ..... .......... .. ....... ..
............ ..
........ ... ........... .......... ..........
... .......
........... ............ ........ ........... ........... ......... .. . ... ......... . .....
............ .... — .... ........... ....... ... ....... .... ... ...... .......
............. ........... ........
300'. ............... ........... ..........
...... ..... ..............*......
. .....
... ...
:tu- .
. ........ A
.......... ......... ..
......
.................
:..:..
.......... ..
1250 .=7...... .......... .L
.. ...... ... .. .... .... .
200
z. ... ........
........ .. . ........... . .. .... ... .........
.. ... . ........ ..........
. ... ....... . .... .......
150
him...... .. ..... .... . . ...... ... ........... . . ... . ....
....... ... ......
......... ........... ......... . ...........
..... . ........ .... ....
.... ....... .. ........... . .... ...... .... ...
50
,.T .... .. .......... J ... . ......... . . .....
.... ........... ..... .... ......... ..........
....... ... . ........
.......... TML $1 ......
- - - - --- I ]�I. .^�::.:5:�:�_:.:�'_;;.:"
.. . ... .......... ZQ
0 50 100 150 200 250 300
CAPACITY IN U.S. GALLONS PER MINUTE
C-8610 T-1355 suponoos C-8576 ostod 4-17-80 oa. 8-18-80 MODEL 82zom
Colo: mattcw C.I. F-&tL"*, L-3482 mctksj. L-3482 VARIOUS cW—
C.I. FAMNO, 14-505') mackm. M-6915 m, 10-7/16" full
400
350
L
2
3300
250
ph 200
150
100
50
0
30 1
201
TDALI
20
10
0
TOSLI
51-
CAPACITY IN, U.S. OALLONS PEA MINUTE
8573 T-3753 d-8513 o.,.d 7-31-79 o.0 12-8-80 M01

I
SPECIFICATIONS
Fc-J% ToVLjut:—!t-,-rj ,Nm)
fill I
'92 1
1 n'
MET Plower
MET 7bequio
Ne'r BSFC
hp (kW)
lb-pt (Mm)
5 1
—1! 4
3k) 3
(99-51
Nj
'Oc.
.%
22
PERFORMANCE CURVE
PIC F1

"'„ 4 In.
tFnP
rdL SPECIFICATIONS
t
•N.W-.' uroW)dcts................................... ............................
...,................................A
. t1 Ae ;tl}t1'SitY kc—hi-W100.............................................. „„ ..
X 3,39 (•Fri % Wi)
17I,:pWi-nicnt-in-5 0...............................................................
.......... ........._116(1-9Qhi
C!�'ti sis7nRatlo..................................................................................................17S
vent J!`ixG Undo-ir+tel:c. xhatt�t............. ......................... .............. I.." ............. ....1r1
iit�gQ;Y,C1............... ............ .............. ........................ ....... .-........-_
................ _ 1•i�i21
f nn±f r t$t1(ltt SIS011.............................. .... ._............................
.,,fi yetis Injc cvs}n
Fnti:: c I'y7tr........................... ._........ -.................... ...........................
.•...... LrGnc iCyilc
ruts
1 ors t4nnk w VCM $N-cm..................................................
'w?srtltusn Cn:it OX Pn^sstur-ir±. FLA) (I;! ;1) ......................
..........................1(t4.51
rl.dAL SPECIFICATIONS
'rC1�,?3�,EnFjrii, PI)�t'lltc[ I-krsnink. T•3)w•hcrl gnu 1�J•�ttrit�)
rrnrrhan. (nun) .............. _.............................. ...... .......... ,,......
....................... 32.4(K'2'2)
irzt.(mm)............................................ ---- ....................................,...216(6T)
w)
Ct�t cr, Gnn'Ity i.ocntion
rt�v Rem Face of Block (X•axiS) -in. 011m)........... ..
.......... ............. .3! f;HCi)
it,k trc inlLo:rrt(Ya rst.(t11t11).................. --........
............... ........ tl.--k)(5)
Above. (,rtnkxhaft (ntm).............................
... ........... ,........... 3.62 (92)
t t=?:si►iim AW- lbk Smic Fo4ng Moment at
At Ar Face of Fh,% lcci Htxtsing tv/ 5 G. I avd-lift (MR)
...................159 016)
r]tr ;rt F�t}; Call. Load L'tltir (FOrtt dtti} @. (K).....................................639
(-KWz)
L: arinn nraint:....................................................................................................NA
ANI SPECIFICATIONS
s:i ,ft+ai System
?,-o;5ii ielidcs1l ft T)C4u* (CCk)
I Z VMS}vcrn—inth......................................................................
...... .... .....i{I}
\Lvirn(vm Abcm'ahlc Slatting ( i twit Rn-Ls :tnct
..`, VCilt 5rstcnt-{)hm..... .............. ............................. .--..
...... ...... ... . 0.CFO 12
Sear 0 R?WS Omni al 2 Lkr}-, F (o
Qit6lt 5y%cm-,:mp....... ................... ................... ....... ...
...... .......... ......... ...i`(}
Air c
4'hem
t i�(fiim,Alkttv7hlr T mp i(i.+.r-:%MbknE Ail' 10
L-t?J is Inlet -leg F (dell Q............ ........... ....._......... ....................
- .......lti Ot})
23,51n.
Wic!h
kla.�unurn Air lnt lS'c XL-wiL1lwi
ninv Air Oc:ner-in. li xO(kPi).............. _......... .........
.........................25 (6.25)
Chin Air rcaner--in. Hof)(02),-................................................................120.)
Eil&lc Au' Flow-fi)lnun k'0/ lin)................. ...............................................
di3.7(2.37)
lntdke 44121tif01d Ptrutrrc--in, Fig (kN).........
.. ............... Alnbiem
hec,nrtnlended C>'�L1u3t pipe !)izntctm ln. ;•t1�a:..................................1.y'r
6))
Exhaust System
F)d-owl Flow-tti/min (milrrtin) ......................................
........... .... ......2?O pG5)
Evf lust TrmPmtt:rc.-dcg. F(dxg, 0...........................--
......... -............. 932(M
Xtxulmm ,plowable tbck Prvwre-in. Hg f +fir)...................................3.76(12.3)
I:r4cmuutrldid C&on Npc Di'tmctcr-in. (aun)...........................
............... 2-3(i
Coaling System
Engine Hctt xcituit n-STUN)13r1................................
...................1(93(19.2i)
Gx.tlant FGiw-} ';min(4nun)..........................................................................JK7
1Q)
Thrtmtn-ta1 Start to Opcn--JeX P {dtg- C)......................................................
71it-mosia1 Ailly ppr.n'-deg. r-(tltx.(,)......................... ........
.............. .........-185(85)
Maxintturl Watcr ptu ip Wet Rtwtsiction-4. HSpa)........................................3(10)
En}onc Ci, Wlt Ci&jx15ry-qt,(L).................................... ....................................4.9
(4.7)
Rccumir,tided Frt::L;urc fil}}-p81 lna",l)..............................
.......................... 11 8(m)
htaNhum-1op'I',ttdc Ytt sum --pie},. F(dca. Q......... ....................
.............. ....210kw)
Rcojinmcnded Air to Pr+l- ,- F (deg.O.......................................................
Fuel System
FtulIngt-IonPump .... .............................. -................ ................................... .. Nanf_ia)'
CwvtmyxRcga most......................................................................................_.
r6fitax.
Qrjcm)rT)T- ................................................................. ............
I....... Ate
Rid Con-Anprwn-4h,V (kWi r)...................................................................14
7W)
Nlaxknurn Alloa:+blc R1el Pump SuLlion
Crate Sysicr.- In. HS (1-,N)1............. -....................... ..........
..................... 23 (7)3)
Fucl Fdrer-Nccrult Rye i'i 98% 4W D'i(incy............................................
.........................-10
Lubrication System
Oil Pr=wmu at Rated 5ivcd-pr.qi(kPa)....... ........ ....... ..-.................,.-.........��),r3�j)
(N Frc,4 t At Low 1dk !xi (Ic%)... I.."........................................................11
h1 Pin 09 Tcrgx-rla;rc•--ft. F (deg t )....._........ .......... ..............................
00 Pin Q- packy, Ni ,,qt.(I.)......... _.......................................
........ ............. 6-5 (Et.i)
(X 1-14a (:,Vacirv. Low-t,(L).......... ........... ........................ ...
................. ............ i.10.9)
'I'tA:d fngt OU(,ipa�1ywhh F•chc"L.(L)..............................
............. ........ 7.1(G.$}
U-r a An0ahr Units (Coittirutatss)
Any dirrCtlit"cigrCCb............ .................... ................. ---
..................................25
/'+
U rartnd al rated sp-v%4 end i r*.w with.tandatl uptlaai wdcK ot`,KTWLte noted
spairy..3tivne and dealgn ntbjm w clunar yi<ttustt n6ikc.
DEERt ROWER SYSTEMS
P.0, MX 5100
Wttei-W, fA 50704
11honc 019) 292fi1 }
FAX (i 19) 291,075
JOH14 DEERE
INTERCONTINENTAL, Grn6H
0)19th qrcer
mounc, ancis 61265.13A8
Phozie [phone]
F.tiY o()9) 765-3197
Tf-,TCA P a17

�WNORTHAAIIFR/CAN ENGINE COMPANY .aUTHORIZED JOHN DEI:RC
ENGINE D15mMITOR
3003 Thurston Avenue Greensboro, N.C. 27406
PHONE:[phone] FAX:[phone]
Dff
.111;
0
SERIES 220 POWER UNIT PRICING
CCN TINU0U5 NET
H0ESEPC7W:4! 'RPM DEALER NET LIST PRICE
37.7 @ 3000 4001"k
I.r,ustrial Power Units include: water pump, fuel injection pump, oil filter, fuel
t:onsfer pump, fuel filter, glower fan Made, electric fuel shut off, cold starting
f �A, 12 volt starter and alternator, SAE #5 flywheel housing, flrvheel 7.5 O.C. ,
with shroud and g-uard, single stage air cleaner, front and rear engine
liY'.IY':Ls, muffler with rain cap, instrument panel with key switch, coolant
oil pressure and alternator warning lights, pre -heat light: and timer.
prices are f.o.b. GreensbDro, NC
j: +L-e;s are subject to change without notice,

Conditional Approval Verification Form
Facility Name: /Q[7on/ /P Sk1,yzyEe_ 15bel,7-1 44 c .- Facility No.: 33-6"/'
Owner(s) Name: 1' T47Vi►/ /P. S,erMNE�2 R c atS.2-�17-.z9��
• Mailing Address: ,er ' Phone No.:-IJ2-42.3 -S7/,S
ieBa.eo_ M-C. ,x7JId'4 County: EdUEco.nB�
The facility has satisfactorily completed activities needed to meet the conditions of the
conditional certification submitted for this facility. The following items have been completed
and verified by me:
[All land application equipment has been purchased and properly installed and calibrated to
the correct specifications. Date of installation of equipment: Sea- J� 1996�__
['The cropping system is in place on all land as specified in the animal waste management
plan. Date cropping system in place: /�AecN /9QG
Name of Technical Specialist (Please Print):. Sher-t-bci
Agency:
Address (Agency): _ f_ D - b k< ! D Phone No.:
7 a,v , NC JIW�7
Signature:aQ:V�(-p Date: / a—a1- 9�
I verify that the above information is correct and has been satisfactorily completed. I realize that
I will be subject to enforcement if I failed to complete my conditional certification by the date
specified in my Certified Animal Waste Management Plan Certification. I also realize that
failure to meet the conditional certification date is grounds for revocation of my permit or
deemed permit status.
Name of Land Owner (Please Print): A_7-0A/ h qY Sk1AM1&_7l
Signature: dy _ Date: /1-.2/ - 9 9
Return within 30 days following receipt to:
NC Division of Water Quality -- Non -Discharge Compliance 00
and Enforcement Unit 9�
Attention: Sonya Avant n.► `'
1617 Mail Service Center `
;� 4G
Raleigh, N. C. 27699-1617
[phone] extension 571 N Q
April 5, 1999
CAVF-1 0
sla c' 2