420032_PERMIT FILE_20171231

(Type of Visit: Q Com a nspection O Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ZRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: _W Arrival Time: Departure Time: County:
County:
Farm Name: x.c,� �D�/t J ��-� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Region:
Design Fur en
Design Current
Design Current
Swine
Capacity Pop.
Wet Poultry Capacity Pop.
Cattle
Capacity Pop.
Wean to Finish
La er
Dai Cow
Wean to Feeder
Non -La er
DairyCalf
Feeder to Finish
DairyHeifer
Farrow to Wean
Design Current
D Cow
Farrow to Feeder
Di, P,oultr.
Ca aci P,o
Non-Dai
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Othc
urkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
F2 �oD 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)
❑ YesE'I�O'
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
No ❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
[3 Yes
PKo ❑ 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: L - Date of Inspection; 1
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? ❑ YesVY-No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):(
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(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 reat, 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 �KNo ❑ 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 JZ�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): Cam' /1 j
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑Yes No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes 'No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes El No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
e
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
Ej 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 Vf No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transf rs ❑ Weather Code
❑ Rainfall [3 Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspection ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?.* ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facility Number: -3 Date of Inspection: / 5
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 PKo' ❑ 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 ,u ❑ 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?
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:
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
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 asnecessary)
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3 r
Phone: ? / �r Y zeig
Date:
21412011

q_- 2j-18
Type of Visit: Co ance Inspection O Operation Review O Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time- d Departure Time: ® County:
Farm Name: Caru I L`y�j j_ /ZZ;ey Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Integrator:
Certification Number:
Certification Number:
Longitude:
Wean to Finish
I
ILayer
IDairy
Cow
Wean to Feeder
I
INon-Layer
I
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design.
Current
Dry Cow
Farrow to Feeder
D P,oult . ;
Ca acit
I?o
on -Dairy
Farrow to Finish
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
I
I
IPullets;
I
Beef Brood Cow
Pouits
Other
Region:
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes dNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ 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 DWR) ❑ Yes ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes o E] 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 Npmber: - "2— Date of Ins ection: -Z?-
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
No6 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):
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 environmK70NA
eat, notify DWR
7. Do any of the structures need maintenance or improvement? 0 Yes
NA ❑ NE
S. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ 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 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. 0 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):3{rt 4 , SOY'
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
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
NIX❑ NA
❑ NE
18. is there a lack of properly operating waste application equipment?
❑ Yes
VNA
[] NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ YesjN
o ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? if yes, check
❑ Yeso
❑ 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 V5 No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfer ❑ Weather Code
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspection 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 rainbrcakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facili Npmber: 2-- 2-- 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
o [] 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
yNoE]
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
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Phone: 97/— y a
Date: 4� ~ 2 7 -- �-
Page 3 of 3 21412015

- 0 4
Type of Visit: Co ance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emereencv 0 Other 0 Denied Access
Date of Visit: Arrival Time: , Departure Time: / County:
Farm Name: ��-0�] e, ool✓rj dla%ot l Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative:
Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Region:
Design Current
Design
Current
Design Current
Swine Capacity Pop.
Wet Poultry
Capacity
Pop.
Cattle Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
La er
Non -La er
DairyCow
DairyCalf
DairyHeifer
Farrow to Wean
Design
Current
D Cow
Farrow to Feeder
Dr P0oultr.
C+.a .aci
l;o .
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
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
❑ NA
❑ NE
b, Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes❑
VNo 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?
❑ YesrNo
❑ 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 21412015 Continued

Facili Number: t 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?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in)
❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
10 t gel 1,
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?
r �NE� NA ❑ NE
No ❑ NA ❑ NE
Structure 6
❑ Yes No ~ NA
❑ Yes No ❑ NA
❑ NE
❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental eat, 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 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No 0 NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. [D Yes V] 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 [3 Application Outside of Approved Area
12. Crop TYpe(s). 77D✓1 r /r3�-Pi► _G/ O ?A'7 --r
or
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.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Yes
❑ NA
❑ NE
❑ Yes
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
o
❑ NA
[3NE
❑ Yes
No
❑ NA
❑ NE
[]Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ®No ❑ NA [] NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soii Analysis ❑ Waste Transfe ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I " Rainfall Inspection ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412014 Continued

acili Number: C Z - Date of Inspection: ZO % —
24, Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 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 fait 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 No ❑ 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?
❑ Yes ❑ No ❑ NA ❑ NE
[] 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 #,) Ezpla.in`any`YES'answers`andlor•any a.dditionai recommendations o`r"ranyother coininents
>:
.::r a.�.:i. ^U<�K.-, .,,._.:.�-<'a. 4'.a ;�; ,,,r sib
Use drawingsoffaeilltytn:better,explainsftu.ations,(use,add,ifional;pagesgsnecessary)•,..'f tip
Reviewer/Inspector Name: Phone:
_r
Reviewer/Inspector Signature: Date:
Page 3 of 3 21412015

Z
(Type of Visit: 0 Com nee Inspection Q Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access li
Date of Visit: Arrival Time: Departure Time: County:
Farm Name: L ?,i C� rOwner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current
Swine Capacity Pop.
Wean to Finish
Design Current
Wet Poultry Capacity Pop.
Cattle
DairyCow
Design Current
Capacity Pop.
Wean to Feeder
"None-her
DairyCalf
Feeder to Finish
DairyHeifer
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Design Current
Dr P.oult . Ca aci P,a P.
Layers
D Cow
Non -Dairy
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turkeys
Turkey Poults
Other
Discharues 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 VN
❑ NA [3 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)? z -
i
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 a ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters El Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412014 Continued

Facili y Number: Z Z 1 Date of Inspection: -Y
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 N ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes No 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 01
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
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
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
Comments (refer to question` ft Explain any,YES°answers and/or any additional recommendations 'or;anyMothehcumments ,
Use drarvi�gs of facility to better_explainsituation`s'(use`additional pages as necessary).'
ReviewerlInspector Name:
Reviewer/Inspector Signature: +^ S 44h& _19W e-
Phone: /— y 2-00
Date: 21 _�
Page 3 of 3
21412014

Facili Number: , ` Z Date of Inspection: 2
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes VNo
❑ NA ❑ NE
a. if yes, is waste level into the structural freeboard? ❑ Yes❑ NA ❑ NE
Structure 1
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): k
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 No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-5 were answered yes, and the situation poses an immediate public health or environmental t at, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes ZVO
N❑ 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 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
2rNo D NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ NA
N�No
❑ 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
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
gNo
❑ 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 No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes 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 21412014 Continued

(Type of Visit: 0 Co anee Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance I
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: County:
Farm Name: �j�c71r ��h (� 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
Design
Current
Design Current
Swine Capacity Pop.
Wet Poultry
Gapty
Pop.
Cattle Capacity Pop.
Wean to Finish
La er
Dai Cow
Wean to Feeder
Non -La er
Dai Calf
Feeder to Finish
Dai Heifer
Farrow to Wean
Design
]DrvCow
Farrow to Feeder
Dr, P.oultr,
Ca aei
P.o
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Beef Brood Cow
Boars
Pullets
Turkeys
Other
Turkey Poults
Other
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)
c. What is the estimated volume that reached waters of the State (gallons)? _
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑Yes
❑No
DNA
ONE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
Page 1 of 3 21412011 Continued

Facili 'Number: - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ElYeso
❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): _
Observed Freeboard (in): j� 7 2—
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 7N[[:]
❑ 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 ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environment reat, tify 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 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
❑ No ❑ NA
❑ NE
maintenance or improvement?
Waste ADplication
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
ONo ❑ 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): C-16; ir— +1 ►—� L? t)'�- �
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
N ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
NA
❑ NE
acres determination?
V
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? 1f yes, check [] Yes No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfe ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspection 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

IFacility Number: - w Date 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 to provide documentation of an actively certified operator in charge? ❑ Yes N [] NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Comments (refer to question ft Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
G
Phone:
Date: 7
21412011

.I-17-
Type of Visit: JOCopp6nce Inspection O Operation Review Q Structure Evaluation O Technical Assistance
Reason for Visit: Routine 0 Complaint O Follow-up O Referral O Emergency O Other O Denied Access
P�I���11�
Date of Visit: '-] Arrival Time: Departure Time: �p County: Region:
Farm Name: &eo— p 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:
Design Current Design -- .Current
Design Current
Swine Capacity Pop. Wet Poultry Capacity` Pop.
Cattle Capacity Pop.
Wean to Finish La er
DairyCow
Wean to Feeder
Non -La er
DairyCalf
Feeder to Finish
DairyHeifer
Farrow to Wean
Design Current
Dry Cow
Farrow to Feeder
Dr, P.oultApaci a. P,o P.
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gifts
Non -La ers
i
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Otherkey Poults
Other Other
3S�.K>� nasaa�l�r
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
No NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
o NA
8."
❑ 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
26, 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
TNo ❑ NA
❑ NE
of the State other than from a discharge?
Page I 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
N ❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
No ❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): AL t d r
5. Are there any immediate threats to theintegrityof any of the structures observed?
❑ Yes
I eNo ❑ 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 environmenta neat, notify DWQ
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 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 K ❑ 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): co+�" tsaf4hs1 GgY'sx
13. Soil Type(s): ,l
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
ff?No
6'N-o
❑ NA
❑ NA
❑ NE
❑ NE
Vj
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
o
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
E(No
❑ NA
❑ NE
Required Records & Documents
N
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
rN
❑ 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 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

[Facility Nurpber: - Date of Inspection: -7
24. Did the facility fail to calibrate waste application equipment as required by the permit? Yes No NA ONE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check YesI�No ❑ NA D 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 ENA NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? D Yes � o DNA NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
E3 Yes
D No
E3 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?
OYes
❑ No
D NA
D 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
D Yes
D No
D 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.
D Yes
No
D NA
D NE
Application Field ❑ Lagoon/Storage Pond M Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
Yes
No
D NA
NE
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative?
D Yes
❑ No
D NA
NE
34. Does the facility require a follow-up visit by the same agency?
D Yes
D No
D NA
D NE
Cotnilnents (refer,to question #): Explain any YES answers andlor.any additional recommendations orany°otherecom'ments.; ,
Use`drawings of facility to better explain situations (use additional ',pages as necessary.):
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: 72 I VUo
Date: V01t L
21412071

'tObtt
Type of Visit: t0 Com ' nspection Q Operation Review p Structure Evaluation p Technical Assistance
Reason for Visit: Routine Complaint O Follow-up 0 Referral O Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time:Departure Time: 2_v County:
Farm Name: C+tf (Lr4 . 6-n J (e- Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Title:
Phone:
Integrator:
Certification Number:
Certification Number:
Location of Farm: Latitude: Longitude:
Region:
Design C>urrent
Design
Current
Design Current
Swine Capacity Pop.
Wet Poultry
Capacity
Pop.
Cattle
Capacity Pop.
Wean to Finish
La er
DairyCow
Wean to Feeder
Non -La er
DairyCalf
Feeder to Finish
DairyHeifer
Farrow to Wean
Design
Current
D Caw
Farrow to Feeder
D�. P■nultr..
Ca �ci
P.o ,
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turkex Poults
lF—FO—ther
Other
Discharges and Stream Impacts
�01:1
1. Is any discharge observed from any part of the operation?
❑ Yes
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)
❑ 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
N DNA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
[3Yes
❑ 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 21412011 Continued

ti
Facili Number: - 2.� Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes N NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? �] Yes No 0 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 D 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 at, 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 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 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 Wind Drift ❑ Application Outside of Approved Area
12, Crop TYpc(s): el& i 4-9". _02 y had ���/ Gr1Z'-.'
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
Z ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ YesVNo
NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ YesNA
❑ 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
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 1" 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 No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facility Number: Z - Date of Inspection: 2
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 o ❑ 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 ❑ No ❑ 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 [DNA ❑ 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). i
Reviewer/Inspector Name:
Reviewer/Inspector Signature: Aw=
Page 3 of 3
Phone: / ` L Z C�L7
Date: 242
21412011

1 \ 31Z�� c
Type of Visit Z A;=utine
ce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: 0"13-D I Departure Time: County: Region:
Farm Name: .17 C 0 Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
i s�tifirda• I-7 I ^I T I upI" i .nnaiturie- I^10 I l 6 I I
Design
C►urrent
Design Ou men
IDesign Current
Sw'sne Capacity
Population
Wet Poultry
Capacity Population Cattle
Capacity Population
❑ Wean to Finish
❑ Layer I
I
❑ Dairy Cow
❑ Wean to Feeder
1 10 Non -Layer
❑ Dairy Calf
❑ Feeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ Da Cow
❑ Farrow to Feeder
ElNon-Dairy
❑ Farrow to Finish
❑ Layers
❑ Beef Stocker
❑ Gilts
❑Non -Layers
❑ Beef Feeder
❑ Boars
❑ Pullets
El Beef Brood Caw
El Turkeys
Othe
❑ Other
urkey 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?
❑ Yes No ❑ NA ❑ NE
❑ Yes ZNNq NA ElNE
❑ Yes No ❑ NA ❑ NE
❑Yes ;No
❑NA ❑NE
El Yes ❑ NA ❑ NE
El Yes ❑ NA ❑ NE
Page I of 3
12128104 Continued

Facility Number: — Z.
Date of Inspection
Waste Collection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
❑ Yes N NA ElNE
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
NA El NE
(ie/ large trees, severe erosion, seepage, etc.)
rNo
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes
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 th at, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ YesFNo
NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ YesNA
❑ 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
NA ❑ NE
maintenance or improvement?
Waste Application
10, Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
N ❑ 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
❑ ❑ NA ❑ NE
o ❑NA El NE
o ❑ NA ❑ NE
o ❑NA [I NE
No ❑ NA ❑ NE
'. ! s. '. 3 * h # !,� :.* .�. y .V
Y $ t «. °i� ' - ffi,"aa za`;a a� :i. ..� •f��.'#,u�b 3. V �!
"I"'
Comments (refer to y'uestton #) xExplatn any, YES answers and/or any cecommendations'or any.,other comments , ti
Use drawings of facility to�better explain situations`(use additional, pages as necessary): _ .. �' � b y� '
L
7
Reviewer/InspectorName� �`'``
�W`M Phone: _7
Reviewer/Inspector Signature: l
Date: 7
12128104 Continued

Facility Number: Z - Z Date of Inspection 1 r
Req fired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes N 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 No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections eather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes N5 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? ❑ Yes NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes A ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ YesVNo
NA ❑ 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
12128104

t
Z H 3�
Type of Visit Comp ' ce Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: I // Arrival Time: Departure Time: County:
Farm Name: LF-[.eur& cite 4n, Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: OL
Back-up Operator:
Location of Farm:
Title:
0
Latitude:
Phone:
Phone No:
Integrator: dee3--_
Operator Certification Number:
Back-up Certification Number:
Region:
Longitude: ❑ o = ` =
Design Current
Swine Capacity Population
Design C►urrent Design Current
Wet Poultry Capacity Population C►attle Capacity .Population
❑ Wean to Finish
❑ Layer
❑ Dairy Cow
❑ Wean to Feeder
❑ Non -Layer
❑ Dairy Calf
❑ Feeder to Finish
❑ Daiiy Heifer
❑ Farrow to Wean
Dry Ponitry Cl Dry Cow
ElNon-Dairy
❑ Layers
❑ Beef Stocker
❑Non -La Non -Layers
❑ Pullets ❑ Beef Feeder
❑ Beef Brood Cowl I
❑ Turke s
❑Turkey Poults
❑ Other Number of Structures:
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
ether
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes No ❑ NA ❑ NE
El Yes ZVNo
Cl NA El NE
❑ Yes ❑ NA ❑ NE
❑ Yes El 96, NA ElNE
❑ YesrNo❑NA ElNE
[IYes❑ NA ❑ NE
Page I of 3
12128104 Continued

Facility Number:!Date of Inspection 7i(q 5
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes o A ❑ 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): Z v o f
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes o A El 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 thr , notify DWQ
7. Do any of the structures need maintenance or improvement? ElYes N ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑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 El NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No A ❑ NE
maintenance/improvement?
11, Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
[:]PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate ManurelSludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) 4C.,o I- n J�� nS- ��-
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?
❑ YesNA
PN9,[03NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
El Yes
❑ NE
17. Does the facility lack adequate acreage for land application?
ElYes
o A
❑ NE
18. Is there a lack of properly operating waste application equipment?
ElYes
o ❑ NA
❑ NE
�•s�{ �.":, yet .;
Comments (refer to questton #):Explan;any YESxanswers and/or any:recommendations or anyotherc�mments. '*''' r
:Use dra,0 gsybf facility'to better„'explain`situatton`s:'(use additionalypage.s as�ne�c{{.essary); i�' yR"y` y$9�'p , ` �(� &
L-- - • 4 , kY'. I .Ai.YYil
Reviewer/Inspector Name Phone:
Reviewer/Inspector Signature: Date:
Page 2 of 3 12128104 Continued

Facility Number: � -j 2 Date of Inspection % 10
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes N 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 El 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 El Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ ather Code
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? ❑ Yest
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,NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ YesNA ❑ 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
Additional Coititnents�aiicl/or Drawings § f■ s s§ ; 3 g r� ',3cs y. ,
Page 3 of 3 12128104
Page 3 of 3 12128104

S
3(3�toc
Type of Visit Compl' ce Inspection Q Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit EYRoutine O Complaint O Follow up O Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: �//'' Arrival Time: Departure Time: County:
Farm Name: LTKf'C' ' r.2 C� �_ Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: Phone No:
Onsite Representative:
Certified Operator: � P�h IX-4222�
Back-up Operator:
Location of Farm:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: [= o [= I = Longitude: 0 ° =1 [= "
Wean to Finish
LJ Layer
I
I
LJ Dairy Cow
Wean to Feeder
IEJ Non -Layer
I
I
❑ Dairy Calf
Feeder to Finish
❑ Dairy Heifer
Farrow to Wean
Dry Poultry ❑ Da Cow
❑ Non-Dai
❑ La ers
Farrow to Feeder
Farrow to Finish
❑ Beef Stocker
❑Non -La ers
Gilts
❑ Beef Feeder
❑ Pullets
❑ Beef Brood
❑ Turkeys
Boars
per
❑ Turkey Poults
Other
10 Other Number of S
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
El Yes
. ZNoNA
El NE
Discharge originated at: ElStructure ElApplication Field ElOther
a. Was the conveyance man-made?
El Yes
NA
ElNE
b. Did the discharge reach waters of the State? (lf yes, notify DWQ)
❑ Yes 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
No /❑ NA
❑ NE
2. is there evidence of a past discharge from any part of the operation?
❑ Yes
N El NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
No ❑ NA
❑ NE
other than from a discharge?
Page I of 3
12/28/04 Continued

Facility Number: L — 31—
Date of Inspection 2G
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): 0
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes No A ElNE
ElYes 2No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes �No[__]NA
A ❑ NE
❑ Yes ❑ 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
8. Do any of the stuctures 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 o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 'ET;o/"[3
o NA ElNE
maintenance/improvement?
11. Is there evidence of incorrect 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 Area
12. Crop type(s) Gj:14a, f 5'a �j jP-- - _j
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
® No ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
NA
❑ NE
17. Does the facilitylack adequate acreage for land application?
q g PP
❑ Yes
IQ ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
�C s��� � �Po:�� �-..&;�3A �s �«,t. t-� fi t�... ��� i �":t��;sei_� �"�?S'`«"T 4�# � «: _- P r «� '..y�Y': ;� ^�:� . ' F i R/, �'".i.�';��k :• �-� a3` � �l+s(&�,
ommnt�s�(cferto, �o#)�¢¢EplamanyYESanswers�andor¢any;recommaend{ahonst.�oranyothercomments.,
µq,ues,
Us�ge.drawyy��mgs;o4� facility to better explam'sifuation_ s: (usc:additionala44p�ges as necessary):
!��.��bY'�,«.ad�ffi. . ��.1 '�,-��': s. �c-_4A.r �.#:x�i «�e�s.�a �r5. Y ��. di-`: uA�. ll�.'
T
Reviewer/Inspector Name �
`�� Phone: %� tt 2_0 0
ReviewerlInspector Signature: sMj
Date: 3 1 16-
Page 2 of 3 12128104 Continued

Facility Number: — 'L Date of Inspection C
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes ZZNo-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 El Design ❑Maps ❑Other
21,
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
No ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1 "
Rain Inspections ❑ eather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
N ❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
ICJ N ❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
4'r N ❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
No ❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
P No ❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
[]�fo ElNA
❑ NE
Oth
I
•/
er sues
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�Coinments and/or'Dr$wings:
lo (aLL r 10 C/ /� �/!�'� i �J '' �✓7 � l�`L �Q.0 J
pe
A,
Page 3 of 3 12128104

22'(%3
Type of Visit �Complia nspection Q Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit outine Q Complaint Q Follow up Q Referral Q Emergency Q Other ❑ Denied Access
Date of Visit: �+� Arrivaal Time: I7 Departure Time: County:
Farm Name: (> Pe .1 e- Ttih Owner Email:
Owner Name: Phone: _
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: r
Certified Operator: C&,= �4=
Back-up Operator:
Location of Farm:
0
Latitude:
Region:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
= 1 Longitude: = ° = 6
Swine
Design Current
Capacity Population
Design Current
Wet Poultry Capacity Population
Design Current
Cattle Capa�cit�y Population
❑ Wean to Finish
❑ Layer
❑Dai Cow
❑ Wean to Feeder
❑ Non -La er
❑Dai Calf
❑ Feeder to Finish
❑Dai Heifer
❑ Farrow to Wean
Dry Poultry
❑ D Cow
❑ Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish
❑ La ers
❑ Beef Stocker
❑ Gilts
❑ Non -La ers
❑Beef Feeder
❑ Boars
❑ Pullets
10 Beef Brood Cow
❑ Turkeys
Other
❑ Other
❑ Turkey Poults
❑ Other
Number of Structures:
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation?
❑ Yes
o ❑ NA
❑ NE
Discharge originated at: El Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
El Yes
o NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
El Yes
o 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
❑ NA
❑ NE
2. 1s there evidence of a past discharge from any part of the operation?
❑ Yes
ElNA
ElNE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
No ❑ NA
❑ NE
other than from a discharge?
Page I of 3
12128104 Continued

7.
Facility Number: — Z
Date of Inspection Za 0
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 2 �(
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 "NoNA ❑ NE
❑ Yes;>No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes ❑ NA ❑ NE
❑ Yes ;3-No 0 NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes fo ❑ 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 El Yes No El NA El NE
maintenance or improvement'?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes "N�oNA ❑ 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) Ok_rr- n I Say, ha-4 1
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes VVN[:]
'El NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? El Yes NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[]Yes❑-NA ❑ NE
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes Ko[C]
NA El NE
❑ Yes NA ❑ NE
'r" 4�.. -_. tfa�s
Commen�ts��(refertosqu�e5t�onµ#) Explanap�y YE5 answers men dattons or any other comments.
Use,,33d, aw7y�ngstof�facility to better�ezplamdsituations?;(use-aaditionAl A ges-as nebesssary):
ReviewerlInspector Name ��`= �
� Phone: 7�' i` �( Zo 0
Reviewer/Inspector Signature: ELDate:
Zd 0
Page 2 of 3 12128104 Continued

r
Facility Number: q Z — 3 2 Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes 14
Flo ❑ 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 No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes <No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 2N�0
❑NA [3NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes NA El NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes No ❑ NA El NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes �XEINA
ElNA El NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑Yes No ❑ 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
AdditionafComments and/or Drawan s
1
Page 3 of 3 12128104

Facility°Number y �j
tp Division of Water Quality
O Division of Soil and Water Conservation
O Other Agency
Type of Visit 0 Co Hance 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: Arrival Time: Departure Time: County: Region:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: Phone No:
Onsite Representative: Integrator:
Certified Operator:^ „ ,._ Operator Certification Number:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Back-up Certification Number:
Latitude: 0 0 = 1 0 " Longitude: = ° = 6 0 4,
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
II ❑ Non -La er
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made`?
Design Current
Cattle Capacity Population
❑
Dairy Cow
❑
Daia Calf
❑
Dairy Heifei
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stockei
❑
Beef Feeder
❑
Beef Brood Cow
Number of Structures:
- I
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 ✓`—'' No ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes ElNA ElNE
[IYes "VNNo❑NA ❑ NE
12128104 Continued

Facility Number: —3
Date of Inspection 7 a
Required
Records & Documents
19.
Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes
ZrNo ❑ NA
❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No ❑ NA
❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps El Other
21.
Does record keeping need improvement'? If yes, check the appropriate box below.
❑ Yes
No ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ,Weather
Code
22.
Did the facility fail to install and maintain a rain gauge?
El Yes
No, ❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
VNo ❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
o ❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
N ❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
No ❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
El
o ❑ NA
❑ NE
Other lssues
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 and/or Drawings:
12128104

r � '
1
Facility Number Z Date of Inspection 7 0
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
No NA
El NE
a. If yes, is waste level into the structural freeboard?
❑ Yes:No
❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure
5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Q t ( �-
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
ZNo ❑ NA
❑ NE
(ic/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
IQNo ❑ 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 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? 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 ❑Yes El NA El 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 FeNo ❑ 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?
❑ YesVNEI
❑ 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 acre determination?❑ YesNA
❑ 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
NA
❑ NE
Comments (refer to question 9): 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):
w
Reviewer/Inspector Name Phone: %,
Reviewer/Inspector Signature: -Q Date: c5-7 fC
12128104 Continued

r
rrw^
Facility Number;
rvtsion of Water Quality-:'
Division of Soil and Water.Conservation
Q Other Agency e
Type of Visit QrComp ' 'nce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County:
Farm Name: �' _ PP, J I e_4o� Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Region:
Facility Contact: Title: Phone No: ,,,��J
Onsite Representative: Integrator: ti Spa?ate
Certified Operator: Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: 0 e = ' = « Longitude: = ° = 1 0 1I
� � � , . • , :�� .... E ;fib
' Design Current Design Current; ( �,Design_ Current
GSwme Capacity Population Wet Poultry Capacity Population Cattle.:,., , Capacity+ P�opulation i
Wean to Finish 10La
er
Wean to Feeder ❑ Non -La er
Feeder to Finish
Farrow to Wean I Dry Poultry
F ow to Feeder i
El Layers
arrow to Finish I ZipI 1.
' LJ Gilts I I
❑Boars
Other,:,, •,
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ElStructure ElApplication Field ElOther
a. Was the conveyance man-made?
El Dairy Cow
❑ Dairy Caif
❑ Dairy Heifer
El Dry Cow
ElNon-Dairy
ElBeef Stocker
ElBeef Feeder
ElBeef Brood Cowl
Number of S
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 allo ❑ NA ❑ NE
❑ Yes No NA ❑ NE
❑ Yes o ,NA ❑ NE
❑ Yes A ElNE
ElYesZF-01
A El NE
El Yes ❑ NE
12128104 Continued
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ElStructure ElApplication Field ElOther
a. Was the conveyance man-made?
El Dairy Cow
❑ Dairy Caif
❑ Dairy Heifer
El Dry Cow
ElNon-Dairy
ElBeef Stocker
ElBeef Feeder
ElBeef Brood Cowl
Number of S
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 allo ❑ NA ❑ NE
❑ Yes No NA ❑ NE
❑ Yes o ,NA ❑ NE
❑ Yes A ElNE
ElYesZF-01
A El NE
El Yes ❑ NE
12128104 Continued
Number of S
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 allo ❑ NA ❑ NE
❑ Yes No NA ❑ NE
❑ Yes o ,NA ❑ NE
❑ Yes A ElNE
ElYesZF-01
A El NE
El Yes ❑ NE
12128104 Continued

Facility Number: L— Z
Date of Inspection iZ
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 l Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): if r O 0 u
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 ONo A ❑ NE
❑ Yes o ❑ NA ❑ NE
Structure 5 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 environmental thre , otify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No NAElNE
8. Do any of the stuctures lack adequate markers as required by the permit? El Yes No NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes < ❑ NA ❑ NE
maintenance/improvement? �, ��
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ElYes Jd" o LJ 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
ee(Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) fZ�JD� cdj :"
13. Soil type(s)T�
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
2�1No NA ❑ NE
o NA ❑ NE
N ❑. NA ❑ NE
❑ NA ❑ NE
No ❑ NA ❑ NE
`Comments (refer to question #}; Explain any,YES; answers and/or any. recommendations or any other comments
Use:drawings of.facility.to better, explain situations. fpse additional pages as necessary): � 'T"
AL
Iry
Reviewer/inspector Name
Phone:
Reviewer/inspector Signature:
Date: tP ( Z
Page 2 of 3 12128104 Continued

• a *'
Facility Number: Z— j Z 1 Date of Inspection (Z D
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 o ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
21, Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ZNo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ ther 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[]
NoNA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required b the permit? ❑ Yes NA ❑ NE
q Y
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes N ❑ NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? El No 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 and/or Drawings:
Page 3 of 3 12128104

Type of Visit Z Complie Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit -0 Routine O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: l ! If H Arrival Time: j� Departure Time: County: Region
Farm Name: �i1 C Q- Owner Email: '
"W"Ar Aroma• Ph R
Mailing Address:
Physical Address:
Facility Contact:
OnSite Representative:
Certified Operator: �a bJ Ie
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
F w to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Title:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: ='
=' 0 Longitude: = ° =' =
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
❑ Non -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
EE�
Design Current
Cattle Capacity Population
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifer
❑
D Cow
❑
Non -Dairy__
❑
Beef Stocker
❑
Beef Feeder
❑
Beef Brood Cow
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?
F b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system'? (If yes, notify DWQ)
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 ZNo ❑ NA ❑ NE
Z
❑ Yes ❑ NA [I NE
El Yes o [� NA El NE
❑ Yes /m,
ElNA [INE
ElYes ElNA ElNE
El Yes o ❑ NA ❑ NE
12128104 Continued

Facility Number: 2 HED
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):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes No NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
i
❑ Yes No NA El NE
El Yes o ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes �'o []NA El NE
8. Do any of the stuetures 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 N ❑ NA ❑ NE
maintenance/improvement?
I I . 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) r.,.V n
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
T , El NA
El NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
o ❑ NA
El NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination%❑
Yes
o El NA
El NE
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
Reviewer/Inspector Name Phone:
Reviewer/Inspector Signature: A Date: q Da
12128104 Continued

Facility Number: 4fZ —,' Z Date of Inspection l fi
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes N ❑ 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. ❑ WDP ❑ Checklists ❑ Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 9/No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfali ❑ 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?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes ZNo' ❑ NA ❑ NE
El Yesz7c(
❑ NA El NE
El Yes ❑ NA ❑ NE
❑ Yes 11�o ❑ NA ❑ NE
ElYes o ElNA ElNE
[IYes No ❑ NA ❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
AadtlrttonalCumments and/or Drawin s� ? u t rqr m o fy r' q' xF� '
�'�19' :._ ..e. r. a ., ,'� �«, � 'f4 : sYF _ �1 ,.�w..4"
12128104

'd �doi'3
.°? .., ax E
Type of Visit it¢'Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit Voutine Q Complaint Q Follow up O Emergency Notification Q Other ❑ Denied Access
Facility Number hate or visit: Time: t7 Z AM
Q Not Operational Q Below Threshold
'Permitted Certified 13 C.�fonditionally Certified [J Registered Date Last Opera e4 or Above Threshold: .........................
FarmName: .....12.:. .......f'et.� ....4�4* ................................................................ County:..!!.�...............................................................
Owner Name:
Mailing Address:
Phone No:
FacilityContact:.............................................................................. Title: ................................................................ Phone No:
OnsiteRepresentative: .................................................................................. Integrator:
Certified Operator:................................................................................................................ Operator Certification Number: ........................... ...............
Location of Farm:
la's&-ine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 & 64 Longitude • 9 «
7wirn
[] Wean to Feeders
.`,�.a aCl ,DIY©
lllatlon
: rrvuiuTl s€i, '.lA aCi 7kfl Ulatlon,i
❑Layer
❑ Feeder to Finish;
❑ Non -Layer
Farrow to Wean
4
❑Other
❑ F ow to Feeder{,(
arrow to Finish
'
1� Total Desil
r ��yy" �-t�¢1 �I
❑ Gilts
Boars
Discharges & Stream lmyacis
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 gaUn-dn?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: .......�.� !..�i.....................
rr4.................... .................................... ................................... ................................... .......
Freeboard (inches).
12112103
❑ Yes-AN'o
❑ Yes /Q No
❑ Yes / o
❑ Yes o
❑ Yes ❑ No
❑ Yes /�No
❑ Yes P1Mo
Structure 5
Continued

1facilit};.Number: — Z
Date of lnspectinn�
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 ❑ Freetliiard ❑ W to nalysis ❑ Soil S piing
VV y � ,gj�dln s� J11
c�gnulWlt#324. Is facility not in compliance with an applic rytback criteria in effe t at time d�si
25. Did the facility fail to have a actively certifie oTe �tor 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 reviewlinspection 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)
31. 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
❑ 120 Minute Inspections ❑ Annual Certification Form
❑ Yes No
❑ Yes No
❑ Yes O
❑ Yes hio
El Yes N
❑ Yes To
❑ Yes
❑ Yes N
❑ Yes No
❑ Yes 'PrfTo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
12112103

Facility Number: — Date of Inspection 0
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 No
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? ❑ YesNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ❑'lei
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes ` No
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes OrNo
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes 5;�o
❑ Excessive Ponding ❑ PANS ❑Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type CA.J (A)L.44 f iQ
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ Nor
15. Does the receiving crop need improvement? ❑ Yes 7No
16. Is there a lack of adequate waste application equipment? ❑ Yes
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below []Yes ,�No
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes No
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes Q No
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 0 Yes
Air Quality representative immediately.
b6f,'4 we,_,C �i a .� e,
4A..4" Pr4rma/w� "�e
(0" fnd I
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Field
Final Notes
mhv/ fljUz 4 ctq V�'& I
Date:
i ci�civJ wnunuru

Type of Visit C r oo p6ance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit iU Routine O Complaint Q Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Date of Visit- i L GS Time.
Facility Number �'7�
Not U erational OBeiowThreshold
ermitted PICertified
D CConditll'o'�nally Certified © Registered Date Last Operated or Above Threshold:
Farm Name: ��n_ __ f NCL9�tZw —f`t� �NC __ __ County: 4dip.
Owner Name:
Mailing Address:
Facility Contact:
Title:
Phone No:
Phone No:
Onsite Representative: Q Integrator: �J l
Certified Operator: { Operator Certification Number:
Location of Farm:
. Fe KSWine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 4 " Longitude 0 01
66
Design Current
awtne Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
arrow to Finish '2
Gilts
❑ Boars
Design Current Design Current~
Poultry Cauacltv Po ulation Cattle _. capacity Population
❑ Layer I I Ubairy
❑ Non -Layer I 1 11 ❑ Non -Dairy
Number of Lagoons z
LHoldi g'Ponds 7 Solid Traps',
❑ Other`
Total Design Capacity
Total SSLW
Subsurface Drains Present ❑ Lagoon Area
- -
No Liouid Waste Manaeement Svstem IF,
Discharges &r tr am 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 Collection &c Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? l-XpiI1way
Structure I Structure 2 Structure 3 Structure 4 Structure S
Identifier: Oin i�
Freeboard (inches): �y
05103101
Field Area
El Yes �o
❑ Yes ON,
❑ Yes No
❑ Yes
,❑ No
❑ Yes
T - -
❑ Yes
to
❑ Yes
No
Structure 6
Continued

Facility Number: L —3 L Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ]"No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes .['�No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes 2Igo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes EfNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes zfNo
Waste ADnlication
10. Are there any buffers that need maintenance/improvement? ❑ Yes o
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ONO
12. Crop type WkD..:r. �.Z4 01-, CZth-,—'
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes 0<0
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15.
Does the receiving crop need improvement?
❑ Yes
Z No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Required
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
Q'No
18,
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) it Ot7 ,-7
❑ Yes
'1 o
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
J2 YO
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
Z�No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
c No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
C] No
(ie/ discharge, freeboard problems, over application)
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
�2N0
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Commen ,{refer t:o question #) Explaintany Y+ES answers attdlor any recommendations or any other comments, +
Use drawing's"af facility to betteX�eaplain situations(use`�additionalpages as necessary} - Fieid Copy ❑Final Notes
7
Reviewer/Inspector Name'
Reviewer/inspector Signature: Date: ) +L
05103101 Continued

Facility Number: r/J- — 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
o
liquid level of lagoon or storage pond with no agitation?
/
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
;11<0
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
Jam' o
29.
roads, building structure, and/or public property)
Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
P4o
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
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
WNo
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
ElYed
`
r
Additional Comments and/or Drawings:
A,
05103101

Type of Visit /1"C;Routine
liance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit fi 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facility Number 3 bate of Visit: Time: 1 • t�ti�
IONotOlDerational 013clowThreshold
O Permitted Rcc rtitied 3 Conditionally Certified � Registered Date Last Operated r A Z Threshold:
Farm Name: ///. C''C' __ County: C
Owner Name:
Mailing Address:
Facility Contact:
Onsite Representative:
Certified Operator: �' �% jpp ! ° "
Location of Farm:
Title:
Phone No:
Phone No:
Integrator:
Operator Certification Number:
01,8rwine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 + 66 Longitude • 6 D u
Design
Current Design Current Deslgn Current
Swine Ca aci
P,o ulation P.uultr. Ca aci P,o ulation Cattle Ca aci _ P,o ulation"
❑ Wean to Feeder
❑ Layer
❑ Dairy
❑ Feeder to Finish
❑ Non -Layer
❑ Non -Dal
❑ Farrow to Wean
❑ ow to Feeder
❑ Other
Farrow to Finish
otai Deslgb Capacity
50
❑ Gilts
❑ Soars
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ La oon Area ❑ S ra Field Area
El
Holding Ponds /Solid Traps
r_� ❑ No Liquid Waste Management System
Discharges & StreamImpacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Laeoon ❑ 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 Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 /Structure 2 Structure 3 Structure 4 Structure 5
Identifier: J6-I
Freeboard (inches): ?': D4
05103101
❑ Yes No
❑ Yes I�Na
❑ Yes :W1
❑ Yes
�NXo
❑ Yes
❑ Yes
No
❑ Yes
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 4-5 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 sructures 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? ❑ Excessivp Ponding Q PAN ❑ Hydraulic Over ad
12. Crop type I ONjL"t- SM - I (Afh
13. Do the receiving crops diffe with those designated in the Certified
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?
,w %W N..^
Waste Management Plan (CAWMP)?
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 th7Cee ed mal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) �/�✓✓✓✓ail s o si! 1 1 Zp i! r19. Does record keeping need improvement? (ie/ irrig,eeboard, w a alysis & sOaill sammple 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 "�o
❑ Yes No
es ❑ N
❑ Yes No
❑ Yes 2 No
❑ Yes XNO
_ c
El Yes
❑ Yes ANo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑
❑ Yes 'VNo
Yes
❑ Yes l`-" 0
❑ Yes ;D No
❑ Yes ;
❑ Yes Xo
❑ Yes No
❑ Yes <o
❑ Yes [;,Pdo
❑ Yes '2r
El Yes No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Cotliiiients refer !a uestlan #)j E Eat laln`anY>YES nnsrgers andior ab E.Cecorrintendations or an :;other, comments
t37 2.aCik.o
'❑^,>�w1�.»p..
i.{.snE
aI�gfEfe{i�e.�dl3d
i-,.ky'
Uedrawings ofacility.tobetter explain s3tuad.ons(use addlt:onal
ry)
ett.
p� �
re3'.c�..3€m�...via!€.:.. o.{�tei.s
,.E�,;-Is�•fxEIa�
�'%p�E�iXa<
v
�s>{B:a�
a; , i,
/sIiEta��
C x44 a'k 71z-34L
ReviewerlInspector Name " ��° '`
Reviewer/Inspector Signature: Date: OL
05103101 Continued

Facility Dumber: L— Date of Inspection O?i
dor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. is there any evidence of wind drift during land application? (i.e, residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
orbroken 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 ZNo
❑ Yes VNo
El Yes
❑ Yes PNo
❑ Yes
❑ Yes ,� �l
❑ Yes No
Additional Comments;and/or Drawings'?,,` �:opi
05103101

Type of Visit QTompliance Inspection O Operation Review O Lagoon Evaluation j
n for Visit P/Routine O Complaint. O Follow up O Emergency Notification O Other ❑ Denied Access
Dale of Visit: ZD d f Time: �.✓t
Facility Number L `?/
O Not Operational O Below Threshold
Permitted O//Certifiedd 13 Conditionally Certified © Registered Date Last Operated or bove Threshold:
Farm Name: ..6.. ..!.Q!�. `3 . �N. ..... County:...... T LC. .......................................................
. ..... ....... ...................................
Owner Name: ...... Onng.—...f ............................................................... Phone No:............ �Z—. � Z ..�% 1....................:.
FacilityContact: .............................................................................. Title:............................................................... Phone No:...................................................
Mailing Address: .....
... ...........
l.... "`...........NG Z 7�7 Y. .................... ......................
Onsite Representative: Integrator• `` - ............
Certified Operator: Qy'^? ........................................................... Operator Certification Number:,,_,,,,,,,,
Location of Farm:
wine ❑ Poultry ❑ Cattle ❑ Horse Latitude • ° 46 Longitude • 6 64
Design,.' Current .
('anacity. PnnnlAhnn' Poult
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
arrow to Finish
o2
00
Gilts
❑ Boars
Po ulatzon .. Cattle estgn �' Cgrrenl
Current, D
Ca aci ,' ; Po "utati'ii
Mary
❑ Other
Total Design Capacity
V6W SSLW
s: E.
Number of i.agc�ons ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area i
AoIdi 9P6t 118I,,So11uhTr4pq] No Liquid Waste Management System
Discharges & Stream Impstcts
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 Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 rr Structure Structure 3 Structure 4
Identifier: .., !E .- 't4 :............ �! .......................................................
Freeboard (inches):
5/00
❑ Yes �o
❑ Yes�o
❑ Yes,-dNo
❑ Yes No
❑ Yes No
❑ Yes -No
❑ Yes o
Structure 5 Structure 6
Continued on back

Facility Number: L— Date of Inspection z a
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes p No
(If any of questions 4-6 was answered yes, and the situation poses an ,
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes IPINo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes P 0
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes IQ
No
11. Is there evidence of over app ication? ❑
� Exc�sive Ponding1 ❑ PAN ❑ Hydraulic Overload ❑ Yes,0N
_56Ctt12. Crop type [ "�ON/�kw> 1
13. Do the receiving crops differ with those designate in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal to9anagement Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
a c��
19. Does record keeping need improvement? (ie/ irrigation, freeboard, wa to nalysis & 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?
(iel 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?
*.vo'lotioijs Rr 00fickocie *ere 04go• Opri ft #ils'vjsjt; • :Y:oo will-ttee4itO 06 #iuj•thof -
rories• o deiri& ahout this visit:
❑ Yes No
❑ Yes No
❑ Yes �b No
❑ Yes �No
❑ Yes P No
❑ Yes ;,INO
❑ Yes dNo
❑ Yes [21 No
❑ Yes o
❑ Yes$No
o
❑ Yes
❑ Yes V(No
❑ Yes o
❑ Yes � Pir
o
❑ Yes EfNo
�hE 5 vt�_ 1 1. .y -�F .ilr I f) �y.•o- f
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: 5100

201ity.Number: 2 — 3Z Date of .Inspection ,2ri 0
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 F No
28. Is there any evidence of wind drift during land application? (i.e, residue on neighboring vegetation, asphalt, ❑ Yes , No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes �No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes dNO
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes o
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes No
.&I
5/00

N
outme - p Com lamt Q Follow-up of DWQ inspection Q Follow-up of DSWC review Q Other
Facilit umber Date of Inspection
Time of Inspection 24 hr. (hh:mm)
ermitted 0 Certified E3 Conditionally Certified 0 Registered Not O erational �D�attee Last Operated: ............._.__..._.
Farm Name: .6...... <r..W...... ..C....�.�., n. Sl ¢............................................ County:.....
Ltiter.... .fT..4:'�`%
OwnerName:.....:V.ff�:...../.....G�AJ.4f�v��"�.. �:............:................................ Phone No:.......................................................................................
Facility Contact: ....... 111. .....Title: ................................................................ Phone No:
Mailing Address:
Onsite Representative:
C.
n Integrator:
Certified Operator:......................................................................... ,C}-e-UY,I',C.- /!ew'��Q^. Operator Certification Number:
........ .............
Location of Farm:
.................................... :.................................................................................................................................................................................................................................... A
Latitude ®•®, ap, Longitudes®
.
Capsgty'Population y Caoagty:PODulat tm 'Design `;Current
Design,. Current' Design Current
;Swine Poultry ion � Cattle :°, ,:Caoacitv�' Pnnntnrtnn
LJ Wean to Feeder I JE] Layer ❑ Dairy
❑ Feeder to Finish ❑ Non -Layer ❑ Non -Dairy
❑ Farrow to Wean
❑ F ow to Feeder JE1 Other
El Farrow to Finish �'
�. Total Design Capacity; ;
Boars TotafSSLW i
Number of Lagoons 10 Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
Holding EondsJ Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation? ❑ Yes
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'? ❑ Yes E2 /o
b. If discharge is observed, did it reach Water of the State'? (II' yes, notify DWQ) ❑ Yes } o
i
c. If discharge is observed, what is the estimated flow in gal/min•?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) - ❑ Yes No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes — No/
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes LXNO
Waste Collection & Treatment TTT
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches): ......... , 0
2
.............................s.�........................................................................................................................................................../No
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ yes
seepage, etc.)
3/23/99 Continued on back

Facility Number: —5,Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan'?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
S. Does any 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 Pending ❑ PAN
12. Crop type
/►., -). A a n .s
13. Do the receiving crops differ with those designated ih 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?
Renuired 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? (ic/ 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?
yigla�ip[js;o 0016060'� 400 pgted- 00-- ift tbis;visit! Y;oO ' iii •teceiye tid further.
CO' -rispbridence' about: this visit•:
Comments`(ria4ei=`to-question #) Explatn'sany,YES ansi�
U*drawings .faeiIity td!better�explain situations (use
i- .`I .. •1. :� - ." I -f e.C. ' � "� is';F .> 'i� i. � -� '� �F: 1 ' ., •� f :'• Ei'i:�
k4lelS . �, a-
C 2J tZkClo- � I&er r �F n .,fig S LA-1i.
S 4 o k r d 64 ¢. s #—,-4 V qo
❑ Yes L!fNo
❑ Yes No
❑ Yes �f'
es ❑ Na
❑ Yes Id10
❑ Yes r A"u
❑ Yes �V O
❑ Yes
❑ �<o
Yes L O
❑ Yes
❑ Yes
❑ Yes
❑ No
❑ Yes
Z<o
❑ Yes o
es ❑ N�q❑ Yes
❑ Yes
❑ Yes 1 O
❑ Yes
❑ Yes o
❑ Yes o
L&J or- cli14.
/2 t2 — l Ifd 6,ttj.-
f2fZ- �, Vje n j-4,4:
Reviewer/Ins ector Nam , , s f 1 i�"C T
�..:� ..n �•✓.{;�•�a3.•tf e
p �t 3 .-:'� , �'. E' i €1 gsEa•;?".„s!d
Reviewer/Inspector Signature: _ per Date: '(41-V Z&1j{7

Facility Number: v ? 3 Date of Imspection 7 4
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ;NXo
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes No'
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes O'No
12 D6 D7/(/ 13

1. :41
'�,DIV of Soil and Water'COl1seCVatlon - G[ lIl Ilall �CVILW Division°of Gil and Water"Con'selvatlon --O ci•ation
" 0 p ce Inyp�cticin , „
l (vision of Water Qualrty-;,Complianee Inspection
iI
E 3 Cot eeC-'AgECICy�- OperatlOnlRlVll'W - �1 E 3 a, ' ' i s E,li .
Io
outitle 0 Com laint 0 Follow-u p of DW ins ectlon Q Follow-u I of DS1VC review 0 Other
Fay NumberZ Dote /)f Inspix lon
Time of Inspection 24 hr. (hh:mm)
Foo 09
I'crmitted 0 Certified E3 Conditio'n/:Illy Certified [ Registcred 0 Not O erational Date Last Operated:
I'arrn Narnc:Qy�.c� ....... County:....C�i- .......................
OwnerName ............ !�'1.. !....... ...... Phone No: .................. ................................................................................................................................................
Facility Contact: .......5 G�............ritic :............................ Phone No:
....................................... / .......... .... :.............
A'lailing Address: y! iit% /�� j �0 1 / Z5-C1J-L4-w J PI C- L a....... �................................... ....................
�%%............../....................................................... ....... �}- � 7
Onsite Representative:... .�iSr !...e'........ -... Integrator:............ ...J...........................................I.................
Certified Operator: ........... ............. Operator Certification Number: .....................:..........
Location of harm:
Latitude � r j�-j� �.� Longitude � • ���
Design Current
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wcan
❑ Fj!:row to Feeder
LaTarrow to Finish
❑ Gilts
❑ Boars
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer I I ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present 110 Lagoon Areal ❑ Spray Field Area
Holding Ponds / Solid Traps JE1 No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance Ivan -made"
h. If discharge is observed, did it reach: ❑ Surface Waters ❑ Waters of the State
c. II' discharge is observed. what is the estinrtted flow in gal/min?
d. Does discharge bypass a lagooli systcm?.
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 adeyuatc?
❑ Yes No
❑ Yes N
❑ Yes No i
❑ Yes
❑ Yes
❑ Yes 6o
❑ Yes Id No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identi ficr:
I
f� ll
rcchoard(inches):,.......Lr?..Q......................... 4...............................................................................................................................................I................
I/6/99 Continued on back

a`
Facility Niumber:z/ — Z 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 top of dike, maximum and minimum
liquid level elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improveiiient?
❑ Yes No
❑ Yes o
❑ Yes o
❑ Yes �No
❑ Yes Li(No
❑ Yes No
11. Is there evidence of over application'? ❑ Ponding ❑ Nitrogen ❑ Yes o
12. Crop type LA/r!11.E'...��gL.L.S'%r�' f..�cS1.t.�...��..�."`.i. �r9nne�.!...............................................................................
l
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes N
14, Does the facility lack wettable acreage for land application'? (footprint) ❑ Yes ;2�
15. Does the receiving crop need improvement'? El Yes
;
16. Is there a lack of adequate waste application equipment? ❑ Yes VNo
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?
(iel 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?
(iel 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?
0: NA.vialatioits :or. def ciencies.rvere Hated ciarirtg thi :visit:. Y-ou wi1frekeive na t6d ier . - .
eorrrrsbbbdehee; about; this Visit.. - . -.... .... .. .. .. . .
iTents (refer to question #) Ekplain'any YES answers and/or any'recommendattons or any othercommei
drawiiii6 of facility to.better ex laintsituations. (use:additional g essary)_: p { add>tronal a es as nee 4.
Reviewer/Inspector Name
ReviewertInspector Signature: f�f r �Pi /c�t.(�R� L / Date:
❑ Yes No
❑ Yes
❑ Yes
❑ Yes
❑ Yes N
❑ Yes
❑ Yes No
❑ Yes No

7/!G
Agion of Soil and Water Conservation J3 Other Agency
vision of Water Quality
tV Routine O Complaint O Follow-up of DWQ inspection O Follow-up of .DSWC review O Other
ii rii�uurni ur iirrrrrru..n ur
Facility Number Date of Inspection
Time of Inspection Z 3 24 hr. (hh:mm)
0 Registered U�** Certified 0 AppliedforPermit [3 Permitted 3 Not Op erational I Date Last Operated: ..........................
Farm Name:...i.� • -...P .!1....d ! g' rQlt............................................ County: .... L JI.'...I`.................................................
............... .......... ............
_r
Owner Name:...:5.6..'"` a ....... Phone No: .Z z r Z 3 3 .....................
/..........................................................................
Facility Contact:tJ.Y...:. '.....!.�4�-7 ..... Title :...... ....... ...y.r ............................. Phone No:...................................................
o� Y�tn.•`�,i7• s� i��� �vr�c � ? 1?'1 Y
1<ailing Ad res................................ ....... ................... ................................... ..........................
OnsiteRepresentative:...Qrt}r �f" �n !?r!/ ... Integrator: ......
i1l..P...........
Certified Operator;............ 5 '! :......... ............................................................. Operator Certification Number:...................
Location of Farm: se— / q 0 9
.................................. ......................................... ........................ ........ ...............T...........•... I.......�......�...�: �.........................................................................
Latitude Longitude
� �
LJ 0 g _".,._
r Design Ctirrent Design Current "'" ,.
'Design ;Current
Swine ; Capacity
1'aptrlation
Poultry K Capacity
Population; Cattle
Capacity I?opplat oxt,
❑Wean to Feeder
❑Layer
❑Dairy
2.�..
❑ Feeder to Finish
❑ Non -Layer
❑ Non -Dairy
❑ Farrow to Wean
❑ F w to Feeder
❑ OtherNU
arrow to Finish
$Total Dest Capactty
❑ Gilts
Boars
4 Total SSLW
F . .
Number ag s / Holding Ponds `�
-' ❑Subsurface Drains Present
❑Lagoon
❑Spray Field Area
S..
Y Y
y S M SffK<P4h�yi
;. , =�`.�
❑ No Liquid Waste Management System
�f
,%.
0
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
maintenance/improvement?
& 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 o
❑ Yes o
❑ Yes No
❑ Yes LXNo
❑ Yes No
El Yes No
❑ Yes "i
❑ Yes No
❑ Yes
❑ Yes No

a � �
Facility Number: Z — 3 L
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Laeoons,Holding Ponds Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes No
❑ Yes o
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure b
Identifier:
Freeboard(ft):..J.r...I7.....{.............3.....0.../................................................................................................................................................,.......
10. is seepage observed from any of the structures? El Yes No
11. Is erosion, or any other threats to the integrity of any of the structures observed? [I Yes J 1VO
12. Do any of the structures need maintenance/improvement? ❑ Yes ld"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? ❑ Yes ONo
Waste Application
14. Is there physical evidence of over application? ❑ Yes o
(If in excess of WMP, orrunoffentering waters of the State, notify DWQ)
15. Crop type..^....!4 +` ? t u-i,�-:............................................
�... ............ ............ ..
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes No
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes No
18. Does the receiving crop need improvement? ElYes .
19. Is there a lack of available waste application equipment? ❑ Yes FN
20. Does facility require a follow-up visit by same agency? ❑ Yes
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes N
22. Does record keeping need improvement? ❑ Yes No
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑ Yes N
24. Were any a itional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes
25. We ny additional problems noted which cause noncompliance of the Permit? ❑ Yes No
o.violations-or. del;iciencies.werenoted-duringthis:visit::Y.ou;will it-eceive•n6ltirther .
correspondence about this'visit:•: : . : .

a
d ❑ DSWC Animal Feedlot Operation Review
µ ❑ DWQ Animal Feedlot Operation Site Inspection
0 Routine Q Complaint O Follow-up of DWI) inspection O Follow-up of OSIVC rcvicw O Other
Facility Number
Farm Status: 0 Registered ❑ Applied for Permit
❑ Certified ❑ Permitted
Date. of Inspection
Tulle of Inspection � 24 hr. (hh:mm)
Tot,.11 Time fin fraction of hours
(ex:1.2; for 1 Itt- 15 min i) Spent on Review E77
or Inspection (.includes travel and processing!)
© Not Operational Date Cast Operated: ................................................................................................................................................
Farm Name ....... �.a.. 1 e.n.. .. �►• J. County: �, �..?..T...G`�
�.. ............. n.........t:?.i'.M... .......r... ..........I... ..
Owner Name: ...... ....................................................
Facility Contact: ....,..,., ....F......P...t l.}.r.....:.n........... .ritik.......... Li, ?.^..g:................................ I'Ifone No:.. �' t £ ...........................
Mailing.kddraw---s:...... ........1........1.?.,...,........................................N,....... ........................ .......... ................... ...
OnsiteRepresentative: ......... �?.G.(''.�. ............................................................................ Integrator:.....,.................................,..............................................
Certified Operator:. ............S...G:./! L..... .......... .......................... .........,................,......... Operator Certification Number:.....,�.,.!.'........'�......
Location of Farm:
.� G
Latitude ®• U(s ' ®" Longitude ?'] • ®I 'i
Type of Operation
Swine
Design Current Design Current
Capacity Population Poultry Capacity Population
❑ Layer
❑ Nun Layer
❑ Wean to Feeder
❑ Feeder to Finish
Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
50
V
[3Other
Design Current
Cattle Capacity Population
❑ Dairy
❑ Non -Dais
Total Design Capacity Fa 7C
Total SSLW 5 5 U
Number of Lagoons / Holding Ponds �] ❑ Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
Lkm%i al
1. Are there any buffers that need maintenance/improvement? ❑ Yes 13<10
2. Is any discharge observed from any part of the operation? ❑ Yes No
Discharge originated at: ❑ Lagoon ❑ Spray Field ElOther
$, lfdischar-,e is observed, was the conveyani'e Ertan-made? ❑ Yes ❑ No
b. lfdischarg,e is observed, did it reach Surface Water:' flf yc,s, notify DWQI !V� � ❑ Yes ❑ No
c. If discharge is observed, what is the egtintated flaw in gal/ntin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) �14 ❑ Yes ❑ No
3, is there evidence of past discharge front any part of the operation`' ❑ Yes
4. Were there any adverse impacts to the waters of the State other than from a discharge" ❑ Yes a<o
5. Does any pan of the waste management system (other than lagoons/holding ponds) require ❑ Yes & r`o
]ltal n1eil:InCl'II mllrllveEllCnt'?
4/3U/97 Coulinued on hack

lr'aeijit•� Number: —
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes [I No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes ff No
8. Are there lagoons or storage ponds on site which need to be properly closed'? ❑ Yes G No
tructur •s (I.a coons and/or Holding fonds
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes 3 No
Freeboard (ft): Structure I Structure 2 Stntcture 3 Structure 4 Structure 5 Structure 6
....................................................................................................................................................................................................................
10. Is seepage observed from any of the structures? ❑ Yes dNo
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes N
12. Do any of the structures need maintenance/improvement? El Yes
No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes No
Waste Application
14. Is there physical evidence of over application? ❑ Yes O No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type.................................................................................................................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes (0 No
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?
For Certified Facilities Onl
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?
Reviewer/Inspector Name
❑ Yes
zyes
XO
❑ No
❑Y
[3No
Yes
❑ Yes
❑ No
No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
1 Reviewerfinspector Signature:
Date:
cc. Division of Water Quality, Wafer Quality Section, Facility Assessment Unit 4/30/97

State of North Carolina
Department of Environment,
Health and Natural Resources •
Raleigh Regional Office �►
.lames B. Hunt, Jr., Governor
Wayne McDevitt; Secretary EDEHH
DIVISION OF WATER QUALITY
August 29, 1997
Mr. G.E. Pendleton
George Pendleton Swine Farm,
Route 1, Box 117
Scotland Neck, North Carolina 27874
Subject: Compliance Evaluation Inspection
Facility # 42-32
George Pendletonc Swine Farm
Halifax County
Dear Mr. Pendleton:
On August 26, 1997, Mr. Bustc r Towell from the Raleigh Regional 013icc conducted a compliance inspection of the subject
animal facility. This inspection is part of the Division's eil.orts to detcnnine compliance with the State's animal waste
nondischarge rules.
The insp=tion determined that your animal operation was not discharging wastewater into waters of the State and that the
waste lagoon had the required amount of freeboard. As a result of the inspection the facility was found to he in compliance
with the State's animal nondischarge regulations.
This office would also like to take this opportunity to remind you that you are required to have an approved gnintal waste
mans gc� pl.,in by Doocni ur 31, 1997. This plan must he Certified by a designated technical Specialist or a professional
engineer. For a listing of certified technical specialists or assistance with your waste management plan you should contact
your local Soil and Water Conservation District office.
The Raleigh Regional Office appreciates your uxiperation in this matter. If you have any questions regarding this inspection
please call Mr. Buster Towell at [phone].
Sincerely,
Y G arrett
Water Quality
Section Supervisor
cc: Halifax County Health Department
Mr. Wayne Short, Fishing Creek Soil and Water Conservation District
Ms. Margaret O'Keefe, I)SWC --- RRO
DWQ Compliance Group
RRO Files
3800 Barrett Drive, Suite 101, N#w
1&6 FAX [phone]
Raleigh, North Carolina 27609 )MCC An Equal Opportunity Affirmative Action Employer
Voice 919 571-4700 501% recycled/ 10% post -consumer paper

❑ C Animal Feedlot Operation Review
Y
,.:,
' DWQ Animal Feedlot Operation Site Inspections
10 Routine O Complaint Q Follow-up of DWU inspection O Follow-up of DSNVC review O Other �
Date of inspection
Facility Nurnber
"rinse of Inspection 24 hr. (hh:mm)
Total Time fin fraction of hours
Farm Status: ❑ Registered ❑ Applied for Permit (ex;1.25 for l hr 15 min)) Spent on Review
❑ Certifted ❑ Permitted or Inspection (includes travel and processing)
0 Mot o erational Date Last Operated: ......................................................... ......................................................................................
arm Name:./................./.f'.
..........,..............................
............................................. ....R ..,.
nn 1- q q
Owner Nan�e:..6.l��A,�. :.,./". `: � .l..Y.''!�.,.., Phone No:...-.......... -.S ,..................................................3
% I f
Facility Cotltact: ...L..`: �4..Q'..!.,.avd, f.¢.'-(-p ^......... rritte:.................................................... Phone No:..,.......................,..................
..........
Mailing Address:is
.. I ........... ..........................
On -site Representative :........ .......}..e......t?:1 .................................. Integrator....., ................................
Certified Operator:, -A. ..e.k
,..... d, c�.................................................. Operator Certification Number:........,................................
Location of Farm: S ,.0,6 9
. * ..............
I-- .-- ..
Latitude 0 �` �64 Longitude a 6 cc
Type of Operation Design Current Design Current
Swine Capacity Population Poultry Capacity' Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
Farrow to Feeder
❑ Farrow to Finish
❑ Other
® -
.agoo / Holding,>Ponds : ❑ Subsurface. Drains Present
l:rl'ne'1'a1
I. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?'
Discharge originated at: ❑ Lagoon ElSpray Field ❑ Other
a. li'discharge is observed, was the conveyance man-made'?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. if dischargc is observed, what is the estimated flow in gal/min"
d. Does discharge hypass 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?
Lagoon Area I❑ Spray Field Area [ j
5. Does any part of the waste management system (other than lagoons/holding ponds) require
4/30197 maintenance/improvement?
❑ Yes E<No
❑ Yes 20
❑ Yes o
❑ Yes 0
❑ Yes o
❑ Yes �o
❑ Yes N
❑ Yes No
Conlin ued on hack

Facility Number: q22 73
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 fLagoons and/or Holding fonds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft): Structure/ Structure 2 Structure 3 Structure 4
50
............................................................................................................................................
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
Structure 5
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 /S waters of the State, notify DWQ)
5 1C t-)")-4f� 7
vk'7 "-Anle_t
rvo ❑ Yes 2
11""
El Yes 0
El Yes o
El Yes No
Structure 6
..................................... .
El Yes o
❑ Yes O
❑ Yes l2 o
es '['I No
❑ Yes r 3 o
ropype .... ....................,..................................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management rY0 P Plan (AW }? ❑Yes No
17. Does the facility have a lack of adequate acreage for land application? L�l
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?
For Certified Facilities Only
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?
Reviewer/Inspector Name R '" �° '' _ MReviewer/Inspector Signature: �jL�� Date:
❑ Yes
❑ Yes
No
No
❑ Yes
❑ Yes
No
ElYes
No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
no
cc: Division of Water Quality, Water Quality Section, Facility Assessinent Unit
4/30/97

Facility Number: y Z - 3 2—
Division of Environmental Management
Animal Feedlot Operations Site Visitation Record
Date: -Z-2 - Z
Time: 165-z—
Farm Name: G �L-`T a..,�d�-�o1 _ County: 14/. Af9
Owner Name: e . Pa.,,4 fe;fo, Phone No: 8 z — 343 7
One Site Representative
Mailing Address: 12
Physical Address/Locatio
I Latitude: / / Longitude: 1 I I
Operation Description: (based on design characteristics)
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Cattle No. of Animals
Osow player oDairy
oNursery ❑Nan -Layer ❑Beef
OFeeder
Other Type of Livestock: 0 Number of Animals:
Number of t_agoons: Z{inctude in the Drawings and Observations the freeboard of each lagoon)
Facility InsrMgion: - 3 /
Lagoon
Is lagoon(s) freeboard less than 1 foot + 25 year 24 hour storm storage?
Is seepage observed from the lagoon?:
Is erosion observed?:
Is any discharge observed?:
❑ Man-made ❑ Not Man-made
Cover Crop
Does the facility need more acreage for spraying?:
Does the cover crop need improvement?:
(list the crops which need improvement)
Crop type: Urn , n,)j 4 a Acreage;
< -- - -Zo
Yes ❑Noel
Yes ❑NoC�/
Yes ❑ No 0
Yes ❑No�
Yes ❑ No
Yes ❑No�

Setback Criteria
Is a dwelling located within 200 feet of waste application?: Yes ❑ No
Is a well located within 106 feet of waste application?: Yes ❑ No �T
Is animal waste stockpiled within 100 feet of USGS Blue Line Stream?: Yes ❑ No f3
Is animal waste land applied or spray Irrigated within 25 feet
of Blue Line Stream?: Yes © No
Maintenance
Does the facility maintenance need improvement?: Yes ❑ No l2r--�'
Is there evidence of past discharge from any part of the operation?: Yes ❑ No tom/
Does record keeping need improvement?: Yes ❑ No
Did the facility fail to have a copy of the Animal Waste Management •
Plan on site?: Yes eNo ❑
Explain any Yes answers:. F'1 c;
7-4 / ,$ 5 `T -f- &" S re- 4 a-- `>-O a-O" rhRrI .
r; c es • Own e"S GV ; r= e S4442d +-47 44 S'A c. d ; d n ' � 4-nw ; i= f�a
Signature: Date: 9- Z Z- 9 G T
cc: Facility Assessment Unit
Drawinas or Observations:
AOI-January 17, 1996
Use Attachments if Needed -

-'`• State of North Carolina
Department of Environment,
Health and Natural Resources &T?WA 0
Raleigh Regional Office
James B. Hunt, Jr., Governor EDF=HNF;Z
Jonathan B, Howes, Secretary
DIVISION OF WATER QUALITY
September 25, 1996
Mr. G.E. Pendleton
Pendleton Swine Farm
Route 1, Box 117
Scotland Neck, North Carolina 27874
Subject: Compliance Evaluation Inspection
Pendleton Swine Farm
Facility # 42-32
Halifax County
Dear Mr. Pendleton:
On August 22, 1996, Mr. Buster Towell from the Raleigh Regional
Office conducted a compliance inspection of the subject animal
facility. This inspection is part of the Division's efforts to
determine compliance with the State's animal waste nondischarge
rules.
The inspection determined that the swine operation was not
discharging wastewater into waters of the State. This facility had
recently been depopulated and both waste lagoons.had more than the
required amount of freeboard. 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 stewardship 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. Accordingly, illegal discharges of wastewater to surface
waters of the State are subject to the assessment of civil
penalties and may also result in the loss of deemed permitted
status, requiring immediate submission of a waste management plan.
This office would also like to take this opportunity to remind you
that you are required to have an approved animal waste management
plan by December 31, 1997. This plan must be Certified by a
designated technical specialist or a professional engineer. For a
listing of certified technical specialists or assistance with your
waste management plan you should contact your local Soil and Water
Conservation District office.
38M Barrett Drive, Suite 101, FAX [phone]B
Raleigh, North Carolina 27609 NO C An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 50% recycled/10% post -consumer paper

Mr. G.E. Pendleton Swine Farm
Page 2
The General Assembly recently passed Senate Bill 1217 which will
require all animal waste management systems to designate an
" Operator in Charge". -It shall be the responsibility of this
individual to oversee the operation and maintenance of the animal
waste management system and to have control over waste application
activities. Currently classes are being held for operators of swine
facilities and training is being developed specifically to address
dairy and liquid poultry operations. For more information please
call either your local Soil and Water Conservation District or
Cooperative Extension Service Office.
The Raleigh Regional Office appreciates your cooperation in this
matter. If you have any questions regarding this inspection please
call Mr. Buster Towell at [phone].
Sincerely,
Judy E. Garrett
Water Quality Supervisor
cc: Halifax County Health Department
Mr. Wayne Short, Fishing Creek Soil and Water
Conservation District ( Halifax County )
Mr. Steve Bennett -Regional Coordinator, DSWC
DWQ Compliance Group
RRO Files

3UL-14-1995 15=2e FROM OEM WATER QUALITY SECTION TO
PF-0 P - 02/02
Site Requires Immediate .A tten !:i nn
Facility No. -3 2---
DIVISION OF ENVIRON1vLENTAL MANAGEM NL -F
ANIMAL FEEDLOT OPERAZJONS SITE VISITATION RECORD
DATE: , 1995
Time:
Farm Name/Owner-_ _u e_Jo e$ on r� I M [-rq— __
Mailing Address: _ d �� 2 P- AA/_C_ -. a 0 k 51
County.- +' r4 Z _
Integrator ._ — Phone: Z 6 - 39� 7
On Site Representative: _
Physical Addrr-ss/Locadon
Phone:
Type of Operation: Swine Poultry Cattle
Design Capacity: _ 2- •D Number of Animals on Site, I So .S' O u —r
DEM Certification Number: ACE_ _ DEM Certification Number: ACNF-W
Latitude: 36 - 06 ' 0� Longitude: 7? 7­�ry " Elevation: _ Feet
Circle Yes or No
Does the .AnLmal Waste Lagoon have uffcienc freeboard of 1 Foot + 25 year 24 hour storm event
(approxcirr�ately 1 Foot + 7 inches zs r No Acrual Freeboard:3_:�c. Inches
Was any seepage observed from the lagoon(s)? Yes Ot G Was any erosion observed? Yes o No
Is adequate land available for spray'? <5 es br No Is the cover crop adequate? isr No
Crop(s) being utilized: Coy -k Ys Jl
Does the facility meet SCS minimum setback criteria! 200 Feet from Dweilinggs�s or No
100 Feet from Wells?r(Q or No
a~imal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes orx
'• aai.rnal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line'? Yes Oro '
animal waste discharged into waters of a state by ina.n-made ditch, flusbinE system, or ether
•;irmi'.ar man -matte devices? Yes 0(X 0 1f Yts, Please Explain.
'")(,cs toc .racility maintain adequate waste aiwiageructit Tecords'(volumes of rua.nure, land applied.
,-prsy irrigated on specific acreage with cover crop)'' Yes r No
Additional Comments: __I7Y20- 1 eedl ` — ✓1 an►`C)):i/ ►�
cc: Facility Assessment Unit
� 16_w_(�v
S ignarure
Use Attachments if Needed.
TOTPL P.02

State of North Carolina
Department of Environment,
Health and Natural Resources • •
Raleigh Regional Office
James B. Hunt, Jr., r ry E H N
Jonathan B. Howes,, Secretary
Boyce A. Hudson, Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
September 8, 1995
Mr.-G. E. Pendeleton
Route 1, Box 117
Palmyra, North Carolina 27859
Subject: Compliance Evaluation Inspection
Swine Operation
State Road 1809
Halifax County
Dear Mr. Pendeleton:
On September 7, 1995, Mr. Buster Towell from the Raleigh
Regional Office conducted a compliance inspection of the subject
animal facility. This inspection is part of the Division's efforts
to determine potential problems associated with liquid waste
disposal systems.
Mr. Towell's site visit determined that wastewater from your
facility was not discharging to the surface waters of the state. In
addition, no manmade pipes, ditches, or other prohibited
conveyances (for the purpose of willfully discharging wastewater)
were observed. As a result, your facility was found to be in
compliance during this visit.
Effective wastewater treatment and facility stewardship are a
responsibility of all animal facilities. The Division of
Environmental Management is required to enforce water quality
regulations in order to protect the natural resources of the State.
Accordingly, illegal discharges of wastewater to surface waters of
the State are subject to the assessment of civil penalties and may
also result in the loss of deemed permitted status, requiring
immediate submission of a waste management plan.
This office would also like to take this opportunity to remind
you that you are required to have an approved animal waste
management plan by December 1997. This plan must be Certified by a
designated technical specialist or a professional engineer. For a
listing of certified technical specialists or assistance with your
waste management plan you should contact your local Soil and Water
Conservation District.
3800 Barrett Drive, Suite 101, Raleigh, North Carolina 27609 Telephone [phone] FAX [phone]
An Equal opportunity A1Yirmati�e Action Employer W% recycled/ ] 0% post -consumer paper

G. E. Pendeleton
Compliance Evaluation Inspection
Page 2
The Raleigh Regional Office appreciates your cooperation in
this matter. If you have any questions regarding your inspection
please call Buster Towell at [phone].
Sincerely,
i
Judy t. Garrett
Water Quality Supervisor
/ds
H:\animdn
cc: Halifax County Health Department
Halifax County Soil and Water Conservation District
Steve Bennett - Regional Coordinator, Division of Soil and
Water Conservation
RRO-File Copy

n
State of North Carolina
Department of Environment, ILFWAA
Health and Natural Resources 4 •
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes,,Secretary
[D [ C
Boyce A. Hudson, Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
September 8, 1995
Mr. G. E. Pendeleton
Route 1, Box 117
Palmyra, North Carolina 27859
Subject: Compliance Evaluation Inspection
Swine Operation
State Road 1809
Halifax County
Dear Mr. Pendeleton:
On September 7, 1995, Mr. Buster Towell from the Raleigh
Regional Office conducted a compliance inspection of the subject
animal facility. This inspection is part of the Division's efforts
to determine potential problems associated with liquid waste
disposal systems.
Mr. Towell's site visit determined that wastewater from your
facility was not discharging to the surface waters of the state. In
addition, no manmade pipes, ditches, or other prohibited
conveyances (for the purpose of willfully discharging wastewater)
were observed. As a result, your facility was found to be in
compliance during this visit.
Effective wastewater treatment and facility stewardship are a
responsibility of all animal facilities. .The Division of
Environmental Management is required to enforce water quality
regulations in order to protect the natural resources of the State.
Accordingly, illegal discharges of wastewater to surface waters of
the State are subject to the assessment of civil penalties and may
also result in the loss of deemed permitted status, requiring
immediate submission of a waste management plan.
This office would also like to take this opportunity to remind
you that you are required to have an approved animal waste
management plan by December 1997. This plan must be Certified by a
designated technical specialist or a professional engineer. For a
listing of certified technical specialists or assistance with your
waste management plan you should contact your local Soil and Water
Conservation District.
3800 Barrett Drive, Suite 101, Raleigh, North Carolina 27609 Telephone [phone] FAX [phone]
An Equal opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

l
G. E. Pendeleton
Compliance Evaluation Inspection
Page 2
The Raleigh Regional Office appreciates your cooperation in
this matter. If you have any questions regarding your inspection
please call Buster Towell at [phone].
Sincerely,
Ju y Garrett
Water Quality Supervisor
/ds
H:\animdn
cc: Halifax County Health Department
Halifax County Soil and Water Conservation District
Steve Bennett - Regional Coordinator, Division of Soil and
Water Conservation
RRO-File Copy

0� 1N A rER 'Michael F. Easley, Governor
Q William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
j [ Alan W. Klimek, P. E., Director
Division of Water Quality
October 1, 2004
G.E. Pendleton
G.E. Pendleton Farms, Inc.
478 Winslow Road
Scotland Neck NC 27874
Subject: Certificate of Coverage No. AWS420032
G.E. Pendleton Farms, Inc.
Swine Waste Collection, Treatment,
Storage and Application System
Halifax County
Dear G.E. Pendleton:
On June 11, 2004, the North Carolina Division of Water Quality (Division) issued a revised State General
Permit for swine facilities. The General Permit was issued in accordance with the directive of Senate Bill
733 (Session Law 2003-28).
In accordance with your application received on February 3, 2003 and in accordance with the directive of
Senate Bill 733, we are hereby forwarding to you this Certificate of Coverage (COC) issued to G.E.
Pendleton, authorizing the operation of the subject animal waste collection, treatment, storage and land
application system in accordance with General Permit AWG100000. The issuance of this COC
• supercedes and terminates your previous COC Number AWS420032 which expires October 1, 2004.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the G.E. Pendleton Farms, Inc., located in Halifax County, with an animal capacity
of no greater than an annual average of 250 Farrow to Finish swine and the application to land as
specified in the facility's Certified Animal Waste Management Plan (CAWMP). If this is a Farrow to
Wean or Farrow to Feeder operation, there may also be one boar for each 15 sows. Where boars are
unneccessary, they may be replaced by an equivalent number of sows. Any.of the sows may be replaced
by gilts at a rate of 4 gilts for every 3 sows
The COC shall be effective from the date of issuance until September 30, 2009. Pursuant to this COC,
you are authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any increase in waste production greater than the certified design capacity or increase in number
of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
Please carefully read this COC and the enclosed State General Permit. Since this is a revised State
General Permit, it contains new requirements in addition to most of the conditions contained in the
previous State General Permit. Enclosed for your convenience is a package containing the new and
revised forms used for record keeping and reporting. Please pay careful attention to, the record keeping
and monitoring conditions in this permit.
Aquifer Protection Section — Animal Feeding Operations Unit
1636 Mail Service Center, Raleigh, North Carolina 27699-1638 One
NofthCarolina
Phone:[phone] / FAX: 919-71 "588 1 Internet: h2o,enr,state. nc.us
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper Naturally

If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of fixture samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization. Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per 15A NCAC 2H .0225(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 foot 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 COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the. General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
Unless is 30 days, COC be final binding.
.
process. such a request made within this shall and
This facility is located in a county covered by our 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 Duane Leith at [phone].
Sincerely,
for Alan W. Klimek, P.E.
Enclosures (General Permit AWG100000)
cc: _(Certificate of Coverage only for all cc's)
Raleigh Regional Office, Aquifer Protection Section
Halifax County Health Department
Halifax County Soil and Water Conservation District
Permit File AWS420032
APS Central Files
0

Animal Waste Management Plan Certification
(Please type or print all information that does not require a signature)
•
Existins r Neu• or Expanded (please circle one)
•
General Information.
Name of Farm: Ae�c�j�i/�, ..��
Owner(s) Name:
Mailing Address: ?O,r
Farin Location: S e i9619 CounrN- Farm is located in:
Latitude and Longitude: 34�o DG ' DZ. 1 - ZZ�
Please attach a copy of a county road map with location i
Facility .No: 422 -- 3Z
Phone No: _1 / 9 --62w-' —393 7
I'C 27Z� 719'-
and describe below (Be specific: road
names, directions, milepost, etc.):
Operation Description:
71 pe of Swine No. of Animals
_i Wean to Feeder
Z Feeder to Finish
:3 Farrow to Wean
Z F w to Feder
w to Finish
Type of Poultn• No. of.lnimals.
Laver
r Pullets
Other T1pe of Livestock:
Tyne of Cattle
Dairy
a Beef
No. of Animals
Number of Animals:
Erpanding Operadan Only r<
Previous Design Capacity: Additional Design Capacity
Total Desr.gn Caaacim:
Acreage Available far Application: �S Required Acreage:.
Number of Lagoons I Storage Ponds : z Total Capaci �3 O 9 Cubic Feet (ft3)
Are subsurface drains present on the farm: ITS or �N61ease circle one)
If YES: are subsurface drains present in the area of the LAGOON or SPRAY FIELD (please circle one)
•akaxas�rw�k��M�K�k�is����Y�k�k�k�R�Kok�k�kMok�;cok****�R�k�k***M?!a�!c?r�*�k�k�iok�k�M�R*#�k*�KikM�Rr�ie�t���k*�k�k�x�k��k�##*�k�v*�k*fi*
Owner 1 Manager.Agreement
I (we) verify that all the above information is correct and will be updated upon changing. I (we) understand the operatio and
maintenance procedures established in the approved animal waste management plan for the. farm named -above and will
implemebt 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 -ta the Division of
Environmental Management before the new animals are stocled. 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 35-year. '_'T-hour storm and there must not be run -off -from the application of animal
waste. I (we) understand that ruff -off of pollutants from lounging and heavy use areas must be minirnized-using technical
standards developed by the Natural Resources Conservation Service. The approved plant will:be filed at the farm and at the
office of the local Soil and Water Conservation District. I tw•e) know that any modiflration must be approved.by a technical
specialist and Submitted to the Soil and Water Conservation District prior to impiemedtation. a, change in land ownership_
requires written notification to DEM or a ne�x ce:tifiation o f the acproN-ed plan is :aanc--w'i within 64 dars of a title transfer.
Name of L
Si -nature
fume of �IunaQerfif J,iffe-znt from owne.):
Si -mature: Date:

Technical Specialist Certification
I. As a technical specialist designated by the Wont Carolina Soil and Water Conservation Co.nrnission pursuant to 15A
NCAC 6F .0005. 1 Certify that the animal waste management system for the farm named above has an animal waste -
management pian that meets or exceeds standards and specifications of the Division of Environmental Management (DEM)
as specified in 15A NCAC 2H.0317 and the USDA -Natural Resources Conservation Service (\RCS) and/or the North
Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 2H.0317 and 15A NCAC 6F .0001,0005. The
following elements are included in the plan as applicable: While each category designates a ;echnical specialist who may
sign each ce :incation (SD. S1. WUP, RC.1). the technical specialist should only certify parts for which they are technically
competent.
IL Certi; fication o, f Design
A) Collection, SIorage,Treatment System
Check the appropriate box
?1. Existing -facility without retrofit (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with waste utilization
requirements.
J Lew, expanded orJdtroftted facility (SD)
Animal caste storage and treatment structures• such as but not limited to collectidn systems, lagoons and ponds,
have been designed to meet or exceed the minimum standards and speci$cadcds.
Name of Technical Specialist (Please Print): zO, Shoes T
Affiliation: /%s� w � E c, S-
irE G j G /->O
Address(Aaenc* r C 7 Phone No.: 9i9'.S�.j
Signature: Date:
--
B) Und a idolicati n Xite •(N4'UP)
The an pr6vides for minimum separations (buffers); adequate amount of Iand for waste utilization; chosen crop is
suitable for waste management; hydraulic and nutrient loading rates.
Name of Technical Specialist (Please
Affiliation:_ /%fjWi/4 -ee°f
Address(?►penc�y):�
Signature:
C) RM
Check the
,1_1.-d's
' ac' 'tv %vie out exterio _low (SD or NVl P or RC)
This facility does not contain ahv exterior lots.
hone No.:' 9/9 2.583 3¢8./
—! f—
Z) Eacility with ester' lot (RC)
Methods to minimize the run off of pollutants from Ioungin_e ,and heavy use areas have been designed in
accordance with technical standards deve:cped by MRCS.
dame of Technical Specialist (Flea -se Print!: , /, 4r�Yy_E �5 � .�� •,
Affiliation: �j/�C.S�—r
Address(.`==nc� t
Signature:.
Phone No-.:
Date: — '"

Dj, Applicatimn and Handling &uipment
theck the appropriaie box
CXl�tfn� or er .anding fact its w't esi�tina �ra�te a iicat'on eQui e t (W F or I)
• Animal wave application equipment specified in the plan. has been either field calibrated or evaluated in
ac,ordance 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 titans of applications has begin
established: required buffers can be maintained and calibration and adjustment guidance are contained as part of
the plan).
e.• anded. or exigting ac' •tv wi[ ut e.`'sting way e a licati n egret e_n t o arav
Lam. (1)
Animal waste application equipment specified in the plan has been designed to apply waste as ne:essan 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).
tiew ex anded e. ' t' g facility without e ' t' a waste application cqui e d
aRreading noE usigg sera nation. {W-liP or I)
Animal waste application equipment specified in the plan has been, selected 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 cart be maintained; calibration and adjustment guidance are
contained as part of the plan). /
Name of Technical Specialist (Please Print):
Affiliation: Al C .S
Address(A?ency • -E Phone No.:�19 Se_? 25 el
Signature: ��' / .�'° �` Date: %—
E)
The waste management plan for this facility includes a Waste Management Odor Control Checklist, an Insect Control
Checklist. a Mortality Management Checklist and an Emergency Action Plan. Sources of bath odors and insects
have been evaluated with respect to this site and Best Management Practices to Minimize Odors and Best
Management Practices to Control Insects have been selected and included in the waste management plan. Both the
�•iortality Management Plan and the Emergency Action Planjar complete and can impl mented by this facility.
Name of Technical Specialist (Please Print): �.. ,�f�'a jxv
Affiliation: ZLJ /V2c-F
Address(Agency):
Signature:
hone No.: 9/9 :i 5& 35 el
late:
F) Writ en \ tice f \e� or E� anding 5��irte Farm
T e Imature bloc!. is oni% to be used for new or expanding stone farms that n c nstruction after June
21, 199b. if t fact t uilt before June?I. 199& when -was it construe ast expanded
I twe) cenify that I (we) have attem contact.bp recopied mail a[I in; property owners and all property owners
who 0%vn property located across a public road�rrre r hich - rom this ne.�' or expanding swire farm. The notice was in
compliance with the requirements of \CGS 14e-505 .e a notice and a list of the procem owners notified is
atcached.
ante of Land Oivner :
Si;nature:
Date:
.Name of Nlarm er(if different fnotn .)�tner►: ``
Si;wna Fe Date:
ANVC .lanuary I. 11.197, ?

k
III. Certification of Installation
A) CollectionStarage Treatment In ta) ation
New. expanded or retrgficted 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 p ' t (Please Print):
Affiliation:
Address(Aa! cv): Phone Na.:
Signature:_
B) Land :application Site (WUP) .
Check the appropriate box
'r The cropping system is in place on all land as specified in the animal waste management plan
0 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 (month/day/year); the proposed cover crop is appropriate
for compliance with the wasteutilization plan.
Cl Also check this box if appropriate
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): hd��
Affiliation: fJ14 c S
Address{Agency} �� G e 278 . Phone No.:
Sianature: t of, Akl" -- Date: r'
This followinj signaturlock is only to be used when the box for conditional approval
above has ben checked.
I (we) certify a have committed to establish the cropping system as speci Amy (our) waste utilization plan, and
!Itnif appropriate to establish m crap For erosion control, and will su a DEyI a verification of completion from a
Technical Specialist within i5 caleiR s following the•date ed in the conditional certification. I (we) realize that
failure to submit this veriflcatio6 is a violation waste aeement plan and will subject me (us) to an enforcement
action from DEM.
dame of Land Owner:
Sianature:_
-Name of \I
er(if different from owner):
Sian re• Date:

`C) Runoff Contrnls from Exterior Lots (RC)
L l~aciliry with exterior lots
ktg4hods to minimize the run off.of pollutants from lounging and heavy use areas
in the
�es without exterior lots, no cert' tiott is necessary.
Name of Technical Specialist (Please
Affiliation:
Address(Agency):
Si
No.
installed as specified
D) li ation and Handling Equipment Install2tion OVUP or I)
Check rlre�ap ropriare block
Ud` 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 par. 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 is the
contract agrees with the requirements of the plan; required buffers can be maintained; caRbratiod and
adjustment guidance have been provided to the owners and are contained as par. of the plan.
ZI Conditional approval: Animal waste application and handling equipment specified in the plan'has been
purchased and will be on site and installed by (month/day/}ear); there is adequate storage to
hold the waste until the equipment 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):
Affiliation: '/' .J•-� Ive CS
Address(AQencv):
Signature:
;e No.: '83 254,g
T
e follouvindsianaturAlock is only to be used 'A -hen the box for conditional appro • D
above n checked.
I (we) certifv that . ave committed to purchase the animal waste a ton and handling equipment as
specified in my'(our) waste m ent plan and will submit to D � verification of delivery and installation,
from a Technical Specialist within 15 c tad days following date specified in the conditional certification. - I
(we) realize that failure to submit this verificatio tton of the waste management plan and will subject me
(us) to an enforcement action from DEM.
Name of Land Owner:
Signature•
Name of 1TanaR tf different from owner):
Sianatt e*.' Date:
E) Odor Contrni, Trisect Control and -Mortality 'Management 5 D. ST. NVUP. RC or Il
Alelhods to control odors and insects as specified in the Plan have been installed and are operational. The
rnonality mans__e neat system as spec?fied in the P!an'has also be_n instailed and is operational.
• \anie of Technical Specialist 1 Please Print):
A�ftliation: -&-"f Cl
eve o ,r S /
Add ress(A�_,cnc•. e-iY PhCne \o. 919 �3'�
Si�_nature: Date:
AIVC -- .lams r 1. 199

Please return the completed form to the Division of Water Quality at the following address:
Department of Environment, Health, and Natural Resources
Division Of Water Quality
Water Quality Section, Compliance Group
P.O. Box 29-35
Raleigh, NC 27626-0535
Please also remember to submit a copy of this form along with the complete .Animal Waste
INIanaeement Plan to the local Soil and Water Conservation District Office and to keep a copy in
your files with your Animal «'ante Management Plan.
•.•r .• »_. • •...� it

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_fV_'

' ANIMAL WASTE UTILIZATION PLAN
•
Producer: GEORGE PENDLETON
Location: RT #1 BOX 117
SCOTLAND NECK NC 27874
Telephone: [phone]
Type Operation: Existing Farrow to Finish Swine
Number of Animals: 250.00 sows
(Design capacity)
STORAGE STRUCTURE: Anaerobic Waste Treatment Lagoon
APPLICATION METHOD: Irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops
in the fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that all plant nutrients can be
balanced.for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than the crop can utilize.
2. Soil types are important as they have different infiltration
rates, leaching potentials, cation exchange capacities, and
available water holding capacities.
3. Normally waste shall be applied to land eroding at less than
5 tons per acre per year. Waste may be applied to land
eroding at 5 or more tons per acre annually, but less than
10 tons per acre per year providing that adequate filter
strips are established.
4. Do not apply waste on saturated soils, when it is raining,
or when the surface is frozen. Either of these conditions
may result in runoff to surface waters which is not allowed
under DWQ regulations.
Page: 1

ANIMAL WASTE UTILIZATION PLAN
•
5. Wind conditions should also be considered to avoid drift and
downwind odor problems.
6. To maximize the value of the nutrients for crop production
and to reduce the potential for pollution, the waste should
be applied to a growing crop or applied not more than 30
days prior to planting a crop or forages breaking dormancy.
Injecting the waste or disking will conserve nutrients and
reduce odor problems..
This plan is based on the waste application method shown above. If
you choose to change methods in the future, you need to revise this
plan. Nutrient levels for different application methods are not the
same.
The estimated acres needed to apply the animal waste is based on
typical nutrient content for this type of facility. Acreage
requirements should be based on the waste analysis report from your
waste management facility. In some cases you may want to have plant
analysis made, which could allow additional waste to be applied.
Provisions shall be made for the area receiving waste to be flexible
so as to accommodate changing waste analysis content and crop type.
Lime must be applied to maintain pH in the optimum range for specific
crop production.
This waste utilization plan, if carried out, meets the requirements
for compliance with 15A NCAC 2H .0217 adopted by the Environmental
Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
250 sows x 19.9.tons waste/sows/year = 4975 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
250 sows x 26 lbs PAN/sows/year = 6500 lbs. PAN/year
Applying the above amount of waste is a big job. You should plan time
and have appropriate equipment to apply the waste in a timely manner.
The following acreage will be needed for waste application based on
the crop to be grown, soil type and surface application.
Paae: 2

ANIMAL WASTE UTILIZATION PLAN
TABLE 1: ACRES OWNED BY PRODUCER
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW,N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
5822
�1,2
GtB
W
45
108
0
20.3
2192.4
I
SEPT-APR
5822
1,2
SA
60
78
0
�GtB
I
120.3
11583.4
JUN-SEPT
3631
0
1-5
jGtB
JW
I
145
1109
12.0
1216
SEPT-APR
3631
5
GtB
SA
60
78
0
0
li
I
1
12..
1156
JUN-SEPT
1
0
1.3
1-6
jGt13
JW
I
145
�108
1140.4
SEPT-APR
3631
6
SA
60
78
0
IGtB
I
I
I
11.3
1101.4
JUN-SEPT
3631
0
1-7
jGtB
JW
I
�45
1108
11.9
1205.2
SEPT-APR
3631
7
SA
60
78
0
jGtll
I
11.9
1148.2
JUNE-
SEPT
3631
"8A
0
IGtB
JW
I
145
1108
13.0
1324
SEPT-APR
3631
SA
60
78
0
3.0
18A
IGtB
li
1234
JUNE-
SEPT
3631
SG
29
49.3
0
1-3
JEMB
I
I
I
17.0
134-5.1
OCT-MAY
3631
3
EmB
CO
600.0
72
0
504
I
17.0
APR-AUG
jet
SG
29
49.3
0
1-4
JEMB
I
117.1
1843.03
OCT-MAY
Page: 3

'
ANIMAL WASTE UTILIZATION PLAN
3631
231.2
14 JEMB
1Co �600.0172
10
I17.1
APR
3631
SG
29
49.3
0
1-2 �BOB
I
I
I
]12.8
1631.04
OCT-MAY
3631
2
CO
700
0
JBOB
184
ii.
112.8 11075.2
APR-AUG
END
I
TOTAL19930.57
- Indicates that this field is being overseeded (i.e. interplanted)
or winter annuals follow summer annuals.
NOTE: The applicator is cautioned that P and K may be over applied
while meeting the N requirements. In the future, regulations may
require farmers in some parts of North Carolina to have a
nutrient management plan that addresses all nutrients.- This plan
only addresses nitrogen.
..414
0
Page: 4

' ANIMAL WASTE UTILIZATION PLAN
•
TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land.
See required specification 2.)
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
END
TOTAL 10
Indicates that this field is being overseeded (i.e. interplanted) or
winter annuals follow summer annuals.
. In interplanted fields (i.e. small grain, etc, interseeded
in bermudagrass), forage must be removed through grazing,
hay and/or silage. Where grazing, plants should be grazed
when they reach a height of six to nine inches. Cattle
should be removed when plants are grazed to a height of four
inches. In fields where small grain, etc, is to be removed
for hay or silage, care should be exercised not to le•t small
grain to reach maturity, especially late in the season (i.e.
April or May). Shading may result if small grain gets too
high and this will definitely interfere with stand of
bermudagrass. This loss of stand will result in reduced
yields and less nitrogen being utilized. Rather than
cutting small grain for hay or silage just before heading as
is the normal situation, you are encouraged to cut the small
grain earlier. You may want to consider harvesting hay or
silage two to three times during the season, depending on
time small grain is planted in the fall.
The ideal time to interplant small grain, etc, is late
September or early October. Drilling is recommended over
broadcasting. Bermudagrass should be grazed or. mowed to a
height of about two inches before drilling -for best results.
Caution must be exercised in grazing or haying summer
. annuals under stressed conditions. Nitrate poisoning
may occur in livestock. Sampling forage or hay for
nitrate levels is recommended.
Page; 5.

ANIMAL WASTE UTILIZATION PLAN
•
** Acreage figures may exceed total acreage in fields due to
overseeding.
* lbs AW N (animal waste nitrogen) equals total required nitrogen
less any commercial nitrogen (COMM N) supplied.
The following legend explains the crop codes used in tables 1 and 2 above:
CROP CODE
CROP
UNITS
PER UNIT
CO
COTTON
POUNDS
0.12
SA
SUMMER ANNUALS (I.E. Sorghum -Sudan Hybri
1.3
SG
SMALL GRAIN OVERSEEDED
1.7
W
WHEAT
BUSHELS
2.4
•
TABLE 1
TABLE 2
TOTAL
**
TOTALS FROM TABLES 1 AND 2
ACRES
LBS AW N USED
65.4
9930.57
0
0
65.4
9930.57
* BALANCE
-3430.57
*** This number must be less than or equal to 0 in order to
fully utilize the animal waste N produced.
•
Page: 6

ANIMAL WASTE UTILIZATION PLAN
*** This number must be less than or equal to 0 in order to fully
utilize the animal waste N produced.
Acres shown, in each of the preceding tables are considered to be the
usable acres excluding required buffers, filter strips along ditches,
odd areas unable to be .irrigated, and perimeter areas not -receiving
full application rates due to equipment limitations. Actual total
acres in the fields listed may, and most likely will be more than the
acres shown in the tables.
See attached map showing the fields to be used for the utilization of
animal waste.
SLUDGE APPLICATION:
The waste utilization plan must contain provisions for periodic land
application of sludge at agronomic rates. The sludge.will be nutrient
rich and will require precautionary measures to prevent over application
of nutrients or other elements. Your production facility will produce
approximately 1075 pounds of plant available nitrogen per year in the
sludge.
If you remove the sludge every 5 years, you will have approximately 5375
pounds of PAN to utilize. Assuming you apply this PAN to hybrid
bermudagrass hayland at the rate of 300 pounds of nitrogen per acre, you
will need 17.9166666667 acres of land. If you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you will need 43 acres
of land. Please be aware that these are only estimates of the PAN and
land needed. Actual requirements could vary by 25%- depending on your
sludge waste analysis, soil types, realistic yields, and application
methods.
APPLICATION OF WASTE BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the
soil at the time of irrigation such that runoff or ponding occurs. This
rate is limited by initial soil moisture content, soil structure, soil
texture, water droplet size, and organic solids,. The application amount
should not exceed the available water holding capacity.of the soil at the
time of irrigation nor should.the plant available nitrogen applied exceed
the nitrogen needs of the crop.
If surface irrigation is the method of land application for this plan,
•it is the responsibility of the producer and irrigation designer to ensure
that an irrigation system is installed to properly irrigate the acres
shown in Tables 1 and 2. Failure to apply the recommended rates and
Page: 7

1 � 1
ANIMAL WASTE UTILIZATION PLAN
•
amounts of nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application
rates and amounts.
Tract
Field
Soil Type
Crop
Application Rate
(in/hr)
Applic. Amount
(inches)
3631
2
BOB
CO
0.5
*1.0
3631
3
EmB
CO
0.50
*1.0
3631
EmB
CO
0.50
*1.0
3631
5
GtB
SA
0.35
*1.0
3631
6
GtB
SA
0.35
*1.0
3631
7
GtB
SA
0.35
*1.0
3631
8A
GtB
SA
0.35
*1.0
-2
BOB
SG
0.5
*1.0
3631
-3
EmB
SG
0.50
*1.0
3631
"4
EmB
SG
0.50
*1.0
3631
GtB
W
0.35
*1.0
3631
"6
GtB
W
0.35
*1.0
3631
'GtB
W
0.35
*1.0
3631
-8A
GtB
W
0.35
*1.0
5822
1,2
GtB
SA
0.35
*1.0
5822
-1,2
GtB
W
0.35
*1.0
* This is the maximum application amount allowed for the soil
assuming the amount of nitrogen allowed for the crop is not over
applied. In many situations, the application amount shown cannot
be applied because of the -nitrogen limitation. -The maximum
application amount shown can be applied under optimum soil
conditions.
Page: 8

ANIMAL WASTE UTILIZATION PLAN
Your facility is designed for 180.00 days of temporary storage and the
temporary storage must be removed on the average of once every 6.00
months. In no instance should the volume of the waste be stored in
your structure be within the 25 year 24 hour storm storage or one foot
of freeboard except in the event of the 25 year 24 hour storm.
It is the responsibility of the producer and waste applicator to
ensure that the spreader equipment is operated properly to apply the
correct rates to the acres shown in Tables 1. and 2. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may
make this plan invalid.
Call your technical specialist after you receive the waste analysis
report for assistance in determining the amount of waste per acre and
the proper application rate.prior to applying the waste.
NARRATIVE OF OPERATION
L�l
•
Page: 9

•� WASTE UTILIZATION PLAN
0 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.
2. There must be documentation in the design folder that the
producer either owns or has an agreement for use of adequate
land on which to properly apply the waste. If the producer does
not own adequate land to properly dispose of waste, he/she shall
provide a copy of an agreement with a landowner who is within a
reasonable proximity, allowing him/her the use of the land for
waste application. It is the responsibility of the owner of the
facility to secure an update of the Waste Utilization Plan when
there is a change in the operation, increase in the number of
animals, method of utilization, or available land.
3. Animal waste shall be applied to meet, but not exceed, the
nitrogen needs for realistic crop yields based on soil type,
available moisture, historical data, climatic conditions, and
level of management, unless there are regulations that restrict
the rate of application for other nutrients.
4. Animal waste shall be applied to land eroding less than 5 tons
per acre per year. Waste may be applied to land that is eroding
at 5 or more tons, but less than 10 tons per acre per year
providing grass filter strips are installed where runoff leaves
the field. (See FOTG Standard 393 -Filter Strip)
5. Odors can be reduced by injecting the waste or disking after
waste application. Waste should not be applied when there is
danger of drift from the irrigation field.
6. When animal waste is to be applied on acres subject to
flooding, it will be soil incorporated on conventionally tilled
cropland. when applied to conservation tilled crops or
grassland, the waste may be broadcast provided the application
does not occur during a season prone to flooding. (See "Weather
and Climate in North Carolina" for guidance.)
7. Liquid waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur offsite or to
surface waters and in a method which does not cause drift from
the site during application. No ponding should occur in order
to control odor or flies.
8. Animal waste shall not be applied to saturated soils, during
rainfall events, or when the surface is frozen.
• 9. .Animal waste shall be applied on actively.growing crops in such
a manner that the crop is not covered with waste to a depth that
would inhibit growth. The potential for salt damage from animal
waste should also be considered.
Page: - 10

•
•
WASTE UTILIZATION PLAN
REQUIREDSPECIFICATIONS
10. Waste nutrients shall not be applied in fall or winter for
spring planted crops on soils with a high potential for
leaching. Waste nutrient loading rates on these soils should be
held to a minimum and a suitable winter cover crop planted to
take up released nutrients. Waste shall not be applied more
than 30 days prior to planting of the crop or forages breaking
dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall
comply with the following: The outer perimeter of the land area
onto which waste is applied from a lagoon that is a component of
a swine farm shall be at least 50 feet from any residential
property boundary and from any perennial stream or -river (other
than an irrigation ditch or canal. Animal waste other than
swine waste from facilities sited on or after October 1, 1995),
shall not be applied closer than 25 feet to perennial waters.
(See Standard 393 - Filter Strips).
12. Animal waste shall not be applied closer than 100 feet to
wells.
13. Animal waste shall not be applied closer than 200 feet of
dwellings other than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property
and public right-of-ways.
15. Animal waste shall not be discharged into surface waters,
drainageways, or wetlands by a discharge or by over -spraying.
Animal waste may be applied to prior converted cropland provided
they have been approved as a land application site by a
"technical specialist". Animal waste shall not be applied on
grassed waterways that discharges directly into water courses,
and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that causes no runoff or drift from
the site.
16. Domestic and industrial waste from washdown facilities,
showers, toilets, sinks, etc., shall not be discharged into the
animal waste management system.
17. A protective cover of appropriate vegetation,will be
established on all disturbed areas (lagoon embankments, berms,.
pipe runs, etc:). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and
other woody species, -etc.-, are limited to areas where considered
appropriate. Lagoon areas should be kept mowed and accessible.
Berms and structures -should be inspected regularly for evidence
of erosion, leakage or discharge.
Page: 11

WASTE UTILIZATION PLAN
. REQUIRED SPECIFICATIONS
18. if animal production at the facility is to be suspended or
terminated, the owner is responsible for obtaining and
implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19. Waste handling structures, piping, pumps, reels, etc., should
be inspected on a regular basis to prevent breakdowns, leaks,
and spills. A regular maintenance checklist should be kept on
site.
20. Animal waste can be used in a rotation that includes vegetables
and other crops for direct human consumption. However, if
animal waste is used on crops for direct human consumption it
should only be applied preplant with no further applications of
animal waste during the crop season.
21. Highly visible markers shall be installed to mark the top and
bottom elevations of the temporary storage (pumping volume) of
all waste treatment lagoons. Pumping shall be managed to
maintain the liquid level between the markers. A marker will
be required to mark the maximum storage volume for waste
storage ponds.
0 22.. Waste shall be tested within 60 days of utilization and soil
shall be tested at least annually at crop sites where waste
products are applied. Nitrogen shall be the rate - determining
element. Zinc and copper levels in the soils shall be
monitored and alternative crop sites shall be used when these
metals approach excessive levels. pH shall be adjusted for
optimum crop production and maintained. Soil and waste
analysis records shall be kept for five years. Poultry dry
waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be
maintained for five (5) years.
•
23. Dead animals will be disposed of in a manner that meets North
Carolina regulations.
Page: 12

ANIMAL WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm:
Owner/Manager Agreement
I (we) understand and will follow and implement the specifications
and the operation and maintenance procedures established in the
approved animal waste utilization plan for the farm named above. I
(we) know that any expansion to the existing design capacity of the
waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the
North Carolina Division of Environmental Management (NCDEM). before
the new animals are stocked. I (we) also understand that there -
must be no discharge of animal waste from this system to surface
wasters of the state from a storm event less severe than the 25=
year, 24-hour storm. The approved plan will be filed on -site at
the farm office and at the office of the local Soil and Water
Conservation District and will be available for review by,NCDEM
upon request.
Name of Facility Owner: George Pendleton
(Please print)
Signature: Date:
Name of Manager(If different from owner):
Signature:
Date:
Name of Person Preparing Plan: (please print')J. Wayne Short
Affiliation:NRCS Phone No. 919-583-3481
Address (Agency): Post Office Box 8
Signature
0
Halifax NC 27839-0008
Date: Z

ANIMAL WASTE UTILIZATION PLAN
A
•
ANIMAL WASTE UTILIZATION AGREEMENT
(Needed only If additional land has to be leased, etc.)
I, hereby give
permission to apply animal waste from his Waste Utilization System
on acres of my land for the duration of time shown below.
The field(s) on which waste can be applied are shown on the
attached map.
1 understand that this waste contains nitrogen, phosphorous,
potassium, and other trace elements and when properly applied
should not harm my land or crops. I also understand that the use
of waste will reduce -my need for commercial fertilizer.
Adjacent Landowner:
Waste Producer:
Date:
Date:
Technical Representative: Date:
SWCD Representative: Date:
Term of Agreement:
•
19_ to
(Minimum of Ten Years on Cost Shared Items)
(See Required Specification No. 2.)
Page: 14

ANIMAL WASTE UTILIZATION PLAN
is
•
STATE OF NORTH CAROLINA
COUNTY OF
I _.. a Notary
Public of said County, do hereby certify that
personally appeared before me this day and acknowledged -the due
execution of the foregoing instrument.
WITNESS my hand and official seal this
19
day of
My commission expires
Notary Public.
(SEAL)
Page: ,15

ANIMAL WASTE UTILIZATION PLAN
Waste Utilization - Third Party Receiver Agreement
I, hereby agree to apply waste
generated by in a manner that meets the
Waste Utilization Standard (633), or use an alternative waste
utilization system that has been accepted in writing by the
Division of Water Quality.
Third Party Receiver:
Date:
Term of Agreement: to
(Minimum Ten Years on Cost -Shared Items)
0 STATE OF NORTH CAROLINA
COUNTY OF
I, a Notary
Public of said County, do hereby certify that
personally appeared before me this day and acknowledged the due
execution of the foregoing instrument.
WITNESS my hand and official seal this day of
19
My commission expires
(SEAL)
i
Notary Public.
Page: 16

Jr-
"
m
~

AAWC
Rip
. �i'•r' .� +,s,�'�a �i:, _ is '�
T.� r

1'
u
•
•

EMERGENCY ACTION PEAK
PHG`-E NTUMBERS
DWQ 9i2 57�- ¢700
EMERGENCY �,1ANAGEMLN-T SYSTE,'Y1 �'717—SB3'2o31
SWCD
MRCS 9 9 ;= -,? ¢8/
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.
I. 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 sc'I to be.rrn 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 lasoon.
B. Runoff from waste application field -actions include:
a. Immediately stop waste application.
f b. Create a temporary diversion to contain waste.
c. Incorporate waste to reduce runoff.
d. EvaIuate and eliminate the reason(s) that caused the runoff.
e. Evaluate the'application rates for the fields where runoff occurred.
C: Leakage from the waste pipes and sprnklers-action include:
a. Stop recvcle.pump.
b. Stop inisation pump.
c. CIose valves to elimtnate further• discharge.
d. Repairall leaks Lprior to restarting pumps.
D: Leakage from r-lush systems. houses. solid separators -action include:
a. :Slop rec.-,!e pump.
b. Stop inm:at,on pump.
c. Make sari no siphon occta:-.
C. Stop ,all '�owiti the !louse. bush 5Vste,Lt,. or _cHd separators.
De=sr11• er IS. i Vic(,

i f
1
6: Contact the technical specialist A'ho certified the lagoon (MRCS, Consulting
En`inee,r. etc.)
a. Name:
b. Phone: cR/
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.
40 -
rl
LJ
Decembe. E S. 1996

Insect Control Checklist for Animal Operations
tiuurtc Cause HVINs lu Control Insects Site Specific Praclices
I�1u31► (inners
• Accumulation of solids
PJ Flush system is designed and operaled
sufficiently to remove accumulated solids front
gutters as designed.
cy, Remove bridging ofacntnwlaled solids al
discharge
1_111;(Itins and fits Crusted Solids EJ Maintain lagoons, scltling basins and Nils where
pest breeding is apparent to minimize the
crusting of solids to a depth of no more titan b -
8 inches over more loan 30% of surface.
I:at:&;"ive Vegetative • Decaying; vegctalion 17-71, Maintain vegetative control along backs of
t iraa+vtli lagoons and other impoundments to prevent
accumulatiou of decaying vegetative maltcr
along waleVs edge on hupoundmenl's pe:rintc1cr.
Dry Sysleuts
^I c..lcta --� Fee tl Sg+illag;c C7 DOig;it, 01)CNIC aad utitinlain fiscal systems (e.g„
bunkers and trouglis) to minimize the
accumulation of decaying wastage.
n Clean up spillage on a rouline basis (e.g., 7 - 10
day interval during; summer; 15-30 day interval
during winter). .
Reuel Storage Acctnl,tllallons of ked residues 11 Reduce; ntoislure accumulalion witbin and
around intn ediaic perintwer of Iced storage
areas by insuring;,Irai,tug;e away bunt site
and/or providing advilualc conlainatent
covered bin fur•hrcwei's grain and similar high
moisltire grain produels).
n Inspect for and remitve or break up-accimutlawd
solids in filter strips around feed swrage as
needed.
AAlli' = 1'[„v.:uibc, 11, 1996. g'at;a: I

Swine Farm Waste Management Odor Control Checklist
Sullr'ce Cause IIMI's to 11'linlutize odor -- — Site Specific Prucliccs
F�ulutt�u! --- •- swine pruduclion 01 Vegetative or wanded buffers;
V
ecommended best manaplernenl praclices;
ond judgment and common sense
Animal body surf Icc5 Dirty manure -covered animals 174 pry floors
l-luur mnrfaccs Wct rltalulre-covered floors 2olied floors;
Vaterers located over slotted floors;
Ceders at high end of solid floors;
ape manure buildup horn floors;
;-,�Vlnr
dcrllonr ventilation for drying
N1.lnurc colicclilun Ails • tlrilic; fX Frequent manure removal by flush. pn recharge..
• Pal-lial microbial decomposition or scrape;
nderllnor ventilation
V0161.111011 csb;lusl I.ei15 Vulatilc bases; f'l� rt ntainle:nalice;
Dust G Ij't-licicnt air atovement
luduur suffices
Dust
C-1 ushdown between groups of animals;
F
1, (1 additives;
f
Irccdcr covers;
Cl
Iced delivery downspout extenders In feeder
covers
FIusII Ia1II.s
Agitation of recycled lagoon
Ca
Flush lank covers;
litinid while larks arc fillhig
f]
Extend fill lines to near boom of tanks with
nli-siphon vents
Flush alleys
Agiialinu during waslewaelcr
underfloor flush with muIvrlluor ventilalion '
conveyance
I'll 14c11alge littims
• Agitation of recycled lagoon
n
Extend recharge lines it) near bouum of Bits
liquid while pits are filling
Willi anti -siphon vents
Lil-I Maliulls
• Agitation (luring sump 11111k
n
Sinop lank covers
filling and drawdown
0111side tlrail, collection - • Agitation during wastewater it Box covers
of jnnclinls boxes conveyance:
A At( i(' - NtIV anlx:r 11. 1996, Page 3

Satlrce Cause UMPs to Minimize Odor Site Specific Practices
f nd of drainpipes at Agitation during wastewater Extend discharge point of pipes underneath
I rbnon conveyance lagoon liquid level
k1unop surfaces • Volatile gas emissions;
• Biological mixing;
• Agitation
Irrigation sprinkler 0 1 Gbh pressure agitation;
nnZZICS . Wind drift
Q Proper lagoon liquid capacity;
Correct lagoon startup procedures;
�I Minimum surface area -to -volume ratio;
O"IminifTILlm agitation when.pumping;
R Mechanical aeration;
Proven biological additives
a Irrigate on dry days wills little or no wittd;
0/ Minimum recommended operating pressure;
Pr/pLIM,
intake near lagoon liquid surface;
!3 Ptunp from second -stage lagoon
St��ragc rank nr basin • Partial microbial decomposition; 0 Bottom or midlevel loading;
Mixing while filling; - ❑ 'yank covers;
• Agitation when emptying ❑ Basin surface mats of solids;
Cl Proven biological additives or oxidants
Sctilint; 6a;ia surface 0 Partial microbial decomposition; Cl Extend drainpipe outlets underneath liquid
• Mixing while filling;/level;
• Agitation �`i when emptying Remove settled solids regularly
Khmirc, slurry w sludge
spI'CULI ;r outU5
l Incuvercd manure,
slurry or shedge on field
slip 14ces
• Agitation when spreading;
• Volatile gas emissions
• Volatile gas emissions while
drying
Cl Soil injection or-slurry/sludges;
0 Wash residual manure from spreader afler use;
❑ Proven biological additives or oxidants
❑ Soil injection of slurry/sludges
❑ Soil incorporation within 48 hrs.;
0 Spread in thin. r:niforni layers for rapid drying
Cl Proven biological additives or oxidants
I�ca�l :urinrals T • ~Carcass decomposition FF -Proper disposition ofcarcasses
T!?cast annual di.pusal Carcass decomposition /Complete coverinc of carcasses in borial pits;
I"ts G Proper loeation/eonslruction ordisposal pits
Incincr:,turs Iucomplele Coll 11u lion n Secondary, stack burners
Ahtr wcnrlicr II, 1996. Pagr4

Suu_rcn Cause HMPs in Minimize Odor Si1c Slscciiic Practices
Standing water around • Improper drainage; Grade and landscape such that water drains
facilities 0 Microbial decomposition of away from facilities
organic matter
hlannre tracked 01110 • Poorly maintained access roads Fann access road lnainlenanco
public Fouls liom farm
-access
Additional Information :
Swine kl:mnre Management ; 6200 ltuldnMP Packet
Swine Production Dann Potential Odor Sources and Remedies ; RBAli Fact Sheet
Swing Production Facility Manure Management: Pit Recllarge - Lagoon Treatment ; FBAE 128-88
Swinc Production facility Manure Management: Underfloor Flush - Lagoon Trealntent ; MAE 129-88
Lagoon Design and Managenterrl for Livestock Manure Treatment and Storage ; EIIAE 103-83
Calibration of Manure and Wastewater Application [igttipment ; C13AE fact Sheet
Controlling Odors from Swine Buildings ; P111-33
Envinuuncatal Assurance Program ; NPPC Manual
()lrtiuus fur Managing Odor; a report from [lie Swine Odor Task Force
hustutce-Coiicems in Animal Manure Management: Odors and Flies; PROW, 1995 Conference Proceedings
Available Frnnti :
NCSIJ, County l:zleasiou Center
NCSIJ - BAF
NCSIJ - RAI:
NCSII - BAli
NCSI# - ME
NCSIJ - BAI.
NCSII - Swine Extension
NC Pork Producers Assoc
NCSIJ Agri Communications
Florida Cooperalive. I:xIciisnon
Ahl()(: - Nawcmbur It. 1996, Page 5

r
n
IN-lortality Management Methods
(check which methods) are being implemented)
Burial three feet beneath the surface of the Around within 24 hours after
knowledge of the death. The burial must be at least 300 feet from any flowing
stream or public body of water.
J 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 xithout endangering
human or animal health. (Written approval of the State Veterinarian must be
attached)
S

•
System Calibration
Information presented in manufacturer's charts are based on average
a� operating conditions with relatively new equipment. Discharge
rates and application rates change over time as equipment gets older
and components wear. in particular, pump wear tends to reduce
operating pressure and flow. With continued use, nozzle wear results
in an increase in the nozzle opening which will increase the
discharge rate while decreasing the wetted diameter.
You should be aware that operating the system differently than
assumed in the design will alter the application rate, diameter of
coverage, and subsequently the application uniformity. For example,
operating the system with excessive pressure results in smaller
droplets, greater potential for drift, and accelerates wear of the
sprinkler nozzle. Clogging of nozzles can result in pressure increase.
Plugged intakes or crystallization of mainlines will reduce operating
pressure. Operating below design pressure greatly reduces the
coverage diameter and application uniformity.
For the above reasons, you should calibrate your equipment on a
regular basis to ensure proper application rates and uniformity.
Calibration at least once_ every thr a years is recommended.
Calibration involves' o ecting and measuring flow at several
locations in the application area. Any number of containers can be
used to collect flow and determine the application rate. Rain
gauges work best because they already have a graduated scale from
which to read the application amount without having to perform
additional calculations. However, pans, plastic buckets, jars, or
anything with a uniform opening and cross-section can be used
provided the liquid collected can be easily transferred -to a scaled
container for measuring.
For stationary sprinklers, collection containers should be located
randomly throughout the application area at several distances from
sprinklers. For traveling guns, sprinklers should be located along a
transect peIRgadicular to the direction of pull. Set out collection
container 25 feet a art long the transect on both sides of the gun
cart. You s ould compute the average application rate for all
collection containers. You should also look for evidence of
nonuniformity of the application. On a windless day, variation
between containers of more than 30 percent is cause for concern.
• You should contagt your irrigation dealer or technical specialist
for assistance.

NI.M NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
RALEIGH REGIONAL OFFICE
Division of Water Quality
June 21, 2000
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. George Pendleton
G.E. Pendleton Farms, Inc.
Route 1, Box 117
Scotland Neck, North Carolina 27874
Subject: Notice of Violation
!George Pendleton SW,ineiFarm
%W;S420032`:'.
Halifax?Cofy�
Dear Mr. Pendleton:
On June 7, 2000, Mr. Buster Towell of the Raleigh Regional Office conducted a
compliance inspection at the subject swine operation. The following violations were
noted:
Your General Permit requires that your waste lagoon have a gauged marker so
that weekly freeboard levels can be recorded. Both your lagoons had more than
adequate freeboard and while the levels are low this would be good time to
correct this,problem.
Your record keeping needs some improvement. The inspection revealed that you
are keeping field records of your land application activity but, you were not
recording this data to the appropriate form (IRR-2). The IRR-2 form is designed
with the formula for determining your nitrogen balance.
Please note that violations of your Certificate of Coverage (COC) under General
Permit AWG100000 can be subject to civil penalties of up to S 10,000.00 per day,
per violation.
For assistance with resetting your marker you should contact your local Soil &
Water Conservation District.
Please respond to this Notice in writing within fourteen days of receipt. Your
response should indicate your intentions to correct the above referenced violatio
FAIM
MAILING ADDRESS: 1628 MAIL SERVICE CENTER, RALEIGH, NORTH CAROLINA 27699-1628
LOCATION: 3600 BARRETT DRIVE, SUITE 101, RALEIGH, NC 27609
PHoN E 91 9-571 -4700 FA% 91 9-571 -471 8
!1N E4 V, : OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 30% RECYCLED/10% POST -CONSUMER PAPER

r , . „
Mr. George Pendleton
Page 2
The Raleigh Regional Office appreciates your cooperation with this matter. If you have any
questions regarding this Notice, please call Mr. Buster Towell at [phone].
Sincerely,
L Q�a
Kenneth Schuster, P.E.
Regional Water Quality Supervisor
cc: Halifax County Health Department
Mr. Wayne Short, Fishing Creek Soil & Water Conservation District (Halifax)
Ms. Margaret O'Keefe, RRO-DSWC
DWQ Nondischarge Compliance Group
RRO Files

July 23, 2000
Mr. Kenneth Schuster, P. E.
Regional Water Quality Supervisor
N. C. Department of Environment and Natural
Division of Water Quality
lb28 Mail Service Center
Raleigh, North Carolina 27699--1628
Dear Mr. Schuster:
Subject: Notice of Violation Response
Ge"drge:-Pend-le ton -Swine --Farm
HaZ L fax_C-ounty
on
DEu14R RALE
R e s ounce s
On July 13, 2000, the Halifax County Soil and Water
Conservation District came and installed a gauged marker
in the waste lagoon. We will now be able to keep a weekly
account of the freeboard levels.
We also now have the IRR-2 form. The information for
our land application activity will be recorded on this form.
Respectfully,
George . Pendleton, III
Owner George Pendleton Swine Farm

i:.: divd:l:..'!+- x.wib....aYw
�YR4 .i
k
5 bn, 1F
NNORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
RALEIGH REGIONAL OFFICE
Division of Water Quality
June 21, 2000
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. George Pendleton
G.E: Pendleton Farms, Inc.
Route 1, Box 117
Scotland Neck, North Carolina 27874
Subject: Notice of Violation
(Georges Eeridleton Swine)Farm
ZNWS4 02 032P
K1a"li'faz='C ty
Dear Mr. Pendleton:
On June 7, 2000, Mr. Buster Towell of the Raleigh Regional Office conducted a
compliance inspection at the subject swine operation. The following violations were
noted:
Your General Permit requires that your waste lagoon have a gauged marker so
that weekly freeboard levels can be recorded. Both your lagoons had more than
adequate freeboard and while the levels are low this would be good time to
correct this problem.
Your record keeping needs some improvement. The inspection revealed that you
are keeping field records of your land application activity but, you were not
recording this data to the appropriate form (IRR-2). The IRR-2 form is designed
with the formula for determining your nitrogen balance.
Please note that violations of your Certificate of Coverage (COC) under General
Permit AWG100000 can be subject to civil penalties of up to $ 10,000.00 per day,
per violation.
For assistance with resetting your marker you should contact your local Soil &
Water Conservation District.
Please respond to this Notice in writing within fourteen days of receipt. Your
response should indicate your intentions to correct the above referenced violatio
MAILING AGGRESS: 1626 MAIL SERVICE CENTER, RALEIGH, NORTH CAROLINA 27699-1626
LOCATION:'.1900 BARRETT DRIVE, SUITE 1D1, RALEIGH, NC 27609
PHONE [phone] FA% 91 9-571 -471 a
w.. r...... neor•.o Y..w.Yv / evr.o.�wr.vr wrr.n... cue. nvvo _ Kn9C evrvr. rnr�nnc enter_-., .. s....ee s. or..

Mr. George Pendleton
Page 2
The Raleigh Regional Office appreciates your cooperation with this matter. If you have any
questions regarding this Notice, please call Mr. Buster Towell at [phone].
Sincerely,
4--- � . .
Kenneth Schuster, P.E.
Regional Water Quality Supervisor
cc: Halifax County Health Department
Mr. Wayne Short, Fishing Creek Soil & Water Conservation District (Halifax)
Ms. Margaret O'Keefe, RRO-DSWC
DWQ Nondischarge Compliance Group
RRO Files

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Non -Discharge Permit
(THIS FORM MAY BE PHApplication PHOTOCOPIED FORUSE AS AN ORIGINAL) P + ,
General Permit - Existing Liquid Animal Waste Operations
The following questions have been completed utilizing information on file with the Division. Please
review the information for completeness and make any corrections which are appropriate. If a
question has not been completed by the Division, please complete as best as possible. Do not leave
any question unanswered.
1. GENERAL INFORMATION:
1.1 Facility Name: - :E-Pendleton+anns-inc-7
1.2 Print Land Owner's name: G.E. Pendleton
I.3 Mailing address: Rt 1 Box 117 _
City, State: Scotland Neck NC
Zip: 27874
Telephone Number (include area code): 919-826-3937 .
1.4 County where facility is IocatedEHalif� '
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): 4 1/2 miles South of Scotland Neck Nc on 903, turn
off onto rural rd. 1809 Winslow rd, annrox. 1 mile down this road on the rieht operation 1/4 mile off the road.
1.6 Print Farm Manager's name (if different from Land Owner): Jrn-, A e— cz :5: p tO V_e V -
1.7 Lessee's / Integrator's name (if applicable; please circle which type is listed): ,h CQW IS D �e 04 ^D Ll a
1.8 Date Facility Originally Began Operation: 01/01/81
1.9 Date(s) of Facility Expansion(s) (if applicable):
2. OPERATION INFORMATION:
2.1 Facility No.: 0_-42-,., (county number); c32:::::l (facility number).
2.2 Operation Descrip on: Swine operation
-Farrow to Finish
250- Certified Design Capacity
Is the above information correct? yes; no. If no, correct below using the design capacity of the facility
The "No. of Animals" should be the maximum number or which the waste management structures were designed.
Type of Swine
0 Wean to Feeder
0 Feeder to Finish
0 Farrow to Wean (# sow)
0 Farrow to Feeder (# sow)
0 Farrow to Finish (# sow)
No. of Animals Type of Poult!X No. of Animals
0 Layer
Other Type of Livestock on the farm:
0 Non -Layer
0 Turkey
Type of Cattle No. of Animals
0 Dairy
0 Beef a
No. of Animals:
FORM: AWO-G-E 5/28/98 Page 1 of 4 42 - 32

2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
system): 65= Required Acreage (as listed in the AWMP): 65
2.4 Number a lagoon storage ponds (circle which is applicable): �J
2.5 Are subsurface drains present within 100' of any of the application fields? YES or NO (please circle one)
2.6 Are subsurface drains present in the vicinity or under the lagoon(s)? YES or NO (please circle one)
2.7 Does this facility meet all applicable siting requirements? (Swine Farm Siting Act, N tandards, etc.) (Swine Only)
YES or NO (please circle one)
What was the date that this facility's swine houses and lagoon were sited?
What was the date that this facility's land application areas were sited? 19
3. 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.
Applants Initials
3.1 One completed and signed original and one copy of the application for General Permit - Animal
LIC
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:
3.3.1 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.)
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.
3.3.11 Emergency Action Plan.
3.3.12 Insect Control Checklist with chosen best management practices noted.
3.3.13 Odor Control Checklist with chosen best management practices noted.
3.3.14 Mortality Control Checklist with the selected method noted.
.4.3.15 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.
V4.3.16 Operation and Maintenance Plan.
If your CAWMP includes any components not shown on this list, please include the
additional components with your submittal.
1
FORM: AWO-G-E 5/28/98 . Page 2 of 4 42 - 32

Facility Number: 42 - 32
Facility Name: G.E. Pendleton Farms Inc
4. APPLICA CERTIFICATION:
I,
l
r_' 1!-'I 'Q r,9,�,u
(Land Owner's name listed in question 1.2), attest that
this application for T Z- (Facility name listed in question 1.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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 a rued to a as inco plete.
Signature Date
5. MANAGER'S CERTIFICATION: (complete only if different from the Land Owner) 57�
I, (Manager's name listed in question 1.6), attest that this
application for (Facility name listed in question I.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
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: [phone]
FAX NUMBER: [phone]
FORM: AWO-G-E 5/28/98 Page 3 of 4 42 - 32

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
December 29, 1998
G.E. Pendleton
G.E. Pendleton Farms Inc
Rt 1 Box 117
Scotland Neck NC 27874
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Certificate of Coverage No. AWS420032
G.E. Pendleton Farms Inc
Swine Waste Collection, Treatment,
Storage and Application System
Halifax County
Dear G.E. Pendleton:
In accordance with your application received on August 20, 1998, we are forwarding this Certificate of
Coverage (COC) issued to G.E. Pendleton, 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 G.E. Pendleton Farms Inc, located in Halifax County, with an
animal capacity of no greater than 250 Farrow to Finish 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.
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.
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

Certificate of Coverage AWS420032
G.E. Pendleton Farms Inc
Page 2
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 Sue Homewood at [phone] ext. 502.
A. Preston Howard, Jr., P.E.
cc: (Certificate of Coverage only for all cc's)
Halifax County Health Department
!Raleigh-Regional-Offtce,-Water Quality ^Section---�
Halifax County Soil and Water Conservation District
Permit File
NPDU Files

11
Animal Waste Management Plan Certification
(Please type or print all information that does not require a signa(ure)
Existing )r :New or Expanded (please circle one) 1-! W17 <= U 1V 0. I
General Information:
N ame of Farm:. (r e� . �E�c /r�vi�
0Wner(s) \ame: or
1Mailin2 Address:_ el- / //7 Se-o11�,1
G Facility No: Z2 - 22—
lT,`tone No:
r~ A/C 71374-
Farrar Location: 5,1C Count-v Farm is located in:
Latitude and Longitude:. DG OZ 1 ~ ZZ� �
Please attach a copy of a county road map with location identified and describe below (Bz.specifc: road
names, directions, milepost, etc.): f X_
Operation Descri tion: _ --
'�ype of.5►rine No. afAnimals TNpe of PouIrrr No. ofAnimals.,...." T��ie.of Caule No. of Animals
a Wean to Feeder 0 Laver
M Fecdcr to Finish :1 PulleL :3 Beef
-1 Farrow to Wean
D F owto Feeder
.:farrow to Finish M. 0 _ Other Tipe of Lireslock: Number of Animals:
Expandung Operation Only _
Previous Design Capacity•: Additional Des[,,h'CabaCity:
Total Design Canacitt•:
S - ,7 65S ►� Acreage Available far:4pplication:. Required'Acreage,::iIJ r a.
Number of La`oons ! Storage Ponds : Z Total Capaci�3 O.9 Cubic Feet (ft3)
Are subsurface drains present on _the farm: YES or NO.: ! Iease circle one).
-If YES: are subsurface drains present in the area of. the AG.00N or SPRAY FIELD (please circle one)
OWner 1 Manaber Agreement _
.I (we) verify that all the above information is correct and will be.updated. upon changing. I Ove) 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 ccrtificaiion*'to-be submitted to the Divisibti of
Environmental Mana_emchr boforc the ne,.%- animals arc stocked. I (we) understand that there must be no discharge of animal
waste from the storage or application s%'stem to surface waters of the state either directly, through a man-made convevanct or
From a `stormevent less severe than the 35-dear. 24-hour Storm and there must not be run -off -from the application of animal
waste. I (we) understand that runt -off of pollutants from lounging and heavy use areas must be minimized using technical
standards developed by the Natural Resources Conservation Service. The appr^�•ed plan will.be filed at the farm and at the
office of the local Soil and Water Conservation District. I twe► know that any-moditicafioif 'rittist be approved.by a technical
specialist and 'Submitted to the Sal and NVater Consert'dtion. District prior -to'imolementatiow"'A change in land ownership
requires written notification to DEM or a ne.v cenitication'(if thL-'apprbved plat'is_caanie;') within 60 days of a title transfer.
Name of Land' er : %��ia11�
Si,-,n3titrN• ,- Date:%%
Name of \lanuvriir' diiTermi from Owner):
Sinnature: - - 'Date: ...
.- WC .. JnnuurN 1. I'M7 1

D). App ieation and Handline Equipment
a+ Ztheck the appropriwe box
wit' E�i�tin� ar exrandin facility �'iih a elating «aste'ap�i cation eat:i�ment (WUP or D
Animal caste application equipment specified in tltc,plan has'been either Feld calibrated'or.evaluatcd in
accordance with existing design charts and tables and is able. to apply waste as necessary. I.o.accornmodate the
waste management plan (existing application equipment can cover the area required by.the plan at rates not to
exceed either the spechydraulic ified or nutrient loading rates. a -schedule for timing of applications has bees
established. required buffers can be maintained and calibration and adjustment guidance are contained as part of
the plan).
❑ Nek�-. exoanded._or exivinsfacility without existing %vaye auyF!,arinn eouioment_for sorav
irrigation. (I)
Animal waste application equipment specified in the plan' bag been designed to acpiy waste as necessyir 'to
accommodate the waste management plan: (proposed application quipmeot can cove_- the area required by the
plan aerates not to exce:d•either the specified hvdraulic or nuAiient loadinz',ates: a schedule for dming,of
applications has been established; required buffers can be maintained; calibration and adiusttn.chi` i idaiice`are
coutaiaed as part of -the plan).
rl i,�zw.__manded, or existing. facility without nistin1waste avolication.. eauioment for la
Epreadingnot, using, spray it; igation. (W-UP or I)
Animal waste application equipment specifiMd in the plan has been-selccted to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment.can cover the area required,by the
plan ac 'rates not to exceed either the'specificd hydraulic or'nutrient loading rates; 'a schedule) for tinning of
applications has been established: required buffers can be maintained; calibration and adjustment guidance are
' contained as part of the,plan):
I\ame of Technic al Specialist (Pledge Prim)':
Affiliation:
`��EP,�G d�JG vv or C
.Address(Agency �� Phone No..-.9/� ����/
Signature:-�' �__ - Daze:.. :i7_
E) Odor C ntrnl:-Inse C ntrtil Mottalitt Vanasement and Emergency Actitin•Plati'rSD,- "
The. waste management plan for this facility includes a Wwe Management Odor ContioI-'Checklist. an Insect..Control'
1 -•Checklist.- aAfortality ManagemenrChecklist at;d an Emergency -Action Plan: Saurces'of bath odors"aitd inscc'.s
have: becn evaluated -with respect.to._this site and Best Management Practices to Minimize Odors:and:Best
1lanaecrncsit Practices to Control Insects have been selec.cd_and i6cluded'in the waste management plan. Both the
,4lormlity Management Plan and:the:Bmergency Action Plan ar ,eomalem and can be implqmented by;this facility: '
Name of Technical Specialist (Please Print):
Affiliation:
F� E.C�AG 66G vCr�g
Address(Ageticy):­ �V c Phone::tid.: /9 sgs- 3 /
Signature:
Fl NVrit.tpn-1 rr•a of Vag nr Fnnriino .gNvine Farrn
T e i�nature bloc is onl%- to be used for new or expanding s)rine farms that ,' cortstructian.after,June.:f
21, 1996. -If t fact t uilt before June 7.1: 1996, when -was it construct ast expanded
I (we) certify that I (we) have attem contact.b}• ceni;ied mail.ali mg_propt v vwne-s and all grope zy owners-.,,.,';
who own prope.tp located across a public road. r high rom this new or expanc',rg sine -farm. The notice was in
compliance with Ih: requirements of :\CGS 106-S05 .D c notice and o'lis`t of the grope7:v owners notifcd is `'f"`•'f'
attached.
\ante of Land 6vner
Signature:
\ame of NIa "er(if diffL7enI from )wner t:
Date:
Si,n; a Date:
ASI•C - January 1. i!t't; t

w
t
- C) R.uLnoELQnntrrils from Exterior Lots (RC)
Facility with exterior lots
Xthods to minimize the runt off of pollutants from lounging and heavy use areas
in the
Fora ' ' 'es xitlrout exterior lots, no ce
Name of Technical Specialist (Please Pri
Affiliation:
Address(Aaencv):
Signature:
on is necessarv.
;Plea tin.
installed as speciftcd
D) Application and Handling Eouioment Installation ('W P or I)
Check rhe�,ap�apricte block
tfd 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 par. 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 par: of the plan.
ZI Ctriditional approval: Animal waste application and handling equipment specified in the plan*has been
purchased and will be on site and installed by (month/daylvear); there is adequate storage to
hold the 'waste until the equipment 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 (PIease'Prnt): _ —t , zn _ IL/_/
AMUation:_ ,— I've
Address(Aaency):
Signature:
at -
No.: i9 S83 ;35LB/
e follovri signatury"block is oniv to be used when the box for conditional a
U
above n checked.
i (we) certify that aye committed to purchase the animal waste a t�anddling equipment as
specified in my (our) waste m ent plan and will submit to D �erificauon of delivery and installation
from a Technical Specialist withitil5 c days faIlowina date specified in the conditional cenification. -I
(we) realize that failure to submit this verificatio tton of the waste management plan and will subject me
(us) to an enforcement action from DEM.
Name of -Land Owner:
Signature:_
Name of M
Signatpe__�
different from owner):
Date:
Odor Control. Insect Control and,Nfort3lity Management (5D. SI. W-UP.RC or 1)
Methods to control odors and insects as specified in the Plan have been insmilec and are operational. The
mortality mana e;ne:tt system as specified in the Plan has also be:n ins:ail.d and is occrational.
Nance of Technical Specialist (Please Print):_ ��51✓l c�hc�_
A(llliation: l%f C'f
Fe E� e G e) G o X / S /
P` cnz \o. �7' 9 �3 :
Si_*nature:
AWC •- .Jan 1.199;

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1. ANIMAL WASTE UTILIZATION PLAN
f or
Producer: GEORGE PENDLETON
Location: RT #1 BOX 117
SCOTLAND NECK NC 27874
Telephone: [phone]
Type Operation: Existing Farrow to Finish Swine
Number of Animals: 250.00 sows
(Design Capacity)
STORAGE STRUCTURE: Anaerobic Waste Treatment Lagoon
APPLICATION METHOD: Irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops
in the fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than the crop can utilize.
2. Soil types are important as they have different infiltration
rates, leaching potentials, cation exchange capacities, and
available water holding capacities.
3. Normally waste shall be applied to land eroding at less than
5 tons;.,per acre per year. Waste may be applied to land
eroding -:at 5 or more tons per acre annually, but less than
10 tons per acre per year providing that adequate filter
strips are established.
4. Do not apply waste on saturated soils, when it is raining,
or when the surface is frozen. Either of these conditions
may result in runoff to surface waters which is not allowed
under DWQ regulations.
Page: 1

ANIMAL WASTE UTILIZATION PLAN
S. Wind conditions should also be considered to avoid drift and
downwind odor problems.
6. To maximize the value of the nutrients for crop production
and to reduce the potential for pollution, the waste should
be applied to a,growing crop or applied not more than 30
days prior to planting a crop or forages breaking dormancy.
Injecta,ng the waste or disking will conserve nutrients and
reduce odor problems.
This plan is based on the waste application method shown above. If
you choose to change methods in the future, you need to revise this
plan. Nutrient levels for different application methods are not the
same.
The estimated acres needed to apply the animal waste is based on
typical nutrient content for this type of facility. Acreage
requirements should be based on the waste analysis report from your
waste management facility. In some cases you may want to have plant
analysis made, which could allow additional waste to be applied.
Provisions shall be made .for the area receiving waste to be flexible
so as to accommodate changing waste analysis content and crop type.
Lime must be applied to maintain pH in the optimum range for specific
crop production.
This waste utilization plan, if carried out, meets the requirements
for compliance with 15A NCAC 2H .0217 adopted by the Environmental
Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
250 sows x 19.9 tons waste/sows/year = 4975 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
250 sows x 26 lbs PAN/sows/year = 6500 lbs. PAN/year
Applying the above amount of waste is a big job. You should plan time
and have appropriate equipment to apply the waste in a timely manner.
The following acreage will be needed for waste application based on
the crop to be grown, soil type and surface application.
_�. Page: 2

ANIMAL WASTE UTILIZATION PLAN
TABLE 1: ACRES OWNED BY PRODUCER
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
------
APPLY
RESID.
APPLIC
METH
N
TIME
5822
GtB
W
45
108
0
20.3
2192.4
I
SEPT-APR
5822
1,2
IA
�GtB
I60
�78
�0
120.3
�1583.4
JUN
3631
108
0
1-5
IGtl3
JW
I
145
12.0
1216
SEPT-APR
3631
5
SA
60
78
0
jGtll
li
I
I
12.0
1156
JUN-SEPT
3631
108
0
1-6
jGtB
JW
I
145
�1.3
1140.4
SEPT--APR
3631
6
SA
60
7$
0
IGtB
li
I
I
11.3
1101.4
JUN-SEPT
3631
108
0
�_.7
jGt3
JW
I
145
11.9
1205.2
SEPT-APR
3631
7
SA
60
78
0
IGtB
T
11.9
1148.2
JUNE-
SEPT
3631
`8A
108
0
jGtll
JW
I
145
13.0
1324
SEPT-APR
3631
SA
60
78
0
18A
IGtB
I
I
I
13.0
1234
JUNE-
SEPT
3631
3
EMS
SG
29
49.3
0
0
I
I
I
IT.
1345.1
OCT-MAY
3631
3
CO
600.0
72
0
JEMB
I
17.0
1504
APR-AUG
.3631
1-4
JEMB
SG
29
I
49.3
I
0
117.1
1843-03
I
OCT-MAY
Page: 3

ANIMAL WASTE UTILIZATION PLAN
w'
3631 jEmB
I600.0172
14
ICO
�0
117.1 11231.2
3631 ___j_2 BOB
SG 29 49.3 0
I I
112.8 1631.04
OCT-MAY
3631 2 BOB
CO 700 84 0
12.8
I
11075.2
APR-AUG
END
T
TOTAL19930.57
- Indicates that this field is being overseeded Ji.e. interplanted)
or winter annuals follow summer annuals.
NOTE: The applicator is cautioned that P and K may be over applied
while meeting the N requirements. In the future, regulations may
require farmers in some parts of North Carolina to have a
nutrient management plan that addresses all nutrients. This plan
only addresses nitrogen.
_�
4�_ U �Z /�60 A
G�
�
Page: 4

ANIMAL WASTE UTILIZATION PLAN
TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if.operator does not own adequate land.
See required specification 2.)
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
------
APPLY
RESID.
APPLIC
METH
N
TIME
END
TOTALI0
Indicates that this field is being overseeded (i.e. interplanted) or
winter annuals follow summer annuals.
In interplanted fields (i.e. small grain, etc, interseeded
in bermudagrass), forage must be removed through grazing,
hay and/or silage. Where grazing, plants should be grazed
when they reach a height of six to nine inches. Cattle
should be removed when plants are grazed to a height of four
inches. In fields where small grain, etc, is to be removed
for hay or silage, care.should.be exercised not -to let small
grain to reach maturity, especially late in the season (i.e.
April or May). Shading may result if small grain gets too
high and this will definitely interfere with stand of
bermudagrass. This loss of stand will result in reduced
yields and less nitrogen being utilized. Rather than
cutting small grain for hay or silage just before heading as
is the normal situation, you are encouraged to cut the small
grain earlier. You may want to consider harvesting hay or
silage two to three times during the season, depending on
time small grain is planted in the fall.
The ideal. -time to interplant small grain, etc, is late
September..br- early October. Drilling is recommended over
broadcasting. Bermudagrass should be grazed or mowed to a
height of about two inches before drilling for best results.
Caution must be exercised in grazing or haying summer
annuals under stressed conditions. Nitrate poisoning
may occur in livestock. Sampling forage or hay .for
nitrate levels is recommended.
Page: 5

ANIMAL WASTE UTILIZATION PLAN
.r
** Acreage figures may exceed total acreage,in fields due to
overseeding.
* lbs AW N (animal waste nitrogen) equals total required nitrogen
less any commercial nitrogen (COMM N) supplied.
The following legend explains the crop codes used in tables 1 and 2 above:
CROP CODE
CROP
UNITS
PER UNIT
CO
COTTON
POUNDS
0.12
SA
SUMMER ANNUALS (I.E. Sorghum -Sudan Hybri
-
1.3
SG
SMALL GRAIN OVERSEEDED
1.7
W
WHEAT
BUSHELS
2.4
TABLE 1
TABLE 2
TOTAL
TOTALS FROM TABLES 1 AND 2
ACRES
LBS AW N USED
65.4
9930.57
0
0
65.4
9930.57
* BALANCE
-3430.57
*** This number must be less than or equal to 0 in order to
fully utilize the animal waste N produced.
Page: 6

ANIMAL WASTE UTILIZATION PLAN
*** This number must be less than or equal to 0 in order to fully
utilize the animal waste N produced.
Acres shown in each of the preceding tables are considered to be the
usable acres excluding required buffers, filter strips along ditches,
odd areas unable to be irrigated, and perimeter areas not receiving
full application rates due to equipment limitations. Actual total
acres in the fields listed may, and most likely will be, more than the
acres shown in the tables.
See attached map showing the fields to be used for the utilization of
animal waste.
SLUDGE APPLICATION:
The waste utilization plan must contain provisions for periodic land
application of sludge at agronomic rates. The sludge will be nutrient
rash and will require precautionary measures to prevent over application
of nutrients or other elements. Your production facility will produce
approximately 1075 pounds of plant available nitrogen per year in the
sludge.
If you remove the sludge every 5 years, you will have approximately 5375
pounds of PAN to utilize. Assuming you apply this PAN to hybrid
bermudagrass hayland at the rate of 300 pounds of nitrogen per acre, you
will need 17.9166666667 acres of land. If you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you will need 43 acres
of land. Please be aware that these are only estimates of the PAN and
land needed. Actual requirements could vary by 25% depending on your
sludge waste analysis, soil types, realistic yields, and application
methods.
APPLICATION OF WASTE BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the
soil at the time of irrigation such that runoff or ponding occurs. This
rate is limited by -:-initial soil moisture content, soil structure, soil
texture, water droplet size, and organic solids. The application amount
should,nbt'exceed the available water holding capacity of the soil at the
time of irrigation nor should the plant available nitrogen applied exceed
the nitrogen needs of the crop.
If surface irrigation is the method of land application for this plan,
it is the responsibility of the producer and irrigation designer to ensure
that an irrigation system is installed to properly irrigate the acres
shown in Tables 1 and 2. Failure to apply the recommended rates and
Page: 7

ANIMAL WASTE UTILIZATION PLAN
amounts of nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application
rates and amounts.
Tract
Field
Soil Type
Crop
Application Rate
(in/hr)
Applic. Amount
(inches)
3631
2
BOB
CO
0.5
*1.0
3631
3
EmB
CO
0.50
*1.0
3631
4
EmB
CO
0.50
*1.0
3631
5
GtB
SA
0.35
*1.0
3631
6
GtB
SA
0.35
*1.0
3631
7
GtB
SA
0.35
*1.0
3631
8A
GtB
SA
0.35
*1.0
3631
�2
BOB
SG
0.5
*1.0
3631
�3
EmB
SG
0.50
*1.0
3631
�4
EmB
SG
0.50
*1.0
3631
-5
GtB �
W
0.35
*1.0
3631
�6
GtB
W
0.35
*1.0
3631
�7
GtB
W
0.35
*1.0
3631
-8A
GtB
W
0.35
*1.0
5822
1,2
GtB
SA
0.35
*1.0
5822
GtB
W
0.35
*1.0
* This is the maximum application amount allowed for the soil
assuming the amount of nitrogen allowed for the crop is not over
applied. in many situations, the application amount shown cannot
be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
Page., 8

ANIMAL WASTE UTILIZATION PLAN
Your facility is designed for 180.00 days of temporary storage and the
temporary storage must be removed on the average of, once every 6.00
months. In no instance should the volume of the waste be stored in
your structure be within the 25 year 24 hour storm storage or one foot
of freeboard except in the event of the 25 year 24 hour storm.
It is the responsibility of the producer and waste applicator to
ensure that the spreader equipment is operated properly to apply the
correct rates to the acres shown in Tables 1 and 2. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may
make this plan invalid.
Call your technical specialist after you receive the waste analysis
report for assistance in determining the amount of waste per acre and
the proper application rate prior to applying the waste.
NARRATIVE OF OPERATION
Page: 9

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

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

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
18. If animal production at the facility is to be suspended or
terminated, the owner is responsible for obtaining and
implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19. Waste handling structures, piping, pumps, reels, etc., should
be inspected on a regular basis to prevent breakdowns, leaks,
and spills. A regular maintenance checklist should be kept on
site.
20. Animal waste can be used in a rotation that includes vegetables
and other crops for direct human consumption. However, if
animal waste is used on crops for direct human consumption it
should only be applied preplant with no further applications of
animal waste during the crop season.
21. Highly visible markers shall be installed to mark the top and
bottom elevations of the temporary storage (pumping volume) of
all waste treatment lagoons. Pumping shall be managed to
maintain the liquid level between the markers. A marker will
be required to. mark the maximum storage volume for waste
storage ponds.
22. Waste shall be tested within 60 days of utilization and soil
shall be tested at least annually at crop sites where waste
products are applied. Nitrogen shall be the rate - determining
element. Zinc and copper levels in the soils shall be
monitored and alternative crop sites shall be used when these
metals approach excessive levels. pH -shall be.adjusted for
optimum crop production and maintained. Soil and waste
analysis records shall be kept for five years. Poultry dry
waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be
maintained for five (5) years.
23. Dead animals will be disposed of in a manner that meets North
Carolina regulations.
Page: 12
'CA

ANIMAL WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm:
Owner/Manager Agreement
I (we) understand and will follow and implement the specifications
and the operation and maintenance procedures established in the
approved animal waste utilization plan for the farm named above. I
(we) know that any expansion to the existing design capacity of the
waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the
North Carolina Division of Environmental Management (NCDEM) before
the new animals are stocked. I (we) also understand that there,
must be no discharge of animal waste from this system to surface
wasters of the state from a storm event less severe than the 25-
year, 24-hour storm. The approved plan will be filed on -site at
the farm office and at the office of the local Soil and Water
Conservation District and will be available for review by NCDEM
upon request.
Name of Facility owner: George Pendleton
(Please print)
P
Signature: Date:
Name of Manager(If different from owner):
Signature:
Date:
Name of Person Preparing Plan: (Please print)J. Wayne Short
Affiliation:NRCS Phone No. 919-583-3481
Address (Agency)..: Post Office Box 8
Halifax NC 27839--0008
Signaturf
Date: /P_ S-A
Pacge : 13

ANIMAL WASTE UTILIZATION PLAN
ANIMAL WASTE UTILIZATION AGREEMENT
(Needed only if additional land has to be leased, etc.)
hereby gave
permission to apply animal waste from his Waste Utilization System
on acres of my land for the duration of time shown below.
The field(s) on which waste can be applied are shown on the
attached map.
I understand that this waste contains nitrogen, phosphorous,
potassium, and other trace elements and when properly applied
should not harm my land or crops. I also understand that the use
of waste will reduce my need for commercial fertilizer.
Adjacent Landowner:
Waste Producer:
Technical Representative:
SWCD Representative:
Term of Agreement:
Date:
Date:
Date:
Date:
I9� to
(Minimum of Ten Years on Cost Shared Items)
(See Required Specification No. 2.)
Page: 14

ANIMAL WASTE UTILIZATION PLAN
STATE OF NORTH CAROLINA
COUNTY OF
I,
Public of said County, do hereby certify that
, a Notary
, personally appeared before me this day and acknowledged the due
execution of the foregoing instrument.
WITNESS my hand and official seal this day of
19
My commission expires
( SEAL)
Notary Public.
Page: 15
r,

` ANIMAL WASTE UTILIZATION PLAN
Waste Utilization - Third Partv Receiver Agreement
I, hereby agree to apply waste
generated by in a manner that meets the
Waste Utilization Standard (633), or use an alternative waste
utilization system that has been accepted in writing by the
Division of Water Quality.
Third Party Receiver:
Date:
Term of Agreement: to
(Minimum Ten Years on Cost -Shared Items)
STATE OF NORTH CAROLINA
COUNTY OF
I , , a. Notary
Public of said County, do hereby certify that
, personally appeared before me this day and acknowledged the due
execution of the foregoing instrument.
WITNESS my hand and official seal this day of
19
My commission expires
(SEAL)
Notary Public.
Page: 16

'AI
EMERGENCY ACTION PLAN
Ph0`-E NFUN1BERS
EMERGE. CY �I.�NAGEIM:-N-I' SYSTEM �9-.s83-Zo3 t
SWCD 9i9-S83-�3 st8t
N-RCS
This plan wi11 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
Ieave your property to consider that you have a problem. You should rn-tCe every effort to
ensure that this does not happen. This plan should be posted in an accessible location for
all employees at the Lacility. ,The following are some action items you should take.
1. Stop the release of wastes. Depending on the situation, this mayor 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.
f 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 fields where runoff occurred.
C: Leakage from the waste pipes.and sprinklers -action include:
a. Stop recycld.pump-
b. Stop irig-ation pump.
c. Close to elirunate furher jlscharge.
d. Repair all leaks F-ior to restarting pumps.
D: Lz-al:age from flush syslems. heuse-S. solid serarator;-action inc'.ude:
a. StoF rep :"z pump.
h. Stop irritcat:on pump.
c. Nla;e :ure no Siphon occurs.
Stop ,I[ i.1 ;lle
D.-. me: IS.

r
6: Contact the technical specialist uho certified the lagoon (tiRCS, Consulting
Engineer. etc.)
a. IN a me:
b. Phone:__ q/
is 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.
Dcce:nz+z: l >. 1996

Insect Control Checklist for Animal Operations
Slutrrc C1u1sc - IlMPS 14) coull-ol Insects - Sill: Specifies 111'adires - -
_—_ _ _ --- --- r1qu11r Sysecnls
I•Imli Gullcrs Accumulation of solids f7 Flush syslenl is designed and operated
sufficiently to remove accumulated solids fronll
gimers as designed.
O Remove bridging of accumulaled solids it
discharge
Lagoons and fits Crustal Solids Ci Maintain lagoons, settling basins and pity where
pest breeding is apparent to miniulize the:
crusting of solids to a depth of no more than 6 -
8 inches over more than 30% of surface.
I'xceshivc Vcgclulive • 0ecaying vegetation F1 Maintain vegetative control along hanks of
t iruu'lh lagoons and other ImpOtilldnWRIS to prevent
llMlIlMlalinrt of decaying vcl dative mailer
along waler's edge oil imponmhnent'S perimeter.
_ my Syslenis
!'cell Stlill,lgc n Design. operate and maimain feed systents
bunkers and troughs) to niiuimize the
acctiln11lilt iO11 of decaying wastage.
Deed SluraLe� Accuululntious of feed residues
n Clean tip spillage on a routine basis (e.g., 7 - 10
clay' jiilerval disring slimmer; f 5-30 day interval
during winter). .
17 RCIIIIGe nnoislure I1CCni1111lation Within and
uroinlcl inuuediwe perinycier of tired storave
tireas by insnriug drainage away fiom site
and/ns providing ailg!ialc c:oalainmcn�t
c{Ivered bin for brewer's grain and similar high
nl(listure grain producls).
n Inspect for;ind remove or break up-;tecumulated
solids is tiller strips around lMI sturui;c as
needed.

1
Swine Farm Waste Management Odor Control Checklist
Source
- - C:Iuse -- -
-
HMPs to Millilllize 011ol. -5ilc Strccific 1'l-actices - -
E :ulnsle:Id
Swine protluctinrl
11
Vegetative or wooded buffers;
Recommended bell management practices;
C7
Good judgment and common sense
Animal body surfaces
0 flirty manure -covered annuals
n
pry floors
l:luur slrrt;lL:cs
0 WC1.111allure-covered floors
r-1
Sloped floors;
C7
Waterers located over slotted floors;
CI
feeders at high end of solid floors;
n
Scrape manure buildup from floors;
O
Underfloor ventilation for drying
AI,u1111C ct,llectiou Ilits 14ine; n Frequent manure removal by flush, pit rcclsnrge..
• l':uti:tl rlticrnhial decnrllposilioll or scrape;
n Underfloor ventilation
Ventil.stiun exhaust 11111s 4 Vol:llile bases; n Ball lmaintensulee;
Dust 1=1 Ffricicnl air movellient
lndonr Stuf:tc"
D11st
n
Washdown between groups of animals;
n
heed additives;
n
Feeder covers;
n
feed delivery dow1 spotit extenders lu fecdcr
covers
1'lnsll l:1nt.S
• Agindkm off ecycled lagoon
n
FInSII lank covers;
hytid whilo tanks are filling
❑
Exlend fill lines to hear hotloln nl'lanks wills
1111tl-sipholl Vemis
FI•INII alleys
• Agllalion lltlring wastemner
❑
thntlerfloor flush with noderfloor venlllalnl1l
conveyance
1'1t ICL:II.NI,C Iruinis
0 Agitation of recycled lagoon
r1
Exlclld recharge lilies In Ilear bollom ofpils
b(Illid while pits are filling
with anti -siphon vellls
Lift srui,lus
a Agimion during sump tank
n
Sump tank covers
filling and drawdown
IlnlsitIc drain colluclion Agilation dmrillg w,lstu%viltcr n Box covers
ofjttnclion luxes conveyance
AAli1t: - ll ,vcnll,cr I I, I996, 1%,IN 3

• .Y
a
Snnrce
Cutise
A
DIAN to Minimize Odor Site Specific Practices
I-nd of drainpipes at
•
Agitation during wastewater
Cl
Extend discharge point of pipes undemeath
lagoon
conveyance
lagoon liquid level
l.agcu,in SurfacesVolatile
gas emissions;
L3
Proper lagoon liquid capacity;
•
Biological mixing;
0
Correct lagoon startup procedures;
•
Agitation
0
Minimum surface area-lo-valunie ratio;
CI
Minimum agitation when.pumping;
0
Mechanical aeration;
CI
Proven biological additives
li rigatioll spriitl:lcr
a
I Iigh pressure agitation;
❑
Irrigate on dry clays witli little or no wind;
•
Wind drift
0
Mininnim recommended operating pressure;
I;]
Pump intake near lagoon liquid surface;
❑
PaunP from second -stage lagoon
Swr:rgc I:�ul r�r Itasiii
Partial Illicrobial decomposition;
0
Bottom or midlevel loalding;
0
Mixing while filling;
0
'rant; covers;
•
Agitation whca emptying;
Q
Basin surface mats of solids;
C'1
Proven biological additives or oxidants
Scnliitg ha;iia surface
•
Partial microbial decomposition;
n
Extend drainpipe outlets underneath liquid
•
Mixing While filling;
level;
•
Agitation when emplying
❑
Remove scille d solids regularly
KI-mure, slurry ur sludge
a
Agitation when spreading;
C7
Soil injection ofslurry/sludges;
,glicaLICC oudea5
.
Volatile gas emissions
0
Wash residual manure from spreader after use;
❑
Proven biological additives or oxidants
I lncovered anauure.
0
Volatile gas emissions while
❑
Soil injection of shirty/sludges
slurry or shadge oat field
drying
q
Soil incorporation within 48 firs.;
]Ill talcs
O
Spread in thin uniform layers for rapid drying;
O
Proven biological additives or nxidams
lieild animals
•
Carcass decomposition
n
Proper disposition (If L;lrcassus
I]Ca�l :utNnat daantsal
Carcass 1Iccomposilioal
n
Complele covering of careasses in burial Iliis;
I"i'
❑
Proper location/construction ofilisposal pits
lucinra,�i�ias
Incomplete cuai+ttustiotl
f-I
Secondary stack bimiers
AKU .wCHIbCr 11,
1996,
Page

w
�T
t
e
Cause IIMPs to Minintize Othir -- ---- Site specifie 111-actiecs
Standing %vuicr around Improper drainage; C3 Grade and landscape such that water drains -
facilities Microbial decomposition of away from facilities
organic matter
Niallure track -ell otuo . Poorly maintained access roads Cl Fann Access road tnainiemance
public roads Iiom farm
access
Additional lit rorntation
Swine Manure Management ; 0200 Ituic/lIMP Packet
SwilEc i'r()duCti0lt I"arnE i'otrntiaf Odor Sources and Remedies ; EIIA Ii Fact Shect
Swine i'm(ILIctinn Facility Manure Management: Pit Recliarge - Lagoon Trealotcnt ; 1:I3AC 128-89
Swine Production Facility Ivtanurt: Management: Underfloor Flush - Lagoon "Treatment ; EIIAE 129-88
Lagoon Resign and Nianagelltcnt for Livestock Manure Treatment and Storage ; 17--IIAis 103-83
Calibration of Malntre and Wastewater Application L'.quiptllcnt ; FI3AF Fact Slice[
Coutrullilig OdOrS frOnt Swine ituildiags ; Pit 1-33
Fitvirontnemal Assurance Program ; NI'PC Manttal
()ptimis I'ur hiamigirtg Odor ; a report from the Swine Odor Task Force
Nuisance Concerns lit Anim-al Manure Management: Odors anti Flies ; 11110107, 1995 Conference Proceedings
,Available From :
NCSI1, County kxtcnsioa Center
NCSU - IIAE
NCSU - BAF
NCSU - IIAF
NCSO - BAli
NCSi1 - IIAE
NCSI1 - Swine Extension
NC Pork Producers Assoc
NCSIJ Agri Communications
Florida Cooperative EXICItSiEttt
AAtt tr; - H,mvt-,mbcr 1 I, 1906, Vat;c 5

Producer: � �C, QAk � -tOQ
The purpose of this plan is to provide guidelines for carrying out
the routine operation and maintenance work needed to keep this swine
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 c ve on the mbankment top and
side slopes: �� f�►���� �--W V a is
being established on these arrelas. Beginning -in 1997 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 should be made during the
initial filling of the lagoon and at least annually. Items to
be checked should include, as a minimum, the following:
1. Waste Inlet Pipes, Overflow Pipes
a. condition of pipes
(i) separation of joints
(2) cracks or breaks
2. Pool Area
a. undesirable vegetative growth
b. floating or lodged debris
3. Embankment
a. settlement, cracking or "jug" holes
b. side slope stability - slumps or bulges
C. erosion and rodent damage
4. Transfer Pump
1
0//-

13. O;DeraLion
Your anima waste management facility was designed for a total
of � _ _ sows/animals ( V- puj�p__t�dt? 'rhe lagoon
contains both permanent and temporary storage. The permanent
storage is not to be pumped in order to ensure that anaei.-obic
action will occur. The design includes permanent storage of one
cubic foot per 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, 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 -out of the lagoon when fluid level
reaches elevation c= .7 as marked by permanent markers. Stop
pump -out when the f lui level reaches elevation ,a WUlOwt
The attached waste management plan should be followed. This
plan recommends sampling and testing of waste (see Attachment 8)
before land application. The waste material should be analyzed
before each application cycle to determine its nutrient content.
A soil test of the area of application should be made annually
to insure the waste is applied,as reasonably and practically
possible to recommended rates.
It is strongly recommended that the treatment lagoon be pre -
charged to 1/2 its capacity to prevent excessive odors during
start-up. Pre -charging reduces the concentration of the initial
waste entering the lagoon thereby reducing odors. Solids should
be covered with effluent at all times.
The Clean water Act of 1977 prohibits the discharge of
pollutants into waters of the United States. The Department of
Environment, Health, and Natural Resources, Division of
Environmental Management, has the responsibility for enforcing
this law.
M

lJCul yE:. f L11iCi1t L.vn
LAGOON
Distance f m nearest residence Ron, _
Soils Number of Animal Units or Total lbs.
Type Lagoo Kind of animals
Volume - 10,5; nnr) Units X j, S ft.-J a cu. yds.
27
HOLDING VOLUME (waste + rain + 25-year storm)
Period a Watershed Q . 1*5 _ acres
Waste cu. yds., normal rain less evaporation ! cu. yds.
25-yr. storm
Total too() cu. yds.
EERTILIZA_TION & SEEDING C),��? `j acres
Lime Fertilizer
SeedIZ,-Mulch eg
MAINTENANCE
The vegetative cover on the fill shall be maintained by fertilizing when needed.
Woody growth should be prevented from developing by proper mowing. Repair any
minor erosion that occurs.
Length_ �3. Width Top Width
Top of fill - - - - - - elev.�y`"Q,�
Top of holding volume- - - - - - elev.
Top of lagoon volume - - - - - - elev. ,
Bottom of lagoon - - - - - - - - elev.
Emergency spillway -- - - - - - elev. 8 Dr w�c�r pL1Omw�G1I,�,�1
1
Interior side slopes - - - - - - - f:�^ Exterior side slopes
TBM
35Ea`sf ol NE • CorNer I lagoow
0 U. S. DEPARTS+HM OF AGRICULTURE
SOIL CONSMVATION SMVICE
�_ ry------------------
------------
low.
..... __ __... _ ___ _ -- - �--
5

Y
OPERATION PLAN
This plan includes sufficient land for proper use or disposal of waste
at locations, times, rates, and volumes that maintain desirable water
soil plant conditions.
There will be approximately ��-lbs. of nitrogen produced each year.
This is the dominate nutrient along with phosphorus and potassium that
you will be involved with. The nitrogen in the fresh waste will be
reduced by approximately 70% with the use of irrigation or liquid
' spreading. This would yield�� lbs. of nitrogen to be used. Tests of
nitrogen content in lagoons should be checked prior to land application.
Waste will be spread by use of
The holding volume of this basin is for months.
Crops on, the farm available for. nitrogen• use: .
C. x lbs. rate per ac. (000
q ac. x acC) . lbs. rate per ac. S COO
ac. x lbs.: rate per ac.
ac. x lbs. rate per ac.
Total (o00
Other farms (Name )
ac. x lbs. rate per ac.
ac. x lbs.' rate per ac.
ac. x lbs: rate per ac.
ac. x lbs. rate per-ac.
Total
The basin is composed of two volumes. The lower —9,5feet of depth in
the basin is the lagoon volume., The remaining.depth of the basin to the
emergency spillway level is holding volume. The lagoon volume is a
permanent volume whereas the holding volume is fluctuating. When
construction is completed, the lagoon level and the top of the pumping
volume is marked with permanent markers.
Effluent should be pumped when (1) it will be most beneficial to the crops
and (2) when the soil can readily absorb the effluent and have no runoff.
This may be several times within the_month holding time.
N ; 105 000
X 1. 5 4-omt X
iop .
Ik-glb5. x30'a
0

r
Animal Waste System
(12�
Location Ma
� � f
i
6z'
337
f
}
Sketch Sheet 2 of 2

SPECIFICATIONS FOR CONSTRUCTION OF WASTE TREATMENT LAGOONS OR HOLDING PONDS
Clearing: All trees and brush shall be removed from the -construction area
before any excavating or fill is started. Stumps will be removed within
the area of the''foundation of the embankment and all excavated areas.
Satisfactory disposition will'be made'of all debris.
Construction:. Constr.uction.will-�be composed of.excavation.and its
placement- to ths.-grades,,And: sloPes,. as. planned. Excavation will b.e by .
dragline or backhoe. A bulldozer or other equipment will be used to
dress.spoil.placement. Repeated passes of. to equipment'over the spoil
should be made to obtain compaction.
Vegetation: All exposed embankment, spillway, and borrow areas shall be
seeded to the planned type of-vegetition ad -soon as possible after
construction.
-.SPECIAL' SPECIFICATIONS ..
TYPICAL CROSS SECTION

SCS-ENG-538 U. S. DEPARTMENT OF AGRICULTURE
Rev. 5-70 SOIL CONSERVATION SERVICE
SOIL INVESTIGATION TO DETERMINE SUITABILITY OF PROPOSED POND SITE
r eJ• r. • . r •
CROPLAND-ACRESWATERSHED AREA MEASUREMENTS
WOODLAND -ACRES TOTAL -ACRES
S CH OF •••• POND SHOWING:•• i •I
Locate reference point m center line of dam and identify on sketch.
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NEEMENNEENME:.....
Make a"d list dam -sift and spillway borIngs first -Men porided circa and bormw pit barings - separate with pertical red [Inc
(Continued on back where necessary) Show "ter table eltuations an dam -site borings.
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BORI.NGS MADE BY SIGNATURE & TITLE

La90 N Va/c)m e
700 e 150 li). = 1051,0(o0 lb.,
VO /U ry-i E.
Ulan 105,000 x x 30
(�6 7
5G,
a II-000 x 5 = 11 -7G 0 = 43 (o -Cu—,
I b-La I 4�7
1000 clj--� H oU NJ VO l Urn e_

Xeavaf IcN Vo/ome
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-27
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27

SWINE. WASTE MANAGEMENT SYSTEM;,,
OWNER: GEORGE PENDLETON
HALIFAX COUNTY, NORTH CAROLINA
USDA, SOIL CONSERVATION SERVICE,

'U. S. Department of Agriculture NC-ENG-34
Soil Conservation Service September 1980
HAZARD CLASSIFICATION DATA SHEET FOR DAMS
Landowner �rrr l r;i /�� County
Community or Group No. Conservation Plan No.
Estimated Depth of Water to Top of Dam__j,!j_,5Ft. Length of Flood Pool Ft.
Date of Field Hazard Investigation i1/z6/9n
Evaluation by reach of flood plain downstream to the point of estimated minor -effect
from sudden dam failure.
Est. Elev. :Est.
Elevaflon
Kind of :Improvements:
of Breach
Reach: Length: Width:
Slope: Land Use
Improvements Above :Floodwater Above
:.F1ood.Plain:
Flood Pl.ain
Ft. Ft.
�«�y 9a3 , Ft.
Ft.
• w /arid
91n
Z-0
2
.5wo rrnP
3
Describe potential for loss of life and damage to existing or probable future downstream
improvements from a sudden breach IV, o o r,112 , 31 -'4"`0r- /0'-g< /ije
��>> FXi''�11�G lj.t_,Ll�-���'fl� �1��P G!n[,� �r_F4h-� _i�C7�✓�i�PrT'�.�� �rPC.I
Hazard Classification of Dam (a, b, c) (see NEM-Part 520.21) ca.
Dam Classification (I, I1, III, IV, V)
By
name
curred By ' :4 L.,LZ
, ,�/ hls. 1 '
name title
NOTE: 1. Instructions on reverse side.
2. Attach additional sheets as needed.
Date gl //9/
—r
Date_ - a—'Zi

INSTRUCTIONS
All dams built with technical assistance from the Soil Conservation Service
must have a hazard classification assigned by the person responsible for
approving the design. Most farm ponds, except in borderline cases, can
be classified after a complete field investigation without assuming failure
and making breach studies. This data sheet is to be used for recording
the information obtained through field studies and for documenting the
hazard classification. Where there is.a possibility for loss of life or
major property damage from a dam failure, an approved breach routing
procedure is to be used. (Consult with the area engineer.)
Hazard classifications of dams are made by evaluating the possibility
for loss of life and the extent of damage that would result if the dam
should suddenly breach --that is --a section of the dam be suddenly and
completely washed out. It is to be assumed that a wall of water will be
released equal to the height of the dam. This flood wave will be reduced
in -height as it moves down the flood plain. The wave height (depth of
flooding) should be evaluated for a sufficient distance downstream until
the estimated flood level will not cause significant damage to improvements,
such as homes, buildings, roads, utilities, reservoirs, etc. The breach
flood level will be reduced depending on the valley storage, slope, and
o eness of the flood plain; however, in a narrow steep valley slopes
s eeper than I % should be given speeial consideration. One method of
evaluation is to compare available valley storage (under flood conditions)
to impoundment storage (figured to the top of the dam) for each reach
evaluated with a judgment estimate made of the flood wave height at all
critical points downstream.
Should there be any questions about the hazard classification for a dam,
the area engineer should be consulted before making design commitments.
a

-- Mks I . .f �•� � `� -.l t ,! r .. ' �•+.k� t. '1 n'. i`. �"
f
�' � ��� 1'ix 'V �� JI � I # i � I i.�.,.r� `+N 11 #p •
f I+
• s �� i � �� I \ t � \ �' •lbws+.; nc a ru,� n
1 :r as"O
off
white
r ♦ � ram— /' 7- tr � '�� .,.:
y 1 � f(�, 7� � •'f
1,\' i - 1..;\ ,` � tlfy.•\ • G' C+raa:�ser.w�� �1+
'111 O _ ' - ., • .0 O.., •, t °�' aye ,�
tl
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`3 f ti , , ; � /` -/:��✓ I 'fit ( A5�}:
yj

0
■■

TYPES OF MATERIAL ENCOUNTERED IN BORINGS
(Use one of systems below)
UNIFIED CLASSIFICATION
USDA CLASSIFICATION
GW - Well graded gravels; gravel, sand mix
g- gravel
GP - Poorly graded gravels
s - sand
GM -Silty gravels; gravel -sand -silt mix
vfs - very fine sand
GC -Clayey gravels; gravel -send -clay mix
sl-sandy loom
SW -Well graded sands; sand -gravel mix
fsl-fine sandy loam
SP - Poorly graded sands
I - loam
SM -Silty sand
gl -gravelly loam
SC -Clayey sands; sand -clay mixtures
si-silt
ML - Silts; silty, v. fine sands, sandy or clayey silt
sil - silt loam
CL-Clays of low to medium plasticity
cl-clay loam
CH - Inorganic clays of high plasticity
sick- silty clay loam
MH - Elastic slits
scl -sandy clay loam
OL-Organist silts and silty clays, low plasticity
sic -silty clay
OH -Organic clays, medium to high plasticity
c-clay
1. Suitable material for embankment is available 0Yes Q No (lydimte nAtm Axa"d an rh. sk*kh an
ramrse ddel
REMARKS:
2. Erplain hazards requiring special attention in design rSava s. srtna..Rct ek)
GENERAL REMARKS:
SPA sorct/
Ala
24
26
26
27
28
29
1 30
31
32
33
34'
35
36
37
38
39
40
41
42
43
44
45
48
47
48
49
fA
81

I A
mr4
!aAm—q

I
WORKSHEET EDENTON, N. O.
10186
DESIGN DATA FOR SWINE WASTE MANAGEMENT SYSTEM
[�Q � C, J<J &&FARM __�s31L,VnXCOUNTY
Distance to nearest residence (other than owner)'Z10e2Q_feet
1. Steady -State Live Weight
-------Sows x ----- l bs . _ __--_--_ Ibs .
------_Boar's x -----_Ibs. ' -------Ibs.
_______litters x ______pigs/litter x
----- __lbs./pig _ - ____Ibs.
_�.'d(7__sows^(farrow to finish) x 1417 Ibs. =Ibs.
sows (farrow to feeder) x 522 Ibs. = Ibs
--------------
------- head (finishing only) x 135 I•bs. = -------Ibs.
Total Steady State Live Weight (SSLW) _ ,Za�5jgQl bs.
2. Reouieed_Liauid VQ(ulpe, 9f_ swoon
Volume = ��Z.ztjLx�lbs. SSLW x 1 cu. ft./lb SSLW x 1 cu. yd./27 cu. ft.
Volume = 1Dr¢��cu. yds.,
3. Normal Lagoon Lig6ld Level
Maintain normal lagoon liquid level at 9je`L,,rL4ii feet
13o1(om cr� Iac�boh ele_v -40�4
Lagoon s I ze ( for- norm°a I T agoonpilei qu I diva l urne) ( from tab l es, or -
calculations using prismodial formu_a)_:
Length .ft. Width Depth.ft. s:s Z:1
Surface area of normal liquid level:
Length ___-___ft. x Width--__-_,wft. - _______sq. ft.
Actual volume at normal lagoon liquid level
cu. yds.
(Actual volume must be greater- than require .
4. Volume of Lagoon to be Excavated. (see. -Skee+ -
Length __ft. Width ft. Depth ------- ft.
Depth
Vo I ume =------- ( Area of top .+ area bottom + 4 x area of midsection)
6
21
Volume = .......cu. yds.
M

2
r'
Dike
Place spoil as a continuous dike at least ------- ft. high around
the lagoon (and pump out pond, If needed).
6. Temaorary Storage _Re4u i red ,
Drainage Area:
Lagoon (top of spoil)
Length ft. x Width _JQQft. a _33�sq. ft.
6xl:s4;n file znd s���e
Length 3,�L7__ft. x Width �ft. sq. ft.
BiF`fTl� (roof and lot water) '
Lengt.h __33_7Z_ft. x Width _4 :--- ft. :.e. _�.�-.�i4� sq. ft.
TOTAL DA _+¢q. ft.
Pumping cycle Is to be. �.�Y.Q..W days. t ..
6A. Volume of 25 year - 24 hour storm.
Volume = f�_,�rin. x 0.0333 ft./in. x DA �"��¢�q. ft.
Volume = _-aL1o5Lcu. ft.
NOTE: Use 25 year-24hour- rainfall for your location from
Engineering Field Manual,, ,Chapter. 2.
6B. Volume of rainfall in excess of evaporation. 'Use period of
time when rainfall exceeds evaporation by largest amount.
Rainfall ( _) to (_ILA I) = airs !nR h
Evaporation
Excess rainfall (difference) r _�3 .Ins
Volume = -ZJ,3__in. x 0.0833 ft./in.' x DA �Q3�•�. ft.
Volume = _42!j-;,213cu. ft.
NOTE: Above 'information can be found In "Weather and Climate
In-N6t"th Caro Iina" AgricuIturaI ExperImeet Station LiuI
letin 396. Rainfall data is In Table 1. Evaporation
is from Figure 12 at- Figure 13 depending on I ocat i.on
which is most nearly like yours.
r

3
7.
,r
6C. Volume of Waste Produced
Volume = z�},;�¢�Z55LW x 0.01 gallon/lb SSLW/day x d__days in
pumping cycle x 0.1337 cu. ft./gallon
Volume = ____ _Ibs x 0.01 x -______days x 0.1337
Volume = ft.
6D. Volume of Wash Water
This Is the amount of fresh water used for washing floors or -
volume of fresh water used for flush system. Flush systems
that recirculate the lagoon water' are accounted for in 6C.
Volume - _-saIIon/day x __ ___days in cycle
x-G.1337'cu. ft./gallon-
Volume -- --cu. ft.
-VDle •
TOTAL'RL' U1RED TEMPCIRARY STORAGE
*CAA . c u . f t . -� 3S' .`� •'� r-' .� lZ. J
•r 613. ( 4 cu. ft.
6C. a- cu. .ft. Ovn�/rL�le. lv9/Z Cu, lids
6D. �_cu. ft.
TOTAL �4+� u . f t .
CoOgh cc yds
*Impounded lagoons and lagoons that do no-t have all outside water
diverted must include volume contributed by..additional area.
Depth requ1red - oIurne of Temporary Storage dIvIded,-by Surface Area
of goon and purnpaut pond
Depth ....... cu. ft. / -_ __sq. ft.
Depth a ------- ft
Top of spo I I•.., e,l ev. �� ------- ft. Depth required -- ft.
- Normal Iago.0n I �u� eIev. ------- ft. reeboard------- ft.
Differe�oedepth
' ft. To Depth req.
NOTE: If of storage plus one foot for.free rd does not
exceed the difference in elevation of the top of spoil and
normal lagoon liquid level, adequate storage has been provided.
0
r

G121y9 7
o - .
/z -- �9/Z y�

.4
rf
Amount of Nitro-gen_Produced
N = 0.00048 lbs./day x -------Ibs SSLW x 365 days/year
N = -------lbs./year-
From AGRICULTURAL WASTE MANAGEMENT FIELD MANUAL
(AWMFM) Table 11-3
Nitrogen losses associated with anaerobic lagoon
system and applying
on the surface of the land by spraying or liquid
spreading (item
12).
Nitrogen losses = T5%
Nitrogen available ZSY.
N = ------- Ibs./year x 0.25
N =-------- Ibs . /year
From AWMFM Table 11-6
The rate of nitrogen mineralization for effluent
fro.m an aerobic or
anerobic lagoon appreciably diluted is 49Y..
N = ------- I bs . /year W O.49
N C -------Ibs./year- to be disposed
I"
Land APp 1 i_ration of Effluent for N i tragen Disposal
Plant Nutrient Needs - Technical Guide - Section
I -A Agronomy Ref,
and AWMFM Table 6-1
Plant Yield/Acre
N Reauirements-
corn (grain) 100 bu.
90,
corn (grain) 180 bu.
180'
Coastal bermudagrass G tans
300•
Rate of Utilization
Plant N_available/N required
Acres
/
_
------------------ ----•----
---------- --------
-----
--------
-----
615;1 7-ecA &u,dc-
R5 - ' 1,3,3
-�Grrc rl A4 /",-),:5A 0. /9"' Qc-1 Aeccr X 0O0 -50 "s = a 6 4C , J
61C C o rn 14rK

10. Apt) llcation- by Irrigation (See, C) �'1 play))
Soils ______________ Crops ----------
Application Rate ______inches per hour
Application Amount ______inches
NOTE: Information on application rates and amounts for various
soils and crops can be found in the Sprinkler- Irrigation
Guide - Technical Guide - Section II-G. Effluent should
be applied at a rate so that there Is absolutely no run-off.
Designede•___
Dates -
f
e
Approved
i__(2,exj
Date ral av��__...._
1
9

Geo r a e - 4c)_ rcrl 1 P` i)
Clearing: All trees and brush shall be removed from the
impoundment area before construction is started. The foundation
of the lagoon shall be cleared of all trees,"stumps, roots,
brush, sod, organic soil, and debris. All stumps and all roots
exceeding 1 inch in diameter shall be -removed to a minimum depth
of 1 foot. Satisfactory disposition will be made of all debris.
After clearing is completed the foundation area shall be loosened
thoroughly and roughly leveled, with sui.table'equipment, before
placemept of any embankment material.
Qutoff Trench: A cutoff trench shall be excavated to a minimum
depth of .30_ inches on the embankment. The exact depth shall be
determined on site by SCS. The trench width will be a minimum of
6 feet, but will depend on the equ,i meet being used. The cutoff
trench shall be backfilled with _ material. The trench
shall be backfilled in 9 inch layers and compacted with a
sheepsfoot roller with a minimum of 4 passes.per unit width of
fill lift. If sheepsfoot roller is not used, the trench shall be
backfilled in 4 inch layers and compaction shall be equivalent to
or better than the routing of the hauling and spreading equipment
over the fill in such a manner that every point on the surface of
each layer of fill will be traversed by not less than one tread
track of the loaded equipment traveling in a direction parallel
to the main axis of the fill. All standing water shall be
removed from the trench before backfilling is started.
Excavation: Topsoil shall be stocked piled separately for later
use. The bottom of the lagoon shall be excavated as shown on the
plans. Where pervious material (SP, quartz veins, etc.) is
exposed during excavation, it shall be undercut and backfilled
with a compacted layer of highly plastic (CL, iM material
approximately six (6) inches in thickness. Scarify and compact
the bottom and, whero practicable, the side slopes of the lagoon
to decrease the permeability of the soil in the lagoon.
EMbanknent Construction: The material placed in the embankment
shall be free of --'::sod, roots, stones over six (6) inches n
diameter, and other objectionable materials.
materials shall be used in the embankment. Any pervious material
found shall be used on the outside slope. Construction of the
embankment shall be made in layers .'not to exceed,• 4- inches in
thickness. Compaction shall be equivalent to or batter than the
routing of the hauling and spreading equipment over the fill in
such a manner that every point on the surface of each layer of
fill will be traversed by not less than one tread track of the
loaded equipment traveling -in a direction parallel to the main
axis of the fill. If pans are not used, construction of the
embankment shall be marls in layers not to exceed '? inches in
thickness and compacted with a sheepsfoot roller with a minimum
%O

r'
of 4 passes per unit width of fill lift. At any time the
embankment surface becomes "slickened" such that the succeeding
layer will not bond to the previous layer, scarify the previous
layer sufficiently to assure bonding of the surfaces before
continuing with the fill operation. Construction of the fill
shall be undertaken only at such times that the moisture content
of the fill material will permit a reasonable degree of
compaction. Construction of the embankment shall allow an
additional 5% for settlement. Stock piled topsoil shall be
spread over top of embankment and outside side slopes for the
establishment of vegetation.
Pollution Conti During QgnstrzuctionL Stripping of embankment
and borrpw areas shall be done as they are needed in a normal
sequence of construction. Use temporary mulch protection on all
disturbed areas that are subject to erosion and will not have
substantial additional w9rk performed for 30 days.
VON-ZOWAM Vasatpt"n Mfloll be establIphod'an the slapen,
embankment top and all other disturbed areas, except the area
that will be inundated, as specified in the plans as soon as
possible after construction. Necessary steps shall be taken to
ensure that a good stand of vegetation is established in a
reasonable amount of time.
Peane�t�$take: A permanent stake (CCA salt treated 4"x4" post
or I inch diameter PVC pipe with tee) marked to indicate pumping
level elevatio s, shall a placed in the -inside slope at one end
of the lagoon. �O••d s �-�jez ►5l i lzble� s,
e C'Jri� �'�•rt � � ,r i s7-i n �U�c7C�� � `)`,'r 1 � lO ic�' Q/'�c�s . i h
•fT! �
Cr
dam �p E%v,

SC5-ENG.529 U. S. DEPARTMENT OF AGRICULTURE
REV 1-64 SOIL CONSERVATION SERVICE
EARTHWORK COMPUTATION SHEET
LQCATION
gr
,- a
OWNER
G� e h
wATERSHEID
cJ
SUB -WATERSHED
SITE NO.
CONTRACTOR
COMPUTED BY
DATE
ITEM
CHECKED BY
DATE
CONTRACT NO.
/ /.
ESTIMATE
GU. YOS.
ACTUAL
CU- Yi s..
_5-,$ . 7
a 7.s
37.3
¢ -7. it
—4 4.3
49.5
49, /
66J1_;�
saw,&-,*m
"ENDEAS
1,
i •
oq
pro, 3273 0 • 453-471 SHEET OF SHEETS
13 - -

SCS.ENG.529 U. S. OEPARTMENT OF AGAICULTURE
REV 8•69 . EARTHWORK COMPUTATION SHEET SOIL CONSERVATION SERVICE
Lp{ypN /
OWNER
wATERS✓`IED "
SUB•wATERSHED'
SITE NO.
CONTRACTOR
COMPUTED BY
DATE
ITEM
�Ya✓-�o
CHECKED BY
DATE
CONTRACT NO. ✓
ESTIMATE
CU. YDS.
ACTUAL
CU. YDS,
a
3•Dp
n i�om 4LI —Iry - /y 1
Morlm
aro.l671 0.451.m SHEET OF SHEETS
FA

f
Producer
G� (r l �� County , aa.I"
The purpose of this plan is to provide guidelines for carrying out the
routine operation and maintenance work needed to keep this swine waste
management system functioning as planned. Routine maintenance i5
considered to be normal good care of the system. Good maintenance adds
to beauty, usefulness, and permanence.
A. Waste Treatment Lagoon (1st & 2nd stages)
The lagoon should be filled at least half full with water before
manure loading begins to nurture bacteria establishment. The
routine maintenance of the lagoon involves the following:
1. Maintenance of a vegetativer on the embankm t top and
side slopes: ct.� _ Aug— is being
established on the e areas. Beginning in 1 an each year
thereafter, the embnankment should be fertilized with *100
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 should be made during the
initial filling of the lagoon and at least annually. Items to be
checked should include, as a minimum, the following:
1. Waste Inlet Pipes, Overflow Pipes
a. condition of pipes
(1) separation of joints
(2) cracks or breaks
2. Pool Area
a. undesirable vegetative growth
b. Floating or lodged debris
3. Embankment
a. settlement, cracking or "jug" holes
b. side slope stability - slumps or bulges
C. erosion and rodent damage
0;
��Tr�n -Pump
16

B. Management and land application of waste nutrients
Your animal waste management facility has been designed for a given
storage capacity. When the waste reaches the designed level, it
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
and annual soil tests are encouraged so that all plant nutrients can
be balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensurq 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. So 1 types are important as they have different
infiltration rates and leaching potential. Waste shall not be
appltsd to lafsd NVOOL"a 44h s*eesa*� than 6 to"" pow Aaw" per yeawl
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. Wand 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 not more than 30 days prior
to planting. injecting the waste or disking will conserve nutrients
and reduce odor problems.
Maximum application rates should consider the intake capability of
the particular soils that the waste is applied on. For application
on U' �� Cd b fsds , the maximum application rate
is -----A- . inches per hofir with cover and inches
per hour bare. Application on Cd'1
(crops) is inches
respectively. A soils map showing areas for waste application is
attached.
You should plan time and have appropriate equipment to app1 the
waste in a timely manner. Your facility is designed for 2 days
of storage. Therefore, it will need to be pumped every^
months. Pumping should begin before liquid reaches elevation 54.4
feet and stop at elevation 42.4 feet.

The acres needed to apply the animal waste is based on typical
nutrient content for this type of facility. Acreage requirements
may be more or less based on the waste analysis report from your
waste management facility• This amount can be fully utilized by any
or a combination of the following. The acreage required for
disposal of waste is based on 'rechnical Guide, Section 1V, P.S. 633.
Use Ac
Wheat
Corn
Fescue Range
Tifton 44 Bermuda Range
Tifton 44 Bermuda Cont. Grazing
Tifton 44 Bermuda Hayland
Call the Soil and Water Conservation District Office after you
receive the waste analysis report to obtain the amount per asrm to
apply.
Prepared b
Concurred
r
2
tle Date
Date
l8

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
G.E. Pendleton
G.E. Pendleton Farms, Inc.
Rt I Box 117
Scotland Neck NC 27874
Dear G.E. Pendleton:
A11INT4 • W), A.
•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT ANo NATURAL REsouRCEs
December 30, 1999
� 1
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number4,2;3_2_3
Halifax Co- linty
This letter is being sent to clarify the recordkeeping requirement for Plant Available Nitrogen (PAN)
application on fields that are part of your Certified Animal Waste Management Plan.
In order to show that the agronomic loading rates for the crops being grown are not being exceeded, you
must keep records of all sources of nitrogen that are being added to these sites. This would include nitrogen
from all types of animal waste as well as municipal and industrial sludges/residuals, and commercial fertilizers.
Beginning January 1, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. IRR1, IRR2, DRY1, DRY2, DRY3, SLUR1, 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,
Kerr T. Stevens, Director
Division of Water Quality
cc: Raleigh Regional Office
Halifax 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% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
G.E. Pendleton
G.E. Pendleton Farms Inc
RtIBox 117
Scotland Neck NC 27874
Dear G.E. Pendleton:
�
r �
NCDENR
NORTH CAROLINA DEPARTMENT Or
ENVIRONMENT AND NATURAL RESOURCES
September 18, 1998
c-'
Subject: Application No. 42-0032 L
Additional Information Request
G.E. Pendleton Farms Inc p
Animal Waste Operation
Halifax 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 components by October 19, 1998:
1) The lagoon volume documentation received on September 17, 1998 did not contain a
summary sheet Iisting the actual lagoon volumes. Please submit this information for
review (include the temporary storage volumes and total available volumes for each
lagoon).
All revisions / amendments are required to be signed and dated by both the landowner and the
Technical Specialist before they are submitted for review. 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 October 19, 1998 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
364.
Sincerely,
Brian E. Mondschein
Environmental Technician
Non -Discharge Permitting Unit
cc: Raleigh Regional Office, Water Quality
Permit File
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

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
G.E. Pendleton
G.E. Pendleton Farms Inc
RtIBox 117
Scotland Neck NC 27874
Dear G.E. Pendleton:
A0Arfflc.�
M%%=WW4
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
September 18, 1998 ;
co
C-1
Subject: Application No. 42-0032 (C!
Additional Information Request'
G.E. Pendleton Farms Inc `�
Animal Waste Operation
Halifax 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 components by October 19, 1998:
1) The lagoon volume documentation received on September 17, 1998 did not contain a
summary sheet listing the actual lagoon volumes. Please submit this information for
review (include the temporary storage volumes and total available volumes for each
lagoon).
All revisions / amendments are required to be signed and dated by both the landowner and the
Technical Specialist before they are submitted for review. 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 October 19, 1998 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
364.
Sincerely,
Brian E. Mondschein
Environmental Technician
Non -Discharge Permitting Unit
cc: Raleigh Regional Office, Water Quality
Permit File
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

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
September 11, 1998
G.E. Pendleton
G.E. Pendleton Farms Inc
RtIBox 117
Scotland Neck NC 27874
A"l
4 - T
•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATUF2AL RESOURCES
Subject: Application No. 42-0032
Additional Information Request
G.E. Pendleton Farms Inc
Animal Waste Operation
Halifax County
Dear G.E. Pendleton:
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
components by October 12, 1998:
1) The Insect Control, Odor Control, and Mortality Management Checklists were not completed.
Please fill these checklists out and submit for review.
2) The lagoon volume calculations submitted with the permit application did not contain the Actual
Lagoon Volumes. Please summarize the lagoon volumes (include the temporary storage volumes
and total available volumes for each) and submit for review.
All revisions / amendments are required to be signed and dated by both the landowner and the Technical
Specialist before they are submitted for review. Please reference the subject permit application number when
providing the requested information. All information should be signed, sealed, and submitted in duplicate to ray
attention at the address below. The information requested by this letter must be submitted on or before October
12, 1998 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 364.
Sincerely,
Brian E. Mondschein
Environmental Technician
Non -Discharge Permitting Unit
cc: Raleigh Regional Office, Water Quality
Permit File
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

Revised January 22, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number W1 - 3 2—
Farm Name: 3 ,&J&A W _
On -Site Represen ative: pew �
Inspector/Reviewer's Name: �cy ¢ �/
Date of site visit: 3/1 / 19
Date of most recent WUP: J
Operation is flagged for a wettable
acre determination due to failure of
Part 11 eligibility item(s) F1 F2 F3 F4
Operation not required to secure WA
determination at this time on
exemption Ell E2 E3 E4
Annual farm PAN deficit:.3%_? b pounds
Irrigation System(s) - circle �.ar�d-hos�e�r-,; 2. center -pivot system; 3. linear -move system;
4. stationary sprinkler system wlpermanent pipe; 5. stationary sprinkler system w/portable pipe;
6. stationary gun system wlpermanent pipe; 7. stationary gun system w/portable pipe
PART I. WA Determination Exemptions (Eligibility failure, Part II, overrides Part 1 exemption.)
E1 Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I or PE.
E2 Adequate D, and D)D3 irrigation operating parameter sheets, including map
depicting wettable acres, is complete and signed by an I or PE.
E3 , Adequate D, irrigation operating parameter sheet, including map depicting
wettable acres, is complete and signed by a WUP.
E4 75% rule exemption as verified in Part III. (NOTE: 75 % exemption cannot be
applied to farms that fail the eligibility checklist in Part 11. Complete eligibility
checklist, Part II - F1 F2 F3, before completing computational table in Part ill).
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 Part III.

i . .
Revised January 22, 1999
.icility Number Z - 32,
Part III. Field by Field Determination of 75% Exemption Rule for WA Determination
TRACT
NUMBER
FIELD
NUMBER' Z
TYPE OF
IRRIGATION
SYSTEM
TOTAL
ACRES
CAWMP
ACRES
FIELD
%
COMMENTS'
�.7s
FIELD NUMBER' - hydrant, pull, zone, or point numbers may be used in place of field numbers depending on CAWMP
and type of irrigation system. If pulls, etc. 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 subject to WA
determination.
FIELD NUMBER - must be clearly delineated on map.
COMMENTS' - back-up fields with CAWMP acreage exceeding 75% of its total acres and having received less than 50%
of its annual PAN 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 section and must be accessible
by irrigation system.

Ltntta States Natural Past pace Box 8
l+"`d Drartm at of Resources }*ai, N.C. 27839-OOOS
�rtcul6cre Carrscrvattan N d Cauaty Agriewltural CAW
Senice (P) 2-583-3381 (FAXA52-583-I814
FACSIMILE TRANSMISSION
Date: /� {
FROM: Job Y. dak
WI COILK y0on Technfcfa)t
ATTENTION:
i
FAX#
COMMENTS:
/1� •ice ��/�pl F ' IM M _ Mw - -�
1
Na. of ugu IMUN6 Cover Shen
ve

L
i
TOM CROCKETT IRRIGATION, INC. • P,0.BOX 390 • WILLIAMSTON, NORTH CAROLINA 27892 • 91 %-792-•3121
i
April. 4, 1998
i
i
I
Joy Sherrod j.
USM--NRCS
P Q Box 10 j
Tarboro, North Carolina 27886
Dear Ms: Sherrod,
The traveler underground waste system designed and installed
for George Pendleton meets USDA -Natural Resources Conservation
Service qualifications. The,pipe is about three feet deep;
all fittings were properly cleaned and glued in place. More
than enough concrete was used to thrust block the ends,
ninety -degree elbows, and at:the pump discharge. There
were no leaks in the system and the system operated as
designed with adequate pressure, sprinkler coverage,
and proper buffers from the ditches.
If I can be of further help please call. �t
I J
1
Sin rely,
Preston L. Parker, Jr. (Vern)
TOM CROCKBTT IRRIGATION, mr,
PLP/jda
cc: George Pendleton
Rt 1 Box 117 Winslow Rd
Scotland Neck, N C 27874
i

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
July 31, 1998
CERTIFIED MAIL
RETURN C RE UESTED
Pendleton
G.E. Pendleton Farms Inc
RtIBox 117
Scotland Neck NC 27874
Farm Number: 42 - 32
Dear G.E. Pendleton:
A4 ••
mom
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NAwuRAL RESOURCES
You are hereby notified that G.E. Pendleton Farms Inc, in accordance with G.S. 143-215.1OC,
must apply for coverage under an Animal Waste Operation General Permit. Upon receipt of this letter,
your farm has six 60 days to submit the attached application and all supporting documentation. In
accordance with apter 67,6 of 1995 Session Laws (Regular Session 1996), Section 19(c)(2), any
owner or operator who fails to submit an application by the date specified by the Department
SHALL NOT OPERATE the animal waste system after the specified date. Your application must
be returned within sixty (60) days of receipt of this letter. Failure to submit the application as required
may also subject your facility to a civil penalty and other enforcement actions for each day the facility is
operated following the due date of the application.
The attached application has been partially completed using information listed in your Animal
Waste Management Plan Certification Form. If any of the general or operation information listed is
incorrect please make corrections as noted on the application before returning the application package.
The signed original application, one copy of the signed application, two copies of a general location
map, and two copies of the Certified Animal Waste Management Plan must be returned to complete the
application package. The completed package should be sent to the following address:
North Carolina Division of Water Quality
Water Quality Section
Non -Discharge Permitting Unit
Post Office Box 29535
Raleigh, NC 27626-0535
If you have any questions concerning this letter, please call Sue Homewood at [phone]
extension 502 or Charles Alvarez with the Raleigh Regional Office at [phone].
Si erely,
for reston Howard, Jr., 707
cc: Permit File (w/o encl.)
Raleigh Regional Office (w/o encl.)
P.O. Box 29535, Raleigh, Forth Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B.- Howes, Secretary
November 13, 1996
G.E. Pendleton
G.E. Pendleton Farms Inc
Rt1Box 117
Scotland Neck NC 27874
SUBJECT: Operator In Charge Designation
Facility: G.E. Pendleton Farms Inc
Facility ID#: 42-32
Halifax County
Dear Mr. Pendleton:
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study
Commission on Agricultural Waste, enacted by the 1996 North Carolina General Assembly,
requires a certified operator for each animal waste management system that serves 250 or more
swine by January 1, 1997. The owner of each animal waste management system must submit a
designation form to the Technical Assistance and Certification Group which designates an
Operator in Charge and is countersigned by the certified operator. The enclosed form must be
submitted by January 1, 1997 for all facilities in operation as of that date. Failure to designate a
certified operator for your animal waste management system is a violation of 15A NCAC 2H
.0224 and may result in the assessment of a civil penalty.
If you have questions concerning operator training or examinations for certification, please
contact your local North Carolina Cooperative Extension Service agent or our office.
Examinations have been offered on an on -going basis in many counties throughout the state for
the past several months and will continue to be offered through December 31, 1996.
Thank you for your cooperation. If you have any questions concerning this requirement please
call Beth Buffington or Barry Huneycutt of our staff at 919/733-0026.
Sincerely,
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
Enclosure
cc: Raleigh Regional Office
Water Quality Files
P.O. Box 27687, V ;6
Raleigh, North Carolina 27611-7687 V� An Equal Opportunity/Affirmative Action Employer
Voice 919-715-4100 50% recycled/100% post -consumer poper

A 1,4j
Animal Waste Managernent Plan Certification
kpl,:asc tvpd oi• print all information that does not require a si-naiure)RECEIVED IDENRIDWQ
lExistins �r Ness or Expanded (please circle one) Asno y A o%fe%e% i
Generallnformation:
Name of Farm:" •� �' . Facility tin:-----�
Owner(s) Name.- r
��� � � � �'� -Phone No:
r _
hlailina Address: C/� / ,/�O,lr // % �? t'v Fi, �cf /�fr7c- �' /if C- 27 r� 7
Farm Location: �4'' `% County Faun is located in: 1--7 z ,"'rf
Latitude and Longitude: DG C'_ 1 77 ZZ 4
Please attach a copy of a county road map with location identified and describe below (Be specific: road
' 1
names, directions, milepost, etc.): _ l �'�'�� �' _� n �` _ /�(% /'0166149 ,t7A/
7—
OperatLon Description:
*1' pe of Swine No. of j nintaIs
Wean to Feeder _
Z, Feeder to Finish
ZI Farrow to Wean
J Flow' to Feeder
dFarrow to Finish =�Q�_:
Type of Poultry
Z1 Layer
i Pullet;
No. OfAnimals.
Type of Cattle
ZI Dairy
Be-f
No. of Anirrwls
Other Tpe of Livestock: Number of Animals:
Expanding operation only
Previous Design Capccirn: Addiriohal Design Capacity:
Total Design Canacitt,,
Acreage A-vailable for Applicatiotn 411'-5_ -_ _ Required Acreage:
Dumber of Laeoons / Storage Ponds Total Capaci If- g� Cubic Feet (ft3)
Are subsurface drains present on 'the farm: YES orr NO - lease circle one)
If YES: are subsurface 3rains present in the area of the LAGOON or SPMY FIELD (please circle one)
Owner / Manager Agreement
I (we) ~verify that all the abo m information is correct and wii] be updated upon changing. i (Nve) understand the operation and
maintenance procedures es-ablished in the approved animal waste manasetnent 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 SN-stem or constru.tion of new facilities will recuire a new certification to be submitted to the Division of
Environmental Ma=!emen: before the new animals are stocked. I (we) understand that there must be no discharge of animal
waste from the storage or application sN stem to surface w•atcrs of the state either directly through a man-madc conveyance or
from a'storm event less sev_re than the 24-Fear• "_''-hour storm and there must not be run-off -from the application of animal
«•aste. I Ove) understand 'hat ruts -off of pollutants from lounging and heavy use areas must be minimized using technical
standards developed by the Natural Resources Cariserv:itien Ser,,•ict. The appr^ .-d plan will.be tiled at the farm and at the
office of the local Soil and Nate: Conse:.ation Duuic:. I twc! know that any modification must be approved -by a technical
sp=cialist and submitted to the Soil and Witer Conszn-atien District prior to implementation. A change in land ownership
require: «rittcn notiricatior to DEM o.r a nex zz!n1f ,:a6 :n ; if thr orcrov td plan is pans`-d+ within 60 days of o title uansfe:.
artie of Land ON e
S i
tiame of �Ianaaer+if ,itfe".nr t: from owne'+:
Date:
Signature:_ .
Date:

Technical Specialist Certification
I. As a technical specialist designated by the Forth Carolina Soil and Water Conservrtion Commission pursuant to 15A
\CAC 6F .0005. 1 certifv that the animal waste tnanagetnent systcm for the farm maned above has an animal wash
management plan that meets or exceeds, standards and specifications of the Di ision of E:tvixonmental Management (DEM)
as specifird in 13A NCAC 2H-0217 and the U.SD.a•Natural Resources Conservation 'iervice (,\RCS) and/or the North
Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 21-1.0217 anc 15A ,NCAC 6F .0001-.0005. The
following e!e:nents are included in the plan as applicable. While each catcdory designates a ;ethnical specialist who may
sign each certification (SD. SI, WUP. RC. I), the tee hnical specialist should only cenify Fans for which they are technically
comoetent-
II. Certification of Design
A) CollectionStorage, reatment System
Check the appropriate box
I Existing facility without retrofit (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with waste utilization
requirements.
J \e_'.v. expanded-pr rdtrofrted facility_ (SD)
Animal waste storage and treatment structures, such as but not limited to collection systems, ]a-eoons and ponds,
have been designed to meet or exceed the minimum standards and speciftcaticus.
Name of Technical Specialist (Please Print):
Affiiiation:_T
Address (Aaency):
Sienature:10
l one No.:
B) Land AiDlication J5ite (WLIP)
The Oan provides for minimum separations (buffers); adequate a.mount,of land for waste utilization; chosen crop is
suitable for waste management; hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print):
Affiliation: 'X'. er
E�9G &'4j G .0- C&4it 4l
Address(Agency): .4e- C
Signature:"L
X.
C) Runoff ntrols fr Exterior L is
Check the ap roprlare boxf
Eac lity wit gut gmerior lots (SD or %N-- P or RC)
This facility does not contain ahy exterior lots.
Ph,me No.:
,1 Facilitv «_itb exterior lots (RC)
Methods to minimize the run off of pollutants from lounging and heavy' ase areas have been designed in
ac,erdance with technical standard, dcvc;cged by NRCS.
Nanie of Technical Specialist WleaSz Print'
At•[i1i:ition: UrAf4
Phone No.
-ttVt_ -- k:t:

III. Certification of Installation
A) Cnllectinrr_, Storage, Treatment Installation
New. expanded or retrofate facility (Sl)
Animal waste storage and treatment structures, such as but not limited to lagoons end ponds, hove been installed in
accordance with the approved plan to meet or exceed the tninimum standards and specifications.
For existing facilities wultout retrofits, no certi4 ation is necessary.
Name of Technical
Affiliation:
Address(Agency):
Signature:,_.,_
B) Land Application Site (WUP)
ase Print):
me No.:
Check the appropriate box
2 The cropping system is in place on all land as specified in the animal waste management plan.
J 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 ow'n.:r has committed to establish the
vegetation as specified in the plan by (monthlday/year): the proposed cover crop is appropriate
for compliance with the wasteudlization plan.
0 Also check this box if appropriate
if the cropping system as specified in the plan can not be established on newly cleared land within 30 days
of this ccrUftcation, the owner has committed to establish an interim crop : or erosion control;
Name of Technical Specialist (Please Print)
Affiliation: Al-1 W�erT'
Address(Agency)• ��,� C•
Signature:
This follo«•in signatur lock is only to be used when the box
above has b en checked.
1 (we) certjf, t a have cotmitted to establish the cropping system as sp,
if appropriate to establish m crop for erosion control. and will su
Technic Specialist within 15 calen �s following theAate spy edti" he
failure to submit this verification is a violation of -the wa.Ste otSaeement plan as
action from DEM.
Name of Land Owner :
Pone No.:
ate:
7
�r conditional approval ' . B
n m`� (our) waste utilization plan. and
MM a ve.7tication of completion from a
nditional certification. I (we) realize that
will subjr.ct me (us) to an enforcement
Signature•
Name of M ;eriif dil•Ferent from owner):
- - -- -- - -
Si;� re: Date:_
AWC -- .Iunu:ir. 1. 1-1-

Please return the completed form to the Division of Water Quality at th(, following address:
Department of Environment, Health, and Natural Resources
Division Of Water Quality
Water Quality Section, Compliance Group
P.O. Box 29-35
Raleigh, NC 27526-0535
Please also remember to submit a cop)' of this form along Ny ith the complete ,Animal Waste
Management Plan to the local Soil and Water Conservation Disjtrict Office and to keep a copy in
your files with your Animal Waste INIanagement Plan.
1
I
i
i

C) Runoff ntrnls from E-cterior Lots (RC)
Facility wihecterigr low
,Nkthods to minilnize the run off of pollutants from loon-ing and heavy use aret�atx'�
in th�lan
Fo► ra6hdes Wfthout exterior lots, no certif tcr�io►i is necessarv.
Name of Technical Specialist (Please
Affiliation:
Address (Aaency);
Signature:
No.:
n installed as specified
D) A2plicati_on and „H.indling Equipment Installation ('NVUP or I)
Check the ap 'rapr"7 e block
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 aad are contained as par. of the plan.
�.I ,animal waste application and handling equipment specified in the plan has not been installed but the owner
has proposed leasing or.ihird party application and has provided a signed contract; equipment specified in the
contract a;reos with th.c requirements of the plan; required buffers can be maintained; calibration and
adjustment guidance have been provided to the owners and are contained as par, of the plan.
:1 Crondition-.1 approval: Animal waste application and handling equipment specified in the plan hats been
purchased anc! will be on site and installed by (rnonth/day/vearh there is adequate storage to
hold the wasu: until the equipment is installed and until the waste can be land applied in accordance with the
cropping syst.:m contained in the plan; and calibration and adjustment guidance have been provided to the
d art of the tan
ners an ar. con atnc . as p p
Name of Technical Specialist (Please Print): _ n
Affiliation:
Address(Agency):
Signature:
2.
le No.:
e follo��'i signaturg�Ioc is�only to be used when the box for condition��n­-M_Dabove ncltecl:ed.
I (�t.el certify that ave committed to purchase the an�wateIkAhand handling equipment as
specified in my (our) wastemamas�nent plan and will submification of delivery and installation
from a Technical Specialist within 15. 3tend4 days followined in the conditional ceniitcation. I
(we) realize that failure to submit this verificatiorT-is�ie Eton of the waste management plan and xvill subject me
(us) to an enforcement acticn from DEM.�—
Name of Land Owner :
Signature:
lame of :11ana
different from owner):
Signat� Date:
E) Odor Contrnl. Insecr Controi and Mortality �Ian���errtent_ _�_SD._SI. _1_�'1 "P�RC nr T1
Nle!hods to control odors and insects as specified in the Plan have beet insm!lea and are operational. The
niortaiiiv mana_e-ne"^.t syst'a7 -as srec:,itd in the P!att has also begin in_:ailed and is opc:ational.
lance of Technical Specialist IPlease Pnntr:_ / _
.affiliation:
.��idrrstii.a��cn�:•y'
Si_�n:aura:
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Y

ANIMAL WASTE UTILIZATION PLAN
Producer: I GEORGE PENDLETON
Location: RT #1 BOX 11.7
SCOTLAND NECK NC 27874
Telephone: [phone]
Type Operation: Existing Farrow to Finish Swine
Number of Animals: 250.00 sows
(Design Capacity)
STORAGE STRUCTURE; ; Anaerobic Waste Treatment Lagoon
APPLICATION METHOD: ' Irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater_ The plant nutrients in the animal waste should be used
to reduce the amount; of commercial fertilizer required for the crops
in the fields where the:waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to inaximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be
grown a:1d the nutrient content of the waste. Do not apply
more ni--rogen;than the crop can utilize.
2. Soil ty?es are important as they have different infiltration
rates, leaching potentials, cation exchange capacities, and
available water holding capacities.
3. Normally waste shall be applied to land eroding at less than
5 tons .Der acre per year. Waste may be applied to land
eroding at 5 nr more tons per acre annually, but less than
10 tons per acre per year providing that adequate filter
strips are established.
4. Do not apply waste on saturated soils, when it is raining,
or when the surface is frozen. Either of these conditions
may resxlt in�runoff to surface waters which is not allowed
under DWQ regulations.
Page: 1

ANIMAL WASTE UTILIZATION PLAN
TABLE 1: ACRES OWNED BY PRODUCER
TRACT
F':CELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
APPLY
RESID.
APPLIC
METH
N
TIME
5822
2192.4
�1,2
G t B
W
45
108
0
20.3
1
SEPT-APR
5822
1,2
IGtB !
SA
60
78
Q
I
120.3
�1583.4
JUN-SEPT
3631 1-5
IGtB
JW
108
0
T
145
12.0
1216
SEPT-APR
3631
SA
60
78
0
2.0
I
IGtH
I
1156
JUN-SEPT
3631 1-6
IGtl3
W
108
Q
145
I
11.3
1140.4
SEPT-APR
3631
6
SA
60
78
0
1.3
101.4
IGt]3
li
I
JUN-SEPT
3631
108
0
1-7
IGtB
JW
�45
I
11.9
1205.2
SEPT-APR
3631
7
Gt13
SA
60
78
0
1.9
148.2
T
JUNE-
SEPT
3631 F w 8A GtB �5 108
� 13.0
1324
SEPT-APR
3631
6A
GtB
SA
6Q
78
0
13.0
1234
JUNE-
SEPT
3631
3631
Emll
EmB
SG
29
49.3
0
7.0
345.1
1-3
T
OCT-MAY
3631
3
EmB
CO
600.Q
72
0
T
�7,0
1504
APR-AUG
3631
SG
29
49.3
0
17.1
1-4
�Ema
i
T
1843.03
OCT-MAY
Paae;
3

ANIMAL WASTE UTILIZATION PLAN
*** This number nust be less than or equal to 0 in order to fully
utilize the animal:waste N produced.
Acres shown in ea•�h of the preceding tables are considered to be the
usable acres excluding required buffers, :filter strips along ditches,
odd areas unable -o be irrigated, and perimeter areas not receiving
full application rates flue to equipment limitations. Actual total
acres in the fields listed may, and most likely will be, more than the
acres shown in th-�! tables.
See attached map Showing the fields to be used for the utilization of
animal waste.
SLUDGE APPLICATION:
The waste utilization plan must contain provisions for periodic land
application of sludge at agronomic rates. The.sludge will be nutrient
rich and will require precautionary measures to prevent over application
of nutrients or ot:zer elements. Your production facility will produce
approximately 1075 pounds of plant available nitrogen per year in the
sludge.
If you remove the Oludge-every 5 years, you will have approximately 5375
pounds of PAN to ul-ilize. Assuming you apply this PAN to hybrid
bermudagrass hayland at the rate of 300 pounds of nitrogen per acre, you
will need 17.9166G66667 acres of land. Tf you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you will need 43 acres
of land. Please bit aware that these are only estimates of the PAN and
land needed. Actual requirements could vary by 25% depending on your
sludge waste analy;�is, soil types, realistic yields, and application
methods.
APPLICATION OF WASTE BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the
soil at the time o:= irrigation such that runoff or ponding occurs. This
rate is limited by initial soil moisture content, soil structure, soil
texture, water droplet size, and organic solids. The application amount
should not exceed :.he available water holding capacity of the soil at the
time of irrigation nor should the plant available nitrogen applied exceed
the nitrogen needs of th6 crop.
If surface irrigation is,the method of land application for this plan,
it is the responsibi.lity'of the producer and irrigation designer to ensure
that an irrigation systeT is installed to properly irrigate the acres
shown in Tables 1 and 2. Failure to apply the recommended rates and
Pang- IT

ANIMAL WASTE UTILIZATION PLAN
amounts of nitroge:a shown in the tables may make this plan invalid.
The following tabl-_ is provided as a guide for establishing application
rates and amounts.
Tract
Field
Soil Type
Crop
Application Rate
(in/hr)
Applic. Amount
(inches)
3631
2
BoB
CO
0.5
*1.0
3631
3
EmB
CO
0.50
*1.0
3631
4
EmB
CO
0.50
*1.0
3631
5
GtB
SA
0.35
*1.0
3631
6
GtB
SA
0.35
*1.0
3631
7
GtB
i
SA
0.35
*1.0
3631
8A
GtB
SA
0.35
*1.0
3631
'2
BoB
SG
0.5
*1.0
3631
-3
EmB
SG
0.50
*1.0
3631
-4
EmB
SG
0.50
*1.0
3631
-5
GtB
W
0.35
*1.0
3631
-6
Gt-B
W
0.35
*1.0
3631
-7
GtB
W
0.35
*1.0
3631
-8A
GtB
W
0.35
*1.D
5822
1,2
GtB
SA
0.35
*1.0
5822
-1,2
GtB
i
W
0.35
*1.0
* This is the maximum application amount allowed for the soil.
assuming the amount of nitrogen allowed for the crop is not over
applied. In many situations, the application amount shown cannot
be applied be:causeiof the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
varra � 4�

WASTE UTILIZATION PLAN
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.
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 adegaate land to properly dispose of waste, he/she shall
provide a co.ay of an agreement with a landowner who is within a
reasonable proximity, allowing him/her the use of the land for
waste application. It is the responsibility of the owner of the
facility to secure.an update of the Waste Utilization Plan when
there is a change in the operation, increase in the number of
animals, method of utilization, or available land.
3. Animal wasta shall be applied to meet, but not exceed, the
nitrogen needs for realistic crop yields based on soil type,
available moisture; historical data, climatic conditions, and
level of management, unless there are regulations that restrict
the rate of application .for other nutrients.
4. Animal waste shall be applied to land eroding less than 5 tons
per acre per year. waste may be applied to land that is eroding
at 5 or more tons, but less than 10 tons per acre per year
providing grass filter strips are installed where runoff leaves
the field. (See F6TG Standard 393 -Filter Strip)
S. Odors can ba reduced by injecting the waste or disking after
waste application. waste should not be applied when there is
danger of drift from the irrigation field.
6. When animal waste is to be applied on acres subject to
flooding, it will be soil incorporated on conventionally tilled
cropland, W.zen applied to conservation tilled crops or
grassland, tAe waste may be broadcast provided the application
does not occur during a season prone to flooding. (See "Weather
and Climate in North Carolina" for guidance.)
7. Liquid wasta 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 oior or flies.
8. Animal waste shall not be applied to saturated soils, during
rainfall events, or when the surface is frozen.
9. Animal waste shall be applied on actively growing crops in such
a manner that the Crop is not covered with waste to a depth that
would inhibit growth. The potential for salt damage from animal
waste should also be considered.
Page: 10

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
10. Waste nutri,�nts 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 :he 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 bou;idary and from any perennial stream or river (other
than an irri,3ation:ditch or canal. Animal waste other than
swine waste :from facilities sited on or after October 1, 1995),
shall not be applied closer than 25 feet to perennial waters.
(See Standard 393 - Filter Strips).
12. Animal waste shali not be applied closer than 100 feet to
wells.
13. Animal wash= shall not be applied closer than 200 feet of
dwellings of*.Ler than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property
and public right-of-ways.
15. Animal waste shall not be discharged into surface waters,
drainageways, or wetlands by a discharge or by over -spraying.
Animal waste may be applied to prior converted cropland provided
they have been appoved as a land application site by a
"technical s.?ecialist". Animal waste shall not be applied on
grassed waterways that discharges directly into water courses,
and on other grassed waterways, waste shall be applied at
agronomic ra--es 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, e:c.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and
other woody Species, etc., are limited to areas where considered
appropriate. Lagoon areas should be kept mowed and accessible.
Berms and structures should be inspected regularly for evidence
of erosion, leakage or discharge.
Page: 11

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
18. If animal production at the facility is to be suspended or
terminated, the owner is responsible for obtaining and
implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19. Waste handling structures, piping, pumps, reels, etc., should
be inspected on a regular basis to prevent breakdowns, leaks,
and spills. A regular maintenance checklist should be kept on
site.
20. Animal waste can be used in a rotation that includes vegetables
and other crops t;or direct human consumption. However, if
animal waste is used on crops for direct human consumption it
should only be applied preplant with no further applications of
animal waste during the crop season_
21. Highly visible markers shall be installed to mark the top and
bottom elevations of the temporary storage (pumping volume) of
all waste treatment lagoons. Pumping shall be managed to
maintain the :l.iqu'id level between the markers. A marker will
be required to mark the maximum storage volume for waste
storage ponds.
22. Waste shall be tested within 60 days of utilization and soil
shall be tested at least annually at crop sites where waste
products are applied. Nitrogen shall be the rate - determining
element. Zinc and copper levels in the soils shall be
monitored and alternative crop sites shall be used when these
metals approach excessive levels. pH shall be adjusted for
optimum crop production and maintained. Soil and waste
analysis records ',shall be kept for five years. Poultry dry
waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be
maintained for five ( 5 ) years.
23. Dead animals will be disposed of in a manner that meets North
Carolina regulations.
�" Page: 12

ANIMAL WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm:
Owner/Manager Agreement
I (we) understand and;will follow and implement the specifications
and the operation and maintenance procedures established in the
approved animal waste utilization plan for the farm named above. I
(we) knew that any expansion to the existing design capacity of the
waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the
North Carolina Division of Environmental Management (NCDEM) before
the new animals are stocked. I (we) also understand that there
must be no discharge of animal waste from this system to surface
wasters of the state from a storm event less severe than the 25-
year, 22--hour storm. the approved plan will be filed on -site at
the farm office and at the office of the local Soil and Water
Conservation District and will be available for review by NCDEM
upon request.
Name of Facility Owner: George Pendleton
(Please prI )
Signature: Date:
-- ---�-
1
Name of Manager(If different from owner):
Signature:
Date:
Name of Person Preparing Plan: (Please print)J. Wayne Short
Affiliation:NRCS Phone No. 91.9-583-3481
Address (Agency) ; Post Office Box 8
Halifax NC 27839-0008
Signature: / Date: 2
'

I,
ANIMAL WASTE UTILIZATION PLAN
ANIMAL WASTE UTILIZATION AGREEMENT
(Need-ed only if additional land has to be leased, etc.)
, hereby give
permission to a.:)ply animal, waste from his Waste Utilization System
on acre of my land for the duration of time shown below.
The field(s) on which:waste can be applied are shown on the
attached map.
I understand that this waste Contains nitrogen, phosphorous,
potassium, and .ether trace elements and when properly applied
should not harm my land or crops. I also understand that the use
of waste will reduce my need for commercial fertilizer.
Adjacent Landowner: Date:
Waste Producer: Date:
Technical Representative: Date:
SWCD Representative: Date:
Term of Agreement: ,19— to
(Minimum of Ten Years on Cost Shared Items)
(See Required Specification No. 2.)
Page: 14

ANIMAL WASTE UTILIZATION PLAN
STATE OF NORTH CAROLINA
COUNTY OF
I, , a Notary
Public of said County, do hereby certify that
, personally appeared before me this day and acknowledged the due
execution of the foregoing instrument.
WITNESS my hand and official seal this day of
19
My commission expires
(SEAL)
Notary Public.
Page, is
20

ANIMAL WASTE UTILIZATION PLAN
Waste Utilization_- Third Party Receiver Agreement
I, hereby agree to apply waste
generated by in a manner that meets the
Waste Utilization Standard (633), or use an alternative waste
utilization system that has been accepted in writing by the
Division of Wat(.r Quality.
Third Party Receiver:;
Date:
Term of Agreement: to
(Minimum '.'en Yedrs on Cost -Shared Items)
STATE OF NORTH CAROLINA
COUNTY OF
I, a Notary
Public of said Countyi do hereby certify that
personally appeared before me this day and acknowledged the due
execution of the foregoing instrument.
WITNESS my hand and official seal this
19
My commission e:cpires;_
( SEAL)
day of
Notary Public.
Page: 16

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EAIER GEN CY ACTION PLAN
PHO�-E NU,),fBERS
QWQ
EMERGEtiC'f tiI.A,N ,GEC%N-T SYSTEI�i 9-- SB3 —Zo3 i
SWCD 919-5B,3-- ¢Bf
N-RCS
T'nis plan will be implemented in the event that wastes from your operation are leafing,
overflowing, or running off site. You should not wait until wastes reach surface waters or
Ieave your property to consider that you have a problem. You should m,?ke every effort to
ensure that this does not happen. This plan should be posted in an accessible location for
all employees at the ft.cility. The following are some action items you should take.
I. Stop the release of wastes. Depending on the situation, this mayor may not be
possible. Sugsestt:d responses to some possible problems are listed below.
A. Lagoon overflow -possible solutions are:
a. Add soil to been to'increase elevation of dam.
b. Pump wastes to fields at an acceptable rate.
C. Stop all f10W5 to the lagoon irnmediately.
d. Call a pumping contractor.
e. Make sure no surface water is entering Iagoon.
B. Runoff from waste appI'ication field -actions include:
a. Immediately stop waste application.
1 b. Create a temporary diversion to contain waste.
c. Incorporate waste to reducw runoff,
d. Evaluate ar�d elirninate the reason(s) that caused the runoff.
e. Evaluate the'application rates for'the fields where runoff oc: uried.
C: Leakage from :he %waste pipes and spr-mkJers-action include:
a. Stop rec"'cl.1-pump.
b_ Stop irrigation pump.
c. Close ioa yes co elirrunate further 115charae_
d. Repair all l:aks pnor to rescMrtin? pumps.
D: Lzakace from hush systems, hcuse_s. schd seraraiarr-action include;
a. Slop rt c:, pump.
Sion pump.
Slop 'M1I 14j,t' in the 11ousc. i; -. <t ie;n:. 01* :oIIJ :ep:iratcr_.

6: Contact the techn cal specialist u-ho certified the lagoon (IRC5, Consulting
Engineer. etc.)
b_ Phone:
7: Implement procec.ures as advised by DWQ and technical assistance agencies to
rectifv the damage:. repair the system, and reassess the waste management plan to
keep problems wih release of wastes from happening again.

Insect Control Checklist for Animal Operations
Sulu cc cause: --- RMI's to Control Inserts - Site SpuriCc Pracliccs
]:hull titettn:ra Accumulalion ofsolids f] Mush systent is designed and operated
sufficiently to reinovc accitniulated solids froul
gutters as designed.
❑ 1ZeI1iAVf: t�Nrtninu nf?rr�lnt.!1�.__1-.,I:.1....
t-iVIMIs Will fits
^l-�cC„I�'t Vct;clWHvc
I its�ss'tfl
Crusted Solids © Maiwain lagoons, settling basins and pits where
pest breeding is apparent to minimize the
ciuslinS of solids to a depth of no n►nre than h -
8 inches over innre than 30% of surface.
• f)ccaying vebctatitilt Cl Maintain vegetative control z1ottg banks of
lagoons and other impoun(Inients to prevent
accuMeliitinn of nleciiyius vel;etatiW 11iai3er
along %vaier's edge on impoundinent's perimeter.
_ my Sy_stcuis
• Deed Spill-,t;e w r l ^ Design, operate and IniuEitacn feed systettis (e.g.,
bunkers and troubles) to minimize Ilic
acctiinutatiou ofilecayiug wastage.
n Clean tip spilliICC nn a routine leasis (e.g., 7 - 10
day interval thiring suuemcr, 15-3() they imerval
daring winter).
UCLA swfiec.e • Accinuulations of Neil resithies i1 Itedl1CC niniSHIN ncciniitl lift ior► within and
nmund imcnedime: pe:rime:tcr of 1ixil siorece
areas by insitritig draiiiuge nway from site
nncVor providing adequatu eflillaintiiLnt (u.g.,
covered hin for brewer's train and similar high
maisiure grin protlucts).
n Inspect flu and renwve or break IEp accuniillateti
solids in filter strips arteuncl li:etl sturiet;c :es
AP.31f' � i•!u�'�aut�cl I I, i'i!j(t, t';I�c (

Swine Farm Waste Management Odor Control Checklist
. 5ullrei CAUSe IIMPS to millintize 0dolSite Specific I'1'aclives
! ,nru�t�;ttl Swine production C7 Vegetative or wooded buffers; —
0 Recommended best managenienf practices;
Cl Good judgment and common sense
Aoin►ul body stlrf;lcc;S hirly manure -covered animals Cl my floors
i+>ur �u+lat c�
Wel loullure-covt:recl flot3rs
n
Slotted flonrs;
n
Waterers located over slotted floors;
L7
feeders at high end of solid floors;
n
Scrape manure buildup from floors;
CI
t_fnderflaor ventilation for drying
NIM111k; L+ BCOltill Ilih,
• 1Wile;
n
frequem malIkIre' FCIIIOV-11 by fLislt. pll recharge,.
• I'aitial lilicrobial deconiltosition
or scrape;
n
Underfloor ventilation
Vt:nlil.tilult c�ll;uaiF t;tns
• r 4datilt; gases,
n
Fall ulainlealane'e;
Dust
El
Efficient air Inovelnelu
flttlu+,r sot r.tt:t:�
• Dust
n
Waslldown butweeu groups of animals;
n
feed additives;
G1
feeder covers-,
it
feed delivery downspout extenders to fuedur
covers
1"ILIdt I.+ttt,S
Agilalillli of recycled lagoon
CI
plush tack covers;
liquid while tanks are filling
[l
Extend fill lilies to near bottoin of tanks wilt
anti-siplinnyelits
Fltl.f+
AgiWlitili drring wltswwater
fJ
underfloor Nsh with underfloor venlil,-ition
conveyance
114 IctI1.11ve la+aillls
0Agitation of recycled lagoon
n
lixlenII recharge lines to lair bollunl ul'liils
liquid while pits are filling
with anti -siphon vents
f-ill �I;+[lnll�
• Agitation during stlnlp tiink
l_'I
Sump tank covers
filling and drawdown
()ul5itic tlr;lln colICCLi0lt Agitation during; waslewater n- Box covers
or junction ftozes coaveyance
At�FI i[; - t litvtaniter I I, 096, t';II;e 3

Source Causa JIMPs to miuiluiiLe Odor Silt Specific Pracliccs
rnti of draflyipes at Agitation during wastewater ❑ Extend discharge point of pipes undemeath
lagnon conveyance lagoon liquid level
h.abut ll �klrf:lccs Volatile gas emissions; C1 Proper lagoon liquid capacity;
• Biological mixing; ❑ Correct lagoon startup procedures;
• Agitation ❑ Minimum surface area -to -volume ratio:
Ik6011011 s1)rinklcr high pressure agitation;
nn�cl�s Wind drift
C1 Minimum agitation when.pumping;
O Mechanical aeration;
1.1 Proven biological additives
❑ Irrigate on dry days with little or no wind;
❑ Minimum recommended operat ng.pressttrc;
• Pump intake near lagoon liquid surface;
❑ Pump from second -stage lagoon
Sutr:r�c I:uki or ha: ,ilk • purlial microbial dCC01l1p0sitioa'. D Bottom or midlevel loading;
sul t tic • Mixing while filling; Cl 'Tank covers;
• Agitation when emptying ❑ Basin surface mats of solids;
CI Proven biological additives or oxidants
SCilliilL; I1,r�111 srrri:tcc
Pariiah Microbial decomposition;
Cl
Extend dfainpipe outlets underneath! liquid
• Mixing while f€lhilb;
level;
• Agitation when emptying
0
Remove settled solids regularly
Nt.i mrc, slurry or sludge
• Agltallou when spreading;
❑
Soil injection of slurry/sludges;
sPzi:3ttc( 01111CIS
. Volatile gas emissions
I]
Wash residual manure from spreader after tlse;
❑
Proven biological mildltives or ox1dams
I Illcovered inallln'C,
Volatile gas emissions while
❑
soil injection of sturrylsludges
5ltlrry or shodge 4)11 field
drying'
❑
Soil incorporation %viihin 48 hrs.;
Sur t�0i�5
Spread in thin uniform layers for rapid drying;
C1
Proven biological additives nr oxidants
l)c.ltt :klliul:lls
0Carcass deconlpositiml
n
Proper disposition of camnsscs
l i4atl altltNal t1lStntS:k1
• Careass decompoSItlfll!
❑
Cotllplete coverimt; of CBrCMSCS Ill 6116A I)ilS;
I'i€�, © Proper location/construction oftlisposal pits
y lflltkk hlcomplute clulthi liolt n SceIlndalry glad: huruers
AM( 1996, Page 4
\i �

Sunrcc — -- CIInSC limps In Minimize Odor — —Silt Specific Praclirrs
Standing water aruullll a Improper drainage; -- Cl Grade; and landscape such that writer drains
I'acilit CI a Microbial decomposition of away frorn facilities
organic matter
I+lanure Irackcll unto Poni ly maintained access roads CI f antt access road maintenance
'pullfic roads from fartu
aCCC5S
Additinnal Information
Swine t iamire Manal;etuclit ; 0200 RidelllMP Packet
Swine 1'rothiclinn Farm POIe dial Otter Sources and Remedies ; F13AE Fact Shed
Scvitic PrOdUC6011 Facility Manure Management: Pit Recharge - Lagoon Treatment ; 1'13AE 128-88
Swilri I'rorductimt f�acilityi4tartrtrr-Mattal;ernent-Unrderfloor Flits li - !.+goon Treatnieff; FI AC' 129=88'
Lagoon 13csign and Management for Livestock Manure Treatment and StontSe ; E13AF 103-83
Calitlratina of Mamtre and Wastewater Application Egtiipment ; FIIAE Fact Sheet
Controlling Odors front Swinc Iiniltlings ; PH 1-33
Enviromoicnial Assurance Program ; NVPC Manual
Opiion� for Hanging Odor ; a mpori Iroin the Swine Odor Task Force
tiuisatice Cimccrus in Animal tvlanure Management: Odors and flies ; P110107, 1995 Conference Proceedings
NCSII, Comity Exic:nsion Cciiier
NCSII - IIAI:
NCSII - IIAI:
NCSII - IIAE
NCSII - IIAI:
NCSII - IIAI:
NCSO - Swine Wension
NC Turk Producers Assoc
NCSII Agri C:ommunicalinns
Flarid,i Cooperative Exlenstnn
Akl(t(' - Iluvk:i116Lr 11, 1996. hige 5

Nlot•taIity Management Methods
;check which method(s) are being implemented)
[ Burial three feet beneath the surface of the around within 24 hours after
knowledge or the death. The burial must be at mast 300 feet from any flowing
stream or public body of water.
rl Rendering at a rendering plant licensed under G.S. 106-168.7
Complete inc;.neration
Q In the case of dead poultry only, piacin4 in a disposal pit of a size and design
approved by the Department of Agriculture
Q Anv method which in:the professional opinion of the State Veterinarian would
make possibly.- 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)
C,:�_tr'r, - 1'� I C o d

d.
System Calibration
Information presented in manufacturer's charts are based on average
operating conditions with relatively new equipment. Discharge
rates and application rates change over time as equipment gets older
and components wear. In particular, pump wear tends to reduce
operating pressure and flow. With continued use, nozzle wear results
in an increase in the nozzle opening which will increase the
discharge rate while decreasing the wetted diameter.
You should be aware that operating the system differently than
assumed in the design will alter the application rate, diameter of
coverage, and subsequently the application uniformity. For example,
operating the system with excessive pressure results in smaller
droplets, greater potential for drift, and accelerates wear of the
sprinkler nozzle. Clogging of nozzles can result in pressure increase.
Plugged intakes or crystallization of mainlines will reduce operating
pressure. Operating below design pressure greatly reduces the
coverage diameter and application uniformity.
For the°above reasons, you should calibrate your equipment on a
regular basis to ensure proper application rates and uniformity.
Calibration at least once every thr e years is recommended.
Calibration involves o ectmg and measuring flow at several
locations in the application area. Any number of containers can be
used to collect flow and determine the application rate. Stain
gauges work best because they already have a graduated scale from
which to read the application amount without having to perform
additional calculations. However, pans, plastic buckets, jars, or
anything with a uniform opening and cross-section can be used
provided the Iiquid collected can be easily transferred to a scaled
container for measuring.
For stationary sprinklers, collection containers should be located
randomly throughout the application area at several distances from
sprinklers. For traveling guns, sprinklers should be located along a
transect perpeildicular to the direction of pull. Set out collection
container 25 feet a art long the transect on both sides of the gun
cart. You should compute the average application rate for all
collection containers. You should also look for evidence of
nonuniformity of the application. On a windless day, variation
between containers of more than 30 percent is cause for concern.
You should contact your irrigation dealer or technical specialist
for assistance.

(Division of Water Quafity
MEMO From:
Date: �-
To:
ce.-i i �� £-o 199Subject:
(a �37A
ii
iRPr' 6 . �AQa M cT �S
T S$2Z 1�2.
Za. �Pt
Z`J• �® ?�� Soy i5
7- 3 6 31
6
1.3
t.7S
3
7. u
`rt. 2�
j 7.1
Z2. 8
ff�A 1 .
NCDENR
North Carolina Department of Environment and Natural Resources
PO Box 29535, Raleigh, North Carolina 27626-0535 / Phone: [phone]

Nov ROUTING SLIP
I)Type of violation (pick one):
illegal discharge
(discharge)
oil spill
, (oil spill)
inspection of minor source
, (inspectmin)
inspection of major source
(inspectmaj)
pretreatment
_ (pretreat)
wetland
(wetlan )
poultry operation
try)
swine operation
_ (swine)
dairy/cattle operation
_ (cow)
other
(other)
2) Will the vio. result in a recom endation
of enforcement? (y, n, ?)
3) Is
y~
the violation resolved?
fV0f
4) Target date for enforcement
report?
on
6) Routing (initi date :

Z 306 294 95L
US Postal Service
Receipt for Certi#ied Mail
No Insurance Coverage Provided.
Do not use for International Mail (See revers
Sent to
zcn xG)K;
Street & Number O C-)O --Am
> ro �
Co > S. co m O
Post Office, State, 3 ZIP Code
g�o><0
N >< a rn
Postage $ y
o CO-)n 0 M
o O T Z z
Certified Fee o °; z a
o
� M
Special Delivery Fee [n a
C:
n
Restricted Delivery Fee rn cLO
Retum Receipt Showing to °o
Whom 3 Date Delivered
Retum Receipt Shw*q to Wham,
Date, 3 Addressee's Address
0
TOTAL Postage & Fees Is
M
Postmark or Date
E
l
0
LL
w
a

Stick postage stamps to article to cover First -Class postage, certified mail fee, and
Charges for any selected optional services (See fronO.
1. It you want this receipt postmarked, slick the gummed stub to the right of the return
address leaving the receipt attached, and present the article at a post office service
window or hand it to your rural carrier (no extra change).
2. 11 you*do not want this receipt postmarked, stick the gummed stub to the right of the
return address of the article, date, detach, and retain the receipt, and mail the article.
3. If you want a return receipt, write the certified mail number and your name and address
on a raturp receipt card, Form 3811, and attach it to the front of the article by means of the
gummed ends if space permits. Otherwise, affix to back of article. Endorse front of article
RETURN RECEIPT REQUESTED adjacent to the number.
4. If you want delivery restricted to the addressee, or to an authorized agent of the
addressee, endorse RESTRICTED DELIVERY on the front of the article.
5. Enter fees for the services requested in the appropriate spaces on the front of this
receipt. If return receipt is requested, check the applicable blocks in item 1 of Form 3811.
6. Save this receipt and present it if you make an inquiry. 1 az,sa-ag-M-aor>!

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spseflon of f-h;S {ng000% projecf qnd 44%m+ all -o(k felnfe4 Aere-
fo hqs been coAPIG#ed lr Qcciordarice w;4% theie prans and w4h
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(c,lmk heft t�:D 1F ro Mep4,o m)
SiSncd 'r, tl a We
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X-.Scalon view Of, Er4%ba:4rACAn
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County,� NOrfh caroli ncL
U, 5, DEPARTM iiT 0 A GRICULTUkE
sal t_ COKSERVAT10N SUVtC-E
44
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