640072_PERMIT FILE_20171231

(Type of Visit: Q'Compli a Inspection U Operation Review Q Structure Evaluation U Technical Assistance j
Reason for Visit: outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access 11
Date of Visit: �r^r"ival Time: Departure Time: County:
Farm Name: 3 — G rr-} �n,� Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Phone:
Title: Phone:
Onsite Representative: 1-.0 G .. .._ . _ _ Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current
esign° Current
Design Current
Swine Capacitw.y Pop.fE!Mayer
Pouapacity
WWII
Pop.
Cattle Capacity Pop.
Wean to Finish
airy Cow
airy Calf
Wean to Feeder
I I
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design Current
D Cow
Farrow to Feeder
D , P,ou1t .
Ca ael $o
Non-Dai
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
I
Pullets
I 113eef Brood Cow
Turke s
Other
401ther
rke Poults
Other
Discharges and Stream Imoacts
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 DWQ) ❑ Yes g5No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? [:]Yes rN ❑ 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 1/412
011 Continued

Facili Number: jDate of Inspection: 3727517
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ffNo ❑ NA
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA
Structure I �Sttructure 2 Structure 3 Structure 4 Structure 5 Structure 6
I-
Identifier: —2--- F (/V _-Tr o ,
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �� 2.0 / VO/_ .3 rr
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 ZNo ❑ NA
❑ Yes o ❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental eat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes PNo ❑ 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): LIh0,�q+- f
13. Soil Type(s):
l4. 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
N ❑ NA
❑ NE
M. 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
o ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
o ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No ❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements []Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfe ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall InspectionANoo
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

Facili Number: - 2— jDate of Inspection: 2
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes <03 ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes �Ko❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes 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).
SCt,j 5ir✓C7`1 /Io-?c+ec, Z­ef6
r=V ,z Q,j C J C C r -, e v F 1 +05 s
Reviewer/Inspector Name: Phone: 7
Reviewer/Inspector Signature: I J (ti S-�'J'� U( Date:
Page 3 of 3 21412011

Type of Visit: 0 Com*0'
' nce Inspection 0 Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: Routine O Complaint O Follow-up O Referral Q Emergency O Other Q Denied Access
Date of Visit: LdJ Arrival Time: Q:R!al Departure Time: f County: Region:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: Phone:
Onsite Representative: C �f%�'y �''•CrZC�Integrator:
Certified Operator:
Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow
W,ean to Feeder
I INon-Layer
I
Dairy Calf
Dairy Heifer
Dry Cow
Feeder to Finish
Farrow to Wean
Design Current
Dr P,oult , Ca aci P,o
Farrow to Feeder
660
Non -Dairy
Farrow to Finish
Layers____
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other Turke Poutts
Other Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation? [] Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes o NA ❑ NE
b. Did the discharge reach waters of the State? (if yes, notify DWR) ❑ Yes 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 DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State.other than from a discharge?
❑ Yes
❑ Yes
❑ Yes
Page 1 of 3 21412015 Continued

Facili Number: Z Date of ins ection:- 2S
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes �r>No
NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 750 01'
Spillway?: l% IJ
Designed Freeboard (in):
Observed Freeboard (in): 3 2 (� 3w/ 4' yS/ /' 3.3
5. Are there any immediate threats to the integrity of any of the structures observed? El Yes No NA ❑ N E
(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 environment rest, notify DWR
7. Do any of the structures need maintenance or improvement? [] Yes VNo
TON,
A ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ YesA ❑ 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 V00
NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): ✓1S'
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? [D Yes rNo[:3
NA E] 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 [E:] Yes
NA ❑ N E
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 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 ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes o [] NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections ludge 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 21412015 Continued

Facili Number: - 2—
Date of Inspection: 2- —1
24. Did the facility fail to calibrate waste application equipment as required by the permit? Yes , ��No
NA
25. Is the facility out of compliance with permit conditions related to sludge? Ifyes,check ❑ Yes ❑ NA
the appropriate box(es) below.
❑ NE
❑ NE
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ YesgNo 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.
[] Yes 0 No ❑ NA ❑ NE
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 0 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: Phone: _ y 2e D
Reviewer/Inspector Signature: i2 S -�� lam.« Date: [fl
Page 3 of 3 21412015

_A -
(Type of Visit: 'QCompliance Inspection O Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit. Arrival Time: Departure Time: County:
Farm Name: 3 r G Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: <5�t �t 6L"C_4' T
Certified Operator:
Back-up Operator:
Location of Farm: Latitude:
Phone:
Phone:
r
Integrator: #1122v S
Certification Number:
Certification Number:
Longitude:
Region:
Swine
Wean to Finish
Design Current Design Current
C►apacity Pop. Wet Poultry Capacity Pap.
Layer
Nan -La er }
:Design Current
Cattle Capacity fop.
<t
DairyCow
Wean to Feeder
DairyCalf
DairyHeifer
Dr Cow
Feeder to Finish
Farrow to Wean
Design Current
ltr, C•_a acit P,o �.
Layers
Farrow to Feeder
Farrow to Finish
Nan-Dal
Beef Stocker
Gilts
7Non-Layers
Beef Feeder
Boars
Beef Brood Cow
Otherins
oults
Other
. �.....�
I
Discharizes and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ZNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes EfNo ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes �❑ NA ❑ NE
e. 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 No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ]Vo ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes o ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facili umber: l - 7'7r Date of inspection: ip r )
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
dN� ❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
No ❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier: [-W W#LV P-_ 12—
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 3
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 environmenta
reat, notify DWR
7. Do any of the structures need maintenance or improvement?
❑YesVNo
❑ 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 ZNo ❑ 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): "4
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
❑ NA
❑ NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
VN❑ 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
VN❑ NA
❑ NE
Required
Records & Documents
19.
Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No ❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections [:]Monthly and 1" Rainfall InspectirNo
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❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facili Number: jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes , 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 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
O No
❑ NA
ONE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30, Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
[] No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question #): Explain any YES.answers and/or any additional recommendations,or any other comments..
Use drawings of facility to better explain: situation's,(use additional pages as necessary)...:
15'14 Sur✓e-7
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: 7 y�(7
Date: 4
21412015

29
(Type of Visit: A Com ' rice Inspection U Operation Review Q 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: G a S Owner Email;
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Region:
Swine
Wean to Finish
Design
C*opacity
Current Design Current Design Current
Pop. Wet Poultry C**opacity Pop. C+attle Capacity Pap.
Layer DairyCow
Wean to Feeder
Non -La er
DairyCalf
DairyHeifer
D Cow
Non -Doi
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Design Current
Dr.. P.oultn C;a acit P,o ,
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other jMOther
Turke s
Turkey Poults
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
KNo ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
NA
r�No
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑Yes
NA
[] NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes
❑ NA
KNo
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
❑ No ❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facility Numher: - Z. Date of Inspection: •-.;Z
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes - Noo
NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes NA ❑ NE
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:_? TSO .
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): rr d t�
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes o 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 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��NoO NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require [:)Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need [] Yes o NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes;No ❑ NA 0 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): bo— -5
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
EfN ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
ZNo 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
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available'?
❑ Yes
NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yesg�No
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
No ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers I Weather
Code
Sludge Survey
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall InspectirNo
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❑
NA
❑ NE
Page 2 of 3 21412015 Continuer!

Facili Number: - 12 Date of Inspection.
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ONo NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes o ❑ NA 0 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 N ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes gNo A ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes o ❑ NA ❑ NE
and report mortality rates that were higher than normal?
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
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawines of facility to better explain situations (use additional napes as necessarv).
Reviewer/inspector Name: Phone
Reviewerllnspector Signature:
Page 3 of 3
Date
7R/- V2"
G -x7-14
21412015

(Type of Visit: Q Co ce Inspection U Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:"f—=i7-`-" Arrival Time: Departure Time: County: Region:
-3'
Farm Name: -- �9�� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: �¢� C ✓
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
r
Integrator: M 13 5-
Certification Number:
Certification Number:
Longitude:
Swine
Wean to Finish
Design
Capacity
Current
Pop.
I
Design Current
Wet Poultry Capacity Pop.
ILayer I
Design C*urrent
Cattle Capacity Pop.
Dairy Cow
Wean to Feeder
I
INon-Layer I
Dairy Calf
Feeder to Finish
Dairy Heifer
Dry Cow
Farrow to Wean
Design Current
D . l;ouIt
ILayers
Farrow to Feeder
Farrow to Finish
Non-Dairy
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turke s
Turkey Poults
Other
Discharges and Stream impacts
1. 1s 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 0.( 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 ❑ NA ❑ NE
2. is there evidence of a past discharge from any part of the operation? ❑ Yes N ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

IlFacilityNumber: 641 - I Date of Ins ection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes o NA ❑ NE
a. If yes, is waste level into the structural freeboard? [] Yes o ❑ NA ❑ NE
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1 Structure 2 Structure 3 Structure 4
�o t ';t y 1 r -76 --r Z-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?
Structure 5 Structure 6
❑ Yes No ❑ NA ❑ NE
❑ Yes �00 NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental rest, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ YesVNo
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
W. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes PINo `NA ❑ NE
maintenance or improvement?
I L Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes o ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.
❑ PAN [] PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): o t
13. Soil Type(s): r
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
VN❑ 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 I
❑ 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
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 ❑ 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 I" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes gfx, ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facili Number: - 7 Date of Inspection: 3
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 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 Dx6-__`❑ NA ❑ NE
Other Issues
29. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes o ❑ NA ❑ NE
and report mortality rates that were higher than normal I
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
[:]Yes [—]No
❑ Yes ❑ No
❑NA ONE
❑NA ❑NE
❑NA ❑NE
Comments (refer to question #a!): Explain any YES,answers and/or, any aadditional ..recommendations or any other comments..
Use drawings of facility to better explain situations (use additional pages as necessary).
r "['0,, rz 4_e__ r?-+-
S
t I l
0 e c .2-
6,4 f 1 1�-c,4ivi'
6-00 j
'L; {
ZC /!
Revicwer/Inspector Name:
Reviewer/Inspector Signature: jlt J5 -/lze
Page 3 of 3
Phone: W/—y21��C%
-- 2-3Date: 3 � L
21412014

Type of Visit: )0 Com ' nce Inspection U Operation Review Q Structure Evaluation Q Technical Assistance I
Reason for Visit: Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access 11
Date of Visit: Arrival Time: Departure Time: County:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Phone:
Onsite Representative: 410 Integrator: 222.6 �f
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Region:
Design C►urrent
Swine Capacity Pop.
Wean to Finish I
11
Design Current Design Current
Wet Poultry Capacity Pop. CMtt1ejjCapacity Pop.
I Layer Dairy Cow
Wean to Feeder
iNon-Layer
I
ai Calf
Feeder to Finish
Farrow to Wean
Dairy Heifer
Design Current D Cow
iq=P,o P. Non -Dairy
Layers Beef Stocker
Farrow to Feeder
Farrow to Finish
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow .
Qther
Other
keys
Turkey Poults
Other
Dischar es and Stream Impacts /
1. Is any discharge observed from any part of the operation? ❑ Yes ffNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes N ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes No ❑ NA ❑ NE
e. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ 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 21412011 Continued

Facili Number: Date of Ins ection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
4
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
[�lo NA ❑ NE
o ❑ NA ❑ NE
Structure 6
❑ Yes No INA ❑ NE
❑ Yes No ❑ NA ❑ NE
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 ❑ 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 FZ KNo ❑ NA ❑ NE
maintenance onimprovement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes No
E] NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes 040
❑ 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): jzT,,
U. 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 ErNo
❑ NA
❑ NE
t6. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes 'Co❑
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 r
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes VNo
❑ NA
❑ NE
the appropriate box.
❑WUP [—]Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. [—]Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis [] Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall InspectioeNoo
❑ 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 ❑ -NA ❑ NE
Page 2 of 3 21412011 Continued

Facile Number: - Date of Inspection: [
24, Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No - NA ❑ NE
25. is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 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 o �NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes o 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
JComments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
U'se drawin s of facility to better explain situations (use additional pages as necessary).
�' e
5-iA r Oe ys
C�
-� ► C Z (o
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
1&t 5,
Phone:
Date: 3
—T-
2/4/2011

Type of Visit: AD Co lance Inspection Q 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: 11 Arrival Time: O (] Departure Time: County: Region:
Farm Name: ,S Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: Integrator:
Certified Operator:
Sack -up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Design Current
Swine Capacity Pop.
Wean to Finish
11
Design
Wet Poultry Ccity
La er
Current Design Current
Pop. C►attle Capacity Pop.
Dairy Cow
Wean to Feeder
INon-Layer I
Dairy Calf
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Design
Dr, P,oult . Ca aci
Dairy Heifer
Current Dry Cow
P,o Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turkeys
Turkey Poults
10thpr
Discharees 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 DWQ) [3Yes gNo ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)? l
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes VoF
NA [3 NE
2. Is there evidence of a past discharge from any part of the operation? ❑ YesNA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ YesNA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

F'acili Number: Ll Z jDate of Inspection-...
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes o ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: -Ft'n — P Fii S Firrvii T a . f, ( q t/
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity off any of the structures observed? Yes No ❑ NA ❑ NE
(i.e., lar e 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 rest, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No NA ❑ NE
maintenance 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): _ /M_r %L� ,_yr' S?
13. Soil Type(s): j
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
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
❑ Yes ZNo ❑ NA ❑ NE
❑ Yes Fa<o❑ NA ❑ NE
❑ YesF3-N-o ❑ NA ❑ NE
❑ Yes
❑ Yes
❑ Yes
❑ Yes
rXo
❑ NA
❑ NA
o ❑NA ❑NE
No ❑ NA ❑ NE
❑ NE
❑ 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 ❑ A ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers Weather Code
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facili Number: Ca Date of Inspection: L
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 ❑ Yest�No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey [] Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes o ❑ 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
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments -k. t .
Use drawings of facility tobetterexplain situations (use additional pages as necessary).:
Reviewer/Inspector Name:
Reviewer/Inspector Signature: L� S -Plf- D7nrR
Page 3 of 3
Phone:
Date: 26 L l3
21412011

Type of Visit: 0Com ' ce Inspection Q Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergencv 0 Other 0 Denied Access
Date of Visit: / ( Arrival Time: Departure Time: ,� County: Region:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: C' '-._CeCA Integrator: �/7'Q 4.-)
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Certification Number:
Longitude:
Design Current Design Current
Design Current
Swine Capacity Pop. Wet Poultry Capa ity Pop.
C►attle Capacity Pop.
Wean to Finish Layer
DairyCow
DairyCalf
Wean to Feeder
Non -La er
Feeder to Finish
DairyHeifer
Farrow to Wean
Design Current
D Cow
Farrow to Feeder
Dr, Pyoultr, Ca aci P.o P.
La ers
Non -Dairy
Farrow to Finish
Beef Stocker
Beef Feeder
Beef Brood Cow
Gilts
Non -La ers
Boars
Pullets
Turke s
Other
Turke Poults
Other
Other
Discharges and Stream Impacts
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 ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes K,ENA ❑ 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) ❑ YesrNoo
NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

419
Fficilit Dumber: re Date of Inspection: /
Waste Collection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 5No
NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑Yes ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: r ✓r0 U Tsvty4c
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 7
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes VNoM
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 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 t eat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑Yes N�No
❑ 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 �Noo 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): 15 Q r
13. Soil Type(s):
5
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes ZNo 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
o ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
o NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
o NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ YesjNo
❑ 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 I" Rainfall Inspections Sludge Survey
22, Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facility Number: - Date of Inspection: //
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 0 <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 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 .NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes;:No
o ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
[] No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Comments refer to question # • Explain an YES answers and/or an additional recommendations or an other comments E . k
s 9 .< p y Y ,, x,y has
CJse`drawings of facility to better. -explain situations (use additional, pages as necessary)..°:%;, , i 'r .� ` NN A �.Ili` 4,14 'A
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Phone: -77l
Date: 7 1 //' 11
21412011
Page 3 of 3

33io-(o
Type of Visit Co lance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason far Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: A Arrival Time: Departure Time: County:
Farm Name: G Fq (2- — s - Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: ry f-u
Back-up Operator:
Title:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Location of Farm: Latitude: = e 0 g 0 Longitude: = ° = 4 = 1{
Design Current
Design Current
Design Current
Swine Capacity Population
Wet Poultry Capacity Population
Cattle Capacity Population
❑ Wean to Finish
La er
El Cow
El Wean to Feeder
El Non -Layer
I
I
❑ Dairy Calf
®'Feeder to Finish I
I2
❑ _Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ Dry Cow
❑ Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish❑
❑ Layers
Beef Stocker
❑ Gilts
❑ Non -Layers
El Beef Feeder
❑ Boars
❑
❑ Beef Brood Cow
❑ Turkeys
Other
❑ Other
EE11 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 ZNo ❑ NA ❑ NE
❑ Yes No - NA ElNE
❑ Yes No ❑ NA ❑ NE
❑ Yes N l ,❑ NA [INE
ElYesV[:1
❑ NA ❑ NE
❑ Yes NA ❑ NE
Page 1 of 3 12128104 Continued

a
Facility Number: —
Date of Inspection Zr't
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: 1-' if/ 55 o r' ( /— z
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 Z
No NA ElNE
ElYes No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes No Q.NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thr , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes �NoSINA
NA El NE
8. Do any of the stuctures 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 No ❑ NA [I NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes lYo 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) �� �.�. u �..q , Sr-\9 ra J'l oyzeJ-(p J1
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP!
❑ Yes
0 No •❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
NA
[INE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
VWEI/NA
El NE
17. Does the facility lack adequate acreage for land application?
El❑
NA
El NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes❑
NA
❑ NE
l(e�, ef,��' ti`•Exp,l>a.�i,bitnm��:'�:�as� oh?er3: �o�mvvma'eI nts*.. '.y sommens:;c
Use drarvtngs`of facility to better explain situations. (use addtttonal pages,as necessary) -A t
� .. - ��� i .}: f .it#� k,,.. +.�. St+rR �•R R{} ti 4 u.t ..-y .'� .4$}>.ia s
Reviewer/[ns ector Name :*
p �s b #. t• a t, Phone:
Reviewer/Inspector Signature: O ty -e_ ✓ Date:
Page 2 of 3 12128104 Continued

Facility Number: Date of Inspection Z I!1
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes 0 -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 El Checklists El Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below, ❑ Yes ONo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspection��No,:�7NA
er Code
22. Did the facilityfail to install and maintain a rain gauge? ❑ Yes ❑ NE
g g
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 9 NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes FNo[:]
NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑YesNA El NE
26. Did the facility fail to have an actively certified operator in charge? El YesNA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ElNA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? Cl 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? (ic/ 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 .aw° a Pk-
ii'
Page 3 of 3 12128104
Page 3 of 3 12128104

Type of Visit Qf Co lance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Vii Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: Arrival Time: 0 To Departure Time: County:
Farm Name: r _2h--`�
Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative::
Certified Operator: V
Back-up Operator:
Phone:
Phone No:
Integrator: A� -
Operator Certification Number:
Back-up Certification Number:
Region:
Location of Farm: Latitude: = e = 6 0 « Longitude: = ° = 4 0 {1
MoD
ign Current Design Current Design t►urrenSwinc ac Po ulation Wet Roultr «"' ' rattle
po py Capacity Population C Capacity Population
❑ Wean to Finish
❑ La er
❑ Dairy Cow
❑ Wean to Feeder
❑Non -La er
❑ Dairy Calf-
❑ Feeder to Finish
Dry Poultry
❑ La ers
La ers❑
❑ Dairy Heifer'
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Farrow to Finish
❑Beef Feeder
Pullets
POGilts
Boars
❑ Beef Brood Cow
❑ Turkeys
❑ Turkey Poults
Other
Number oures:1111111111 I
❑ Other
❑ 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?
Page 1 of 3
❑ Yes No ❑ NA ❑ NE
❑ Yes o NA El NE
El Yes No ❑ NA ❑ NE
❑ YesPoE1
❑ NE
❑ YesA ❑ NE
❑ YesA ❑,'
12,128104 Conti►.
I

Facility Number: Z,— 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 1 Structure 2 Structure 3 Structure 4
Identifier: Is D L41) JS v Y' r• h . s !-j
❑ Yes VNo[1
A El NE
[I YesA ❑ NE
Structure 5 Structure 6
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): ZI 41
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes <NoA
El NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed El Yes ❑ NA
❑ NE
through a waste management or closure plan?
re , notify DWQ
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmenta;No
7. Do any of the structures need maintenance or improvement? El Yes NA
❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ElNA
El NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require El Yes No ❑ NA
El NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes o 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 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) f/je r
13. Soil type(s)
t
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
o NA
r5IN
El NE
15. Does the receiving crop and/or land application site need improvement'?
El Yeso
A
El NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[] Yes
A
El NE
t7. 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
.5dA'.�.�ys�$...i.�i:is
. �.�'iS�F'Come
Co; gents {r:efer to questton #) xplatn,any Y answer's andoo att�y recommendations or any other comments.
A
'Use drawings of;flctlitytobetterexplam�situattons(use addttonal pages asnecessary):
Reviewer/Inspector Name 3 ,,:: Phone:
ReviewerlInspector Signature: Date: (p 7jr O
Page 2 of 3 12128104 Continued

Facility Number: — 7 1- Date of Inspection)
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes �No[01
NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes NA ❑ NE
the appropirate box. ❑ WUp ❑ Checklists ❑ Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes �o[D A ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspection�No
Bather Code
22. Did the facility fail to install and maintain a rain gauge? El Yes NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes o NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge'?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes61��bNA ❑ NE
❑ Yes N NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
Additional Ciientnen'ts°;andlar Drarvtngs5r .`&
ft; ' t
°t}� m',
�k+x
Page 3 of 3 12128104

Type of Visit (3 Co ince Inspection Q Operation Review Q Structure Evaluation O Technical Assistance
Reason for Vi ' O Routine O Complaint 0 Follow up Referral Emergency Other ❑Denied Access
Date of Visit: Arrival Time: 3V I Departure Time: County:
Farm Name: i<7r+— Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Phone:
Title: Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: = o = f Longitude: ❑ o ❑ d ,
Wean to Finish
JU Layer I
I I
LJ Dairy Cow
Wean to Feeder
❑ Non -La er I
El Dairy Calf
Feeder to Finish
Dry Poultry
❑ La ers
El Dairy Heifer
Farrow to Wean
Farrow to Feeder
❑ D Cow
❑ Non -Dairy
Farrow to Finish
Gilts
❑ Beef Stocker
❑ Non -Layers
❑Beef Feeder
❑ Pullets
❑ Turkevs
Boars
❑ Beef Brood
Other
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 ZNo ❑ NA ❑ NE
❑ Yes N NA ElNE
❑ Yes No ❑ NA El NE
❑ Yes A ❑ NE
❑Yes ❑NA ❑NE
❑ Yes No ❑ NA ❑ NE
Page 1 of 3 12128104 Continued

Facility Number: — Date of Inspection y(
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 I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: rD W -4 2-
Spillway?:
Designed Freeboard (in): Observed Freeboard (in): .3� l 32
a (d t 6 t
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No A ❑ 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 environment�No
t, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑Yes No A ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes o ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or l0 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) Gay�j�
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? [:]Yes LalloZINA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes N NA [I 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?
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Page 2 of 3
rn
❑ Yes ❑ NA El
❑ Yes No ❑ NA ❑ NE
— — Phone: %g`
/ Date:
12128104 Continuer!

Facility Number: Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes o NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑,NA ❑ NE
the 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 ❑ ather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? El Yes No NA ❑ NE
25. Did the facilityfail to conduct a sludge survey as required b the permit? ❑ Yes A ❑ NE
g Y q Y
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes���o
>No
❑ ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes ❑ No ❑ NA ❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes ❑ No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by ❑ Yes ❑ No ❑ NA ❑ NE
General Permit? (ic/ 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
x:
�idd�tionalCommenEsa-ndlorDrawingsta,,a�.3tw��.IMI,"..' _ ;.:.`s
Page 3 of 3 12128104
Page 3 of 3 12128104

Facility Number
givision of Water Quality
Q Division of Soil and Water Conservation
O Other Agency
Type of Visit 0 Com nce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine Q Complaint Q Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: O 0 Arrival Time: U di] Departure Time: County: Region:
Farm Name: 3 G F e—i—f Owner Email:
Owner Name: Phone:'
Mailing Address:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative: Integrator:
Certified Operator: 1 Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: [—] o F—1 ' [—] « Longitude:,
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
. I! ❑ Non -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Pou Its
❑ Other
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non-Dai
❑ 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?
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?
E
❑ Yes ZNo ❑ NA ❑ NE
❑ Yes "NoNA El
❑ Yes No [�,NA ❑ NE
❑ Yes
❑ Yes
❑ Yey
NE
NE
INE
]NE
12128104 Continued

Facility Number: t — Date of Inspection D O
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'?
❑ Yes No NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 �Structure 4 Structure 5 Structure 6
Identifier: 2_
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes e No NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes o ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environment;No
rea otify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes A ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑Yes o 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 o El NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑CIA ❑ NE
maintenance/improvement?
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 > I0% or l0 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window El Evidence of Wind Drifl ❑ Application Outside of Area
12. Crop type(s) Q v �t �. CL �r'T r� 0,4-
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
1$. Is there a lack of properly operating waste application equipment?
❑ Yes
LEI No NA
No NA
No NA
o NA
o NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/inspector Name L, _5' �� r� Phone:
Reviewer/inspector Signature: Date: q1,10 i o
12128104 Continued

Facility Number: (p —7 Date of Inspection 1�
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ZfNo NA ❑ NE
20. Does the facility fait 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 o ❑ 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 Elather 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? El Yesr5N
o 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? El 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? ❑ 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:
12128104
I

Type of Visit '0 Com ce Inspection Q Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit:
�(J/ �^/7(//„
�� �—
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:._ gi,
Certified Operator: : C r,( 0 r,4. Operator Certification Number:
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude: [= e = A =61 Longitude: 0 ° = ` = H
Ure—si g—HIMMurrent Design C►urrent
Design C►►urrent
Swine Capacity Population Wet Poultry C►apacity Population
Cattle Capacity Population
❑ Wean to Finish ❑ Layer
❑ Dairy Cow
❑ Wean to Feeder
ID Non -Layer I
I
❑ Dairy Calf
❑ Feeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
pry poultry
❑ Dry Cow
❑ Non -Dairy
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Layers
❑ Beef Stocker
❑ Gilts
❑ Non -Layers
❑ Pullets
❑Beef Feeder
❑ Beef Brood Cow
❑ Boars
❑ Turkeys
Other
❑ Other
❑ Turkey Poults
❑ Other
Number of Structures:
Discharses & Stream Impacts
I. 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 Vo
'NA El NE
b. Did the discharge reach waters of the State'? (If yes, notify DWQ) ❑ Yes NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes N NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No A El NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ❑ Yes o ❑ NA ❑ NE
other than from a discharge?
Page 1 of 3 12128104 Continued

Facility Number:
Date of Inspection 6 7 O
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: S i f = I= - - -�5 V-
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): fK_D 32,, z t f Z c
i
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
❑ Yes �No[]
-NA [3 NE
❑ Yes NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes FNo[:]
NA El NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑YesNA [3 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"�1A El NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. El 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 h Pe(s) / 2 r h- w c%A v A S
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
QN ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes�VEFNA
NA
❑ 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?
❑ Yes
N ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
El Yes
No ❑ NA
❑ NE
Comments (refer to question ##): Explain any YES answers and/or any recommendations or any otber'cornments .`
Use drawings of facility to better explain situations.:,(use additional pages as;necessary}
Reviewer/Inspector Name I Phone:
Reviewer/Inspector Signature: ��r Date: r
Page 2 of 3 12128104 Continued
r

r
- • .1
Date of Inspection
Facility Number: we
Required
Records & Documents
19.
Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes
1. o E] NA
El NE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
[I Yes
No ❑ NA
❑ NE
the appropriate 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 ❑ aher Code
22.
Did the facility tail to install and maintain a rain gauge?
El Yes
No A
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ YesrrNo,,ETN�A
o NA
❑ NE
24.
Did the facilityfail to calibrate waste application equipment as re required b the permit?
PPq Y
❑ Yes
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
i
No NA
❑ NE
26.
Did the facilityfail to have an actively certified operator in charge?
Y P g
Cl Yes
hIo A
❑ 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 Complia `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:
�1 e. n
,
Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: //��-/� Title: Phone No:
CO
Onsite Representative: �, C✓ d-
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: 0 ° Longitude: °
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
I ❑ Non -Layer
Dry Poultry
❑ La ers
❑ 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'?
Region:
Design., Current
Cattle Capacity Population
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifei
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stockee
❑
Beef Feeder
❑
Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State'? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system'? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation'?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
12128104 Continued

Facility Number:6; — `7Z_- Date of Inspection rj ti'
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?
(iel 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 2rNo ❑ NA ❑ NE
❑ Yes ��NN`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 three notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes lYo ❑ 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 No 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 ONo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
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 fait to secure and/or operate per the irrigation design or wettable acre determination;❑
Yes
1V ❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
N `❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
ElYes
No ❑ NA
❑ NE
Reviewerllnspector Name `'t` �sN Phone:
d„
Reviewer/inspector Signature: Date: (2
12128104 Continued

- .
Facility Number: - 7 Z.r Date of Inspection >
Reuuired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes No NA El NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
+❑
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
e 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
VNo El NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
No ❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
To `D NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the pennit?
❑ Yes
No- El NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
l<O ❑ NA
❑ NE
27.
Did the facility fail to secure a phosphors loss assessment (PLAT) certification?
❑ Yes
(�Ko ❑ NA
❑ NE
Other Issues
29. 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
dttional Comments and/or Drawings A�I
122128104

114;
Type of Visit O
Reason for Visits
Inspection O Operation Review O Lagoon Evaluation
Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Fa ' Number Date of Visit: / TImC:
Not O erational 0 Below Threshold
,11'Permitted [3 Certified [3
©`Conditionally Certified © Registered Date Last Operated or Above Threshold: ............
Farm Name: (.FM'. . 6 /---6. - .. County: ...... h -.. f....................................
OwnerName: ................................................... ........................................................................ Phone No:.......................................................................................
MailingAddress:...........................................................
FacilityContact: .. )4(►..al. ....... .....:�.!................. ..... Title:................................................................ Phone No: .............................. I ....................
Onsite Representative:............................................................................ Integrator: .... Zi. n. �!. 3..S.............................................
Certified Operator: .... .�}*%WF.Y� C L J,,*,*,* r,�e Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • 4 L4 Longitude " 4 «
❑ VW -'to' Feeder
�!! I
❑ Layer
❑i Ntton
�[3€
❑ Dairy
eerier to Finish
❑ Non DairyI
El
❑ F to Wean
nLayer
a{
❑ Other I
,3,�, a a3�,,� .Pill':E;:
, ;E.ift�r'N „� , Total Desilgn Capacaty
r f Total
f�. l� r3f IIN ..a.s .i,.. ,4 ,a. } ;r ,� . � .: �� E a s '.�,=i9 a f � E s'' . SSM
arrow to Feeder
❑ Farrow to Finish
❑ Gilts
Boars
❑.. . ...............
... ..........
_.. ... _. ,,
I
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes o
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is observed, was the conveyance man-made? ❑ Yes o
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes o
c. If discharge is observed, what is the estimated flow in gaUrnin?
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 N�/
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ YesY
Waste Collection & Treatment /
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: ....... ............. ................ S.. ............................. �.. If ................1.....`......r................................................................................
Freeboard (inches): U ' "1 a /
12112103 Continued

Facility Number•
Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenancelimprovement?
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? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type 15 (?, r &n y,.. C)w, 5 ^n q /rrrr'n r
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
Air Quality representative immediately.
Reviewer/Inspector Namef
Reviewer/Inspector Signature:
❑ Yes
❑ Yes 13�
❑ Yes � "'
❑ Yes o
❑ Yes
❑ Yes 2 o
❑ Yes o
❑ Yes 1p '
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes No
❑ Yes 2No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Field Copy ❑ Final Notes
Date:
12112103
Continued

Facility umber: Date of Inspectionj�p��
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes No/
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP, checklists, design, maps, etc.) ❑ Yes o
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes 0
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes ,0'N00
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes o
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes 0
28. Does facility require a follow-up visit by same agency? ❑ Yes �' ""
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes MNo
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) �es:�X�
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes
32. Did the facility fail to install and maintain a rain gauge? El Yes
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes .�No
34. Did the facility fail to calibrate waste application equipment? ❑ Yes
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. ❑ Yes No
❑ Stocking Form [:]Crop Yield Form [:]Rainfall ❑ Inspection After I" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
12112103

_Number Date of Visit: EZal Time:
rQ Not Operational Below Threshold
ermitted [3 Certified [3 Conditionally Certified © Registered
Farm Name: /t"" G Car) (?,.-
Owner Name: C_ "_ e r
Mailing Address:
Facility Contact:
Onsite Representative:
Date Last Operated or Above Threshold: _
County: 104$1e
Phone No:
Title: Phone No:
/ . Integrator: All /A,'4- _
Certified Operator: 6 &P'/.Y/C Cry Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 6 0 GG Longitude 00 1 �4
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacitv Population
❑ W n to Feeder 10 Layer ❑ Dai `
Feeder to Finish 1 10 Non -Layer ❑ Non-Dai
❑ Fa ow to Wean _.-.....
arrow to Feeder ❑ Other
❑ Farrow to Finish Total Design, Capacity.
❑ Gilts
❑ Boars Total SSLW
Number of,Lagoons ❑ Subsurface Drains Present JJEJ Lagoon Area 10 Spray Field Area
1Hoidtrig PondsTraps ❑ No Liquid Waste Management System
Di ch�ar� § & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste 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: rAym -46 V �tH I f,-4 &-
Freeboard (inches): Z. I+ _3l
05103101 (Z�,
i'
ElYes No
❑ Yes No
❑ Yes No
❑ Yes DKO,
❑ Yes o
❑ Yes No
❑ Ye ❑ No
Structure G
Continued

1
J
Facility Number:
Date of Inspection
S. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Vaste_Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop hype /���✓.v► L&J-n
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/lnspector 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 0
❑ Yes �1Qo
❑ Yes Noo
ElYes l o
❑ Yes P_O
❑ Yes �No
❑ Yes No
❑ Yes a
ElYes o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes 1. o
❑ Yes 51K
❑ Yes No
❑ Yes
o
❑ Yes
No
El Yes
No
❑ Yes
�o
❑ Yes
[2<0
❑ Yes
❑ Yes
O
❑ Yes
ram`
2<0
© No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Conmentsj.(iefer;.to questiert#) "Explain ny YESansweis and/or any.recommendations or'any othercomments:'s$
Use drawipgsfoffacility tn"better'explain situations: (use additional pages,as necessary) [] Field Copy ❑Final Notes i
ILA_.. _'HY."".'C'KYp!"tn'T�A`+�1MWtlIYIWYW
(AX i nS h al_j 7/2-
Reviewer/Inspector Name:�..�
Reviewer/Inspector Signature: Date:
0S103101
Continued

Type of Visft O Compliance Inspection O Operation Review Q Lagoon Evaluation j
Reason for Visit O Routine Q Complaint. O Follow up O Emergency Notification O Other ❑ Denied Access I
Facility Number L Date of Visit: Z Z Time:
Q Not Operational Q Below Threshold
0 Permitted Q Certified 0 Conditionally Certified 13 Registered Date Last Operated or Above Threshold : .........................
FarmName: ...... ...':....G...... 1. ,t.. ......................... ........................... County:.....................................................................................
OwnerName: ................................................... ........................................................................ Phone No:
FacilityContact: ............................................................................... Title:................................................................ Phone No:...................................................
Mailing Address:
Onsite Representative:......................................................................:.................................... Integrator:
Certified Operator: ............ Operator Certification Number .................
Location of Farm:
❑ Swine ❑ Poultry 0 Cattle ❑ Horse Latitude �• �� Ors Longitude �• �� ��*
:besige=
Swine ;Capacitj
�' ; ❑ Wean to Feeder
❑'Feeder to Finish c
❑ F ow to Wean
arrow to Feeder
❑ Farrow to Finish
Gilts
❑ Boars
Design Curreni ,
Poultry... Ca'` act Po ulatiioa. Cattle
❑ Layer ❑Dairy
❑ Non -Layer ❑Non -Dairy
❑ Other
L
Total Design Capacity
'Total :SSLW.
Numberof Lagoons ❑ Subsurface Drains Present 110 Lagoon Area 10 Spray Field Area
Holdrn" 'Ponds / Solid Traps,:
g u❑ No Liquid Waste Management System r, try I�'w qL•.€r,.i•�'=.
Discharges & Stream lmpsrcts
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 (frgeboard plus storm storage) leis than adequate? ❑ Spillway
t ,.,
St to c 1 Strc�ur Struciture 3 Structure 4 Structure 5
Identifier.. `t !i _....,�P.................................."].............................. 1..
Freeboard (inches):
5/00
❑ Yes No
❑ Yes o
❑ Yes o
❑ Yes o
❑ Yes o
❑ Yes!No
o
❑ Yes
Structure 5 A_�Aj
............................
Continued on

Facility Number: Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type _�e? PiYr"X (.-- 114 , 5 rill IQ /r4 I it S
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18..Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Wer y additional problems noted which cause noncompliance of the Certified AWMP?
• ' �'V�•yi�a�itj>�js:o� d�fc�enc�c� •v�re pptet�• . this:vt; • iye Q fu4-�r
cor'resporidence: about this visit: .:::.::::.......................... .
❑ Yes o
❑ Yes
❑ Yes No
❑ Yes a
❑ Yes o
❑ Yes No
❑ Yes o
❑ Yes
❑ Yes
❑ Yes
❑ Yes ❑
❑ Yes No
❑ Yes No
❑ Yes o
❑ Yes , No
❑ Yes ::0
oYes
❑ Yes
❑ Yes "❑ Yes:NN
❑ Yes
❑ Yes
Comments (refer to question #) ,'Ezplain`any�YES answers and/or an recommendations or any other,comii teats:' ""' �
Use drawing§ of facl)Ilty to better. explain situations „(use;addttional pages�as necessary) �i, l }� �'
A.
sff
Reviewer/Inspector Name L h
Reviewer/Inspector Signature: Date: 3/pp

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

Facility Number Date of Visit: .J Time: b
0 Not O erational 0 Below Threshold
p4lermi © Certifie`d. D Conditionally Certified 0 Registered Date Last Operated or Above Threshold: .........................
FarmName: ..... .�..........b...../ ........................... County:...i3.............................................
OwnerName: .....`^'+l....j'............................................................ Phone No:.....................................................................................:.
Facility Contact:
Mailing Address:
Title:.
Phone No:
OnsiteRepresentative:........................................................................................................... integrator:......................................................................................
Certified Operator:,,,,�� �r ;.-..-.�..C(.L�{ ................................................... Operator Certification Number:,,,-,,,,,,,,,,,
.................................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �• �� ��� Longitude
Design,.:
Swine Ca aci y
;,. ;
❑ Wea to Feeder
```'
eder to Finish
'❑F
wtoWean
ll:OTarrow
to Feeder
❑ Farrow to Finish
¢:.
❑ GIitS
it ,';
10 Boars
opulaft ' ' ., _ Poultry
Current
Po uliition Ca#d
'e
❑ Other
T0ta1! Msign' Capa0;y
• F.
Tka skW
r
Number of L oons C. ❑Subsurface Drains Present ❑ Lagoon Area . ❑ Spray Field Areai
Aon on l SolidTraps, ❑ No Liquid Waste Management System ,t
DischaMo & Stream Im acts
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 ade uate? Spillwa
q ructure Structure 2 StZclure 3 Struct re 4 Structure 5
Identifier: .� L "' !O 4 I.. .........Z. �� ...............
Freeboard (inches):
5100
❑ Yes o
❑ Yes . No
❑ Yes No
❑ Yes No
❑ Yes No
? ❑ Yes r " -
❑ Yes o
Struclu 6
Continued on br

Facility Number: — Date of Inspection SLY
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
closure plan? ❑ Yes 4rNo
(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 o
8. Does any part of the waste'ga—nagement system other than waste structures require maintenance/improvement? ❑ Yes ;'No
9. Do any stuctures lack adequate, gauged markers with -required maximum and minimum liquid level
elevation markings? ❑ Yes 'P No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes No
12. Crop type
13. Do the receiving crops differ wit those designate in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement? ❑ Yes ❑ No
16. is there a lack of adequate waste application equipment? ❑ Yes ❑ No
Required Records &_Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes 0<0
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available? �,f
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes Id110
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) es ;zo�
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ��" 0
22, Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes o
23, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes Ld'N0
24. Does facility require a follow-up visit by same agency? ❑ Yes ld'N0
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes o
4 Yi41 iiQ�s :o(r dgf ckh' . , s -wire h0,0d- 109 01S. Visit! Yoh wiii Kee�iye �o fu>Tt�t�r
. •;corresnondeince. about; this visit. : .................................... .

Facility Number: — Date of Inspection
t� Odor Issues 'T
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below OYes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes 4a 1 o
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes 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
5100

"4
outine O Complaint O Follow-up of DW2 inspection O Follow-ue of DSWC review O Other
Facility Number Z Date of Inspection
Time of Inspection FF!924 hr. (hh:mm)
ernutted [] Certified © Conditionally Certified [r Registered 113 Not Operational I Date Last Operated: ..........................
Farm Name: .... ........ G........ cc.aglh� ............................................ County:....jiV. !je.r& ..................................
Owner Name: ....11—,.q.. ...... ' :f4'. Phone No. ....................................
FacilityContact: .. ...............a^..".. ............................................. Title:................................................................ Phone No:......................
MailingAddress:........................................................ ..................................................................................................................................................
OnsiteRepresentative: ........................................................................................................... Integrator:......................................................................................
Certified Operator:............, ��`:,..,,,..�! Operator Certification Number:
........................................................................................
Location of Farm:
........... .................. .... .. 11V
Latitude' L—J__I" Longitude �`
........
❑ W to Feeder
eederto Finish
❑ F to Wean
a
P�farrow to Feeder
Farrow to Finish
❑ Gilts
❑ Boars
Design Current'_;;
Poult Ca aci 3 Po ulation'
❑ Layer
❑ Non -Layer
Other
`'gas
Discharges & Stream Intuacts
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?
Non-
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'? (II' yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: F—1 Ir_ v�Sv�` 0",
�q Z r
Freeboard(inches); .................. .... ..� ......... .tl.................................................................
5. Are there any immediate threats to /the integrity of any of the stryetures observed? (ie/ trees, severe erosion,
1
U U � (L6 Q i N 11-4 / -C'i 0 -2 seepage, etc.)
❑ Yes PX6<
❑ Yes o
❑ Yes o
❑ Yes No
❑ Yes N
❑ Yes No
❑ Yes o
Structu 6
❑ Y !,
3/23/99 I` U 0 1 1414 6 Continued on back

r
Facility Number: Z Date of Inspection l�L
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Ye 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?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type n J r
/ h
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
lb. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit'?
(ie/discharge, freeboard p oblems, over application)
23. Did Reviewer/Ins or fail to discuss review/inspection with on -site representative?
24. Does faciij require a follow-up visit by same agency?
25. Wgzelany additional problems noted which cause noncompliance of the Certified AWMP?
.yiol'at�iofis ot- de#icier�cke *cre hofpq• dirr'ing �bis:vas% Yoir :wili•reegiye tio; lru> thcr;
corresnodence: about: this :visit: .......:::
;e drawings oHaciIrtylto better;explainis
❑ Yes No
❑ Yes o
es No
❑ Yes 2'90
❑ Yes
❑ Yes , Ito
❑ Yes .B'No
❑ Yes
❑ Yes No
❑ Yes No
❑ Yes `t° "0
❑ Yes No
❑ Yes PO e
.
❑ Yes ❑ Yes �
❑ Yes ❑ Yes rNloZ
0
Yes❑ Yes
❑ Yes No

Facility Number: — Z Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
Yes ❑ No
❑ Yes o
❑ Yes o
❑ Yes No
❑ Yes
❑ Yes No
Yes ❑ No
AL1

• -..,y . , . ■ I. 1 a
. .!.... 11 . .1 _.. __._. _ .. a_.-._
21 Routine"rO'Co'nt"'lain`t'--'O Foilo*-i F5f DWQ ins' ctioti""OFollow-4 "of DS'4' C-reviews OOther <N '
S.�t4e+�Ar,aM+Jxa�wemx�biJ.^s:Nif��-i..he,san.�e—.e�ysea.rM.+-i.ee..Mw.,..-.r,,. rw. _
• .. . - -. ... Utite i►r utspecuctn r % vE � � t
Facility Number
Time of Inspection U r!i 24 hr. (hh:mm)
Total Time (in traction (if hours
7arm Status: Registered ❑ Applied for Permit (ex.1.25 for 1 hr 15 min)) Spent on Reviekv
Certified ❑ Permitted or Inspection (includes travel and processing)
0 Not Operational j D Last Operated: ........... ...........................................................................................................................
?arm Name: ...-7G..+� z.-..... County: ...................................................................I.....•.....
........ S. ......
)wner Narne:.....................................•...................:..............................................................•... Phone Nw...•.•............................:................................•.•....
Facility (.out.tct ........... Title: .................................... ............................ Phone No:.............................................
11aiIingAddress: /............................................................................................................................................ ....................
Onsite Representative:... �r��'' '?-. ..........G...J"....... .Z...a......................... . Integrator: ........... .............................................. .......................
Certified Operator: ...... ........................................................................•.......•......................... Operator Certification Number:.....................:
Location of harm:
.............. .......... ........ ......................................................................................................................... ................................ ........................ ................................ ....,.............
.......... .................. ....................................................................... ...................................... .......... .......... .......•...................... ............... .................... ............................................
Latitude I� � � � � cc Longitude
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'?
b• If discharge is observed, slid it reach Surface Water'? (If yes, notify DWQ)
c. if dischar,,e is observed. what is the estintated tlow in eatlmin?
d. Does discharge bypass a lagoon system:' (Ifyes, 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?
❑ Yes :NQ
❑ Yes dNo
❑ Yes to Nc
❑ Yes PfNc
❑ Yes [�Nc
❑ Yes �N(
❑ Yes

�No
Did the facility fail to have a certified operator in responsible charge?
❑ Yes
Are.thereNlagoons or storage pond on site which need to be properly closed?
❑ Yes
. iNo
tructures (Lagoons and/or Holdinp.,Ponds).- _��,
❑ Yes
No
Is storage capacity (freeboard plus storm storage) less than adequate?
J6
Freeboard (ft): Structure 1 �Sfructure� ' nictuf e 3 5ti�acture 4 Structure 5
(] 3...............,...........................................................................
Structure
'... ................1.... .......... ..... ..,t....i2.................
0. Is seepage observed from any of the structures?
❑ Yes
G�No
1. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
dNo
2. Do any of the structures need maintenance/improvement?
�Yes
❑ No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
3. Do any of the structures lack adequate minimum or maximum liquid level markers?
/Yes
❑ No
V_�►ste Application
4. Is there physical evidence of over application'?
❑ Yes
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
/ (" G S
%� &—
5. Crop type ��+���.......................................................4.......................................... ....... ....... .................. .............
.......................
.................
5. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
Eg"No
7.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
[Ylo
8.
Does the receiving crop need improvement?
❑ Yes
(;]"No
9.
Is there a lack of available waste application equipment?
❑ Yes
eNo
0.
Does facility require a follow-up visit by same agency?
❑ Yes
ONo
1.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
R�No
'or
ertified Facilities Only
.2.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
❑ No
3.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
4.
Does record keeping need improvement?
❑ Yes
❑ No
WL4P
- ks c L'�-Cl r f c 1$ i1 �I r`li�N� i "� .y Y's
WA-T k1VA-1 5 w ��1��� rl
Zeviewer/Inspector Name

* *.T'L-14-1995 15: 26 FROM
DEM WATER DUALITY SECTION TO
to `t" 6 Z_-
Mae, W
FIFO P.02/02
Site Requites Immediate A I-tcn bon
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENNT J
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE:. 3 _, 1995
Farm Name/Owner: _-3 R 6 ` Z j `q re_ + _s _ — c e ee cA b /` D j h �
Mailing Address: 1-3 0 9 I — /V , C _? g G -2 -7 S
County- TD � ,I S {-vim
Integx'ator: L, L ry%&4_r-p A r e, Phone:
On Site Representative: Phone:
Physical Address/Locadort:
Type of Operation: Swine i Poultry Cattle
Design Capacity: 5 ' e- CO)-_M �'"_+ S _ Number of Animals on Site:
DEM Certification Number: ACE DEM Certi.ficadon Number: ACNEW_
Latitude:.3S_ ' q I ` �5 Longitude: 7? ' 16 ' 490 " Elevation: Feet
Circle Yes or No
Dtxs the Amoral Waste Lagoon have sufficient freeboard of }1 Foot + 25 e Z, hour storm event
(approximately I Foot + 7 inches) Yes or No AI)Octual board: �t. Inches
Was any seepage observed from the lagoon(s)? Yes ca Was any emsion observed? Yes 6 No
Is adequate land available for spray' �e r1�No Is the cover crop adequate` Y -dr No
Crap(s) being utilized: r&S� �.r•,1`. L� P7 OG9.S-r
Does the facility meet SCS minimum.setback criteria'! 200 Feet from Dwellings` or No
100 Feet from Wells? (10or No
hr anirnal waste stockpiled within 100 Feet of USGS Blue Line Steam? Yes 04
1 aldmal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line'? Yes o `No
animal waste discharged into waters of the state by inan-trade ditch, flushing system, or other
-similar man-made detiices? Yes u sic .If Y a:s. Please Expiain.
>cs iiic facility waintain adequate waste managernent records (volumes of manure, land applied_
spray irrigated on specific acreage with cover crop 0 Yes o4
Additional Comments. 3 Z'� $' P-1,3 ^' d ji
I4y�s _� .cep r_e, � ,1` 4 c? See r9- A� ,z,/ c.,* le-S .
oe__ ►n��� u� h - _
�r? 0 ` f 404 S e Le, rd l�1 _
cc: Facility Assessment Unit
_r
_lam
Signa[ure
Use Attachments if Needed
TOTAL P.02

7o-ppi b9 Nu,rscr
ANTM; L WXSTE MVMG2=2IT PLAN CgRTIPxCATION POR NEW OR S3pANDED PEEnLOTS
Please return the ccsspleted for= to the Division of EMviroanental iiaaagemeut at
the ad'c_-aea an the ravaraa Aida of this forte.
Name of
Address:
Phone No.o +,
• -�
County % n a
Farm location: Latitude and Longitude:W ,Z jE.F 1je /'IK5,f (required). Also,
please attach a co f a county road map with location identified.
Type of operation ( win , layer, dairy, etc.}:
Design capacity (number of animals): e-4 YLUeo
Average size of operation (12 month population ayg•): S
Average acreage needed for land application of waste (acres): S- Y
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Techr-ical . Specialiat Certification
As a technical specialist designated. by the North Carolina soil and Water
Conservation Commission pursuant to 15A NCAC 6F .0005, I certify that the new or
expanded aslimal waste management,, system as installed for. -the .farm named above
has an animal waste management plan that meets the design, construction,
operation and maintenance standards and specifications of the Division of
Environmental Management and the USDA -Soil Conservation Service and/or the North
Carolina Soil and Water Conservation Commission pursuant to 1SA NCAC 2H.0217 and
1SA NCAC 6F .0001-.0005. The"following elements and their corresponding minimum
criteria haue-been verified by me or other designated technical specialists and
are included in the plan as applicable: minimum separations (buffers); liners or
equivalent for lagoons or waste storage ponds; waste storage capacity; adequate
quantity and amount of land for.waste utilization (or use of third. party) ; access
or ownership of proper waste application equipment; -,schedule for. timing of
applications; application rates; loading rates; and the control of the discharge
of pollutants from stormwater ,runoff events less ever than t}xg 2�-year, 24-hour
storm. epne ar C� .
/JII ./.a 'I--
Name of Technical Specialist (Pleas rint): h! G�/ /»�
Affiliation: a,. urc o k i a
Address (Agency)- D _ -5M':ZU.1"&eZ .4C Phone No. crr
Signature: �� Date:
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Owaer/2SaaaQer Ags'eamaat
I (we) understand the operation and maintenance procedures established in the
approved animal waste management plan for the farm named above and will implement
these procedures. .1 (we) know that any additional expansion to the existing
design capacity of the waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the Division of
Environmental Management before the new animals are stocked. I (we) also
understand that there must.be no discharge of animal waste from this system to
surface waters of the state either through a man-made conveyance or through
runoff from a storm event less severe than the 25-year, 24-hour storm. The
approved plan will be filed at the farm and at the office of the local Soil and
Water Conservation District.
Nara of La
Signature:
Nana of Zia
Signature: Date:
Haim : A change in land ownership requires notification or a new certification
(if the approved plan is changed) to be submitted to the Division of
Environmental Management within 60 days of a title transfer.
DEM USE ONLY:ACNEW##

PRODUCER CERTIFICATION OF IRRIGATION EQUIPMENT
certify that I (o%vn, have'access to) the
prod veer)
foHo:ving irrigation equipment: r
TYPE IRRIGATION AND SIZE 40bk ��db � � r 6-61 Lk ri.'
PVAILABLE FROM _ d gkl - - Ct�4ff�
10--4 Cr of equip rr:t)
I further certify that, mrough the arrangements I have made concerning irrigation equipment, I
will be able to irrigate as necessary according to my waste management plan.
Ae
SianZ(UTC
PRODUCER CERTIFICATION OF INTENT TO PLANT GRASS FOR
IRRIGATION
CrIZE-ct CIZEL'GL _ ce:tifv that I will iftnt the specified grasses
—Cp. odvcdr4
as outlined in my waste management plan at the next available seeding date. If this seeding
date is in excess of 6 months From the date I stock animals, then I will provide a temporary
cover of small grain if needed for irrigating.
Signaturc� .�. ✓ -.--- r-- Date "/

Ax=AT• wASTE IMZMGEmZNT PLAN CERTIFICATION FOR NEW OR E=PANDED FEEDLOTS
Please retu.-= the c= leted fora to the Diviaioa of Rnvironaeatal Manage:ent at
the ad2rea8 on the SeverQe Yid& of this forte.
Name of farm (Please print0
Address: / t71 -
Phone No. — -
County; n "
Farm location: Latitude and Longitude::2L a:j''./.Za° �6' Q2 (required) . Also,
please attach a cWswinec
a county road map with location identified.
Type of operation layer, dairy, etc.) : �S 4);'or-
Design _
capacity (nf animals) : /9(00 SSW3-Fnrrc�f
Average size of operation (12 month population ayg.): D U
Average acreage needed for land application of waste (acres) s - F�� Aar{ fa ,,ij
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Tec-1=ical Specialist Ca=tificatioa
As a technical specialist designated by the North Carolina Soil and Water
Conservation Commission pursuant to 1SA NCAC 6F .0005, I certify that the new or
expanded animal waste management system as installed for the farm named above
has an animal waste management plan that meets the design, construction,
operation and maintenance standards and specifications of the Division of
Environmental Management and the USDA -Soil Conservation Service and/or the North
Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 2H.0217 and
1SA NCAC 6F .0001-.0005. The following elements and their corresponding minimum
criteria-haue<been verified by me or other designated technical specialists and
are included in the plan as applicable: minimum separations (buffers); liners or
equivalent for lagoons or waste storage ponds; waste storage capacity; adequate
quantity and amount of land for waste utilization (or use of third party); access
or ownership of proper waste application equipment; schedule for timing of
applications; application rates; loading rates; and the control of the discharge
of pollutants from stormwater runoff events less severe than the 25-year, 24-hour
storm. ,
Name of Technical S a is i (Pleas Print) -
Affiliation: u ati '14 q tic d SG'Tvi[
Address (Agengyj : Phone No.
ff
.�.
! _! .%Cis. , L r _ -
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Owner/HanaQar Agreemamt
I (we) understand the operation and maintenance procedures established in the
approved animal waste management plan for the farm named above and will implement
these procedures. I (we) know that any additional expansion to the existing
design capacity of the waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the Division of
Environmental Management before the new animals are stocked. I (we) also
understand that there must be no discharge of animal waste from this system to
surface waters of the state either through a man-made conveyance or through
runoff from a storm event less severe than the 25-year, 24-hour storm. The
approved plan will be filed at the farm and at the office of the local Soil and
Water Conservation District. /' //�� �%
Na.Ye of Land eS (Please in LTe r4 Ga"' C1'ell-
Signature: _ 7 Date:
Name of Manager, if different from owner (Please print):
Signature:
XgtZ: A change in land ownership requires
(if the approved plan is changed) to
Environmental Management within 60 days of
Date:__
notification or a new certification
be submitted to the Division of
a title transfer.
DEM USE 0NLY:ACNEW4

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CA
u a — t i r c>z° �� °•
A \ _
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0011 ti
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000 OZL 1 ♦a �; s . r . �� 1�

Old
w r
"1-.r;LL WXSTZ �+ANACaE�$I'1PI&XN CERTIFICATION POR NEW OR EXPANDED FEEDLOTS
Please retu.--a the ecwpleted fc= to. the DIV:Lnioa of Enviroasseatal Management at
the add --son on the reverse side of this ion.
Name of farm (Please . t):
Address : /3'07/ -NG Ze,
Phone No.
County: ­7n ,.a_s o L '
Farm location: Latitude and Longitude—Z5if °Zd!:L 9-C (required). Also,
please attach a cop a county road map with location id tifi /
Type of operation in Layer, dairy, etc.) : w%+�
Design capacity (n of animals): =42 -
Average size of operation'(12 month population ayg.): O O
Average acreage needed for land application of waste (acres)c T d
e7aaaana=caaaaaagaaa�aaaaaassaaaacaaoaaaaaaaetaaaa�aataaaaass7 sxaaeacaaaaacgac�taaaa
Technical Specialist Certification
As a technical specialist designated by the North Carolina Soil and Water
Conservation Commission pursuant to 15A NCAC 6F .0005, I certify.that the new or
expanded animal waste management.system as installed for .•the_.farm named above
has an animal waste management plan that meets the design, construction,
operation and maintenance standards and specifications of the Division of
Environmental Management and the USDA -Soil Conservation Service -and/or .the North
Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 2H.02I7 and
I5A NCAC 6F .0001-.0005. The following elements and their corresponding minimum
criteria -have been verified by me or other designated technical specialists and
are included in the plan as applicable: minimum separations (buffers); liners or
equivalent for lagoons or waste storage ponds; waste storage capacity; adequate
quantity and amount of land for.waste utilization (or use of third party); access
or ownership of proper waste ;application ',equipment,- schedule for. timing of
applications; application rates; loading rates; and the control of the discharge
of pollutants from stormwater.runoff events less severe than the 25-year, 24-hour
storm,
Name of Technica
Affiliation:_
Address (Agency)
Signature: _�ilvtcn�.� S �% _ Date:_.//~P7/- 9 _
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Owner/2iaaager Agreement
I (we) understand the operation and maintenance procedures established in the
approved animal waste management plan for the farm named above and will implement
these procedures. .I (we) know that any additional expansion to the existing
design capacity of the waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the Division of
Environmental Management before the new animals are stocked. I (we) also
understand that there must be no discharge of animal waste from this system to
surface waters of the state .either through a man-made conveyance or through
runoff from a storm event less severe than the 25-year, 24-hour storm. The
approved plan will be filed at the farm and at the office of the local Soil and
Water Conservation District.
Nate of Land Owner (Please Print
Signature:
pleplold U-ap,/ a
Date:
NaaQ of Manager, if different from owner (Please print)
Signature: - Date:
Hgta: A change in land ownership requires notification or a new certification
(if the approved plan is changed) to be submitted to the Division of
Environmental Management within 60 days of a title transfer.
DEM USE ONLY:ACNEW#

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D: :ton of Soil and Water Conservation 0 Other Agency
[vision of Water Quality
(19'Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
L Fy Date of Inspection
Facility Number
.............................................. ,,......,,._,,,,,... " .,,,.,.. � Time of Inspection ®24 he (hh:mm)
0 Registered ErCer.tifled 0 Applied for Permit 0 Permitted 10 Not Operational . Date Last Operated: ..........................
FarmName: . (LI.,.`....L./L.I...&.......1 !Q.lOe:".s................................................ County:.p..YI ... �....'............................... .......................
Owner Name: ... ..!/..�i......vy:�4.�'!............................................................ Phone No:..1. �J....-...1 ?. }�..^..J (o rb........................
FacilityContact:.....%i.^"................................................. Title:................................................................ Phone No:...........................
Mailing Address: ..... .3.�_.. L............. ... C h b✓ 'DYs i?...... C �
OnsiteRepresentative:..�7..e'�L..........Gt f2........ Integrator: .................................................
................................
Certified Operator;,,.,.1 /,.e" �� C i Operator Certification Number, .........................................
....... _............................................................................
Location of Farm:
Latitude =•,=' ={I .Longitude =0 =' =11
s,_ "Design ,,Current - �:Y.;" st-Design Current� Design '-Current
W to Feeder
eederto Finish
Farrow to Wean
Farrow to Feedei
Farrow to Finish
Boars
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?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
❑ Yes 'o
❑ Yes No
❑ Yes IJ N
❑ Yes No
❑ Yes ❑ No
❑ Yes No
❑ Yes No
❑Yes —NNoo
❑ Yes IQ
❑ Yes 15 No
Continued on back
- i"A

Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes Nv
Structures (LaEoons.HoldinLy Ponds, Flush Pits, etc.) , _,�
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes .l�No
Structure IS p� Structure 2 Structure St fu= Structure 5 Structure 6
Identifier: l .'..!''f!i%. .. L'...Q!�'�,/�,� f,....!�-�......................................................................................
--}}
Freeboard(ft): ..................:.:... ... .�...:..!................................................................................ ...... .................. .... .......... . ........ ..... ...
10. Is seepage observed from any of the structures? . 3 . J t ❑ Yes o
11. is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes No
12. Do any of the structures need maintenancelimprovement? ❑ 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 eNo
Waste Application
14. Is there physical evidence of over application? ❑ Yes o
(If in excess of WNW, or runoff entering waters of the State, notify DWQ)
15. Cropa2 w �i.�3 S'rr. C' /�i �5
type r.... .............. f.......... T� .......-............................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes ZN(o)
IT Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were atyy'aidditional problems noted which cause noncompliance of the Certified AWMP?
25. Xe any additional problems noted which cause noncompliance of the Permit?
❑ Yes
No
❑ Yes
No
❑ Yes
No
❑ Yes
No
❑ Yes
❑ Yes
No
No.vialations,or. deficieneies.were noted -during this:visit.• You:rvill receive�no,ftirilier•.
•�-cbrrespQi�deinceal�outthis:visif.•:::�:�:-:•: .:..�.-::�.�:�: :::�:�:•::.:..�.:�:.•:
❑ Yes 7No,/
Yes
❑ Ye. No

State of North Carol4k : . .
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
DEHNR
DIVISION OF WATER QUALITY
April 3, 1997
Mr. Gerald Creech
13071 Hwy. 39
Zebulon, North Carolina 27597
Subject: Compliance Evaluation Inspection
Facility # 64-72
3-G Swine Farm
Nash County
Dear Mr. Creech:
On April 2, 1997, 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 and that the
waste lagoons had 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 maintenance are an
important responsibility of all animal waste producers. The
Division of Water Quality has the responsibility to enforce water
quality regulations in order to protect the natural resources of
the State. 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
Elan 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.
3800 Barrett Drive, Suite 101, !� FAX [phone]
Raleigh, North Carolina 27609 N :� C An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 50% recycled/10% post -consumer paper

Mr. Gerald Creech
Page 2
The General Assembly. recently passed Senate Bill 1217 which will _.
require all animal waste management systems to designate an
of 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 Garrett
Water Quality Section Supervisor
cc: Mr. Patrick Rogers, Nash County Health Department
Mr. Terry Best, Nash Soil and Water
Conservation District
Ms. Margaret O'Keefe, DSWC --- RRO
DWQ Compliance Group
RRO Files

a o view
[3 DSWC AniiMafeedlot Opei'd n,"Re'
. ..... . . .... ..
EfDWQ AnIMA'Feedlot Operation Site Inspection,
FRoutine- 0 Complaint 13 State employee call 13 Follow-up of DWQ inspection 0 Follow-up of DSWC review
(611 --
Facility Number
Date of Inspection ? Ij
Time of Inspection Use 24 hr. time
Farm Status: "s waj_ Total
Time (in hours) Spent onRe%ie%-
or E1130speletion (includes travel and processing)
Farm, Name: L3= unty.
Owner Name: d 4 J f'ze cA
Phone No:
Mailing Address: 2 j'77
Onsite representative: Integrator: Ae� 6
Certified Operator Name: 6L,,gld 6,-LclV ......................
Location of Farm:
Latitude Longitude
93 Not Operational Date Last Operated; . ... . ...
Type of Operation and Design Capacity
.. .... . ... Number':` ou Cattle Number
❑ _Wem to Feeder
JE3 Laver
❑ Feeder toFinish
10 Non-LaLe
rl r.rw-o"m Wean
[3 oth er Type of Livestock
w to Feeder
12'Farrow to Finish
- & V 0 SV_V5
Dairy
Beef
Subsurface Dr
ains Present
7 01.1roldingTon.
'a
10 Lagoon Area 113 Spray FieljA �est
General
1. Are there any buffers that need rnaintc=ce/improvement? ❑ Yes No
2. Is any discharge observed from any part of the operation? 0 Yes
a. If discharge is observed, was the conveyance man-made? 0 Yes 0
b. If discharge is observed, did it reach Surface Water? Of yes, notify DWQ) [3 Yes No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes
3. Is there evidence of past discharge from any pan of the operation? ❑ Yes X0
4. Was there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes
0 5. Does any part of the waste management system (other than lagoons/holding ponds) require 0 Yes

6. facility not in compliance with any appl' ble setback criteria? ❑ Yes No
7. Did the facility fail to have a certified op r in responsible charge (if inspection after 1/0? ❑ Yes ;;No
3<0
S. Are there Iagoons or storage ponds on site which need to be properly closed? ❑ Yes
Structures (Lagoons and/or Holdins Pondsl
9. is structural freeboard less than adequate? ❑ Yes 0
Freeboard (ft): Lagoon 3 La goon 2 Lagoon 3 Lagoon 4
7W0f 0r Ak �,1kfEl SbLi T50C44,0.
10. Is seepage observed from any of the structures ❑ Yes 1`'0
11. Is erosion, or any other threats to the inte ty of any of the structures observed? 9 4 l e Lr vs. E Yes ❑ No
0- -4 "s "J c cl g foe A To i=Ynf /f G y G v
12. Do any of the structures need maintenance/improvement? ❑ Yes M'No rn.9-
(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 adquate markers to identify start and stop pumping levels? ❑ Yes No
Waste Application
14. Is there physical evidence of over application? ❑ Yes ffNo
(If in excess of WMP, or runoff entering waters of the State, notify DWQ
15. Crop type
16. Do the active crops differ with those designated in the Animal Waste Management Plan? ❑ Yes 0
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes ;No .
18. Does the cover crop need improvement? ❑ Yes ,ice No
19. Is there a lack of available irrigation equipment? ❑ Yes
For Certified Facilities Only
20. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑ Yes ❑ No
21. Does the facility fail to comply with the Animal Waste Management Plan in any way? ❑ Yes ❑ No
22. Does record keeping need improvement? - ❑ Yes ❑ No
23. Does facility require a follow-up visit by same agency? ❑ Yes ❑ No
24. Did Reviewer/Inspector fail to discuss reviewrmspection with owner or operator in charge? ❑ Yes ❑ No
Comments (refer to question #):. Explain any. YES answers and/or any recommendations or any other comments.
Use drawirig5 ofAfacility to better explain situabans: (use -additional: pages as necessary)
0 F Th , s
iS ✓1Gj Lt�//� �n r✓rls<� G,scc..�� f?n d 6'60ntd Gi/"< /9- F"1,�'/
IV'qj </ 'V - Cl yr-v F J"O IV."s 0, l-/ o
Reviewer/Inspector Name.-
Reviwer/Inspector Signature: G Date:
cc: Division of Water Ouality. Water Ouality Section. Facilitv Assessment Unit 11/14/96

O�OF w ��9QG Michael F. Easley, Governor
William G. Ross Jr., Secretary
rNorth Carolina Department of Environment and Natural Resources
p -C Coleen H. Sullins, Director
Division of Water Quality
August 17, 2007 f j`jl -,� R,,
Gregand Gary Creech
rY
Three G Farms, Inc. ;l ;�� }� 7
13005 Highway NC 39 {
Zebulon, NC 27597
AL
Subject: Certificate of Coverage No, AWS640072
Three G Farms, Inc.
Animal Waste Management System
Nash County
Dear Greg and Gary Creech:
In accordance with your Notification of Change of Ownership received on July 26, 2007, we are hereby
forwarding to you this Certificate of Coverage (COC) issued to Greg Creech and Gary Creech,
authorizing the operation of the subject animal waste management system in accordance with General
Permit AWG100000.
This approval shall consist of the operation of this system including, but not limited to, the management
and land application of animal waste as specified in the facility's Certified Animal Waste Management
Plan (CAWMP) for the Three G Farms, Inc., located in Nash County, with an animal capacity of no
greater than the following swine annual averages:
Wean to Finish: 0 Feeder to Finish: 4200 Boar/Stud: 0
Wean to Feeder: 0 Farrow to Wean: 0 Gilts: 0
Farrow to Finish: 0 Farrow to Feeder: 600
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 and replaces the NPDES
COC issued to this facility with an expiration date of July 1, 2007. You are required to continue
conducting annual surveys of sludge accumulation in all lagoons at your facility; the one-year extension
in Condition 11I.19 does not apply.
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. 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 1636Mail Service Center
Internet: www.nowaterauali .oru Location: 2728 Capital Boulevard
An Equal Opportunity/Affirmative Action Employer— 50% Recycledl10% Post Consumer Paper
None Carolina
Ntura!!y
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

If your Waste Utilization Plan has been developed based on site -specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
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 02T .0111(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100-foot separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
Per 15A NCAC 02T .1306, any containment basin, such as a lagoon or waste storage structure, shall
continue to be subject to the conditions and requirements of the facility's permit until closed to NRCS
standards and the permit is rescinded by the Division.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Aquifer
Protection staff may be reached at [phone]. If you need additional information concerning this
COC or the General Permit, please contact the Animal Feeding Operations Unit staff at [phone].
Sincerely,
for Coleen H. Sullins
Enclosures (General Permit AWG100000, Record Keeping and Reporting Package)
cc: (Certificate of Coverage only for all cc's)
Nash County Health Department
Nash County Soil and Water Conservation District
Raleigh Regional Office, Aquifer Protection Section
AFO Unit Central Files
Permit File AWS640072

WA7E
Michael F. Easley, Govemor
r
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Q
Coleen H. Sullins, Director
Division of Water Quality
August 17, 2007:'
Greg and Gary Creech f
Three G Farms, Inc.
13005 Highway NC 39
Zebulon, NC 27597
Subject: Certificate of Coverage No. AWS640072
Three G Farms, Inc.
Animal Waste Management System
Nast] County
Dear Greg and Gary Creech:
In accordance with your Notification of Change of Ownership received on July 26, 2007, we are hereby
forwarding to you this Certificate of Coverage (COC) issued to Greg Creech and Gary Creech,
authorizing the operation of the subject animal waste management system in accordance with General
Permit AWG100000.
This approval shall consist of the operation of this system including, but not limited to, the management
and land application of animal waste as specified in the facility's Certified Animal Waste Management
Plan (CAWMP) for the Three G Farms, Inc., located in Nash County, with an animal capacity of no
greater than the following swine annual averages:
Wean to Finish: 0 Feeder to Finish: 4200 Boar/Stud: 0
Wean to Feeder: 0 Farrow to Wean: 0 Gilts: 0
Farrow to Finish: 0 Farrow to Feeder: 600
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 and replaces the NPDES
COC issued to this facility with an expiration date of July 1, 2007. You are required to continue
conducting annual surveys of sludge accumulation in all lagoons at your facility; the one-year extension
in Condition 111.19 does not apply.
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. Enclosed for your convenience is
a package containing the new and revised forms used for record keeping and reporting. Please pa
careful attention to the record keeping and monitoring conditions in this permit.
Aquifer Protection Section 1636 Mail Service Center
Internet: www.newatetaualitv.ara Location: 2728 Capital Boulevard
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper
t
Carolina
ura!!y
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

If your Waste Utilization Plan has been developed based on site -specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
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 02T .0111(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100-foot separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
Per 15A NCAC 02T .1306, any containment basin, such as a lagoon or waste storage structure, shall
continue to be subject to the conditions and requirements of the facility's permit until closed to NRCS
standards and the permit is rescinded by the Division.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Aquifer
Protection staff may be reached at (919) 7914200. If you need additional information concerning this
COC or the General Permit, please contact the Animal Feeding Operations Unit staff at [phone].
Sincerely,
r � .
for Coleen H. Sullins
Enclosures (General Permit AWG 100000, Record Keeping and Reporting Package)
cc: (Certificate of Coverage only for all cc's)
Nash County Health Department
Nash County Soil and Water Conservation District
Raleigh Regional Office, Aquifer Protection Section
AFO Unit Central Files
Permit File AWS640072

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
July 1, 2007
Jenny P. Creech
Three G Farms, Inc.
13071 Highway NC 39
Zebulon, NC 27597
Subject: Certificate of Coverage No. AWS640072
Three G Farms, Inc.
Animal Waste Management System
Nash County
Dear Jenny P. Creech:
In accordance with your application received on December 27, 2006 and Notification of Change of
Ownership received on March 7, 2007, we are hereby forwarding to you this Certificate of Coverage
(COC) issued to Jenny P. Creech, authorizing the operation of the subject animal waste management
system in accordance with General Permit AWGI00000.
This approval shall consist of the operation of this system including, but not limited to, the management
and land application of animal waste as specified in the facility's Certified Animal Waste Management
Plan (CAWMP) for the Three G Farms, Inc., located in Nash County, with an animal capacity of no
greater than the following swine annual averages:
Wean to Finish: 0 Feeder to Finish: 4200 Boar/Stud: 0
Wean to Feeder: 0 Farrow to Wean: 0 Gilts: 0
Farrow to Finish: 0 Farrow to Feeder: 600 .
If this is a Farrow to Wean or Farrow to Feeder operation, there may also be one boar for each IS 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 and replaces the NPDES
COC issued to this facility with an expiration date of July 1, 2007. You are required to continue
conducting annual surveys of sludge accumulation in all lagoons at your facility; the one-year extension
in Condition 1I1.19 does not apply.
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. Enclosed for your convenience is
a package containing the new and revised forms used for record keeping and reporting. Please nav
careful attention to the record keeping and monitoring conditions in this permit..
Aquifer Protection Section 1636 Mail Service Center
Internet: www.ncwaterquali .org Location: 2728 Capital Boulevard
An Equal Opportunity/Affirmative Action Employer-- 50% Recycledl10% Post Consumer Paper
Nm�,�`hhCaro ina
dv 21MT ly
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

If your Waste Utilization Plan has been developed based on site -specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
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 02T .01 I l(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.
Per 15A NCAC 02T .1306, any containment basin, such as a lagoon or waste storage structure, shall
continue to be subject to the conditions and requirements of the facility's permit until closed to NRCS
standards and the permit is rescinded by the Division.
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 fled at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Aquifer
Protection staff may be reached at [phone]. If you need additional information concerning this
COC or the General Permit, please contact the Animal Feeding Operations Unit staff at [phone].
Sincerely,
for Coleen H. Sullins
Enclosures (General Permit AWG100000, Record Keeping and Reporting Package)
cc: (Certificate of Coverage only for all cc's)
Nash County Health Department
Nash County Soil and Water Conservation District
Raleigh Regional Office, Aquifer Protection Section
AFO Unit Central Files
Permit File AWS640072

If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operates-`
under this permit convey any property rights in either real or personal property. 0�1�
1,7 c
Upon abandonment or depopulation for a period of four years or more, the Permittee must subriut
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;supplyv
wells shall be constructed within the compliance boundary. Per NRCS standards a 100 foo6separati
shall be maintained between water supply wells and any lagoon or any wetted area of a spray f'eld
Please be advised that any violation of the terms and conditions specified in this COC, the Gener
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NC
215.6A through 143-215.6C, the Clean Water Act and 40 CFR 122.41 including civil penalties,
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 NPDES Permit by contacting the staff member listed below for information on
this process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Water
Quality Staff may be reached at (919) 571-�4700. If you need additional information concerning this COC
or the General Permit, please contact Michelle Barnett at [phone] ext. 544.
Sincerely,
for Alan W. Klimek, P.E.
Enclosures (General Permit NCA200000, Record Keeping and Reporting Package)
cc: (Certificate of. Coverage only for all cc's)
Nash County Health Department
Raleigh Regional Office, Water Quality Section
Nash County Soil and Water Conservation District
Permit File NCA264072 _
_ Permit File AWS640072 • -
NDPU Files
—1"

o�o��Ikolw*_%T'l
11AL4F6
7
>R„i`� =i
❑ 'C
Gerald, Gary, and Greg Creech
Three G Farms
13071 NC 39
Zebulon NC 27597
Dear Gerald, Gary, and Greg Creech:
Michael F, Easley, Governor
William G, Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E., Director
Division of Water Quality
April 9, 2003
Subject: Certificate of Coverage No. NCA264072
Three G Farms
Swine Waste Collection, Treatment,
Storage and Application System
Nash County
On March 14, 2003, the North Carolina Division of Water Quality (Division) issued an NPDES General
Permit for swine facilities. The General Permit was issued to enable swine facilities in North Carolina to
obtain coverage under a single permit that addresses both State and Federal requirements.
In accordance with your application received on February 28, 2003, we are hereby forwarding to you this
Certificate of Coverage (COC) issued to Gerald, Gary, and Greg Creech, authorizing the operation of the
subject animal waste collection, treatment, storage and land application system in accordance with
NPDES General Permit NCA200000. The issuance of this COC supercedes and terminates your COC
Number AWS640072 to operate under State Non -Discharge Permit AWG100000.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the Three G Farms, located in Nash County, with an animal capacity of no greater
than an annual average of 4200 Feeder to Finish, 600 Farrow to Feeder 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 July 1, 2007. 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 General Permit. Since this is a new joint State and
Federal general permit it contains many new requirements in addition to most of the conditions contained
in the current 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 ke_pint;
and monitoring conditions in this permit. The Devices to Automatically Stop Irrigation_ Events Form
must be_ returned to the Division of Water Ouality no later than _120 days following_ receipt of the
Certificate of Coverage. The Animal Facility Annual Certification Form must be completed and returned
to the Division of Water Quality by no later than March Ist of each year.
Non -Discharge Permitting Unit
1617 Mall Service Center, Raleigh, NC 27699-1617
Customer Service Center
An Equal opportunity Action Employer
RMW
Intemet http:Hh2o.enr.state.nc.us/ndpu
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rA
ANIMAL WASTE UTILIZATION PLAN f
Producer: GERALD CREECH
Location: 13071 NC 39
ZEHULON NC 27597
Telephone: [phone]
Type Operation: Existing Combination Swine Farm
Number of Animals: 4800.00 swine
(Design Capacity)
STORAGE STRUCTURE:
APPLICATION METHOD: Irrigation
k
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 .021.7 adopted by the Environmental
Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
4800 swine x 2.575 tons waste/swine/year='12360 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
4800 swine x 2.825 lbs PAN/swine/year = 13560 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
APPLY
RESID.
APPLIC
METH
N
TIME
162
1
GgB
BH
4.0
400
Q.00
20.8
8320
I
APR-SEPT
162
2AI
GgB
BH
4.0
3600
I
1400
10.00 19.0
APR-SEPT
162
3
BH
4.0
jGgB
I
1400
1.
10.00 16.9
12760
APR-SEPT
162
4,4A
GgB
BH
4.0 1400
10.00 13.4
11360
I
_j
APR--SEPT
162
SG
50.0
50
0.00
1040
1-1
�GgB
I
120.8
SEPT-MAR
162
�2,2A
GgB
SG
50.0
I
I
150
10.00
19.0
1450
SEPT-MAR
162
SG
50.0
1-3
IGgB
I
150
10.00
16.9
1345
SEPT-
MAR
162
"4,4A
GgB
SG
50.00
50
I
�0.00
13.4
1170
SEPT-MAR
END
I
TOTAL118045
- Indicates that this field is being overseeded (i.e. interplanted)
or winter annuals follow summer annuals.
NOTE: The applicator is cautioned that P and K may be over applied
while meeting the N requirements. In the future, regulations may
require farmers in some parts of North Carolina to have a
nutrient management plan that addresses all nutrients. This plan
only addresses nitrogen.
Page: 3

ANIMAL WASTE UTILIZATION PLAN
TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land.
See required specification 2.)
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
------
APPLY
RESID.
APPLIC
METH
N
TIME
END
TOTAL10
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 or early October. Drilling is recommended over
broadcasting. Bermudagrass should bd grazed or mowed to a
height of about two inches before drilling for best results.
Page: 4

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
B11
SG
BERMUDAGRASS - HAY
SMALL GRAIN OVERSEEDED
TONS
100
1.00
TABLE 1
TABLE 2'
TOTAL,
TOTALS FROM TABLES 1 AND 2
ACRES
LBS AW N USED
40.1
18045
0
0
40.1
18045
* BALANCE
-4485
*** This number must be less than or equal to 0 in order to
fully utilize the animal waste N produced.
Page: 5

ANIMAL WASTE UTILIZATION PLAN
F
*** 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.
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
amounts of nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application
crates and amounts.
Tract
Field
Soil Type
Crop
Application Rate
(in/hr)
Applic. Amount
(inches)
162
,2A
GgB
BH
0.40
*1.00
162
1
GgB
BH
0.40
*1.00
16 2
3
GgB
BH
0.40
* 1.. 0 0
162
4,4A
GgB
BH
0.40
*1.00
1.62
162
GgB
SG
0.4
*1-00
GgB
SG
0.40
*1.00
Page: 6

ANIMAL WASTE UTILIZATION PLAN
162 Y3 GgB SG 0.40 *1.00
162 '4,4A GgB SG 0.40 *1.00
* This is the maximum application amount allowed for the soil
assuming the amount of nitrogen allowed for the crop is not over
applied. In many situations, the application amount shown cannot
be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
Your facility is designed for 180.00 days of temporary storage and the
temporary storage must be removed on the average of once every 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
Mr.' Creech may not overseed the entire acreage to small grain. He has
enough
bermuda to handle the 180 day storage capacity. He uses the small grain as
a
backup in case of heavy rains in the spring or fall.
Page: 7

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 m► st 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 yin update of the Waste Utilization elan 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 POTG'Standard 393 -Filter Strip)
5. Odors can be reduced by injecting the waste or disking after
waste application. Waste should not be applied when there is
danger of drift from the irrigation field.
6. When animal waste is to be applied on acres subject to
flooding, it will be soil incorporated on conventionally tilled
cropland. When applied to conservation tilled crops or
grassland, the waste may be broadcast provided the application
does not occur during a season prone to flooding. (See "Weather
and Climate in North Carolina" for guidance.)
7. Liquid waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur offsite or to.
surface waters and in a method which does not cause drift from
the site during application. No ponding should occur in order
to control odor or flies.
8. Animal waste shall not be applied to saturated soils, during
rainfall events, or when the surface is frozen.
9. Animal waste shall be applied on actively growing crops in such
a manner that the crop is not covered with waste to a depth that
would inhibit growth. The potential for salt damage from animal
waste should also be considered.
Page: 8

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

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

ANIMAL WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm: THREE .G FARMS
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 LrejtLmeijl_ and sLoraye system or consu ucLiorl of new
facilities will require a new certification to be submitted to the
North Carolina Division of Water Quality (NCDWQ) before the new
animals are stocked. I (we) also understand that there must be no
discharge of animal waste from this system to surface waters of the
state from a storm event less severe than the 25-year, 24-hour
storm. The approved plan will be filed on -site at the farm.office
and at the office of the local Soil and Water Conservation District
and will be available for review by NCDWQ upon request.
Name of Facility Owner: GERALD CREECH
(Please print)
Signature: _.� C _ Date: g d C7
Name of Manager(If different from owner):
Signature:
Name of Person Preparing Plan:
Date:
(Please print)J. Edward Long
Affiliation:Nash Soil and Water Conservation District
No. 919-459-4115
Address (Agency): Room 107 Ag. Center Drive
Nashville NC 27855
Signature: Date :
Phone
Page: 11

Ar,-..al Waste Management Plan C, . tification
Please type or print all information that does not require a signature
General Information:
Name of Farm: 7 h ree G Foar is _ - Facility No: 6(_-- 7 z
Owners) Name: Gerald Creeck _ _ Phone No:.919- Z35 -3656
Mailing Address: 13071 NC 99 Zebulon A/C z759 2
Farm Location: County Farm is located in: /lfa_s k
Latitude and Longitude: 3Y y6 O 2 / 78 Y 1 o Integrator:
Please attach a copy of a county road map with location identified and describe below (Be specific: road
names, directions, milepost, etc.): fa wS .5 m le east of iRtt:r=r_f;0M of V? 112 y 4 5R 11 /5
Oueration Descriution:
Type of Swine No. of Anintals
❑ Wean to Feeder
8 Feeder to Finish qX00
❑ Farrow to NVean
® Farrow to Feeder fioa
* Farrow to Finish
* Gilts
* Boars
Type of Poultry No. of Animals Type of Cattle No. of Animals
• Layer 0 Dairy
0 Pullets ❑ Beef
Other Type of Livestock: Number of Animals:
Acreage Available for Application: 0 Required Acreage:_ 36, 2-
_
Number of Lagoons / Storage Ponds : y -Total Capacity: l,51h 061. 6 Cubic Feet (ft3)
Are subsurface drains present on the farm: YES or [� (please circle one)
If YES: are subsurface drains present in the area of the LAGOON or SPRAY FIELD (please circle one)
************************************************************************************
Owner / Manager Agreement
I (we) verify that all the above information is correct and will be updated upon changing. I (we) understand the operation
and maintenance procedures established in the approved animal waste management plan for the farm named above and will
implement these procedures. I (we) know that any expansion to the existing design capacity of the waste treatment and
storage system or construction of new facilities will require a new certification to be submitted to the Division of
Environmental Management before the new animals are stocked. I (we) understand that there must be no discharge of
animal waste from the storage or application system to surface waters of the state either directly through a man-made
conveyance or from a storm event less severe than the 25=year, 24-hour storm and there must not be run-off from the
application of animal waste. I (we) understand that run-off of pollutants from lounging and heavy use areas must be
minimized using technical standards developed by the Natural Resources Conservation Service. The approved plan will be
filed at the farm and at the office of the local Soil and Water Conservation District. I (we) know that any modification
must be approved by a technical specialist and submitted to the Soil and Water 'Conservation District prior to
implementation. A change in land ownership requires written notification to DEM or a new certification (if the approved
plan is changed) within 60 days of a title transfer.
Name of Land Owner : Gc� Ids Creed
Signature: Date: U / 19 / 97 _
Name of Manager(if different from owner):
Signature:
AWC -- August 1, 1997
Date:

;Technical Specialist Certification.
L As a technical specialist designated by the North Carolina Soil and Water Conservation Commission pursuant to 15A
NCAC 6F .0005, I certify that the animal waste management system for the farm named above has an animal waste
management plan that meets or exceeds standards and specifications of the Division of Environmental Management
(DEM) as specified in 15A NCAC 2H.0217 and the USDA -Natural Resources Conservation Service (NRCS) and/or the
North Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 2H.0217 and 15A NCAC 6F .0001-
.0005. The following elements are included in the plan as applicable. While each category designates a technical specialist
who may sign each certification (SD, SI, WUP, RC, I), the technical specialist should only certify parts for which they are
technically competent.
II. Certification of Design
A) Collection, Storage, Treatment System
Check the appropriate box
M Existing facility without retrofit (SD or WUP)
Storage volume- is adequate 'for operation capacity; storage capability consistent with waste utilization
requirements.
New, expanded or retrofitted facility (SD)
Animal waste storage and treatment structures, such as but not limited to collection systems, lagoons and ponds,
have been designed to meet or exceed the minimum standards and specifications.
Name of Technical Specialist (Please Print): -r cr, -44, Beif
Affiliation o-f,,,a.i e a ', . ru cCDate Work Completed: /z-19-7?
Address (Agency): rh 107 Ag Ce-der ;aC z-7d 5 9 Phone No.: 9(9-y39 V//5
Signature: =1±2L4I= Date: )� - y" 9 ?
B) Land Application Site (WUP)
The plan provides for minimum separations (buffers); adequate amount of land for waste utilization; chosen crop is
suitable for waste management; hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print): 7, Edtwmrdt LQng _
Affiliation Alask So;1 f water _ Date Work Completed -
Address (Agency):,Am 107 IIS Cenfer Driot .Nasko,//e &✓ �L78'56 —Phone No.: 9/9-Y59- Y115
Signature: 4. Cc%_1� Gam—, Date:_ to-a_a -97
C) Runoff Controls from Exterior Lots
Check the appropriate box
M Facility without exterior lots (SD or WUP or RC)
This facility does not contain any exterior lots.
U Eacility with exterior IojS (RC)
Methods to minimize the run off of pollutants from lounging and heavy use areas have been designed in
accordance with technical standards developed by NRCS.
Name of Technical Specialist (Please Print):.T.. Ed-.va�Lon 2 T _
Affiliation AI&A Soy 1 jt Loafer _ Date Work Completed: 10 - zo - 9?
Address (Agency): Am , 10? d Genie r Dr;je. ,-Jr- v? e,56 Phone No.: 7/7 - f55 - yll S
Signature: 0. Date: 10— 20 — 9 7
AWC -- August 1, 1997 2

3). Application and Han( g E u_ n ni ment
Check the appropriate box
® ExisLilLg or_expanding facility with existing waste aDplication equinrne ill (WUP or I)
Animal waste application equipment specified in the plan has been either field calibrated or evaluated in
accordance with existing design charts and tables and is able to apply waste as necessary to accommodate the
waste management plan: (existing application equipment can cover the area required by the plan at rates not to
exceed either the specified hydraulic or nutrient loading rates, a schedule for timing of applications has been
established; required buffers can be maintained and calibration and adjustment guidance are contained as part of
the plan).
O New. eapanded__at_existing acility without existing waste apv icationequipment fot spray irrigation, (1)
Animal waste application equipment specified in the plan has been designed to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the
plan at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of
applications has been established; required buffers can be maintained, calibration and adjustment guidance are
contained as part of the plan).
w Q
sprayjrrigatiQa, (WUP 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 can be maintained; calibration and adjustment guidance are
contained as part of the plan).
a
Name of Technical Specialist (Please Print): Co�L
Affiliation IV .,s A .5..1 d we.,+ee Date Work Completed: 1.Z - 7
Address (Agency)Z% toy-,Aa AIC-z-7r d Phone No.: 10-y59-Y//3
Signature:-Z.. Date: 4 -17-97
E) Odor Control, Insect Control, Mortality Manaeement and Emergency Action Plan (SD
SI, WUP, RC or I)
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 both 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
Mortality Management Plan and the Emergency Action Plan are complete and can be implemented by this facility.
Name of Technical Specialist (Please Print): S, Ecf ward
Affiliation Na.s k 5g;1 4. caster _ Date Work Completed: ,10 - z0 - 9 7
Address (Agency):�Rm 107 93 CR.--fer Ve uc A4. ko;11< Nc st7rr56 `Phone No.: 919-y39�y1�5
Signature: 9, -L4L' a..d L _ Date: 10 -A0 - 9 7
F) Written Notice of New or Expanding Swine Farm
The following signature block Is only to be used for new or expanding swine farms that begin construction after June
21, 1996. If the facility was built before. June 21, 1996, when was It constructed or last
expanded
I (we) certify that I (we) have attempted to contact by certified mail all adjoining property owners and all property owners
who own property located across a public road, street, or highway from this new or expanding swine farm. The notice was
in compliance with the requirements of NCGS 106-805. A copy of the notice and a list of the property owners notified is
attached.
Name of Land Owner:
Signature: Date:
Name of Manager (if different from owner):
Signature: Date:
AWC -- August 1, 1997 3

III. Certification of Installation
A) Collection, Storage, Treatment Installation
New; expanded or retrofitted facili v (Sl)
Animal waste storage and treatment structures, such as,but not limited to lagoons and ponds, have been installed
in accordance with the approved plan to meet or exceed the minimum standards and specifications.
For existing facilities without retrofits, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature:-- _ _ - ^ - - -- -- —Date:
B) Land Application Site (WUP)
Check the appropriate box
5D The cropping system is in place on all land as specified in the animal waste manageMent plan.
a 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.
O 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):-,"�, f &,gt,ed U-3 T
Affiliation Nas 5o.1, 4- tucd-er' Date Work Completed: to- of
Address (Agency): 4n� 107 45 Cc -Yee Dri✓t, .y-4A.r;lle- -sic 2-7r56 Phone No.: 9/9-y39-y115
Signature: A , Ems.-.-../ C.---� Date:
This following signature block is only to be used when the box for conditional approval in III. B
above has been checked.
I (we) certify that I (we) have committed to establish the cropping system as specified in my (our) waste utilization plan,
and if appropriate to establish the interim crop for erosion control, and will submit to DEM a verification of completion
from a Technical Specialist within 15 calendar days following the date specified in the conditional certification. I (we)
realize that failure to submit this verification is a violation of the waste management plan and will subject me (us) to an
enforcement action from DEM.
Name of Land Owner:
Signature:
Name of Manager (if different from owner):
Signature:
Date:
Date:
AWC •. August 1, 1997

Runoff Controls. from * !rior Lots (RC)
Facility with exterior tots
Methods to minimize the run off of pollutants from lounging and heavy use areas have been installed as specified
in the plan.
For facilities without exterior lots, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone.No.:
Signature: Date:
D) Application and Handling Equipnient Installation (WUP or I)
Check the appropriate block T
. Animal waste application and handling equipment specified in the plan is on site and ready for use;
calibration and adjustment materials have been provided to the owners and are contained as part of the plan.
❑ Animal waste application and handling equipment specified in the plan has not been installed but the owner
has proposed leasing or third party application and has provided a signed contract; equipment specified in
the contract agrees with the requirements of the plan; required buffers can be maintained; calibration and
adjustment guidance have been provided to the owners and are contained as part of the plan.
❑ Conditional approval: Animal waste application and handling equipment specified in the plan has
been purchased and will be on site and installed by (month/day/year); 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): J 6&aardl &o- $
AffiliationNgsk 5od 4 wwtc,r D;st-;cJ Date Work Completed: 1z-17-17
Address (Ag5�1)cy): A- 10'2 Ag Cede-, De,'uS, &!�;,I �udIA ,uc_ z7-0,4 PhoneNo.:
Signature:
The following signature block is only to be used when the box for conditional approval in III D
above has been checked.'
I (we) certify that I (we) have committed to purchase the animal waste application and handling equipment as
specified in my (our) waste management plan and will submit to DEM a verification of delivery and installation
from a Technical Specialist within 15 calendar days following the date specified in the conditional certification. I
(we) realize that failure to submit this verification is a violation of the waste management plan and will subject me
(us) to an enforcement action from DEM.
Name of Land Owner:
Signature: Date:
Name of Manager (if different from owner):
d Signature: Date:
E) Odor Control, Insect Control and Mortality Management SI,_ WUP, RC or I)
Methods to control odors and insects as specified in the Plan have been'installed and are operational. The
mortality management system as specified in the Plan has also been installed and is operational.
Name of Technical Specialist (Please Print):
Affiliation Ala rk Su! / 4 w n.f.• Co.�Je.�t#� •� n,'s fr:4� Date Work Completed: io - zo - y ,7
Address
SignaturE
No.:gI9-v5y-v1Is
o/ -iz-YB
AWC .. August 1, 1997 5
A�

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
March 20, 1998
CERTIFIED MAIL
RE—TUM7E1PT REQUESTED
Gerald Creec
Three G Farms
13071 NC 39
Zebulon NC 27597
Farm Number: 64 - 72
Dear Gerald Creech:
You are hereby notified that Three G Farms, in accordance with G.S. 143-215.10C, must apply
for coverage under an Animal Waste Operation General Permit. Upon receipt of this letter, your farm
has sixty (60) days to submit the attached application and all supporting documentation. In accordance
with Chapter 676 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 ompleie,the\'
application package. The completed package should be sent to the following address:..- �\ l
North Carolina Division of Water Quality
Water Quality Section
Non -Discharge Permitting Unit
Post Office Box 29535
Raleigh, NC 27626-0535
S,
If you have any questions concerning this letter, please call 3 R Soshi at [phone] extension
363 or Charles Alvarez with the Raleigh Regional Office at [phone].
Sincerely,
fo./ A. ard, Jr., P. .
cc: Permit File (w/o encl.)
Raleigh Regional Office (w/o encl.)
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% 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
Gerald Creech
Three G Farms
13071 NC 39
Zebulon NC 27597
Dear Gerald Creech:
NCDENLR
NORTH CAROLINA-DEPARTMENT OF
ENVIRONMENT ANU p NATRALJ,RESOURCES
August 18, 1998
�2�1953 Jt,
Subject: Certificate of Coverage No. AWS640072
Three G Farms
Swine Waste Collection, Treatment,
Storage and Application System
Nash County
In accordance with your application received on May 22, 1998; we are forwarding this
Certificate of Coverage (COC) issued to Gerald, Gary, and Greg Creech, 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 Three G Farms, located in Nash County, with
an animal capacity of no greater than 4200 Feeder to Finish and 600 Farrow to Feeder and the
application to land as specified in the Certified Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until April 30, 2003. Pursuant to this COC,
you are authorized and required to operate the system in conformity with the conditions and limitations
as specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of wastes to
surface waters. An adequate system for collecting and maintaining the required monitoring data and
operational information must be established for this farm. Any increase in waste production greater than
the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the CAWMP and this COC and shall be completed prior to
actual increase in either wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the General
Permit or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS
143-215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This
request shall be made within 30 days of notification by the Division.
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.
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
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 AWS640072
Three G Farms
Page 2
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 J R Joshi at [phone] ext. 363.
Sincerely
y
/ . A. Preston Howard, Jr., P.E.
cc: (Certificate of Coverage only for all cc's)
Nash County Health Department
Raleigh Regional Office, Water Quality Section
Nash County Soil and Water Conservation District
Permit File

1
St -ate of North Carolina
Department of Environment and Natural Resources
Division of Water Quality ROW
Non -Discharge Permit Application Form
(77II5 FORM MAY RE PHOTOCOPIED FOR USE AS AN ORIGINAL,)
General Permit - Existing Liquid Animal Waste Operations
The following questions have heen 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.
GENERAL INFORMATION: RECEIVE WATER 01]AUTY SE ON
1.1 Facility Name: Three G farms
1.2 Print Land Owner's name: Gerald Creech 6#fi Cr e cc k- a- r r
1.3 Mailing address: 13071 NC 39 N.Rd1,� Re�hame permitting
City, Stite: Zebulon NC Zip: 27597
Telephone Number (include area code): 919-235-3656
1.4 County where facility is located: Nash
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): SR 1115 .5 mile e. of intersection SR 1124.
1.6 Print Farm Manager's name (if different from Land Owner): R47nni'[ 12PaSWil
1.7 Lessee's / Int rat r' name (if applicable; ple7se circle which type is listed): ru r lnj J>i, /�t
fa t 14U
1.8 Date Facility Originally Began Operation: 01/01/90
1.9 Date(s) of Facility Expansion(s) (if applicable):
2. OPERATION INFORMATION:
2.1 Facility No.: _ipt of n64 _ (county number); 72 (facility number).
2.2 Operation DescrSwine operation
arrow to Feeder
Feeder to Finish
4800- Certified Design Capacity
is the above information correct? Oyes; no. If no, correct below using the design capacity of the facility
The "No. of Animals" should be the maximum number for which the waste management structures were designed.
Type of Swine No. of Animals Type of poultry No. of Animals Dpe of Cattlr No. of Animals
0 Wean to Feeder 0 Layer 0 Dairy
0 Feeder to Finish 0 Non -Layer _ 0 Beef
0 Farrow to Wean (# sow) _ O lurkey
0 Farrow to Feeder (# sow) _
0 Farrow to Finish (# sow)
Other Type of Livestock on the farm: net. No. of Animals:
FORM: AWO-GE 1/26/98 Page I of 4

1
2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
system): 50.00 ; Required Acreage (as listed in the AWMP): 36.20
2.4 Are subsurface drains present within 100' of any of the application fields? YES or O please circle one)
2.5 Are subsurface drains present in the vicinity or under the lagoon(s)? YES or OP (please circle one)
2.6 Does this facility meet all applicable siting requirements? (Swine Farm Siting Act, NRCS Standards, etc.) (Swine Only)
CE$ )or NO (please circle one)
What was the date that this facility's swine houses and lagoon were sited? S'tjZ-L179t,
What was the date that this facility's land application areas were sited? S a
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.
Applicants Initials
3.1 One completed and signed original and one copy of the application for General Permit - Animal J
Waste Operations; eT,4 C
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; e: /X C
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 �� C 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.
3.33 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 requite NRCS Standard specifications.
3.3.10 A site schematic.'
3.3.1 1 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.
3.3.15 Lagoon/storage pond capacity documentation (design, calculations, etc.)
if your CAWMP includes components not shown on this list, such as an irrigation design,
or site evaluation, please include the additional components with your submittal.
FORM: AWO-G-E 1/28/98 Page 2 of 4

Facility Number: 64 - 72
Facility Name: "Three G Farms
4. APPLICANT'S CERTIFICATION:
I, �c✓'cz �i,Y Cft t_C _____ (Land Owner's name listed in question 1.2), attest that
this application for r 6, (Facility name listed in question 1.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if -all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
Signature _ a�� 'eZ 7 Date-
5. MANAGER'S CERTIFICATION: (complete only if different from the band Owner)
I, (Manager's name listed in question 1.6), attest that this
application for (Facility name listed in question 1.1)
has been reviewer y me sin Isis accurate an complete to trie�e;t cr� nc�ow�fie. I �ersiand 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
TI IE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENTTO TIME FOLLOWING ADDRESS:
NOR"TH 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: (9.19) 733-0719
FORM: AWO-G-E 1/28/98 Page 3 of 4

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35`�78°15. '49;' �;,?r:;} N -- - --
��Pgfi Mapped, edited, and published by the Geological Survey
Control by USGS, NOSINOAA and North Carolina Geodetic Survey
0 Topography by photogrammetric metfrods frog+ eeriaf photographs
taken 1975. rield checked 1976. Map edited 1978
ot gi
projection and 10,bMtold ticks, North Carolina coordinate
system (Lambert conformal conic)
1000-meter Universal Transverse Mercator grid, zone 17
1927 North American datum
Fine red dashed lines Indicate selected fence and field lines where
generally visible on aerial photographs. This Information is unchecked
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Vi a
ANIMAL WASTE UTILIZATION PLAN
Producer: GERALD CREECH
Location: 13071 NC 39
ZEBULON NC 27597
Telephone: [phone]
Type Operation: Existing Combination Swine Farm
Number of Animals: 4800.00 swine
(Design Capacity)
STORAGE STRUCTURE:
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:
J
z, 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 dishing will conserve nutrients and
reduce odor problems.
This plan is based on the waste application method shown above. If
you choose to change methods an 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.)
4800 swine x 2.575 tons waste/swine/year = 12360 tons
11
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
4800 swine x 2.825 lbs PAN/swine./year = 13560 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
162
1
GgB
BH
4.0
400
0.0
18
7200
I
APR-SEPT
162
j�1
G
i5d.p
50
0.0
12.0
jGgB
IST
I
I
SEPT-MAR
162
UN1
BH
4.0
jGeB
IT
I
1400
10.0
13.0
11200
APR-SEPT
162
2
BH
4.0
0.0
8.0
jGgB
I
1
14bb
1
13200
APR-SEPT
162
SG
50.0
1-2
jGgB
IT
I
150
10.0
18.0
1400
SEPT-MAR
162
UN2
BH
4.0
jGgB
IT
I
1400
10.0
11.5
1600
APR-SEPT
162
3
BH
4.0
IGgB
I
I
�400
10.0
15.7
�2280
APR-SEPT
162
SG
50.0
10.0
1-3
IGgB
I
150
15.7 1285
SEPT MAR
END
I
TOTAL115765
- Indicates that this field is being overseeded (i.e. interplanted)
or winter annuals follow summer annuals.
NOTE: The applicator is cautioned that P and K may be over applied
while meeting the N requirements. In the future, regulations may
require farmers in some parts of North Carolina to have a
nutrient management plan that addresses all nutrients. This plan
only addresses nitrogen.
Page: 3

ANIMAL WASTE UTILIZATION PLAN
TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land.
See required specification 2.)
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED .
APPLY
RESID.
APPLIC
METH
N
TIME
END
TOTAL10
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 Iay). 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.
Page: 4

• ti. a
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
BH
SG
BERMUDAGRASS - HAY
SMALL GRAIN OVERSEEDED
TONS
100
1.0
TABLE 1
TABLE 2
TOTAL
TOTALS FROM TABLES 1 AND 2
ACRES
LBS AW N USED
36.2
15765
0
0
36.2
15765
* BALANCE
-2205
*** This number,, must be less than or equal to 0 in order to
fully utilize the animal waste N produced.
Page: 5

ANIMAL WASTE UTILIZATION PLAN
*** 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.
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 pnd 2. Failure to apply the recommended rates and
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)
162
1
GgB
BH
0.40
*1.00
162
2
GgB
BH
0.40
*1.00
162
3
GgB
BH
0.40
*1.00
162
UN1
GeB
BH
0.40
*1.00
162
UN2
GgB
BH
0.40
*1.00
162
GgB
SG
0.40
*1.00
Page: 6

'Y .
ANIMAL WASTE UTILIZATION PLAN
162
162
-2 I GgB
SG 1 0.40
SG 1 0.40
*1.00
*1.00
* This is the maximum application amount allowed for the soil
assuming the amount of nitrogen allowed for the crop is not over
applied. In many situations, the application amount shown cannot
be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
Your facility is designed for 180.00 days of temporary storage and the
temporary storage must be removed on the average of once every 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: 7

WASTE UTILIZATION PLAN
RE UIRED 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: 8

I a
WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
10. Waste nutrients shall not be applied in fall or winter for
spring planted crops on soils with a high potential for
leaching. Waste nutrient loading .rates on these soils should be
held to a minimum and a suitable winter cover crop planted to
take up released nutrients. waste shall not be applied more
than 30 days prior to planting of the crop or forages breaking
dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall
comply with the following: The outer perimeter of the land area
onto which waste is applied from a lagoon that is a component of
a swine farm shall be at least 50 feet from any residential
property boundary and from any perennial stream or river (other
than an irrigation ditch or canal. Animal waste other than
swine waste from facilities sited. on or after October. 1, 1995),
shall not be applied closer than 25 feet to perennial waters.
(See Standard 393 - Filter Strips).
12. Animal waste shall not be.applied closer than 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.
15. Domestic and industrial waste from washdown facilities,
showers, toilets, sinks, etc., shall not be discharged into the
animal waste management system.
17. A protective cover of appropriate vegetation will be
established on all disturbed areas (lagoon embankments, berms,
pipe runs, -etc.). Areas shall be fenced, as necessary, to
protect the vegetation. vegetation such as trees, shrubs, and
other woody species, etc., are limited to areas where considered
appropriate. Lagoon areas should be kept mowed and accessible.
Berms and structures should be inspected regularly for evidence
of erosion, leakage or discharge.
Page: 9

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

ANIMAL WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm THREE G FARMS
Owner/Manager Agreement
I (we) understand and will follow and implement the specifications
and the operation and maintenance procedures established in the
approved animal waste utilization plan for the farm named above. I
(we) know that any expansion to the existing design capacity of the
waste -treatment and storage system or Construction of new
facilities will require a new certification to be submitted to the
North Carolina Division of Water Quality (NCDWQ) before the new
animals are stocked. I (we) also understand that there must be no
discharge of animal waste from this system to surface waters of the
state from a storm event less severe than the 25-year, 24-hour
storm. The approved plan will be filed on -site at the farm office
and at the office of the local. Soil and Water Conservation District
and will be available for review by NCDWQ upon request.
Name of Facility Owner: GERALD CREECH
(Please print)
Signature:�Date: 3-
Name of Manager (If different from owner) :
i
Signature:
Date:
Name of Person Preparing Plan: (please print)J. Edward Long
Affiliation:Nash Soil and Water Conservation District Phone
No. 919-459-4115
Address (Agency): Room 107 Ag. Center Drive
Nashville NC 27856
Signature: Date
Page: 11

i
I
ell
Po
WORKSHRET
FOR CAUCUKATJNG
PAN AND
TONS OP WASTE
FROM COMBINATFON SWINE OPERATIONS
operation
code: 6
Combination
Swine Farm
&PLICATION METHOD:
J Irrigation
Type Operation
N"mher
Tons Waste
THAN
An j ma I �
per. Animal
por
NUMBER
OF
WEAL TO FEEDER
PIGS:
U
K)
.48
NUMBER
OF
FEEDER TO
FINISH HOGS:
4200
1.9
2.3
NUMBER
OF
FARROW TO
WEAN SONS:
6.1
5.4
NUMBER
OF
FARROW TO
FEEDER SOWS:
60()
7._�
6.5
NUMBER
OF
FARROW TO
FINISH SOWS:
19.9
26
TOITU NUMBER ANIMALS: 480(.)
TONS OF WASTE PRODUCED PER YEAR:
WEAN TO FEEDER: 0 KOM--
FEEDER TO FTNfSH: 7980 tons
FARROW TO WEAN: u tons�
FARROW TO FEEDER: 4380 tons
FARROW TO FINISH: 0 to"s
TOTAL WASTE: J2360 tnnf�l
PAN rPODUCRI) PY-',R YEAR.:
WEAN TO FEEDER:
o IN-,
FEEDER
TO
FFNISH:
9660 Abs
FARROW
TO
WEAN:
U lbs
FARROW
TO
FEEDER:
3900 lbs
FARROW
TO
FINISH:
0 lbs
TOTAL PAN:
13560
AVERAGE TONS OF WNSTE PER ANIMAh PER YEAR
AVERAGE PAN PRODUCED PER ANIMAL PER YEAR
SLUDGE PAN PRODUCED PER YEAR: BROADCAST
WEAN TO FEEDER: a lbs
FEEDER TO FINISH: 1554 lbs
FARROW TO WEAN: 0 10.1
FARROW TO FEEDER: 660 IQ
FARROW TO FINISH: o I&
TOTAL SLUDGE PAN: 2214 lba
AVRRAGE ShU= PAN PRR ANIMAK PER YEAR: KAN125
2.575
2.825

46
EMERGENCY ACTION PLAN
PHONE NUMBERS
DwQ 919-571- 4 700
EMERGENCY MANAGEMENT SYSTEM 919--4 59 - 7376
SWCD 919-459-4115
NRCS 91.9- 459-4115
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 elan 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 soil to berm to increase elevation of dam.
b. Pump wastes to fields at an acceptable rate.
C. Stop all flows to the lagoon immediately.
d. call a pumping contractor.
e. } Make sure.no surface water is entering lagoon.
B: Runoff from waste application field --actions
include:
a. Immediately stop waste application.
b. Create a temporary diversion to contain waste.
+ C. Incorporate waste to reduce runoff.
d. Evaluate and eliminate the reason(s) that
caused the runoff.
e. Evaluate the application rates for the fields
where runoff occurred.
C: Leafage from the waste pipes and sprinklers -action
include:
a. Stop recycle pump.
b. Stop irrigation pump.
C. Close valves to eliminate further discharge.

d. Repair all leaks prior to restarting pumps.
D: Leakage from flush systems, houses, solid
separators -action include:
a: Stop recycle pump.
b. Stop irrigation pump.
C. Make sure no siphon occurs.
d. Stop all flows in the house, flush systems, or
solid separators.
e. Repair all leaks prior to,restarting pumps.
E: Leakage from base or sidewall of lagoon. Often
this is seepage as opposed to flowing leaks -
possible action:
a. Dig a small well or ditch to catch all seepage,
put in a submersible pump, and pump back to
lagoon.
b. If holes are caused by burrowing animals, trap
or remove animals and fill holes and compact
with a clay type soil.
C. Have a professional evaluate the condition of
the side walls and lagoon bottom as soon as
possible.
2. Assess the extent of the spill and note any obvious
damages.
a. Did the waste reach any surface waters?
b. Approximately how much was released and for what
duration?
C. Any damage noted, such as employee injury, fish
kills, or property damage?
d. Did the spill leave the property?
e. Does the spill have the potential to reach surface
waters?
f. Could a future rain event cause the spill to reach
+ surface waters?
g. Are -potable water wells in danger (either on or off
of the property)?
h. flow much reached surface waters?
3: Contact -appropriate agencies.
a. During normal business hours, call your DWQ
(Division of Water Quality) regional office; Phone
9l9 571--4700. After hours, emergency number: 919-
733-3942. Your phone call should include: your
name, facility, telephone number, the details of

the incident from item 2 above, the exact location
of the facility, the location or direction of
movement of the spill, weather and wind conditions.
The corrective measures that have been under taken,
and the seriousness of the situation.
b. If spill leaves property or enters surface waters,
call local EMS Phone number 919-459--7376.
C. Instruct EMS to contact local Health Department.
d. Contact CES, phone number 919-i59 4810 , local SWCD
office phone number 919-459— 41.11 and local MRCS
office for advice/technical assistance phone number
919-- 459•- 4.1.I.5_
a: If none of the above works call. 911 or the Sheriff's
Department and explain your problem to them and ask
that person to contact the proper agencies for you.
5: Contact the contractor of your choice to begin repair
of problem to minimize off --site damage_
a. Contractors Name:
h. Contractors Address:
c. Contractors Phone:4-
6: Contact the technical specialist who certified the
lagoon (NRCS, Consulting Engineer, etc.)
a. Name: MRCS SWCD
b. Phone: (919_) 459-4.115
7.* implement procedures as advised
assistance agencies to rectify
system, and reassess the waste
problems with release of wastes
d•�.Mfnw.hf wnrrll.rn p.r r{rl•n, rFri
Mnl 1Z•911
by DWQ and technical
the damage, repair the
management plan to keep
from happening again.

inseet'Control Checklist for Animal Operations
Suurcc Cause 11RIPS io Cantrol lnsccls� Site Specific 111-aclices - -
Liquid Systems
Fituil Ciutiers • Accumulation of solids rlusiti system is designed anti operated
sufficiently to remove accumulated solids from
tiers as designed.
M Itemove bridging of acummiated solids at
discharge
f.at;oorts atitl Fits Cntsied Solids Maintain lagoons, settling basins and pits whetz
pCSt breeding is apparent to minimize lite
crusting of solids to a depth of no more titan 6 -
K inches over more titan 30% of surface.
Fxcessi�-e Veuc'tative Decuyint; vebelation Maintain vegetative control along banks of
t i� uevil� lagoons and outer impoundments to prevent
accumulation of decaying vegetative matter
along water's edge on impoundment's perimeter.
Dry Systems
FcLOct� i'ct ! Spillarc 14� Design, operate and maintain Cecil sysicaus (e.g.,
bunkcrs and troughs) to minimize the
occtinittlation of decaying wastage.
f�Clean up spillage on a rouline basis (e.g., 7 - 10
day interval during summer; 1 S-30 clay interval
_ wring winler).
Fetnl Sturagc , Accunutfations of feed residues - (�' ttcthtct: mnislure acetnmdalion within nmE
amino immediate perimeter of Iec(i storage
areas by insuring drainagc away liom site
amllor providing adetputic containment IC.g.,
covercef bin kir brewer's�Uraiu and similar Itit;h
ninisttire t;rtitt ptoducis).
i .I inspect for and rcmnve or We.& tip uccimmi:ue d
solids in filicr strips around lecd sinragc as
needed.
AMIC - November 11, 1996, Ngc I

Siuirce Cause MIN to Control Insects Site Specific Practices
Aniutal Holding Areas Accumulations of anima! wastes ❑ Eliminate low areas that Trap ntoislure along
and feed wastage fences and other locations where waste
accumulates and disturbance by animals is
minimal.
❑ Maintain fence rows and filer strips around
animal holding areas to minimize
accumulations of wastes (i.e., inspect for and
remove or break up accumulated solids as
--needed).
fii y K laaure l laadling Accumulations of aninial wastes Cl Itemove spillage on a routine stasis (c - , I0
Systctus day interval during summer, I5-30 day interval
during winter) where manure is loaded for land
application or disposal.
❑ Provide for adequate drainage around manure
stockpiles.
❑ Inspect for and remove or break up accumulated
wastes in filler strips around stockpiles anit
rstantire handling areas as nettled.
For inure iiitunnadon contact the Cooperative Extension Service, Department of Entomology, Box 7613, North Carolina Slate 1 university,
ltaleij lh, NC, 27695-76i3.
AT,Ilu. - No-311bef ,l 1, 1996, I'age 2

Swine Farm Waste Management Odor Control Checklist
Source Cause 8Mi?s to Minimize Odor Site Spedfle Practices
Farmstead • Swine production Vegetative or wooded buffers;
©-'Recommended best management practices;
iJ Good judgment and common sense
Animal body surfaces + Dirty manure -covered animals Dry floors
Floor surfaces + Wet manure -covered floors lotted floors;
9f 1rVaterets located over slotted floors;
f'Feeders at high end of solid floors;
a -%&ape manure buildup from floors;•-
© Underfloor ventilation for drying
Manure collection pits • Urine; Frequent manure re naval by flush, pit recharge, .
• Partial microbial decomposition or ape;
❑ Underfloor ventilation
Ventilation exhaust fans • Volatile gases; an maintenance;
Dust Gk'flTicient air movement
Indoor surfaces
91 Washdown between groups of animals;
9­`F_�ed additives;
❑ Feeder covers;
❑ Feed delivery downspout extenders to feeder
covers
Flush tanks
• Agitation of recycled lagoon
❑
Flush tank covers;
liquid while tanks are filling
O
Extend fill lines to near bottom of tanks with
anti -siphon vents
Flush alleys
• Agitation during wastewater
❑
Underfloor flush with underfloor ventilation
conveyance
Pit recharge points
• Agitation of recycled lagoon
❑
Extend recharge lines to near bottom of pits
liquid while pits are filling
with anti -siphon vents
Lift stations
• Agitation during sump tank
❑
Sump tank covers
filling and drawdown
Outside drain collection • Agitation during wastewater ❑ Box covers
or junction -boxes conveyance
AMOC - November 11, 1996, Page 3

Source Cause BMPs to Minimize Odor Site Specific Practices
End of drainpipes at • Agitation during wastewater ❑ Extend discharge point of pipes underneath
lagoon conveyance lagoon liquid level
Lagoon surfaces • Volatile gas emissions; 01 proper lagoon liquid amity;
• Biological mixing; B-'Cotrect lagoon startup procedures;
• Agitation [:}`Minimum surface area -to -volume ratio;
G e"Minimu m agitatou wbea.pumping;
Cl /Mechanical aeration;
t4' Proven biological additives
Irrigation sprinkler • Higb pressure agitation; f4'lrrigate on dry days with little or no wind;
nozzles . Wind drill fY imum recormmended operating pressure;
@' Pump intake new lagoon liquid surface;
Cl Pump from second -stage lagoon
Storage tank or basin • Partial microbial decomposition; ❑ Bottom or midlevel -loading;
surface . Mixing while filling; ❑ Tank covers; '
• Agitation when emptying Cl Basin surface mats of solids;
❑ Proven biological additives or oxidants
Settling basin surface •
Partial microbial decomposition;
❑
Extend drainpipe outlets underneath liquid
•
Mixing while filling;
level;
•
Agitation when emptying
❑
Remove settled solids regularly
Manure, slurry or sludge •
Agitation when spreading;
❑
Soil injection of slurry/sludges;
spreader outlets .
Volatile gat emissions
❑
Wash residual manure from spreader after use;
❑
Proven biological additives or oxidants
Uncovered manure, •
Volatile gas emissions while
❑
Soil injection of slurry/sludges
slurry or sludge on field
drying
Q
Soil incorporation within 48 hrs.;
surfaces
❑
Spread in thin uniform layers for rapid drying;
❑ Proven biological additives or oxidants
Dead animals • Carcass decomposition 31 Proper disposition of carcasses r
Dead animal disposal • Carcass decomposition �❑ Complete covering of carcasses in burial pits;
pits Q Proper locationiconstruction of disposal pits
Incinerators 0 incomplete combustion Q Secondary stack burners
AMOC - November 11, 1996, Par

Source Cause HMPs to Minimize Odor Site Specitic Practices
Standing water around • Improper drainage; Grade and landscape such thatwater drains
facilities . Microbial decomposition of away from facilities
organic matter
Manure tracked onto • Poorly maintained access roads f7, Farm access road maintenance
public roads from farm
access
Additional Information : Available From:
Swine Manure Management; 0200 RuietBMP Packet - NCSU, County Extension Canter
Swine Production Farm Potential Odor Sources and Remedies; EBAE Fact Sheet NCSU -BAE
Swine Production Facility Manure Management: Pit Recharge - Lagoon Treatment; EBAE 128-88 NCSU - SAE
Swine Production Facility Manure Management: Underfloor Flush - Lagoon Treatment ; EBAE 129-88 NCSU - SAE
Lagoon Design and Management for Livestock Manure Treatment and Storage : EBAE 103-83 NCSU - BAE
Calibration of Manure and Wastewater Application Equipment; EBAE Fact Sheet NCSU - BAE
Controlling. Odors from Swine Buildings; PIH-33 NCSU - Swine Extension
Environmental Assurance Program ; NPPC Manual ' NC Pork Producers Assoc
Options for Managing Odor ; a report from the Swine Odor Task Force NCSU Agri Communications
Nuisance Concerns in Animal Manure Management: Odors and Flies ; PRO 107, 1995 Conference Proceedings Florida Cooperative Extension
y
AMCC - November 11, 1996, Page 5

Mortality Management Methods
(check which tnethod(s) are being implemented)
G Burial three feet beneath the surface of the ground 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.
Rendering at a.rendering plant Licensed under G.S. 106-168.7
❑ Complete incineration
C] in the case of dead poultry only, placing in a disposal pit of a size and design
approved by the Department of Agriculture
0 Any method which in the professional opinion of the State Veterinarian would
make possible the salvage of part of a dead animal's value without endangering
human or animal health. (Written approval of the State Veterinarian must be
attached)
December 18, 1996

Ar.,-. sal Wnste Manngetnent Plan L, . i.iificntiort
Please tvoe or print all information that does not require a signature
General lnfortnation:
Name of Farm:_�Ehree__G Em m,5 —Facility No:
Owner(,) Name: Gerard . Creerlt Plume No: qt9- Z33 -3656
Mailing Address:-13 0 71 Ne 32 zeb ck lon � ,VC 1757 7
Farm Location: County Farm is located in: /1Na-5
Latitude and Longitude: 35_ y6 D Z I 78 10 Integrator:
Please attach a copy of a county road map with location identified and describe below (Be specific: road
names, directions, milepost., etc.): ,SR ►11,�,-,�,�,� [ t f of iniersecl"O.,. of 6a 112 y 4 5.RJ1_15____._
Overation Descripiitattt
Type of Ssvine
No. of Anirrrnls
❑ Wean to Feeder
ail Feeder to Finish
_ 92.00
D Farrow to Wean
Ott FarTnw to Feeder
U FitTOW to Finish
_
Gilts
D Soars
7,vpe of roulrry No. of Anintnls
0 Layer
C] Putlets _
(Jrlrvr Type, of Lii•esrock.
Type of Cattle No. of"Animals
D Dairy
❑ Beef----__ .
Nuniberof�lrrirrinl.s:��.�
Acreage Available for Application: Required Acreage: 36. 2-
Number of Lagoons 1 Storage Ponds : Total Capacity: 1,311,��61. d Cubic Feet (0)
Are subsurface drains present on the farm: YES or [ivVl (please circle one)
if YES: are subsurface drains present in the area of the LAGOON or SPRAY FIELD (please circle one)
Owner I Manager Agreement
I (we) verify that all the above information is correct and will be updated upon changing. I (we) tmderstand the operarion
and maintenance procedures established in the approved animal waste management plan for the farm named above and n•ill
implement these procedures. i (we) know that any expansion to the existing design capacity of the waste treatment and
storage system or construction of new facilities will require a new certification to be submitted to the Division of
Environmental Management before the new animals are stocked. I (we) understand that there must be no discharge of
animal waste from the storage or application system to surface waters of the state either directly through a man-made
conveyance or from a Storm event less severe than the 25-year, 24-hour storm and there must not be run-off from the
application of animal waste. I (we) understand that run-off of pollutants fmm lounging and heavy use areas must be.
minimized using technical standards developed by the Natural Resources Conservation Service. The approved plan will lie
filed at the farm and at the office of the local Sell and Water Conservation District. I (we) know that any modification
must be approved by a technical specialist and submitted to the Soil and Water 'Conservation District prior to
implementation. A change in land ownership requires written notification to DEM or a new cetiification (if the approved
plan is changed) within 60 days of a title transfer.
Name of Land Owper :
Signnture:X , �� / � T Date: 11 / 1 ? l i
Natne of Manager(if different from owner):
Signahire:
Date:
A WC -- A+rgust 1, 1997

Technical Specialist Cer irication
L As a technical specialist designated by the North Carolina Soil and Water Conservation Commission prarsr►ant ro 15A
NCAC OF .0005. 1 certify that the animal waste managenent system for the farm named above has an animal wactc
management plan that meets or exceeds Standards and specifications of the Division of Environmental hlanagemo..nt
(DEEP as specified in 15A NCAC 214.0217 anti the USDA -Natural Resources Conservation Service (NRCS) and/or the
North Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 2H.0217 and 15A NCAC 6F .0001-
.0005. The following elements are included in the plan as applicable. While each category designates a technical specialist
who may sign each certification (SD. St. WUP, RC, 1), the technical specialist should only certify parts for which they are
technically competent.
11. Cer-ti�cation of Design.
A) Collection, Storage, Treattnerlt Svstetn
Check the appropriate box
M Ecis(nII_facilit without ithc ut retrofit (S[_-) c}r WIT)
Srnrage volume' is adequate 'for operation capacity; strtirage capability consistent Willi waste utiliz-104,n
rcrtuirernettrs.
J New expanded or retrofitted facility (SD)
Animal waste storage anrd treatment structures. such as hilt not limited to collection systems. lagoons ant r nnds.
have been designed to rneet or exceed the minirntmi standards and specifications.
Nante of Technicai Specialist (Please Print): 7
Affiliation Date Work Cortipleted: /1-/I-�7 _.
Address (Agency): h 107 Aa C,-!4e, I)r�� c.�a s���l!` �A!C 7-7 4U � _ Phone No.: --
Si ►nature: �� Dale: I,t - / 9- 9 7
it) Land Ap l�,ication Site (` IJI')
The plan provides for minintttnt separations (buffers); adequate amount of Iand for waste III ilization: chosen crap is
suitable for waste management: hydraulic and mtt..rient loading rates.
Name of Technicai S iecialist (PIease Print): U. Ectwmect Long
Affiliation !nw so;I4. Wat-Gr Date WorkCotnpleted-moo-�o-t'1
Address (Agency): Am 107 Ag Cenler Oriot V&jr u;11e Al(--�7K56 _ Phone No.: 7/7- yll.5 _
Signature -.A, CRL,.....,t. �= — - Date: 10-a-a --97
C) Runoff Controls from Exterior Lots
Check the appropriate box
,Y1 Facility without exterior lots (SD or WUP or RC)
This facility does not contain any exterior lots.
U Facility with exterior lots (RC)
Methods to minimize the run off of pollutants front lounging and heavy use areas have been designed in
accordance with technical standards developed by NRCS.
Name of Technical Specialist (Please Print): T Ed-wargl Long
Affiliation Na,sk —So;/ It Gla.ter Date Work Completed:_C0 - V - `)7
AtltlreSS (Agency): tZn,. lo? f},_C,e,�f�er Dr;je .✓at!<u;{ c � .��856 Phone Nc7.: 919- y5i-y//S�
Signature: U , L_dt --K lel-- -- . -- —Date: 10 - 20 -- `l7
A117C -- Arr01st 1, 1997
2

A). Application and tiant E,.gitiljnLie!t!
(. lrerk the nplrroprinre box
4d Exi$lin� r exkanding_f�eilit�illrex Ming w�S.te_7DD1icS�.li�ri equivnicrit (WUP (ir 1)
Animal waste application equipment specified in the plan his been either field calibrated or ev iterated in
accordance with existing design charts and tables and is able to apply waste as necessary to acCOun-n date ilic:
waste management plan: (existing application equipment can cover the area required by file plant at rates not to
exceed either the specified hydraulic or nutrient loading rates, a schedule for timing of applications has hecn
established; required buffers can be maintained and calibration and adjustment guidance are contained as pari of
the plan).
t=1 LIqv expatuiecl�Or_%Xi.ating_fa.Gilit]+ w5�Q11 w'utui pli�ntiQn egui�nient fc?r Sf+ra�irria(in, (1)
Animal waste application equipment specified in the plan has been designed to apply waste as neccssat)• to
accommodate the waste management plan; (proposed application equipment can cover the area required by file
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, atc
container) as part of the plan).
l iVew exnant3e.t1,_Qt�XiS4ing_f��il.ilY witltU�lt existing w2gte an�liCilticLGgpDntent fVt_.1an�irySP�e3din n�7t_usireg
Svrly- rdnmim (WUP or 1)
Animal waste application equipment specified in the plan has been selected to apply waste as necessary tr+
accommodate the waste management plan; (proposed application equipment can cover the area required by the
plan at rates not to exceed either tite specified hydraulic or nutrient loading rates; a schedule for timing of
applications has been established: required buffers can be maintained; calibration and a(linstruent guirlance are -
contained as part of the plan).
Natne of Technical Specialist (Please Print): J. C.'")(.'4 Lo'lg
Affiliation A_56tl4 (JoJee _ _Date Work Completed: /z-/7
Address (Agency): �n 107 42 Ce..fe, U.,,,,_ A-/C- 2-�b;L�____Phone No.: 10-`/59-y/i-_
Signature: C >r..,--.� Date: 7 --
E) Odor C:otttrol,_Insect_Control.__Mortality_ Management andErnerguiev_ Action Plan SD.,
S1, WUP, RC or I)
The waste management plan for this facility includes a Waste Management Odor Control Checklist. an insccl
Control Checklist, a Mortality Management Checklist and an Emergency Action Plan. Sources of both odors anti
insects have been evalitated with respect to this site and Rest Management Practices to Minimize Odors and Bcst
Management Practices to Control Insects have been selected and included in the waste management plan. Both the.
Mortality Management Plan and the Emergency Action flan are complete and can be implemented by this facility.
Natne of Technical Specialist (Please Print): 7, E w0.,-d Goti,� _
Affiliation Nasl. So.l 4. Wa-f-er Date Work Completed: to-zO-77
Address (Agency): Rm 102 -h CeJer Dr;vr Mzkv.!!p- A/C. 17tr5dPhone No.: 917-Y59-yl15
Signature:, EW�-!":�L Date: !0-A0dele
-47 --
F) Written Notice of New or Expanding Swine Farnt
The following signature block is only to he used for new or expanding swine farms that begin construction after .lime
21, 1996. If the facility was built before ,Tune 21, 1996, when was It constructed or last
expanded
I (we) certify that I (we) have attempted to contact by certified mail all adjoining property owners and all property owners
who own property located across a public road, street, or highway from this new or expanding swine farm. The notice was
in compliance with the requirements of NCGS 106-905. A copy of the notice and a Iist of the property owners notified is
attached.
Name of Land Owner:
Signature:
Name of Manager (if different from owner):
Date:
Sigilatilre: _ —_ � Date:
AM.: -, A ug+rst 1, t 997 3

111. Cerfif%cation of Installation
A) Collection, Storage,_ Treatment Installation
Newex)anded or retrofitted facilily (Sl)
Animil waste storage and treatment stntctnres, such as hilt not limited to lagoons ind prods. havc been in.etanc l
in accordance with the approved plan to meet or exceed the minimum standards and specifications.
For existing facilities without retrofits, no certification is necessary.
Name of 'Technical Specialist (]'lease. Prittt):
Affiliation Date Work Completed:
Address (Agency):_ Photie No.:.
Signature: mate:
1.3) Land Application Site (WUP)
CIt ch the appropriate box
Gd The cropping system is in place on all land as specified in the animal Nvaste management plan.
E3 Con(litinnril Approval: all rcgi0red land is specified in the plan is cleared for planting; the cropping system
SS specified in the waste utilisation plan has not been established anti the owner has cormitted to establish 11w
vegetation as specified in the plan by _ (trtonth/day/year); the proposed coveI c10t) is
npproprinte for compliance with the wastculilization plan.
Also check this box if appropriate
if the cropping system is specified in the plan can not be established on newly cleared Inncl within 30 ,llys
of this certification, the owner his committed to establish an interim crop for erosion control:
Nance of Technical Specialist (Please Print):��,, Q.-ct Lon
Affiliation Naj k 5o,1 d cval'cr Date Work Completed: it)-Zo-4?
Address (Agency): +4 107 .¢$ _Cc., cr tia-54-,;Ile_56 Phone No.: 119-y.�9-'{11
Signature:
10-2o-y7
'Phis following signature block is only to be use(i when the box for conditional approval in Ili. it
above has been checked.
f (we) certify chit i (we) have committed to establish the cropping system as specified in my (our) waste utilivation plan.
and if appropriate to establish the interim crop for erosion control, and will submit to DEM a verification of completion
from a Technical Specialist within 15 calendar days following the date specified in the conditional certification. I (we)
reatli7,e that failure to submit this verification is a violation of the waste management plan and will subject me (us) to.111
enforcement action from DEM.
Name of Land Owner:
Signature:
Name of Manager (if different from owner):
Signature:
Date:
Date:
G1'l: -- A rrgnst 1, 1997

1 Runoff Controls front !rriior Lots (1t(:")
Facility with exterior Iots
Methods tri minimize the run off of poll►tiauts furor lounging :i10 hr,avv Ilse ;►real havc hven insiallr_d ns si,et iiird
in the plan.
Fur facilities without exterior loft, no certification is necessary.
Name (if Tec.ltnical Specialist (Please Print),:
Affiliation
Address (Agency):
Date Work Completed:
Phone No.:
Signature:_ Date:
D) Appli_calioii and Handline Equipment Installation (WUP or 1)
Check the appropriate block
Animal waste application and handling equipment specified in the plan is on site and ready for itse:
calibration and adjustment materiais have been provided to the owners and are contained as part of the plain.
f] Animal waste application and handling equipment. specified in the pian has not been installed but the on•ncr
has proposed leasing or third party application and has provided a signed contract; equipment specified in
the contract agrees with the rerltri►ements of the plan; required buffers can he maintained; calibration and
a(iiiisrrnent guidance have been provided to the owners and are contained as part of the plan.
rJ (.,otlditional approval: Animal waste application Ind handling erli►ip►rtent specified in the plan h:'s
liven purchased and will be on site and installed by (montir/day/year); there is ndegoatr,
stornge to hold the waste until the egtripment is installed and until the waste can be land applied i►t
accordinr_e with the cropping system contained in the plan: and calibration and Idjusttrrvnt gnidatrce hive
been provided to the owners and are contained as part of the plan,
Natne of Technical Specialist (Please Print): J, Fjw"d C.on�f
Affiliation Soy 4 c "fe :,sf.;C.f Date Work Completed: 1,V--17-f 7
Andress (Ag
Signature:
107 AA Ce,e, 11r�Jc Np.s/,O:t(c N% x79,34 Phone No.:
Date.,_/ z //7/9 7 _.
The following signature Mock is only to be used when the box for conditional approval in 1.1.1 1)
above has been checked.
I (we) certify that i (we) have committed to purchase the animal waste application and handling equipment as
specified in my (our) waste management plan and will stubmit to DEM a verification of delivery and installation
from a Technical Specialist within 15 calendar days following the date specified in the conditional certification. I
(we) realize that failure to submit this verification is a violation of the waste management plan and will subject rtue.
(us) to an enforcement action from DEM.
Marne of Lan(! Owner:
Signature:
Name of Manager (if different from owner):
Signature:
Date:
Date: _
F) Odor Control. Insect Control and Mortality Management (SD, SI, WUP, RC or I)
Methods to control odors and insects as specified in the Plan have been installed and are operational. The
mortality management system as specified in the Plan has also been installed and is operational.
Name of Technical Specialist (Please Print): -7. EdWu.ol_C-- �5
Affiliation ly jk soil d w,f-• Date Work Completed:_ lo- zo-97 �T
Address (Agency):lF� to7 A c ,+c. D.:V4 NaJI., //e .4/C 17Y-fl Phone No.: 717-v39-vtt.6
Signature: _ � L _ T Date: ° / z -78 _

ll
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for :t1.Ord d Werh (;nunty: NRK
Date: 9/5/90
Io dearest res1dnnce (other 1Than
owner):
1500.0 feet
fFC°
IEADY 51AIF LIVE WE16111
ihs.
0
Ihs
cn��rc x
0Ih5
hP31F x Ih5.
x
_
khs./pig O
klts
litters x pigs/litter'
({arrow to finish) x
141r
IIFs• __
i I ''r JI�'�
r,nwS
6{)tY ;ows (f art ow to f eede•r1 x
57.2
Ibs. - 3137.00
Ihs
(fo.a.der to f lnl,00 x
135
— 0
Ih5.
v 1 f1 _ f "7 r1 F 1
101AC STEADY SIAW WE WF-.IWI WSW
= 313200 Ihs
)FS 10 1REATMFNT VUI_IJMF.
Velum? - 313200 Ihs. 550 x 1 ru. ft./Ih. 55LW x 1 cu. yd./27 cu. ft.
Volume = 11600.0 cuhic yards
NORMAL LAGOON LIQUID LEVEL
flair -twin normal lagoon liquid level at elev.
90.4 Feet
Bottom of normal lagoon olev. 83.9
feel:
Lagoon Sr7e (for normal lagoon liquid volume)
using prismodial formula
I_ENGTII WIDIN SS/END1 SSIEND2 SS/SIDE1
SS/SIDE2 DEP111
340.0 165.0 2.5 2..5 2.5
2.5 6.5
AREA OF TOP
l_ENCyTII a WII)TII =
340.0 165.0 56100.0 (AREA OF
TOP)
AREA OF 60110M
Lb, * Wb =
307.5 132..5 40743.8 (AREA OF
BUITUM)
AREA OF MIPBECT10N
(Lm4 Wm) * 4 =
323.8 148.8 192631.3 (AREA OF
MIDSECTION * 41
CU. YO. = (AREA TOP + WAREA MIDSECTION) t
AREA BOTTOM) DEPTH/162
56100.0 I92631.3
40743.8 0.040
VOLUME_ OF NORMAL LAGOON LIQUID LEVEL =
11614.7 CU. YDS.
DESIGN TREATMENT VOLUME =
11600.0 CU. YDS.

UDGE ACCUMULATION VOLUME
195 cu. ft./yr. per sow for farrow to f inish
.
42 cu. ft./yr. per sow for farrow to feeder
10 cu. ft./yr. per head for feeder to finish
Volume = 600.0 sows/head x 42.0
cu. ft./yr x
4.3 years
x I cu. yd./27 cu. ft.
Volume = 4013.3 cubic yards
Top of sludge accumulation at elevation
83.9 feet
Bottom of sludge accumulation at elevation
61.0 feet
Lagoon size (for sludge accumulation volume)
using prismodial formula
LENGTH WIDTH 5S/EN01 SS/END2 SS/SIDE1
SS/SIOE2 DEPTH
307.5 132.5 2.5 2.5 2.5
2.5 2.9
AREA OF TOP
LENGTH * WIDTH =
307.5 132.5 40743.8 (AREA OF
TOP)
AREA OF BOTTOM
Lb * Wb =
293.0 118.0 34574.0 (AREA OF
BOTTOM)
AREA OF MIDSECTION
(Lm *Wm) * 4 =
300.3 125.3 150425.3 (AREA OF
MIDSECTION * 4)
CU. YD. = (AREA TOP + (4*AREA MIDSECTION) +
AREA BOTTOM) *
DEPTH0/162
40743.8 150425.3
34574.0
VOLUME OF SLUDGE ACCUMULATION BELOW NORMAL LIQUID VOLUME =
4041.1 CU. YDS.
N VOLUME =
4013.3 CU. YDS.
REQUIRED SLUDGE ACCUMULATiO
DESIGN TEMPORARY VOLUME
DRAINAGE AREA:
Lagoon (top of dike, both stages)
Length * Width =
385.0 210.0 80850.0 square feet
Existing Holes (top of dike)
Length * Width =
0.0 square feet
Buildings (roof and lot water)
Length * Width
0.0 square feet
TOTAL DA = 80850.0 square feet
Pumping cycle to be 160.0 days.

' olume of waste produced
Volume = 313200.0 SSLW * 0.01 gallon/lb. SSLW/day 180.0 days
in the pumping cycle / 7.48 gallons per cu. ft.
Volume = 75369.0 cubic feet
Volume of wash water
This is the amount of fresh water used for washing floors or
volume of fresh water used for a flush system. Flush systems
that recirculate the lagoon water are accounted for in 5A.
Volume = 0.0 gallons/day * 180 days in cycle / 7.48 gallons
per cu. ft.
Volume = 0.0 cubic feet
Volume of'rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation by largest amount.
Rainfall Oct. to March - 20.4 inches
♦~vapor. - 8.2 inches
Excess rainfall (difference) - 12.2 inches.
Volume = 12.2 in * BA / 12 inches per foot
Volume = 82197.5 cubic feet
Volume of 25 year - 24 hour storm
Volume = 6.6 inches / 12 inches per foot * DA
Volume = 44467.5 cubic feet
TOTAL REQUIRED TEMPORARY VOLUME
5A. 75369.0 cubic feet
5B. 0.0 cubic feet
5C. 82197.5 cubic feet
5D. 44467.5 cubic feet
TOTAL 202034.0 cubic feet = 7482.7 cu. yds.

PORARY STORAGE LIQUID LEVEL
FOR ONE STAGE LAGOON:
(Storage above normal liquid elevation of lagoon)
Depth required = Volume of temporary storage divided by surface
area of lagoon
Depth required = 202034.0 cubic feet/ 56100.0 square feet
Depth required = 3.6
95.0 feet
Top of spoil elevation = 90.4 feet
Normal lagoon liquid elevation = 4,6 feet
Depth between top of dike & normal liquid level =
3.6 feat
Depth required = 1.0 feet
Freeboard = 4.6 feet
Total depth required =
NOTE: IF THE DEPTH BETWEEN TOP OF DIKE AND NORMAL LIQUID LEVEL IS EQUAL
IS EQUAL TO OR GREATER THAN THE TOTAL DEPTH REQUIRED, THEN
ADEQUATE STORAGE HAS BEEN PROVIDED.
FOR SECOND STAGE OF TWO STAGE LAGOON:
Top of temporary storage at elevation feet
Bottom of temporary storage at elevation feet
Lagoon size (for temporary storage volume) using prismodial formula
LENGTH WIDTH SS/END1 SS/END2 SS/ENDS SS/END4 DEPTH
AREA OF TOP ti
LENGTH * WIDTH =
0.0 0.0 0.0 (AREA OF TOP)
AREA OF BOTTOM
Lb Wb =
0.0 0.0 0.0 (AREA OF BOTTOM)
AREA OF MIDSECTION
(Lm * Wm) +4 =
0.0 0.0 0.0 (AREA OF MIDSECTION *4)
CU. YD, = (AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM) * DEPOH4162
0.0 0.0 0.0
VOLUME OF TEMPORARY STORAGE = 0.0 CU. YDS.
REQUIRED TEMPORARY STORAGE = 7482.7 CU. YDS.
I

2
NIMUM LAND AREA FOR LIQUID APPLICATION
From Technical Guide, Section IV, Practice Standard 633, acres
per animal unit capacity
Grain Grazed Pasture Hayland
Cereal Corn Fescue Tifton 44 Bermuda
Range
Range
Control
Feeder to Finish .029 .019 .014
.010
.0088 .0072
Farrow to Feeder .080 .053 .040
.029
.025 .020
Farrow to Finish 320 .220 .160
.120
.100 .081
animal unit ac./animal unit = acres needed
Plant O.DS3 31.8
corn 600.0
fescue, range 600.0 0.0 " 24.0
bermuda, hayland 600.0 0.0 27 12.0
ICATION BY IRRIGATION
Soils Georgeville gravelly Crops 1(see O&M Plan
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 THAT THERE 15 ABSOLUTELY NO RUN-OFF.
DESIGNED BY:
DATE:
Shelton Baker
9-5-90
Cl 01- 6 ._ Q O4 cd
APPROVED BY:
DATE:
iz

^'-- FU IL-
NC-ENG-1
Rev. 6/3
DFS1W DAZA
awe-, Lcwoan
Job Class ,ray �7L Hazard Class .0-
raped Area acres Av. Slope
9ydr. So oup Av. Curve
Trickle lobe or Spillway
_` Yr. Freq. Runoff Depth in.
Detention Storage Ac. Ft. a Flow CPS
Emergency way Design
Preq, in. Runoff Peak
.c rf",!* ce,Yn,y sari 6-- e6*4,yw -A-bm
NC- DaW2WR "re raasjcua6�nt, '-A
f'-Ib oci /J�a; n 7for .ze!tf� h4 Zq rd.3 : s �tdt -
aeTl-SEEP COLLARS
0 Tom'
ed:
Ilattltal Maur
reaiR�sk
r.Sc
CWTIPICATIoe
I cenifT teat I here made. or caned to Oe made. a final in-
spection of this pptl project and that all Nor% related there-
to has pees caaptetad in accorbanca with them plans and with
all.Othar applicable tpeci fiCatidns except As listed on the
attached sl+est.
(Cheeg#areQ if re exceot+ions)
GENERAL INFORMATION
Uses for IngxxmdW rater y waS,ite
rt4->•n7r+n7 %avacon
Ara at IIv saes
lesieu, feet
Capacity w O.ad x
feet a acre feet
EARN puASTITIE3
Faeanwnt
IV, 7,�-.5- cu. yds.
2� ir
Excavation of Cutoff Trench
eppaY -z7Z Zg: ads.
ire+s :.+.
Excavation of aldb�
agamr_ lciozi cu. yds.
Other Excavati ant
:Z---- s cu. yds.
cu. Yds.
BILL OF MATERIALS
See• ;ro -�-np P,+ darns. s c1Q�_F m� ,e
"no -Q4=igdr
C -pp— IS acres)
3 2Fors-2 1;-,e
1$02/6s 10-ID-10.
Spillway Located (night) (teft) Side of Ose LOOkinq•Ooreptrem
u ngitudinst section
,(v",-- c Tar. I "E• b
A% II Top Yi WLti
C.anaiTutied Toe o� DamrAdds"41n S'ciilemetli►Z, _�\ � :'C = �...`.
,el+led top a4 Don Ckv.
E�a,r� 4lit;!'InaicrPflYsav;_T �
r_
I 3•i
cjoff Gee QnI
Ri11mr�Aimlrl�a�
bench Mark Description " ne
s a elegy J
°5.clJ
sige,ao7n oete1Z-6-90 Mark out with red pencil those items not required.
_Idx. Stage
Cross Section
PLAN OF FARM POND
(',sr . o C_zrFi-;4 I-AGoo� Fem
Nash County, North Carolina
U. S. DEPARTNIEN r OF A WICULTURE
SOEL CONSERVATION SERVICE I
�u

operator :GERALD CREECH County: NASH' Date: 2/25/91
Distance to nearest residence (other than owner): 1800.0 feet
1. STEADY STATE LIVE WEIGHT
sows x lbs. - 0 lbs
boars x lbs. = 0 lbs
litters x pigs/litter x lbs./pig R 0 lbs
sows (farrow to finish) x 1417 lbs. - 0 lbs
sows (farrow to feeder) x 522 lbs. - 0 lbs
4200 head (feeder to finish) x 135 lbs. - 567000
TOTAL STEADY STATE LIVE WEIGHT (SSLW) 567000 lbs
2. DESIGN TREATMENT VOLUME
Volume = 567000 lbs. SSLW x 1 cu. ft./lb. SSLW x 1 cu. yd./27 cu. ft.
Volume = 21000.0 cubic yards
3. NORMAL LAGOON LIQUID LEVEL
Maintain normal lagoon liquid level at elev. 92.2 feet
Bottom of normal lagoon elev. 05.5 feet
Lagoon size (for normal lagoon liquid volume) using prismodial formula
LENGTH WIDTH SS/END1 SS/END2 SS/SIDE1 SS/SIDE2 DEPTH
476.5 201.5 2.5 2.5 2.5 2.5 6.7
AREA OF TOP
LENGTH * WIDTH =!
476.5 201.5 96014.8 (AREA OF TOP)
AREA OF BOTTOM
Lb * Wb =
443.0 168.0 74424.0 (AREA OF BOTTOM)
AREA OF MIDSECTION
(Lm * Wm) * 4 =
459.8 184.8 339755.3 (AREA OF MIDSECTION * 4)
CU. `YD. = (AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM) * DEPTH/162
96014.8 339755.3 74424.0 0.041
VOLUME OF NORMAL LAGOON LIQUID LEVEL = 21100.6 CU. YD3.
DESIGN TREATMENT VOLUME = 21000.0 CU. YDS.
Y

4. SLUDGE ACCUMULATION VOLUME
115 cu.
ft./yr. per sow for farrow to finish
42 cu.
ft./yr. per sow for farrow to feeder
' 10 cu.
ft./yr. per head for feeder to finish
Volume =
4200.0 sows/head x 10.0
cu. ft./yr x
5.0 years
x 1 cu. yd./27 cu. ft.
Volume =
7777.8 cubic yards
Top of sludge
accumulation at elevation
85.5 feet
Bottom of sludge accumulation at elevation
82.5 feet
Lagoon size
(for sludge accumulation volume)
using prismodial
formula
LENGTH
WIDTH SS/END1 SS/END2 SS/SIDE1
SS/SIDE2 DEPTH
443.0
168.0 2.5 2.5 2.5
2.5 3.0
AREA OF
TOP
LENGTH
* WIDTH =
443.0
168.0 74424.0 (AREA OF
TOP)
AREA OF'BOTTOM
Lb
* Wb
428.0
153.0 65484.0 (AREA OF
BOTTOM)
AREA OF
MIDSECTION
(Lm *
Wm) * 4 =
:435.5
160.5. 279591.0 (AREA OF
MIDSECTION * 4)
CU. YD.
= (AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM) *
DEPTH/162
74424.0; 279591.0
65484.0
0.0
VOLUME OF SLUDGE ACCUMULATION BELOW NORMAL LIQUID VOLUME =
7768.5 CU. YDS.
REQUIRED
SLUDGE ACCUMULATION VOLUME =
7777.8 CU. YDS,
5. DESIGN TEMPO MY VOLUME
DRAINAGE AREA:
First Stage (top of embankment)
Length * Width = .
.500.0 228.0 114000.0 square
feet
Second Stage (top of embankment)
Length * Width,
267.0 170.0 45390.0 square
feet
Buildings (roof and lot water)
Length * Width
0.0 square
feet
TOTAL DA=1593?0.0 square
feet
Pumping cycle to be 180.0
days.
to

5A.
Volume of waste produced
'
Volume = 567000.0 SSLW * 0.01 gallon/lb. SSLW/day *
180.0 days
in the pumping cycle / 7.48 gallons per cu.
ft.
Volume = 136443.9 cubic feet
5B.
Volume of wash water
This is the amount of fresh water used for washing floors
or
volume of fresh water used for a flush system. Flush systems
that recirculate the lagoon water are accounted for in 5A.
Volume = 0.0 gallons/day * 180 days in
cycle / 7.48 gallons
per cu. ft.
Volume = 0.0 cubic feet
5C.
Volume of rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation
by largest amount.
Rainfall Oct. to March = 20.4
inches
Evapor.. = 8.2
inches
Excess rainfall idifference) = 12.2
inches
Volume = 12.2 in * DA / 12 inches per foot
Volume = 162046.5 cubic feet
5D.
Volume of 25 year - 24 hour storm
Volume'= 676 inches / 12 inches per foot * DA
Volume = 87664.5 cubic feet
TOTAL REQUIRED TEMPORARY VOLUME
5A. 136443.9 cubic feet
5B. 0.0 cubic feet
5C. 162046.5 cubic feet
5D. 87664.5 cubic feet
�TOTAL 386154.9 cubic feet = 14302.0
cu. yds.
16

6. TEMPORARY STORAGE LIQUID LEVEL
TEMPORARY STORAGE IN PRIMARY LAGOON:
Top of temporary storage at elevation 93.5 feet
Bottom of temporary storage at elevation _ _92.2_ feet
LENGTH WIDTH SS/END1 SS/END2 SS/SIDE1 SS/SIDE2 DEPTH
483.0 208.0 2.5 2.5 2.5 2.5 1.3
AREA OF TOP
LENGTH * WIDTH =
483.0 208.0
AREA OF BOTTOM
Lb * Wb =
476.5 201.5
AREA OF MIDSECTION
(Lm * Wm) *4
479.8 204.9
100464.0 (AREA OF TOP)
96014.8 (AREA OF BOTTOM)
392915.3 (AREA OF MIDSECTION * 4)
CU. YD. = (AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM)
VOLUME OF TEMPORARY STORAGE = 14729.7 CU. YDS.
FOR SECOND STAGE OF TWO STAGE LAGOON:
DEPTH/162
Top of
temporary
storage at elevation
93.5 feet
Bottom
of temporary storage at elevation
80.5 feet
Lagoon
size (for
temporary storage volume) using prismodial formula
LENGTH
WIDTH
SS/END1 SS/END2 SS/END3
SS/END4 DEPTH
233.0
133.0
2.5 2.5 2.5
2.5 13.0
AREA OF TOP
LENGTH * WIDTH =
233.0 133.0
AREA OF BOTTOM
Lb * Wb
168.0 68.o
AREA OF MIDSECTION
(Lm * Wm) *4 =
.260.5 100.5
30989.0 (AREA OF TOP)
11424.0 (AREA OF BOTTOM)
B0601.0 (AREA OF MIDSECTION *4)
CU. YD. = (AREA.TOP + (4*AREA MIDSECTION) + AREA BOTTOM)
30989.0 80601.0 11424.0
VOLUME OF TEMPORARY STORAGE = 9871.5 CU. YDS.
REQUIRED TEMPORARY STORAGE = 14302.0 CU. YDS.
DEPTH/162
0.1
/,

7. MINIMUM LAND AREA FOR LIQUID APPLICATION
• From Technical Guide, Section IV, Practice Standard 633, acres
per animal unit capacity :
' Grain
Grazed Pasture
flayland
Cereal
Corn
Fescue
Tifton 44 Bermuda
Range
Range Control
Feeder to Finish .023
.015
.012
.0085 .0072
.0058
Farrow to Feeder .065
.043
.032
.023 .020
.016
Farrow to Finish .260
.180
.130
.096 .081
.066
Plant
animal unit *
ac./animal unit
= acres needed
fescue, range
4200.0
0.017-
50.4
corn
4200.0
0.015
63.0
bermuda, hayland
4200.0
0.0os s
24.4
8. APPLICATION BY IRRIGATION CSe.e_ b t K P4a.r1
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 THAT THERE
IS ABSOLUTELY
NO RUN-OFF.
DESIGNED BY: 51,e RovN (Na-kcr-
DATE: 2 /Qf
e. E.
APPROVED BY:
DATE:
/Z

CLIENTS
COUNTY
TODAYS
SITING
NUMBER
NUMBER
NUMBER
NUMBER
NUMBER
NUMBER
NUMBER
NUMBER
THIS DES..I:GN TS FOR A SINGI-if. sTAGE SWINE LAGOON
-j 4(-F05 f .,- j /_n.9 rr..t C_Fn.e.:'fy .44
NAME
_-.-_- _--
DATE
LAW DISTANCES OKAY (YES OR NO) =>
OF PIGS WEAN.LING TO FEEDER
OF PIGS FEEDER TO FINISH -_-== =>
OF SOWS FARROW TO WEANLING =_--->
OF SOWS FARROW TO FEEDER=----__�
OF SOWS FARROW TO FINISEi=---_--=-->
OF DEVELOPING GILTS =---------__>
OF STUD BOARS OR GESTATING SOWS >
OF YEARS OF SLUDGE ACCUMULATION >
(5 year minimum unless retrofit)
TOP LENGTH AT NORMAL WATER LEVEL
TOP WIDTH AT NORMAL WATER LEVEL
NORMAL WATER LEVEL ELEVATION ==========>
SEASONAL HIGH WATER TABLE ELEVATION =__>
LAGOON BOTTOM ELEVATION
Depth of Permanent Water 6.o
(minimum depth including sludge = 6 feet)
(maximum depth of sludge = 2 feet)
SIDE SLOPES =-------------------------->
Permanent Volume Required 4500.0
Permanent Volume Provided 26436.0
ADDITIONAL DA W/O EVAP. (VEGETATED)
ADDITIONAL DA W/O EVAP. (NON-VEGET.) -->
(i.e. feedloU & non -diverted area)
ADDITIONAL D. A. WITH EVAPORATION
(i.e. pumpout pond)
LENGTH OF PUMPING CYCLE
GALLONS OF FRESH WATER ADDED DAILY
NORMAL RAINFALL FOR PUMPING CYCLE
PERCENT RUNOFF ON VEGETATED AREAS ---_->
PERCENT RUNOFF ON NON -VEGETATED AREAS =>
NORMAL EVAPORATION FOR PUMPING CYCLE
25YR/24HR STORM RAINFALL
RUNOFF DEPTH FROM VEGETATED AREAS
RUNOFF DEPTH FROM NON -VEGETATED AREAS =>
INCLUDE HEAVY RAIN (YES=1, NO=0)
FREEBOARD=---------------------------->
Gerald Creech
Nash County, NC
April 24, 1997
0
0
0
0
0
30
0
0
86.0 FEET
76.0 FEET
92.9 FEET
0.0 FEET
86.9 FEET
feet
2.5:1
cubic feet
cubic feet
0 SQUARE FEET
0 SQUARE FEET
0 SQUARE FEET
180 DAYS
0 GALLONS
20.1 INCHES
30 PERCENT
65 PERCENT
12.4 INCHES
6.6 INCHES
0.0 INCHES
0.0 INCHES
0 (NUMBER ONLY)
1.0 FEET
ESTIMATED TOP OF DAM ELEVATION =--=====> 95.7 FEET
Temporary Storage Volume Needed 12529.8 cubic feet
Temporary Storage Volume Provided 1,3125.6 cubic feet
Top of Dam Elevation = 95.7 feet
Inside Dimensions of. Lagoon at Top of Darn
Length = 100.0 feet Width = 90.0 feet
ESTIMATED DEPTH TO PUMP = 1.1 FEET
Volume To Be Pumped = 7580 cubic feet
Volume for Estimated Depth = 7691 cubic feet
Begin Pumping Elevation = 94.0 feet
Stop Pumping Elevation = 92.9 feet

r
1.. STEADY STATE LIVE WEIGHT
0
head
weanling to feeder x 30 lbs. -
0
lbs
0
head
feeder to f i.ni.stii.ng x 135 l.bs . -
0
lbs
0
sows
farrow to weanling x 433 lbs. -
0
lbs
0
sows
farrow to feeder x 522 lbs. -
0
lbs
0
sows
farrow to finish Y. 1.41.7 lbs. -
0
l.bs
30
developing
gilts x 150 lbs. W
4500
lbs
0
stud
boars or gestating sows =
0
TOTAL, STEADY STATE LIVE WEIGHT (SSLW) = 4500 lbs
2. SLUDGE ACCUMULATION
Sludge accumulates at varying rates.
0
pounds
weanling to feeder x 0.25 =
0
cu.
ft.
0
pounds
feeder to finishing x 0.25 -
0
cu.
ft.
0
pounds
farrow to weanling x 0.17 =
0
cu.
ft.
0
pounds
farrow to feeder x 0.3.7 =
0
cu.
ft.
0
pounds
farrow to finish x 0.25 =
0
cu.
ft.
4500
pounds
of developing gilts x 0.25 -
1.125
cu.
ft.
0
lbs. of
boar studs or, gent. sows * 0.1.25=
0
cu.
ft.
TOTAL SLUDGE ACCUMULATION = 0 cu. ft.
3. REQUIRED LIQUID VOLUME OF LAGOON
Design Treatment Volume varies by animal type.
0
pounds
weanling to feeder x 1.0 -
0
cu.
ft.
0
pounds
feeder to finishing x 1.0 -
0
cu.
ft.
0
pounds
farrow to weanling x 0.67 =
0
cu.
ft.
0
pounds
farrow to feeder x 0.67 =
0
cu.
ft.
0
pounds
farrow to finish x 1.0 =
0
cu.
ft.
4500
pounds
of developing gilts x 1.0 =
4500
cu.
ft.
0
lbs. of
boar studs or gest. sows * 1 =
0
cu.
ft.
TOTAL LIQUID VOLUME REQUIRED FOR LAGOON = 4500 cu. ft.
TOTAL VOLUME FOR TREATMENT AND SLUDGE - 4500 cu. ft.
4. NORMAL LAGOON LIQUID LEVEL
Maintain normal lagoon liquid level at elevation 92.9 feet
Construct lagoon bottom elevation 86.9 feet
Lagoon size for normal lagoon liquid volume using prismodial formula
SS/END1 SS/END2 SS/SIDE1 SS/SIDE2 DEPTH
2.5 2.5 2.5 2.5 6.0
AREA OF TOP
LENGTH *WIDTH =
B6.0 76.0 6536.0 (AREA OF TOP)

5. DAM
AREA OF BOTTOM
Lb * WI) =
56.0 46.0
AREA OF MIDSECTION
(Lm * Wm) _
71..0 61.0
2576.0 (AREA OF BOTTOM)
4331.0 (AREA OF MIDSEC'I'1ON)
CU. YD. = [AREA TOP + (4*AREA MID5ECTION) + AREA BOTTOM] * DEPTH/6
6536.0 17324.0 2576.0 1.000
VOLUME OF LAGOON AT NORMAL .LAGOON LIQUID LEVEL=26436.0 CU. FT.
VOLUME NEEDED = 4500.0 CU. FT.
T11E SURFACE DIMENSIONS OF THE LAGOON AT NORMAL LIQUID LEVEL
ARE 86.6 FEET LONG BY 76.0 FEET WIDE
Place spoil as a continuous dam to elevation
6. TEMPORARY S'i.'ORAGE REQUIRED
DRAINAGE AREA:
Lagoon (top of dam)
Length * Width =
100.0 90.0 9000 square feet
Additional Drainage Area Without Evaporation
Vegetated 0 square feet
Non -Vegetated 0 square feet
Additional brainage Area With Evaporation
0 square feet
TOTAL DA 9000 square feet
Pumping cycle to be 180 days.
6A. Volume of waste produced
0 head weanling to feeder x 0.5 gals/day =
0 head feeder to finishing x 2.3 gals/day =
0 sows farrow to weanling x 7.2 gals/day =
0 sows farrow to feeder x 8.0 gals/day =
0 sows farrow to finish x 23.0 gals/day -
30 developing gilts x 2.5 gals/day -
0 stud boars or gest. sows x 6.7 gals/day =
TOTAL VOLUME OF WASTE
95.7 feet.
0 gals/day
0 gals/day
0 gals/day
0 gals/day
0 gals/day
75 gals/day
0 gals/day
75 gals/day
Volume = 75 gals/day * 180 days in the pumping
Cycle divided by 7.48 gallons per cu. ft.
Volume = 1804.8 cubic feet

F.
6B. Volume of rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation by largest)
amount.
Excess rainfall (difference) =
7.7 inches
Volume = Volume from lagoon + volume from feedlots, etc + volume frorn
Volume = 5775.0 cubic feet
6C. Volume of fresh water. added
This is the amount of fresh water used for washing floors or
volume of fresh water used for a flush system. Flush systems
that recycle the lagoon water are accounted for in GA.
Volume = 0 gallons/day * 180 days in pumping
cycle divided by 1.48 gallons per cu. ft.
Volume =
0 cubic feet
6D. Volume of 25 year - 24 hour storm
Volume = Volume from lagoon + volume from feedlots, etc + volume from
Volume = 4950.0 cubic feet
6E. Volume of "Heavy Rain"
Volume = Volume from lagoon + volume from feedlots, etc + volume from
Volume =
0.0 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
GA.
1804.8
cubic
feet
of
waste
6B.
5775.0
cubic
feet
of
excess rainfall
6C.
0.0
cubic
feet
of
fresh wash water
6D.
4950.0
cubic
feet
of
25yr-24hr storm wate
6E.
0.0
cubic
feet
of
heavy rainfall
TOTAL TEMPORARY STORAGE 12529.8 cubic .feet
7. DEPTH OF STORAGE REQUIRED (ABOVE NORMAL LIQUID ELEVATION OF LAGOON)
VOLUME
OF TEMPORARY
STORAGE WHEN TOP OF DAM IS 95.7 FEET ELEV.
AREA OF
BOTTOM =
6536.0
sq. ft.
AREA OF
TOP =
8075.0
sq. ft.
AREA OF
MID -SECTION
= 72.85.2
sq. ft.
VOLUME
PROVIDED =
13125.6
cubic feet
THE DIMENSIONS OF THE INSIDE EDGE OF THE DAM AT ELEVATION 95.7 FT.

• M
ARE 1. 0 0 . 0
FEET BY
90. 0 FEET
8. SET BEGIN PUMPING ELEVATION
PUMPED STORAGE VOLUME
GA.
1804..8
cubic feet of waste
6B.
5775.0
cubic feet of excess rainfall.
6C.
0.0
cubic feet of fresh wash water
• TO`I'AK PUMPED VOLUME =
7579.8
cubic feet
VOLUME AT ESTIMATED PUMPING
DEPT14
AREA OF BOTTOM =
6536.0
sq. ft.
AREA OF TOP =
7457.2
sq. ft.
AREA OF MID -SECTION W
6989.1
sq. ft.
VOLUME PROVIDED =
7690.7
cubic feet
DESIGNED BY:
APPROVED BY:
DATE:
DATE:

State of North Carolina
Department of Environment
and Natural Resources 4 • •
7
Division of Water Quality k
• James B. Hunt, Jr., Governor ���
�.I v
Wayne McDevittSecretary "' r('
A. Preston Howard, Jr., P.E., Director'
June 2, 1998 JUL Y 1998
Gerald Creech
Three G Farms :mr;tir
13071 NC 39
Zebulon NC 27597
Subject: Application No. 64-0072
Additional Information Request
Three G Farms
Animal Waste Operation
Nash County
Dear Gerald Creech:
The Non -Discharge Permitting Unit has completed a preliminary engineering review of the
subject application. Additional information is required before we can continue our review. Please
address the following by July 2, 1998.
In order to complete the various components of the certified animal waste management
plan, please submit two copies each of the following documents that may be applicable to your farm:
✓ l . Operation and Maintenance Plan for your lagoons
A clearer field map showing the tract number, field number, and wettable acreage in each
' field that is specificd in the waste utilization plan
✓3. Your waste utilization plan is based on 100 lbs of plant available nitrogen per ton of
Bermuda hay and utilizes 400 lbs N/acre, which appears excessive. However, the NRCS
standards specify 40 - 50 lbs. N/ton hay for this crop. Please revise your waste utilizaticn
plan to meet the NRCS specificat�if Zns. (Jg c v m e +s r cI d d va_14o- rn Pre- -
re-- RL B
Lt9uf S Wt�}•ca1cvio'rl0 7�l'1a►,�14trea need baSr�1 0�4r+{irna1 un��S-
,rom NRe ��wr�/rJ� Lo ��-fct�%irr?caf spPci4l�sf .
Please consult your technical specialist for further assistance in.determining and obtaining
documents required for your farm. Please include an explanation if any of the above requirements do not
apply to your farm.
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 by the date specified above 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.
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

.Application No. 64-0072
Gerald Creech
Page 2
Please be advised that operation of the subject animal waste management system without a valid
permit is a violation of North Carolina General Statute 143-215.1 and will subject you to the enforcement
authority of the Environmental Management Commission.
If you have any questions regarding this request, please call me at [phone], extension 363.
Sincerely,
J R Joshi
Soil Scientist
Non -Discharge Permitting. Unit
cc: Raleigh Regional Office, Water Quality
Permit File

0
F
I
OPERATION AND MAINTENANCE PLAN FOR SWSNE WASTE MANAG 3YSTrM
Producer: Gerald Creech County: Nash gg
The purpose of this plan is to provide guidelines forUcarryiing out the
routine operation and'maintenance work needed to keep�this�nswine waste
nte management system functioning as planned. Routine mainancegris
considered to be normal -good care of the system. Goo& 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 vegetative cover on the embankment top and
side slopes: Pensacola Bahiagrass (20-30#/ac) & Tall Fescue
(60#/ac) or Pensacola Bahiagrass & Common Bermuda (8#/ac) is
being established an these areas. Beginning in 1991 and each
year thereafter, the embankment shoul� 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
1
(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
F to �—O 6 7 a
QU

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 designad 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
ensure that it is applied in an environmentally safe manner. Always
apply waste based on the needs of the crop to be grown and the
nutrient content of the waste. Do not apply more nitrogen than the
crop can utilize. Soil types are important as they have different
infiltration rates and leaehins potential. Waste shall not be
applied to land eroding at greater than 5 tons per acre per year.
Do not apply waste on saturated soils or on land when the surface is
frozen. Either of these conditions may 'result in runoff to surface
waters. Wind conditions should also be considered to avoid drift
and downwind odor problems. To maximize the value of nutrients for
crop production and to reduce the potential for pollution, the waste
should be applied to a growing crop or not more than 30'days prior
to planting. In3ecting 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 Georgeville soils, the maximum application rate is 0.4 inches per
hour with cover and 0.3 inches per hour bare. Application on corn
is 2.95 inches and application on fescue and bermuda is 1.60 inches.
A soils map showing areas for waste application is attached.
You should plan time and have appropriate equipment to apply the
waste in a -timely manner. Your facility is designed for 180 days of
storage. Therefore, it will need to be pumped every 6-months.
Pumping should begin before liquid reaches elevation 93.5 feet in
the first and second stages and stop at elevation 80.5 feet in the
second stage.
ARS

' r
r'
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 requited for
disposal of waste is based on Technical Guide, Section IV, P.S. 633.
�'
Wheat
Corn
Fescue
Tifton 44 Bermuda
Tifton 44 Bermuda
Tifton 44 Bermuda
Range
Range
Cont. Grazing
Hayland
(Bermuda and Fescue shall be planted.)
63 Nov
50 Feb -March, Aug -Sept
24 March -April
Call the Soil and Water Conservation District Office after you
receive the waste analysis report to obtain the amount per acre to
apply.
Prepared by .�Ske & bL�. Be ks r (cme y.4w . Eu hAk; ., _ 3_- Z'9 - 2
Name Title Date
Concurred by
Producer Date
A
a1

w
'OWNER Gerald Creech.- Nash County
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 beauty, usefulness, and permanence.
A. The routine maintenance of the lagoon involves the following:
1. Maintenance of a vegetative cover on the embankment top and
side slopes: Pensacola Bahiagrass 20-25 lbs/ac and Tall
Fescue 60 Ibs/ac or Pensacola Bahiagrass and Common Bermuda
8 lbs/ac is being established on these areas. Beginning in
1990 and each year thereafter, the embankment should be
fertilized with 800 pounds of 1.0-10-10 per acre to maintain
a vigorous stand of vegetation.
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.
B. 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 the following as a minimum:
1. Waste Inlet Pipes
a. Condition of the pipes:
1) separation of joints
2) cracks or breaks
Pool Area
a. undesirable vegetative growth
b. floating or lodged debris
T. Embankment
a. settlement, cracking or "jug" holes•
b. side slope stability - slumps or bulges
C. erosion
d. rodent damage
MXIr]AGEMENT AND LAND P LIGATION 0 W 5T
Pumping of waste shall be on a 180 day cycle.' Pumping shall begin at
a maximum elevation of 94 feet. Permanent storage shall not be
Pumped below elevation 90.4 feet in order to insure anaerobic action.
Ground conditions shall be evaluated prior to beginning waste
application. Waste should not be applied to either saturated soils
or to lands on which the soil surface is frozen, since waste may run
off to surface and/or subsurface drainage systems. Surface and
s,1b3urface outlets ,and downstream drainage should be constantly

onitored. Wind conditions should be observed to avoid drift and
odor problems.
Maximum application rates should consider the intake +capability of
the particular soils that waste is applied on. For application on
Georgeville soils, the maximum application rate"is .40 inches per
' hour with cover and .30 inches per hour when bare. Application rate
on corn is 2.95 inches and application rate on bermudagrass or fescue
is 1.60 inches. A map showing the soils and areas for waste
application is attached.
e waste aterial shall be analyzed ev a to determine its
nutrient content. A soil test of the land used for application
ph
c+uld be made annually to insure that the waste is applied as

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WASTE UTILIZATION PLANS
1.1. Validity of waste utilization plans approved ,before the rules
Issue: Do farms that were designed according to NRCS standards and became
operational before February 1. 1993 need to meet the most current.vRCS standards
for operation and maintenance at the time of certification?
Response: Plans that have been prepared and approved in accordance with NRCS
standards and specifications that predate February 1, 1993 are certifiable to meet the
operation and maintenance requirements of rule 2H .0217 if there has not been an
increase in the steady state live weight (SSLW) of animals on the farm for which
the plan was designed to handle, and the standards and specifications are being
carried out that were in effect at the time the original plan was approved by NRCS
(formerly the Soil Conservation Service (SCS)). However, in some cases, a
technical specialist should determine that a new plan is required.
Farmers with pre -'existing NRCS plans that are not carrying out the requirements of
that plan must be able to do so before they can be certified by a technical specialist
to meet the 2H .0217 requirement. Farms that have expanded without an approved
plan by NRCS must meet the most current standard and specifications for operation
and maintenance for the entire volume of waste produced before they can be
certified.
Plans that were prepared and approved by . NRCS and predate February 1, 1993
must follow the format of the most current sample waste utilization plan shell
produced by NRCS. (Note: An electronic version of a sample plan can be obtained
from the nearest Area Office of the NRCS - and possibly from the local NRCS
office.) The original plan must be modified to meet the new format and to clearly
identify the required specifications' that were in effect at the time the plan was
originally approved. All new specifications that have been adopted since the
original plan was approved are not required to be a part of the certified plan.
although these specifications are strongly encouraged to be incorporated wherever
possible. The "new" plan document, including the list of appropriate standards and
specifications for a particular farm, shall be signed by the owner and certified by all
appropriate technical specialist.
For example, a farm that had a waste utilization plan approved by SCS in 1930 will
not need to get another plan. However, the standards and specifications of the
original plan (nitrogen loading rates, freeboard, etc.) must be incorporated into the
same format as the current sample waste utilization plan. The shell document must
be modified to include all required standards and specifications that were in effect at
the time the plan was originally approved. Standards and specifications that have
been adopted by NRCS since the plan was originally approved do not need to be
included in the "new" certified plan. The "new" plan must be signed by the owner
and certified by all appropriate technical specialist and filed at the farm and the local
soil and water conservation district office. The certification must be sent to DWQ.
Existing farms that did not originally obtain a SCS plan or do not have a plan that
met SCS standards for operation and maintenance at the time the facility became
1- t august L. 199 i

NIMUM LAND AREA FOR LIQUID APPLICATION
From Technical Guide, Section IV, Practice Standard 633, acres
per animal unit capacity
Grain Grazed Pasture Hayland
Cereal Corn Fescue Tifton 44 Bermuda
Range Range Control
Feeder to Finish .029 .019 .014 .010 .0088 .0072
Farrow to Feeder .080 .053 .040 .029 .025 .020
Farrow to Finish .320 .220 .160 .120 .100 .081
animal unit A c./animal unit = acres needed
Plant 600.0 0.D-S3 31.8
corn 0.04.0 24.0
fescue, range 600.0 0.0 2b 12.0
bermuda, hayland 600.0
PLICATION BY IRRIGATION
Soils Georgeville gravelly Crops [(see 0&M Plan
Application Rate inches per hour
x Application Amount inches
NOTE: INFORMATION ON APPLICATION RATES ND AMOER UNTS
FOR
gNARIMSE —
SOILS AND CROPS CAN BE FOUND I THE
TECHNICAL GUiDE� ISCABSOLUTELY NO RUNEOFF�O� BE APPLIED AT
A RATE THAT THER
DESIGNED BY: Shelton Baker
DATE: 9-5-90
APPROVED BY:
DATE:
5
/z

1IMUM LAND AREA FOR LIQUID APPLICATION
From Technical Guide, Section IV, Practice Standard 633, acres
per animal unit capacity
Grain
Grazed Pasture
Hayland
Cereal Corn
Fescue
Tifton 44 Bermuda
Range
Range Control
Feeder to Finish
.023 .015
.012
.0085 .0072
.0058
Farrow to Feeder
.065 .043
.032
.023 .020
.016
Farrow to Finish
.260 .180
.130
.096 .081
.066
Plant animal unit * ac./animal unit = acres needed
fescue, range 4200.0 0.01z. 50.4
corn 4200.0 0.015 63.0
bermuda, hayland 4200.0 0.00518 24.4
ICATION BY IRRIGATION [Se, 6 � ryl Ptcxn]
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 THAT THERE IS ABSOLUTELY NO RUN-OFF.
DESIGNED BY: Sh,ej4or, APPROVED BY:
DATE: 2 /q1 DATE:
�
/Z

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 9,1998
CERTIFIED MAIL
REQUESTED
Gerald Creech
Three G Farms
13071 NC 39
Zebulon NC 27597
Dear Gerald Creech:
1ifflZ• •
""V_T
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Application No. 64-0072
Additional Information Request
Three G Farms
Animal Waste Operation
Nash County
The Non -Discharge Permitting Unit has completed a preliminary engineering review of the subject
application. Additional information was requested on June 2, 1998 for which we have not received any response
to date. Please address and submit the following information by August 8, 1998:
Operation and Maintenance Plan for your lagoons
2. A clearer field map showing the tract number, field number, and wettable acreage in each field that
is specified in the waste utilization plan
3. Your waste utilization plan is based on 100 lbs of plant available nitrogen per ton of Bermuda hay
and utilizes 400 lbs N/acre, which appears excessive. However, the NRCS standards specify 40 -
50 lbs. N/ton hay for this crop. Please revise your waste utilization plan to meet the NRCS
specifications.
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 August 8, 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 363.
Sincerely,
L101-
JR Joshi
Soil Scientist
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
June 2, 1998
Gerald Creech
Three G Farms
13071 NC 39
Zebulon NC 27597
D E N R
Subject: Application No. 64-0072
Additional Information Request
Three G Farms
Animal Waste Operation
Nash County
Dear Gerald Creech:
The Non -Discharge Permitting Unit has completed a preliminary engineering review of the
subject application. Additional information is required before we can continue our review. Please
address the following by July 2, 1998:
In order to complete the various components of the certified animal waste management
plan, please submit two copies each of the following documents that may be applicable to your farm:
1. Operation and Maintenance Plan for your lagoons
2. A clearer field map showing the tract number, field number, and wettable acreage in each
field that is specified in the waste utilization plan
3. Your waste utilization plan is based on 100 lbs of plant available nitrogen per ton of
Bermuda hay and utilizes 400 lbs N/acre, which appears excessive. However, the NRCS
standards specify 40 - 50 lbs. N/ton hay for this crop. Please revise your waste utilization
plan to meet the NRCS specifications.
Please consult your technical specialist for further assistance in determining and obtaining
documents required for your farm. Please include an explanation if any of the above requirements do not
apply to your farm.
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 by the date specified above 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.
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

Application No. 64-0072
Gerald Creech
Page 2
Please be advised that operation of the subject animal waste management system without a valid
permit is a violation of North Carolina General Statute 143-215.1 and will subject you to the enforcement
authority of the Environmental Management Commission.
If you have any questions regarding this request, please call me at [phone], extension 363.
cc: Raleigh Regional Office, Water Quality
Permit File
Sincerely,
J R Joshi
Soil Scientist
Non -Discharge Permitting Unit
r
IL" 'i .- R".
z

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
April 3, 1997
MEMORANDUM
TO: Raleigh Regional Water Quality Supervisor
FROM: Sue Homewood 15v�
SUBJECT: Notification of Facility Number Change
,&6j e
10
IDEHNF=11'
The following changes have been made to the Animal Operations Database. Please make
appropriate changes in your files.
Facility numbers 51-10 was incorrectly registered in Johnston County. The
facility is actually in Nash County and its facility number has been changed to 64-
72.
If you have any comments or questions please feel free to call me at [phone] ext 502.
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

[A
WASTE UTILIZATION PLAN
=f%��S
Owners names--: CG�EC fi , County
Mail Address-: /31771 r✓.c. 3 5 zE 'tyr��r/ i✓ C _
/ Ud 7V 7 /O 7
's`y Type of production unit ---- :, ctR� 6' r-- 4a
3;1.7
Type of waste facility -----: T-vo 4;-,4-,�vws V �E'cr�G,y��� vim✓
r--e1i 4i / 1�97s /y- . 7r`;?c -
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 ensure that it is applied in an.
environmentally safe manner. Always apply waste based on the
needs of the crop to be crown and the nutrient content of the
waste_ Do not apply more nitrogen than the crop can utilize.
Soil types are important as they have different infiltration
rates and leaching potential. Waste small not be applied to
land eroding at greater than 5 tons per acre per year. Do not
apply waste on saturated soils or on land when the surface is
frozen. Either of these conditions may result in runoff to
surface waters. Wind conditions should also be considered to
avoid drift and downwind odor problems. To maximize the value
of nutrients for crop production and to reduce the potential
for pollution, the waste should be applied to a growing crop or
not more than 30 days prior to planting. Injecting the waste
or disking will conserve nutrients and reduce odor problems.
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 an the waste analysis
report from your waste management facility.
The design of your waste management facility is based on the
following:
Amount of Waste Produced Per Year:
animals x tons waste/animal/yr=1�16,_/y.7tons
total waste
/i'" /F/9V. Lva ry AS = S773, -35
rva x 35V i 3s = � s5. s 5-
rx Fj tJby' �s T 3 S` lG 8U
3

Amount of Plant Available Nitrogen Produced Per Year:
S040 m a I s x 5).gc lbs. N/animal/year lbs./yr
(o4(tc =422W 7V,'f✓5k X ,2,3 Ava b1e N
a7 27q
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. Your facility is designed for leo days of
storage. Therefore, it will need to be pumped every 6
months.
Tract Field Soil Crop Yield Lbs. N Acres Lbs. N Month to
No. No. Type Per Ac. Used Apply
�v_5"
C�crc'
Gv.�r -C-
d, 7
Me v�r
10 y77
3019
6 ;# 97
GUf��
6
Sou
3 • YU
/ aa0
.�,�� � oeT
l of 7
G-&**
�
my�j
i /
/5./7
Total
Available Nitrogen 7 7
Surplus Or Deficit
Narrative of Operation: " C f=- , /K
�E�iLZ oG In4V4AC1'04V7- /.5 f{ E 7Z !PG h�_ Tyg- 4k!OMc
,�>iC Gl�Dr9rba,� SSE TlfC /�i7�/�� 5 ,c-ve Iff'C�%mO�rr�•,zs
Call the Soil and Water Conservation District Office after you
receive waste analysis report to obtain the amount per acre to
apply and the irrigation application rate prior to applying
waste. /{}
Prepared by: ->
Name Title Date
Concurred in by:
Producer Date
(Copy to producer and copy to case file)

Mr. Creech is planning to install a solid set irrigation
system for waste application from lagoons on three joining
tracts. The irrigation system will be interconnected to
utilize available land for waste application. Additional acres
are available for clearing and seeding to coastal bermuda on
tract 10977 and tract 6497 if needed.
There are several sizes and types of permanent irrigation
systems. Sprinkler spacing should be based on nozzle flow rate
and. the desired application rate. Normal spacing for
irrigation of waste water is 60 PERCENT of sprinkler wetted
diameter.
1. Suggested sprinkler spacing is 80 feet by 80 feet. Based on
a minimum nozzle size of 1/4 inch.
2. Only nozzles of 1/4 inch and 9/32 inch are recommended for
application of waste water.
3. The application rate for waste water on this property
should be no greater than 0.30 inches per hour.
4. Do not apply waste when winds exceed 5 miles per hour.
5. Do not apply waste during wet or rainy periods when soils
are saturated or when the soil is frozen.
6. Do not apply waste during periods when the grass is dor-
mant. For coastal bermuda, applications, can usually be
made between March 15 and October 15. If coastal bermuda is
the only grass to be used for waste application then the
waste water level in the lagoon must be managed so that
maximum storage is available going into the fall and
winter months.
7. Do not apply waste closer than 100 feet from water wells
for human comsumption.
8. Do not apply waste closer than 200 feet to dwellings other
than those owned by the landuser.
9. Do not apply waste in any manner that would result in
waste reaching other property and/or public right of ways.

t+i ln�.,ru-u.ly 1 n
I Of J
i!" r I L t i.' t' 1I F S_ T L i
Agri -Waste Management
Biological and Agricultural Engineering North Carolina State University
LIVESTOCK ;CASTE SAMPLING, ANALYSIS AND CALCULATION
OF LAND APPLICATION RATES
.lasses C. Barker*
I. SAMPLE COLLECTION
A. Semi -Solid Lot Manure
i. Scraped directly from lot into spreader
a. From loaded spreader, collect about 2 lbs of manure from
different locations using nonmetallic collectors.
ii. From storage
a. Collect about 2 lbs of manure from under the surface crust
avoiding bedding materials and using nonmetallic collectors.
B. .Liquid .Manure Slurry
L. Under -slotted -floor pit
a. Excend a 1/2" nonmetallic conduit open on both ends into
manure to pit floor.
b. Seal upper end of conduit (e.g., by placing a thumb over end
of conduit) trapping manure that has entered lower end, remove
and empty slurry inco plastic bucket or nonmetallic container.
c. Take subsamples from 5 or more locations or at least 1 quart.
d. Mix and add about 3/4 pint to nonmetallic sample container.
ii. Exterior storage basin or tank
a. :lake sure manure has been well mixed with a liquid manure
chopper- agitacor pump.or propeller agitacor.
b. Take subsamples from about 5 pit locations, from agitator pump
or from manure spreader and place in a plastic bucket.
* Professor and Extension Specialist. Biological and Agricultural Engineering
Deparcmenc, North Carolina State University, Raleigh, NC.

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