660040_PERMIT FILE_20171231

19
Type of Visit Com nee Inspection Q Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit Routine O Complaint O Follow up Q Referral Q Emergency Q Other ❑ Denied Access
Date of Visit: Arrival Time:
Departure Time: County:
Farm Name: 0704riraW EAA 1 Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title: Phone No:
Onsite Representative: Integrator:
Certified Operator: S�i "^'t4 i3 ''' �^� Operator Certification Number:
Back-up Operator:
Location of Farm:
Back-up Certification Number:
Region:
Latitude: = o =1 = 11 Longitude: 0 0 = L = «
Design Current
Design C*urreut
Design Current
Swine Capacity Population
Wet Poultry Capacity Population
C*attle Capacity Population
❑ Wean to Finish
❑ La er
❑Dai Cow
❑ Wean -Feeder
❑ Non -La er I
❑ Dairy Calf
E2Te—eder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ Dry Cow
❑ Farrow to Feeder
ElNon-Dairy
❑ Farrow to Finish
❑ Layers
El Beef Stocker
❑ Gilts
❑Non -La Non -Layers
❑ Beef Feeder
❑ Boars
❑ Pullets
ElBeef Brood Cow
❑ Turke s
©the
I0 Turkey Pouets
❑ Other 1
❑ Other I
ructures
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes No ❑ NA FINE
❑ Yes NA FINE
❑ Yes No aNA ElNE
❑ Yes
❑ Yes
❑ Yes
❑ NE
❑ NE
❑ NE
12128104 Continued

Facility Number: — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Z It
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?
ElYesPNo
o NA [I NE
❑ Yes ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes rNo
A El 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 rNoEO]
A ❑ NE
8. Do any of the stuctures 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 ❑ YesA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes N ❑ NA ❑ NE
maintenance/improvement?
1 l . 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) 4�;ZS4G'Vr��^�—�
13. Soil type(s) 1
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes OiNo NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes �Zo
❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes
NA ❑ NE
17. Does the facility lack adequate acreage for land application? ❑ YesA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ YesA ❑ NE
Reviewer/Inspector Name t i.x, Phone:
Reviewer/Inspector Signature: Z41f Date: (4 t7o i C
12128104 Continued

Facility Number: — Date of Inspection 2r
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes No ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ ather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ YesnN
NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
❑ Yes
❑ NA
❑ NE
❑ Yes
❑ NA
50NA
❑ NE
ElYes
❑ NE
❑ Yes
No ❑ NA
❑ NE
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑Yes ❑No ❑NA ❑NE
12128104
r.

o�f�Wa�te�lRes�ourccs
Facility Number
® Divislon of Soil and Wryate',CAnservatlon
t : er Agency a
Type of Visit: co nee Inspection .-Operation Review O Structure Evaluation Q Technical Assistance
Reason for Visit: Routine 0 Complaint/ 0 Follow-up 0 Referral 0 Emergency Q Other 0 Denied Access
Date of Visit: Arrrival Time: C)735 I Departure Time: County: Region:
Farm Name: '�i 'k�r`l�'xv L—(4 51 _ Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative:
st ►'jt''i `/
13
rK,--v Integrator:
Phone:
Certified Operator: Certification Number:
Back-up Operator:
Certification Number:
Location of Farm: Latitude: Longitude:
Wean to Finish
Layer
I Dairy Cow
W an to Feeder
Layer
Calf
eeder to Finish
a©
Design @urrent
Poultry,, ,�a acit ., Pop. ,
—.Dairy
Dairy Heifer
Farrow to Wean
Dg Cow
Farrow to Feeder
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Poults
Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
[:]Yes No
❑ NA
0 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)
❑ YesgNo
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes4/,4,eE3NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes ❑ No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Fatility Dumber:6 6 - 1V p jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
Vo ❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): •�� i�
5. Are there any immediate threats to the integrity of any of the structures observed?
❑Yes
❑ 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 environment threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA [:IN E
(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 Ai mlication
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ NA ❑ NE
maintenance or improvement?
11. is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
0 Yes
o
❑ 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
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
7o
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall 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: - Date of Ins ection: ZI-/, --/
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 VNo
NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [] Yes ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30, Did the facility fail to notify the Regional Office of emergency situations as required by the
[] Yes
❑ No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
[] No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
[] No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
s.. ,.,.,
Comments. refer to' uestion # : Ex laiin an €YESIanswers and/orian `a adlltionai,recommend&ions or an .other comments: yl� 14 'ji"
( q i) P Y. Y i. 3 1
".'°'IE;E§ a4t'rillE=lEli3';tl'.i€e ±:Rgliii'"IiILA;„ItllI jlElii€ l?€tj{Iattj ,tSt:t€.seltl:til 311? r=;tSiiilHt; 3lli°4lsaiuuglllYllilt� lliiils.sllil:f!}liBlli3 illil1119dBE144EI`IEE€?I6!' i ! l
Usel'drarviipgs,ofitacal11,,to'betteriex _lain sitnatigps (use,addltlonal�pages as, necessary,)I�I1��I!�#Till ..I......i. ..°I!I..... .l.!N,t{;di.
► /4'(04, �.. Qj w1� 16 ( -X0 t 7
�l4A1?5',eV2 f2z 7
© z. 6
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
,S
Phone: %q I r Y aeD
Date:
21412015

Type of Visit: JD ?Routine
ance Inspection O Operation Review O Structure Evaluation Q Technical Assistance I
Reason for Visit: O Complaint O Follow-up O Referral O Emergency O Other O Denied Access I
Date of Visit: Arrival Time: Lr? Departure Time: L ' County:
Farm Name: 0*r-a �✓ r� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Integrator:
Phone:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Region:
Design Current Design Current
Wean to Finish La er
Wean to Feeder I INon-Layer IDai
Feeder to Finish
Farrow to Wean Design C+urgent
Farrow to Feeder It C•a acity P,o ,
Farrow to Finish Layers
MF
Dai Caw
ign
Curreacity Pop.
Calf
DairyFleifer
Dry Cow
Non-Dair
Beef Stocker
Beef Feeder
Gilts
Non -Layers
Boars
Pullets
I
113eef Brood 0--
Turkeys
Other Turkey Poults
Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
ZrNo ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
No ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ 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 I of 3 21412015 Continued

Fatillity Number: - G Date of Ins ection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ZNo ❑ NA ONE
a. Ifyes, is waste level into the structural freeboard? ❑ Yes o ❑ NA ❑ NE
Structure i Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): rc
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No
❑ NA
D 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
threat,
notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
� "o
❑ 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
2<
❑ 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): 3o- r 4, , J A :5 hn Y 4 a n f
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement'?
❑ Yes �FNqq
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑Yes
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑YesVN
❑ 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 Transfers
❑ Weather Code
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ludge Survey
22. Did the facility tail 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 21412015 Continued

Facility,Number: - Date of lns ection:
24, Did the facility fail to calibrate waste application equipment as required by the permit? ❑Yes NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes��No[] NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey []Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance: Iz
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 4No'
NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes NA ❑ NE
and report mortality rates that were higher than normal?
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,
❑ 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
❑ 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. i
Use drawings of facility to better explain situations:,(use:additional pages as necessary).
,;
Reviewer/Inspector Name: Phone:
3 Reviewer/inspector Signature: bbL 5 Iv_ ' 1rt,,re,Date:
Page 3 of 3 21412015

Type of Visit: QJCorouti
nee Inspection Q Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ne 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:/ Arrival Time: Departure Time: County: Region:
% Farm Name:13 n-ry-v C,s7TiOwner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title: Phone:
Onsite Representative: �+ I7, !7 re-O-Z�/ Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Certification Number:
Longitude:
Swine
Wean to Finish
Design
Capacity
Current
Pop.
Wet Poultry
Layer
Design Current
Capacity Pop.
Design Current
Cattle C►apacity Pop.
DairyCow
Wean to Feeder
LNon-La
er
DairyCalf
Feeder to Finish
D . Roult�.
Design Current
C►a aci t o
DairyHeifer
D Cow
Non-Dai
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Q#her
Other
Turkeys
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
[3NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
VE3NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑Yes
o ❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
No ❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412014 Continued

Facili Number: - Date of Inspection:
Waste Collection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): //
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes
Structure 5
V0No
❑ NA ❑ NE ❑ NA ❑ NE
Structure 6
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental rest, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ YesVNo❑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 J2No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ONo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? if yes, check the appropriate box below. ❑ Yes No DNA ❑ 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): 8 r *A - JAI- el
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CA WMP?
❑ Yes
❑ ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
r- ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ YesVNo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
❑ NE
Is there a lack of properly operating waste application equipment?
❑ Yes
ZNo18. ❑ 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 1 ° Rainfall Inspections ❑Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412014 Continued

Facility Number: - Date of Inspection: 3
X25.
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
0 ❑ NA
❑ NE
Is the facility out of compliance with permit conditions related to sludge? If yes, check
[] Yes❑
.
VNo 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
46190❑ 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
[D 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 the drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional; recommendations.or,any other.comments. , '
Use drawings of facility to better explain situations (use additional pages as necessary). 514 r"1/0— 7
L^ r
Reviewer/Inspector Name:
Reviewer/Inspector Signature:) Gc -51)A/G _vAf4E,— (/
Page 3 of 3
Phone: q
Date:
21412014

Type of Visit: 4 Com cc Inspection V Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: Routine p Complaint O Follow-up O Referral O Emergency O Other 0 Denied Access
Date of Visit:
©
Arrival Time: //�
Departure Time: %, S] County:
Farm Name:
r
Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Title:
Phone:
Integrator:
Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Region:
Design CurrentDesign Gurrent Design Current
Swine Capacity Pop. Wet Pa�ultry ; C pacity Pop. Cattle 1 Capacity Pap.
Wean to Finish
La er
Dairy Cow
We eeder
Non -La er
Dairy Calf
ceder to Finish
Farrow to Wean
Farrow to Feeder
Dairy Heifer
Design `C•urrent Dry Cow
D P,oultr. Ca aci P,o - Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
on -Layers
Beef Feeder
Boars
Pullets
I 113eef Brood Cow
inj Othe
Other
Turkeys
ITurkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? [:]Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: II
a. Was the conveyance man-made? ❑ Yes 640 ❑ 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
NA
VNo[3
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continuer)

Facility Number: - Date of Inspection: /— S
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes �j�NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes Pno ❑ NA ❑ NE
Structure 1 Structure 2
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �(
Structure 3 Structure 4 Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes No ❑ NA ❑ NE
[-]Yes to ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental eat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes �No[o]
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 P - - ❑ 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): tier ^ Q S�J-e
13, Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? if yes, check
the appropriate box.
❑ Yes [TN NA ❑ NA ❑ NE
❑ Yes kN
❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
[:]Yes Ndr
o ❑ NA ❑ NE
❑ Yes Flo ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
[] YesVNo❑NA ❑ NE
❑ WUP El 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 TrkC]
❑ Weather Code
❑ Rainfall [:]Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall InspectiSludge 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: Zrr & - I Date of Inspection: —
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes "'0 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 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 ofiKe' permit or CAWMP?
❑ Yes ❑ No
❑ NA ❑ NE
r"
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
Coipments;(refer to question,#): Explain any YES answers and/or any additional recommendations other otheir comments: ;
Use drawings'of facility'to betterexplainsituations (use additional pages as necessary).
Y
r
- ' r ,e ! r
Reviewer/Inspector Name:
Reviewer/Inspector Signature
Page 3 of 3
Phone: 71/" lyZQ i)
Date:
21412011

_ 2?-
n
(Type of Visit:./Q Co Dance Inspection O Operation Review p Structure Evaluation p Technical Assistance
Reason for Visit: Routine O Complaint O Follow-up 0 Referral O Emergency 0 Other O Denied Access
Date of Visit: Arrival Time: Departure Time: County:
Farm Name 4� Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: r✓1 n-. rr Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current
Swine Capacity Pop.
Wean to Finish
Design C►urgent
Wet Poultry Capacity Pop.
La er
Design Current
Cattle Capacity Pop.
Dai Cow
Wean to Feeder
Non -La er
Dai Calf
Feeder to Finish
Dai Heifer
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Design Current
Dr. P,oultr. Ca aci P,o
Layers
D Cow
Non -Dairy
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turke s
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
[:]Yes
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❑
VN 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
o ❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
No ❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Facility Number: roz - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes Vo ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental rest, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes VNo
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ZNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ;No
o 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): der rr, A-- Cl A j rel
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
Z[ No ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑Yes
j"No ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
0 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
❑ Yes
No ❑ NA
❑ NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
No ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers . ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
[:]Yes
o ❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbrcakers on irrigation equipment?
❑ Yes
❑ No ❑ NA
❑ NE
Page 2 of 3
214.12011 Continued

Facility Numher: Wo- Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes N ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA [3 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 rNo
❑ 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 ❑ 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 drawings of facility to better explain situations (use additionalpages as necessary):`
E..,- rvi2_'-(
�i 3 L4
Reviewer/Inspector Name:
Phone: ?q r< — V ZO 4
Reviewer/inspector Signature:
Page 3 of 3
Date: (I ( h? i3
21412011

Date of Visit: J�Jjjj) I Arrival Time: Departure Time:t-�-lam County: Region:
Farm Name: Q r= 1-1( [_ K) Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
'--,
Onsite Representative: J ' h^r►'�t �3rvat,.r Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Wean to Finish
Wean -to Feeder
eeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Pullets
Other
Latitude:
Poults
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
Phone:
Certification Number:
Certification Number:
Longitude:
Cy ow
Cy alf
y Heifer
Cow
Beef Stocker
Beef Feeder
Beef Brood Cow
[]Yes 6KNo ❑ NA ❑
ze-
❑ Yes 7N, ❑ 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 VoED]
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 I of 3 21412011 Continued

Facility Num er: ro- Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
[] Yes
❑ NA
IVVo
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes❑
NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): I I
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No , ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental hreat, notify 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
�❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
VNo ❑ 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/Sludgc
into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application
Outside of Approved Area
12. Crop Type(s): cmi 4A•1
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑Yes❑
rN9,, NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
. No ❑ NA
❑ NE
18. is there a lack of properly operating waste application equipment?
❑ Yes
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 Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

1
Facility Number: ev - [? Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey [:]Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes �NoO
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 property 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.
Use drawings of facility to better explain situations .(use additional pages as necessary).
5 (AIL
1l_-_ I-Ce
4_p�'2 r.
Reviewer/Inspector Name:
Reviewerllnspector Signature: 13 t(�3
Page 3 of 3
Phone: 7S' t' 2 d
Date: 14 71 1 3
21412011

i7 ( i 1 1 ri
Division of Water Quality
Facillty NumberEK
( - © ® DON of soil and Water Conservation
Other Agency
Type of Visit: Compliance Inspection 0 Operation Review O Structure Evaluation Q Technical Assistance
Reason for Visit: ouHne 0 Complaint O Follow-up O Referral 0 Emergency O Other O Denied Access
Date of Visit:
S! 1(
Arrival Time:
Departure Time: [ Q County:
Farm Name:
r3-4-
L- q -5 /--
Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: Phone:
Onsite Representative: 5s h. w, 6 Integrator:
Certified Operator:
Wl 6 f S
Certification Number:
Backup Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Region:
Design Current
s' Design Current
Design Current
Swine0M Capacity Pop.
Wet Poultry Capacity Pop.
Cattle Capacity P.
Finish
Layer
DairyCow
Feeder
Non -La er
DairyCalf
o Finish
DairyHeifer
o Wean
Design Current
D Cow
to Feeder
Dr P,oult . Ca aei P.o
Non -Dairy
to Finish
filts
La ers
Beef Stocker
Non -Layers
Beef Feeder
Pullets
Beef Brood Cow
Turkeys
TurkeyPoults
M
Other
1
-
—1
—
Discharses and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes No ❑ NA ❑ NE
❑ Yes N NA ❑ NE
❑ Yes No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons).
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) [:]Yes No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes Ejl�VNo
❑ 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: - el jDate of Inspection: j- L
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not property 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 t reat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes N NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No NA NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ZfNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 21 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
r
12. Crop Type(s): h C—A _
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
,❑ ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑Yes
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
r ❑ 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
rNA
❑ 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
❑ YesfN
❑ 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 ❑ Wcather 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

Facility Number: -0 Date of Inspection: CL
24. Did the facility fail to calibrate waste application equipment as required by the permit'? ❑ Yes VNo
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes❑ 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 N ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification'? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ 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'? Ifyes, 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 recorninei datio'ns`or any other�comments.
Use drawings of facility to better explain situations (use additional ages ks.necessary}�s_ ; �_ ,`j i;. o � s £ a�t� ,
55k✓v� �� � -
P = q ,-7
Reviewer/Inspector Name:
Phone: *7 q/ — y 2 o a
Reviewer/Inspector Signature:
Page 3 of 3
Date:
21412011

Type of Visit 6 7ROutine
lance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Complaint 0 Follow up O Referral O Emergency Q Other ❑ Denied Access
Date of Visit: Z Arrival Time: /4>3,)7j Departure Time: County:
Farm Name:�;7 LZeS A Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
it 2
Certified Operator: � t 4.1 t i✓fir✓UG�
Back-up Operator:
Location of Farm:
Title:
Integrator:
_ Phone No:
ty► 31 J,
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: = o ='
= Longitude: 0 ° =
Design C►urrent
Design Current
Design
urSwine
Caacity Ppulation
Wet Poultry Capacit
Capacity pulatn
�!t
❑ Wean to Finish
10 Layer I I
❑ Dairy Cow
❑ Wean to Feeder
JCI Non -Layer I I
❑ Dairy Calf
❑ Feeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ Dry Cow
❑ Non -Dairy
❑ Farrow to Feeder
El Farrow to Finish
❑ ers
❑ Beef Stocker
Gilts
Non-Lay
❑Netsers
❑ Beef Feeder
Boars
E❑
Pullets
Beef Brood Cow
❑ Turke s
©then
❑Turke Pouets
❑ Other
❑ Other
Number of Structures:
Discharges & Stream Impacts
1, Is any discharge observed from any part of the operation? ❑ Yes 2<o ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made? ❑ Yes;No
No NA El NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) El 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) ❑ YesKNo[1
A ❑ NE
2. Is there evidence of a past discharge from any part of the operation? El YesA [I NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State El YesA ❑ NE
other than from a discharge?
Page I of 3 12128104 Continued

Facility Number - Date of Inspection
Waste Collection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes �No
NA El 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:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes <No
NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed [--]Yes ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre otify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit'? ❑ Yes No A ❑ 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 ElYes N NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 1bs ❑ 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��(Lr i,-+� ��"-►'�i'z - .� -
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ElYes No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes 0 <No❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes ❑ NA ElNE
❑ Yes No ❑ NA ❑ NE
Comments {refer to gtion #): Explain any"YES answers andlar any re ommendatlons or any other camrnents.
Use drawings oftfac�lty � betre plaib situ�_ations. {use additional pages as necessary):
Reviewerllnspector Name r , ,' `' Phone:
Reviewer/Inspector Signature: .5 Date: rd��f t
Page 2 of 3 12128104 Continued

4
Facility Number: Date of inspection L r A
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ZNo NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No A ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ aher Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yesvgt�Eo]
NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ YesrXo"1[E0:3j
NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes
NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes❑ NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
Cl NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Page 3 of 3 12178104

ZG( 0
❑r
IType of Visit Com ance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance I
Reason for Visit Routine O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: 7. LS (0 Arrival Time: ® Departure Time: County:
Farm Name: 13-� _' _ „ „__„_ Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: 2
Certified Operator: Ji m
Back-up Operator:
Location of Farm:
Title:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: = e = 9 Longitude: = o = 6
Design C►urrent Design Current
ine Capty Population Wet Poultry Capacity Fopulation
Wean to Finish ❑La er
Wean to Feeder ❑ Non -La er
rFeeder to Finish
Design Current
Cattle Capacity Fopulation
❑ Dai Cow
❑ Dai Calf
❑ DairyHeifer
❑ Farrow to Wean
❑ Farrow to Feeder
Dry Poultry
❑ D Cow
Non-DaiEZ
❑ Farrow to Finish
❑ Layers
❑ Beef Stocker
❑Non -La Non -Layers
❑ Gilts
❑ Beef Feeder
❑ Pullets
❑ Boars
❑ Beef Brood Co
Number of Structures:
JE]Turkey
El Turkeys
Poults
Other
❑ 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 No ❑ NA ❑ NE
❑ Yes ZNo I NA ❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
r
❑ Yes No NA El NE
❑ Yes o ❑ NA [3NE
Page I of 3 12128104 Continued

r
Facility Number-& —
Date of Inspection ZS d
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
Spillway'?:
Designed Freeboard (in):
Observed Freeboard (in):
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 �❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes No NA ElNE
❑ 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 N NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑Yes No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part ofthe 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/improve ment? /
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 l0 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) lie r' J-.q..S ri. 'r q Z n S /
13. Soil type(s)
14, Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment? ❑ Yes
0No
❑NA
[I NE
No ❑ NA
❑ NE
❑ NA
❑ NE
WNo�
❑ NA
❑ NE
❑ No
❑ NA
❑ NE
Reviewer/Inspector Name �i Phone:
Reviewer/Inspector Signature: ILi'L_ Date: 2 0
Page 2 of 3 12/28/04 Continued

Facility Number: Date of Inspection LA 7-6V
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes "No'NA El NE
[I Yes:N>o ❑ NA ❑ NE
❑ Yes lq'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 Inspection�`Noj
eather Code
22. Did the facility fail to install and maintain a rain gauge? El YesNA ❑ 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? ❑ Yes N NA ElNE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes N ❑ NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? El 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
r 'rO s dt .� =
r
Adtlttional;Comme,ntsanilor,�D'ravi ings " t ` * 1 i
Page 3 of 3 12128104
Page 3 of 3 12128104

Division of Water Qualit y
Faclll y Numhet ; f _ 0 Division of Soil and Water Conservation -
- O Other Agene y
Tape of Visit Compli a Inspection 0 Operation KaieW 0 Sinicture EOaluation 0 Technical Assistance
Reason For Visit Zoutine 0 Complaint 01=olloW up 0 Referral 0 L-'mergenci 0 Other ❑ Denied Access
Date of Visit: %��� Arrival Time: 2 D Departure Time: County:
Farm Name: T L S Owner Email:
Owner Name:
Mailing Address:
Phone:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative:
Certified Operator: I ^^ �'"� ��� ry -✓
Integrator:
Operator Certification Number:
Back-un Onerator: Back-up Certification Number:
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
Region:
Latitude: E] c ❑ = Longitude: = ° =
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
❑ Non -La er
Discharges & Stream 1mmacts
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Design Current
Cattle Capacity Population
❑
Daia Cow
❑
Dairy Calf
❑
Dairy Heifei
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stockei
❑
Beef Feeder
❑
Beef Brood Cow
Number of Structures:
i
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation'?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes No ❑ NA
❑ NE
❑ Yes ,[ NA
El NE
❑ Yes No ❑ NA
❑ NE
❑ Yes ❑ NA
❑ NE
❑ Yes o ❑ NA
❑ NE
❑ Yes No ❑ NA
❑ NE
12128104 Continued

r
Facility Number: — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): qtl
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 ElNE
ElYes No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes No NA ElNE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre otify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the pen -nit? El Yes o NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require El o ❑ NA [INE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes NA El 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 Drib ❑ Application Outside of Area
12. Crop type(s) as r4-, �. }� s ►Y-) -O t G ,- i
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement'?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment? ❑ Yes
ZrNo " NA
o
VNA
No NA
NA
❑ No ❑ 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):
AL
Reviewer/Inspector Name l ,� Phone: -%
Reviewer/Inspector Signature: Date:
12128IU4 Continued

Facility Number: Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ YeSZ6 No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropirate box.
❑ WUP ❑Checklists El Design ❑Maps El 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 Inspections -Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes N ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes N El NA El NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ElYes rNo
[I NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? El Yes❑ NA El NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes❑ NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additional Comments and/or Drawings:
12128104

Type of Visit olo Com nee Inspection Operation Review Structure Evaluation 0Technical Assistance
Reason for Visit Routine O Complaint Q Follow up 0 Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: I I��T Arrival Time: ® Departure `Time: County:
Farm Name: `14A"y t rrp' j e � S ^ Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: �, r
Certified Operator: �,yv
'%. "N
Back-up Operator:
Title:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Location of Farm: Latitude: = c = g = Longitude: = ° =' =
} pDestgn Current °
Swine Capatty Pp� later
❑ Wean to Finish
Desrgn, s C•urrent
Wet Poulyi, Capacity, Ppe�ulatr
❑ La er - .�
1 = Destgn
Cattle Capacity
Current
Population
❑ DairyCow
❑ Wean to Feeder
❑Non -La er
❑ DairyCalf
❑ Feeder to Finish
❑ Farrow to Wean
"
'°
Dry Poultry
"t°"
❑ DairyHeifer
❑ D Cow
❑ Farrow to Feeder
❑ Farrow to Finish
Gilts
ED Boars
❑ Non -Dairy
❑ La ers
� ❑Beef Stocker
❑ Non -La ers❑
Beef Feeder
❑Pullets
❑ Beef Brood Cow
❑ Turkeys
Other
❑ Other
I
°
tures;
❑ TurkeyPoults
1E1 Other
I
11—
fit: -
Discharges & Stream impacts
1. Is any discharge observed from any part of the operation'? ❑ Yes ZNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made? ❑ Yes No NA ❑ NE
b. Did the discharge reach waters of the State`? (If yes, notify DWQ) ❑ Yes o ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system'? (If yes, notify DWQ) ❑ Yes N ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ElYes ElNA ElNE
3. Were. there any adverse impacts or potential adverse impacts to the Waters of the State ❑Yes No ❑ NA ❑ NE
other than from a discharge?
12128104 Continued
h

Facility Number:63� — Lw
Date of Inspection L2_C�J
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
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 El NE
El Yes ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes N ElNA El ❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thr t, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes NA ElNE
8. Do any of the stuctures lack adequate markers as required by the permit? ElYesFNo
NA [INE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require El Yes NA ❑ NE
maintenance or improvement?
Waste Application
10, Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance/improvement?
1. 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 Drifl ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s) r
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
lb. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination,[--] Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment?
Reviewer/Inspector Name f .
Reviewer/Inspector Signature:
❑ Yes
Phone:
Date:
12128104
[ Ko NA
o b NA
❑ NA
o ❑ NA
No ❑ NA
❑ NE
❑ NE
El NE
❑ NE
❑ NE
Continued

Facility Number: — Date of Inspectionfj'
Required_ Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes Z El NA ElNE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropirate box.
❑ WUP ❑Checklists El Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes N ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes N ❑ NA ❑ NE
24. Did the facility tail 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
❑ Yes
N
❑ NA
❑ NE
❑ Yes
o
❑ NA
❑ NE
❑ Yes
o
❑ NA
❑ NE
❑ Yes
o
❑ NA
❑ NE
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
h....
Additional Comme.hts;and/or`Drawin�7sQQF•: "'�r ky4 $�
.',�ii
12128104
12128104

Type of Visit 6Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit.,Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: z V r Arrival Time: �� Departure Time: County:
Farm Name: J�ft L �] St�2rt�-- _ Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Phone:
Title: Phone No:
Integrator:
Certified Operator: �r �^ A-4- �3'��'t'� WOperator Certification Number:
Back-up Operator: Back-up Certification Number:
Region: rz2d
Location of Farm: Latitude: [= e = d = Longitude: = 0 0
Design
Current Design Current Design C*urrent
Swine
Capacity
Population Wet Poultry'
Cep cityk Pap ion
Cattle Capaaccity PopuA 151ion
❑ Wean to Finish
❑ La er
❑ Dairy Cow
❑ We o Feeder
❑Non -La er
❑ Dairy Calf
ceder to Finish
%
�'�
;
❑ Dairy Fleifei
❑ Farrow to Wean
�-
Dry Poultry
❑ Dry Cow
❑ Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish
❑ La ers
❑ Beef Stacker
❑ Gilts
' ❑Non -La ers
❑ Beef Feeder
❑ Boars
El Pullets
❑ Beef Brood Cow
❑ Turkeys
Other
❑ Turkey Poults
❑ Other
❑ Other INumber
of Structures:
Dischari es & 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?
ElYes
El NA
❑ NE
b. Did the discharge reach waters of the State`? (If yes, notify DWQ)
El Yes
zo❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
[-]Yes
❑ NA
❑ NE
�N/Ej
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
El Yes
NA
❑ NE
other than from a discharge?
12128104 Continued

♦J ♦ y
Facility Number:, ,—
Date of Inspection 3 Z ctT
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in): L�
Observed Freeboard (in): % rY
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?
❑ YesN NA ❑ NE
El Yes No ❑ NA El 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 thr , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ' NA El NE
8. Do any of the stuctures lack adequate markers as required by the permit? El Yes;No
o NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No NA ElNE
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
r-
12. Crop type(s) ` e S 6--t-
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination%❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment?
❑ Yes
�rt:]
NA
Z NA
❑ NA
❑ NA
No ❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
Ce,�'�h 4� k�'-'�".��.,.;,�,Pxkka� ,�&7�P3'4e%a."wP 'y "� Yzt�
Comments (refer tolquestion #.} )lltiolaini3 ,VES�answers and/or any reco�mmenda#ions nr any other comments.
Use drawings }of facility toabetNrtexplain,sltuations (uselailditrona! pages as necessaey}:
�4ak.9�'ti.E;e �K9b.�,�`,;.
Reviewer/Inspector Name' Phone:
Reviewer/Inspector Signature: Date: 31 a i lvr
12128104 Continued

i- . , 6
Facility Number: — !/ Date of Inspection L O
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
❑ No ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1"
Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
NA
Vro�NA
ElNE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
El Yes
El -
[:I NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
El Yes
I No ONA,
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ No NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
ElYes
N I 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?
El Yes
No El
❑ NE
If yes, contact a regional Air Quality representative immediately
�/N:
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss reviewhrispection with an on -site representative?
❑ Yes
N ❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
No ❑ NA
❑ NE
Aildihon.al°Con ments'an /or Drawings
, ,:,. ' 1
5,. a . '
, r a,t;A ? AW b ,
12128104

Follo► -'11D of
Facility Number
F
Uegistered U Certified [3 Applied for Permit U Permitted
Farm Name: ...... gt}n'..G- .............................................................
Owner Dame:
Facility Contact: ..........5�'-}.W. .............................................. Title:
Mailing Address:...
flow -up of DSWC review 0 Other J
Date of Inspection
Time of Inspection 24 hr. (hh:mm)
E3 Not Operational j Date Last Operated:
County: ..t.'S(..q : .k�L �A?......................:1.1........
Phone No: .......................................................................................
o:.......................................................................................
i
I ................ ...... I... Phone No:...................................................
Onsite Representative: ................................................................................................. Integrator:
............
r�
Certified Operator;..... ....l,J ±�7..... ................................................ Operator Certification Number,.............................
Location of Farm:
....................................................................:.:.:.:...................................................................................................................................................................I.....................
................... ..... .......
----------------------
Latitude �" �� ��� Longitude
'.Design Current Design Current ; ' bT �� 13estgn, Cui-cent
S..wme Capacity Population :."Poultry Capacity Population Cattle ,� ; Capacit*. Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
❑ Layer : [] Dairy
❑ Non -Layer [� Non -Dairy
❑ Other
Tot-
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?
Tots
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?
❑ Yes Ergo
❑ Yes
❑ Yes No
❑ Yes No
❑ Yes o
El Yes No
❑ Yes No/
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes 7No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes
7. Did the facility fail to have a certified operator in responsible charge? t ❑ Yes ❑ Now
7/25/97 35 1 " yl �,. ...� ...� _ Continued on back ._

Facility Number: �6 Cate of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan'?
❑ Yes
o
(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/
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
Cl Yes
❑'No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
aKool
Waste Application
10. Are there any buffers that need maintenance/improvement'?
❑ Yes
rQ ""
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
12. Crop type
13. Do the receiving crops dif er with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
.� lvo
14. a) Does the facility lack adequate acreage for land application? `�.
ElYes
b) Does the facility need a wettable acre determination?
❑ Yes
❑'1VO
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
L d' O
Required Records & Documents
t 7.
Fail to have Certificate of Coverage & General Pert -nit readily available?
❑ Yes
2 0
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
El Yes
o
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
L40�
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
El Yes
'
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes520�
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
24.
Does facility r quire a follow-up visit by same agency?
❑ Yes
iNo
25.
We.ny additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
0 V1QIat}Q145.oT defClelieipS.W(4 re h6ted. dot°itig •this visit' . Y,o t ivi�l >�eegiye lid.furthgr,
:•correspon�#ence:abatit.this:visit::•:
•:•:::::-::.•:•:•:::•:•.•..•..:•:-:•:•:•:•:•:•:•::..•
Tz: i , ^� vi r , J I, r^ E E — 4s i '�'�` ! t, I i i
�e drawtn of factht to better ex latn'situations. use.additional a es as nkdssary 13
.i y p ( p g ) t s,
Reviewer/Ins ector Name_ `;' i _'"� `/ l t�it EVl' r
/.
P Er. GrL✓� ��:• .l.$ z. y ., n, F� .;1
Reviewer/Inspector Signature: Date: %
3/23/99

Facility Number: d
[late 01'111spection
Odor .Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes
liquid level of lagoon or storage pond with no agitation?
zo
27. Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
E
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
3 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
E�Zo
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
C .xo
31. Do the animals feed storage bins fail to have appropriate cover?
ElYes
o
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes
o
3/23/99

Type of Visit -10 Co iance Inspection Q Operation Review Q Lagoon Evaluation
Reason for Visit Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: Time: 3
Vt:::1 Q Not Operational Q Below Threshold
Permitted LJ Cerul;ed 0 Conditionally Certified Lj Registered Date Last Operated or Above Threshold: .........................
FarmName: '...../.Y.G.....!..5.................... ........................... county:.....:............. •............. .......................... .......................
Owner Name:
Facility Contact:
Title:
Phone No:
.... Phone No:
MailingAddress: ...................................................................................................................... ..................................................................................... ..........................
Onsite Representative: ........................................................................................................... Integrator:.%..�............................................
Certified Operator: ..... t� w` "`/ / 6//% B ji ......... Operator Certification Number:....
Location Farm:
[3 Swine r] Poultry ❑ Cattle ❑ Horse Latitude ' 4 « Longitude • & «
! Desigu Current Design:Current Design'
Capacity Population Poultry _Capacity . Population . Cattle Capacity
❑ Wean Feeder
G-Fe—eder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
[] Farrow to Finish
❑ Gilts
:', ❑ Boars
' Nuroher of Lagoons "i ❑ Subsurface Drains Present ❑Lagoon Area ❑Spray Field Area t�
f Holding Ponds 1 Sohd�Traps ❑ No Liquid Waste Management System
� ��.
Ls»cngr&" a asrram im vj
1. Is any discharge observed from any part of the operation? ❑ Yes
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes 0<0
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes
c. If discharge is observed, what is the estimated flow in gal/ruin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes o
2. Is there evidence of past discharge from any part of the operation? ❑ Yes o
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes o
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ N
Structure i Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier. ...............�...fl ........................................................................................................................................................................................
Freeboard (inches):
5/00 Continued on hack

Facility Number: — 6 Date of Inspection IL
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes Imo° T
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes IdNo
(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 0<0
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes gNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes QW0
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ! 3 o
12. Crop type rS�iG p r sK.r �a-
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes
/I
b) Does the facility need a wettable acre determination? ❑ Yes Q'N
c) This facility is pended for a wettable acre determination? ❑ Yes LJ N
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
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes,_No - No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes O
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes No
24. Does facility ire a follow-up visit by same agency? El Yes o
25. Were y additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes No
jq1 - Q.Yi�at}onls:o� dcfc}encie vvgre �QtW. 00ri g tb!s;vjsat; Y0O will-teepoiye fjo futthor
• coriesporicieilce. ab6l f this visit.: • .... • .. • . - : • . • . • :... • ...................:: .

Facility Number: — Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge actor below
❑ Yes
No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of property within 24 hours?
❑ Yes
0<0!
28. Is there any evidence of wind drift during land application? (i.e. residue on'neighboring vegetation, asphalt,
❑ Yes
roads, building structure, and/or public property)
29. Is land intake located liquid lagoon?
Yes
the application spray system not near the surface of the
❑
L7 No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes
No
31. Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
�
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes
❑ N
M
3
5/00

r
Type of Visit Cd Comp ' ce Inspection Q Operation Review Q Lagoon Evaluation
Reason for Visit Routine Q Complaint Q Follow up Q Emergency Notification Q Other Denied Access
Date of Visit: LZj L a/07 J Time:
Facility Number r
10 Not Operational 0 Below Threshold
0 PermittedCertified O Conditionally Certified [3Registered Date Last Operated or Above Threshold:
1 ✓6ti.i s T q
Farm Name: �. County:
Owner Name:
Mailing Address:
Phone No:
Facility Contact: Title: Phone No:
Onsite Representative.:� Integrator: if r �
Certified Operator: (. J Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 4 " Longitude
Design Current Design Current 'f Design Current
Swine CapacitV Population Poultry Cinacitv PoD ulation "cattle Capacity.Po u]ati6til:
❑ Wean eeder I❑ Layer ❑ Dai
eder to Finish V IF -La er ❑ Non -Dairy'
Farrow to Wean
❑ Farrow to Feeder ❑ Other I
❑ Farrow to Finish Total Design,Capaeity� ;.
❑ Gilts;. =
❑ Boars Total SSLWs;
Number of Lagoons �� 1LJ Subsurface Drains Present f U Lagoon Area 1L_1 Sir
tld!ng Ponds /;.Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? Oryes, 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 Collecti2n & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches): Il
05103101
❑ Yes No
❑ Yes
El Yes%N�0
/
❑ Yes [
ElYes
❑ Yes
❑ YesVNo
Structure 6
Continued

Facility Number: —6&2 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?
W—aste_Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? El Be 1 essive Ponding [IPAN ❑ Hydraulic Overload
12. Crop type I l i�>� (._�, ,i r-► r A 1 r+ S 1 511 L A^1 —s'
❑ Yes
❑ Yes o
❑ Yes [I
❑ Yes No
❑ Yes 1�-" o
❑ Yes No
❑ Yes
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes allo
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? ❑ Yesr"N
16. Is there a lack of adequate waste application equipment? El Yes
Reauired Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes No
22, Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes o
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes
24. Does facility require a follow-up visit by same agency? ❑ Yes
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
f` y YESnswersan/rany recomComment%e� to question #}i Explan anmenilatioil , anys,other coinments.�
Use;drawings of facility to,better explain situations: (use,additional,pages=as°�nece`ssary} [] Field Copy Final Notes
AN
r
= ,7
ReviewerlInspector Name z 5
ReviewerlInspector Signature: Date: Z
05103101 Continued

m._.....__. _.._.
Type of Visit O Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit O Routine Q Complaint O Follow up O Emergency Notification Q Other ❑ Denied Access
Date of Visit: Time:
Fa ' ty Number
Q Not Operational Q Below Threshold
94�ermitted [3 Certified
eerrtified©/Conditiionally Certified 13 Registered Date Last Operated or Above Threshold: ....................
%�
FarmName: ..�[ 1,c�••{�Ytl.!!"......�..' 1............................................................. County:.....................................................................................
OwnerName: ................................................... .................................................................. Phone No:.......................................................................................
MailingAddress: ........................................ .................................................................................................................................................................. ..........................
FacilityContact: .............................................................................. Title:................................................................ Phone No:...................................................
Onsite Representative: .. Integrator: f�!�
! .. �?.�.............. ram.✓................
Certified Operator:---..................................................................................... Operator Certification Number:..........................................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • 6 " Longitude • d 44
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. if discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
❑ Yes 2
<0
❑ Yes 21�
❑ Yes o
❑ Yes vo""'
❑ Yes
❑ Yes o
❑ Yes No
Structure 6
Identificr: ..............................
Freeboard (inches): �N
12112103
Continued

Faciliq Number: 64 — Date of Inspection G
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes j�]T10
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes W rV O
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? ❑ Yes
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes �Io
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes No
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes Wo
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type Se" r4j, n.', _ j
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes In
14. a) Does the facility lack adequate acreage for land application? [I Yes JG10
b) Does the facility need a wettable acre determination? ❑ Yes FNo
c) This facility is pended for a wettable acre determination? ❑ Yes 15. Does the receiving crop need improvement? ElYes
16. Is there a lack of adequate waste application equipment? ❑ Yes
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below ❑ Yes No
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes 1 No
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional ❑ Yes ❑,moo
Air Quality representative immediately. 7
� - ..>. -r a.,.: ,." l.,��.. �� _aE. }a 3 . �., �.�, .,,, •aar � },n...� ,a i?
,�, �,sR r,e9 .»a; ..3 ,i;3 ,a.¢df.}. , P « T.•da.. ...i J'.it,..SR.S� �l �aS&itr..-.,aA.Y& $
P„ E II
'Co
Camnnents (re[er to quesdo n #) Explauu any�YF.S, answers attd/or sny recarnr endations ar ainy, other comments , 'Al
tl3.F" � li�r�
Use drawings,oµflfactlity'to'betterexplaui 5atpuair0n5�{use additional pagesas necessary)s� ❑Field Copy anal Notes r . rf§
t .t ,�€� 7, '+:�44 ,.t q t�} €in��}.^is[y� �3i,:. �'iitii�^4 i��i"•;€,SY� �.5�1i¢�1 F€i ��� -''at '�t�.�Ey � i� t �`l fa Glir � i I..- i i
c�a ,1 �¢I�'. ! iit is! !,rrtt".:_ •,.. t3pT, -�A 41 <•<¢ fr•ffl�c��i , Y` 'S"� Y it �3t' Reviewer/Inspector Namei:�. . n e - I•b9' t Y"'.�.YS� �rk�1 hi��ak._':.
Reviewer/Inspector Signature: Date:
12112103 Continued

' Facility Number: — C Date of Inspections=N
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes -2 o
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel W[JP, checklists, design, maps, etc.) ❑ Yes
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes
❑ 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 �XNo
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes
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
11,
L40
28. Does facility require a follow-up visit by same agency? ❑ Yes ;Z�
'1V
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes
NPDES Permitted Facilities
30.
Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
❑ Yes
3I.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
32.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
33.
Did the facility fail to conduct an annual sludge survey?
❑ Yes
❑ No
34.
Did the facility fail to calibrate waste application equipment?
❑ Yes
❑ No
35.
Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After I " Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
0
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
12112103

Type of Visit 0 Com ce Inspection Q Operation Review 0 Lagoon Evaluation I
Reason for Visit Routine O Complaint Q Follow up O Emergency Notification Q Other ❑ Denied Access
Fac' ' umber Date of Visit: e
Not O erational 0 Below Threshold
Ef-permitted 0 Certified f0 Conditionally Certified D Registered Date Last Operated or Above Threshold:
Farm Name: _ `BTU' Cf] County:
Owner Name: <� �'" h t��y�rrL I Phone No:
Mailing Address:
Facility Contact: I Title:
Onsite Representative:
Certified Operator: _ J / k-/
Location of Farm:
Phone No:
Integrator:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0' 0k 0" Longitude • 06 0"
Design
5_wine Ca aci
-Current Design
P,o ulation P,oultr,. ;, Ca aci
❑ La er
❑Non -La er
❑Other
Current
: vP,o ulation @a.ttle
❑ Dairy
❑ Non -Dal
��Total Design Capacity
f Total SSLW
Design' Current ,
Ca -aci P.o ulation
❑ W -to Feeder
ceder to Finish
f v
❑ Farrow to Wean'
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Number of Lagoons ❑ Subsurface Drains Present ❑ La oon Area
Holding Ponds 1 Solid 'Craps ❑ No Liquid Waste Management S stem
I0 Spray Field Area
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ)
2. is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste 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:
Freeboard (inches):
05103101
❑ Yes No
❑ Yes No
❑ Yes L_(No
❑ Yes o
❑ Yes No
❑ Yes o
❑ Yes o
Structure 6
Continued

Facility Number: — Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ hydraulic Overload
12. Crop type he"-/ t bra . f i T��LQ S/7tiD,✓idI✓�v
❑ Yes No
❑ Yes No
❑ Yes No
ElYes ,.oo
El Yes 0-Nv
❑ Yes
❑ Yes �No
13. Do the receiving crops differ widthose designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ONO
14. a) Does the facility lack adequate acreage for land application? El�
Yes .� No
b) Does the facility need a wettable acre determination? ❑ Yes
c) This facility is pended for a wettable acre determination? ❑ Yes
15. Does the receiving crop need improvement? ❑ Yes �No
16. Is there a lack of adequate waste application equipment? ❑ Yes
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes o
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes VNo
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? El
21. Did the facility fail to have a actively certified operator in charge? El Yes
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes N
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes j N
24. Does faci ' equire a follow-up visit by same agency? ❑ Yes No
25 llymre any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
'Commentc(refer to question #): Explain any YES'answers?and/or.hny recommendations or any otheer�com menu
". = o.
p" X,= ,w,4 . ;
Use drawings3of.facilit3 to%otter cxpCain situations (use additional pages as necessary):
. - ❑Field Copy mal Notes
Reviewer/Inspector Name
Reviewer/inspector Signature: Date:
05103101 Continued

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

Fa�iltty Number C-
�t
Division of Water
O Division of Soil and
0 Other Agency;'
onsery it, "wi, 3H
Type of Visit ty7'EompI! Inspection 0 Operation Review Structure Evaluation 0 Technical Assistance
Reason for Visit outlne 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County:
Farm Name: Owner Email:
Owner Name: Phone: _
Mailing Address:
Physical Address:
Region:
Facility Contact: Title: Phone No:
Onsite Representative: Integrator: M!L /l Y (�
Certified Operator: I Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: c 0 ' = Longitude:
Design Currents��
its f
p `, �
Design Cprrent r-
15-r
�t
Design Currents
41,
Swine: a
Capacity' Population}t ! Wet Poultry
Capacity PopulahonA,.
f �.,
Cattier a
ulation"
Capacity a oo
g,
x.
❑ Layer
❑ Non -Layer
- -- -
Dry Poultry
5.
Other,
r , —— r
❑ Other
f
�fr �s Stu s
Number o 5truc re
1y
pia : .,F i' ', S
': T� F....iY :'. (,i '.1.,._-'
�s
— ,tt {i.,;.' i °L �17.
fn
sY l:ib: ':- hi'. 1A i,?'
.. l
E [e
❑Wean
,�
to Finish
❑
W n��Feeder
Feeder to Finish
� p
❑Farrow
to Wean
Farrow to Feeder
❑
Farrow to Finish
❑Gilts
❑Boars
❑ La ers
❑ Non -La ers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
❑ Dairy Cow
❑ Dai Calf
❑ Dairy Heifer
❑ D Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Discharses &Stream Impacts
I. Is any discharge observed from any part of the operation?
El Yes
�❑ NA
❑ NE
Discharge originated at: ❑Structure El Application Field ❑Other
a. Was the conveyance man-made?
El Yes
No �NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
El Yes
�No ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
❑Yes
❑ NA
❑ NE
2.' Is there evidence of a past discharge from any part of the operation?
El Yes
r
❑ NA
�ZoZ
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑Yes
No ❑ NA
❑ NE
other than from a discharge?
Page 1 of 3
12/28/04 Continued

' a
Facility Number: fj Date of Inspection T�
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No ❑ NA El NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ��o❑ NA ❑ NE
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed freeboard (in):/
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ��No�CIA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes 0<0 ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre t, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes Vo ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes �No❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes �❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes P<O 1:1 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
El Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) re L414;
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?
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ Yes
VrNo ❑ NA ❑ NE
No ❑ NA ❑ NE
Id N NA ❑ NE
No NA El NE
o ❑NA El 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 pagesas necessary)
Reviewer[Inspector Name Phone:
Reviewer/Inspector Signature: S' Date: 6 la
Page 2 of 3 12128104 Continued

Facility Number: — Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box. ❑ WUP ❑ Checklists ❑ Design El Maps El Other
❑ Yes No ❑ NA ❑ NE
❑ Yes ONo ❑ NA ❑ NE
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
No ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1"
Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
No ❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes�N�o[E:11
<NoNA
❑ NE
24.
Did the facilityfail to calibrate waste application equipment as re required b the permit?
ppq Y
❑ Yes
NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
No NA
ElNE
26.
Did the facility fail to have an actively certified operator in charge?
ElYes
o NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
ElYes;0__
❑
El NEOther
Issues
28.
Were any additional problems noted which cause non-compliance of the permit or GAWMP?
❑Yes
❑ NA
El 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
Comments and/or Drawings:
Page 3 of 3 12128104

ffDiviMon of Soil and Water Conservation - Operation Review
Dtviston'of Soil and Water Conservation - Compliance Inspection az .;
0 Divisronrof Water Quality - Compliance Inspection
Other Agency- Operation Review ,nM ,
Routine O Complaint 0 Follow -vie of DWQ inspection Q F'c�-tic of DSWC review Q Other
Facility Number
Date of fnspectioll /y
r—-.,-•...
Time oiInspcclimi 24 hr. (hh:mm)
13 Permitted 0 Certified
E3 Conditionally Certified © Registered 10 Not Opera-t-io—n,"iq Date Last Operated .
FarmName: .............................................................................................................................
Countv:. a�rd. tyJ.1o.....
OwnerName: ...............................................
............. ............ Phone No:.......................................................................................
Facility Contact: ................................................
...Title ..... .. Phone No: ...................................................
N-lailing Address: .....I.......
ji, .;rt ........................... ....... ...... .......................... ..........
t
Onsite Representative:
...'..'..1.. �..'� UC`? ....1 Gi"! ....... Integrator:.... f� L ....... -a..r....`- /).........
Certified Operator.................................................................................................................
Operator Certification Number:..........................................
Location of Farm:
Latitude 0
=1 - Longitude ° �`=
Design Current
Swine Canacitv Poaulation
❑ Wean to Feeder
Feeder to Finish
f Z
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑Dairy
❑ Non -Lever ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
LoNumber of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
lding Ponds / Solid Traps I 1 10 No Liquid Waste Management System
Dischar Tes & Stream Impacts
1. Is any discharge observed from any part of the operation'!
Discharge originated at: [-]Lagoon ❑ Sprav Field ❑ Other
a. If discharge is observed, was the conveyance snap -made?
h. if discharge is observed, did it reach Water n1' the Sane'? (If ycs, notify DWQ)
c. If discharge is observed, whal is the cstitnatcd tlow in gallsnin?
d. Does discharge hypass a lagoon systcm'? lll' vcs, nutif 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 ? Structure 3 Strueture 4 Structure 5
❑ Yes ZVNo
❑ Yes No
❑ Yes No
❑ Yes
No
❑ Yes]
No
❑ Yes
No
❑ Yes
No
Su'ucturc
6
ldenti tier:
FreeboardOnc•hes):................................................................................................................................................................................
....... C ...............
5. Are there any immediate threats to the integrity of any of the structures observed? (ic/ trees, severe erosion, ❑ Yes )ZNo
seepage,
3123/99 Continued on back
n

tlity Number: o— hate of Inspection
.
6. Are there structures on -site which are not properly addressed and/or manwTCLI through a waste management or
closure plan'?
ElYes
�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/improve ment'?
❑ Yes
�No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
El Yes
�10
T
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
?No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
XNO
11, Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
5'No
12. Crop type �'G, rtl1D L_S_G�C� TC� i" _ !l�
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
9Io
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ 0
b) Does the facility need a wettable acre determination?
❑ Yes
❑INO
c) This facility is pended for a wettabie acre determination?
2111es
/
//❑ No
15. Does the receiving crop need improvement?
❑ Yes
;?'flo
16. Is there a lack of adequate waste application equipment?
❑ Yes
Q,No
/
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available'!
❑ Yes
0"No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
ONO
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
ZINO
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
�No
21. Did the facility fail to have a actively certified operator in charge'?
❑ Yes
['No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
Yes
El/�
No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
V(No
24. Does facility require afollow-up visit by same agency?
❑ Yes
o
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
%No
No•yibi'a(i6ris:or &flcknties -mere noted• during 4his;visit: • :Y:oit will •receiyt h6 rurtb&
: :
corres oric�ence: about this .visit:::: .: ..:: ::: :: :
Comments:(refer to, #} Ezplatn any:'YES answers and/or anfrecommentlattons or any other comments 3'
Use, drawmgs.of facility to_better explain situations. (use additional page's as necessary) ` r �,t
' t t,
a
ILL t-vv? r-v2 �5� L..1(E��%r�ti� �L7F�� 1�r�ti�tA.
-
I +2 2 - (A) Fa (P L�J �.�'� `� G FF16 L .
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Miid7lL
3/23/99
a
l

:. Division of Soil and Water Ganser anon Operation Renew
,. 13 of Sail and Wat6> tConservahon "='Complii nee Inspectto' n o r 1 , 1
<' {- I , vision -Of Water Quality ' - ,= is r� a , ° '``� v '.6, , �' a , i •4 ik1
Compleattce�InspeCt<Otl l,g; �i:ci
d"E I e r h V it
Other Agency 0peratiori'R@V1eW..,
JQrRoutine O Complaint Q Follow-up of DWQ inspection� Q Follow -tip of DSWC review Q Other �..
Facility Number (j Date of Inspection 7
Time of Inspection 24 hr. (hh:mm)
[] Permitted 0 Certified [] Conditionally Certified [3 Registered JE3 Not Opera Date Last Operated:
Farm Name: �' w'.'' .` �J r fz� a?�' CountY:/11V(%Y..�..r�i�............
�...........� ....U... tN....".................................................... .........
Owner Name:.... !.. +" n. ! .! .Y..� . a.�............ Phone No: Z� Z r 57S tl ? 7 o /
7 ..........................................................
Facility Contact. K? `.`^..- Title: Phone No: ...................................................
........................ ...............................................................................
Mailing Address: ..... .....(.. a ..................c /CY -Z 7 I?`! . ................................................ ..........................
Onsite Representative:.... ..`. t+n- " y- ..... ........................................ Integrator:.../. Yet ,f%``r.................................................
Certified Operator:...) ..,.,..........— ..�- l I� r r-p r„J............................................. Operator Certification Number:..........................................
..............
Location of Farm:j
...........................................................................................................................................
f
Latitude ���° ��° Longitude �• ��"
Swine ,1,;,
❑ Wean to Feeder
�',, ❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gllts4
❑ Soars
Design Current h Design Current Design Current ;.
3a acity Population` " `„ ,1,Ca aciit1?0 ' alation ._'� Caitle '� "-Capacity Po 'elation : i
❑ Layer ❑ Dairy
V DO '' ❑ Non -Layer ❑Non -Dairy
r FI!
`_ ❑ Other
Number of;Lagoons
,
Holding Ponds / Solid Traps
..
,Total Designr`Capacity {
t. 1,
❑ Subsurface Drains Present ❑ Lagoon Area JE1 Spray Field
❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. li' 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 I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
nr�
Freeboard(inches): ..... .J.. ........................ .......................................................................................................... ............................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, e(c,)
3/23/99
❑ Yes No
❑ Yes Na
El Yes �O
❑ Yes r_N'o.�,
oYes
❑ Yes
❑ Yes /Z No
Structure 6
...................................
❑ Yes No
Continued on back

Facility umber: (aG — Cab Date of I nspection
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
12. Crop type I'
13. Do the receiving crops differ with those designated in t ie CertifieJAnimal 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?
Re uired 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 faci[ uire a follow-up visit by same agency?
25. We additional problems noted which cause noncompliance of the Certified AWMP?
0: Rio yiolaiitjns;or it ficiencles ra re �tot;ee1 daring •this'visit' • ;Y:oit will -receive lid fut�tl't f - ; • , -
carresnondence. about this visit... ' .... I ............. . ' . ' I ............ .
11_
❑ Yes Z'No
❑ Yes
o ,''
❑ Yes
o
❑ Yes
eNo
❑ Yes
_ No
❑ Yes
0
WNo
❑ Yes
❑ YesJ N
❑,Yes
❑ Yes Na'`
❑ Yes 21.
❑ Yes d No
❑ Yes B No
❑ Yes �Z N
❑ YesVNo,
El Yes
El Yes
❑ Yes
❑ Yes
❑ Yes N
❑ Yes No
3/23/99

I -
Facility Number: 6— V Date of inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes No
2$, is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes No
pP P Y Y q g �
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 Z N
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes N
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes No
3/23/99

Di on of Soil and Water Conservation 0 Other Agency
ivision of Water Quality
10rRoutine Q Complaint O Follow-uti of DWO insnertion O Follow-ua of I)SWC review O Other I
Date of Insp` ctionZ. /J
Facility' Number
Time of Inspection 24 hr. (bh:mm)
D Registered GlICertified ©Applied for Per [3Permitted JDNot Opera Date Last Operated:
r
Farm Name:. ..............�!►:.ISti �t..X7..,..!�'s+�.# Z-;...... County: .... 11�"r...... .
r .....
Owner Name :..........s...............��..... ,. 9'..... .lea,%.................... Phone No• ...... 1....�:SrS.Y.^. �...... .........
Facility Contact: ......:S..hr...:.......................................... Title:.............. Phone No:
f.......................................................................................
Mailing Address: 0 X d G`« y1/ C/ "r............................. .............
Y...............................................,.............-........................ ...... /
Onsite Representative:............' �✓D ..... Integrator: ..........................1................... 1...........................................
Ceirtified Operator;.....,......!.. N-- y l.r� Operator Certification Number
[vocation of Farm: �. / ' 6 1)
L. . . . .................. ....................................... 11 ........ ...................................................................................................................................................................................
Latitude �•;�� ��� Longitude
Desi n .: Current 4 Desi n Current : } Desi n :Current
�`Capag:Ey-
Swme : z` Populaaon
Poultry` Capaccity Population 'Cattle ; ,k
Z CapacrtyPiiptilahon,
❑ W to Feeder
,
❑ Layer
„
❑Dairy
a
- (seeder to Finish
❑ Non -Layer
❑Non -Dairy
❑ Farrow to Wean
'
[� Farrow to Feeder
❑ Other
YZ.
❑ Farrow to Finish
� Total Desigin
4
❑ Gilts
sCapacityF;,
a '' y
❑Boars.
Total SSLW�
.�
c
p.
w
Number agog hHolding Ponds
❑ Spray Field Area g
❑ Subsurface Drains Present
❑Lagoon Area
211
.......
V.
❑ No Liquid Waste Management System
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 gaUrnin?
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 No
❑ Yes No
1-1Yes iCl 6I;
❑ Yes No
❑ Yes _ NNoo
❑ Yes N
❑ Yes No
❑ Yes, o
❑ Yes
❑ Yes No
Continued on back

Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed'?
Structures (Lagoons.11olding Ponds, Flush Pits. eti.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3 Structure 4
❑ Yes , o
❑ Yes o
Structure. 5 Structure 6
Identifier:
Freeboard (ft):....................................
B<1
10. Is seepage observed from any of the structures?
❑ Yes
No
11. is erosion, or any other threats to the integrity of any of the structures observed'?
❑ Yes
12. , Do any of the structures need rnaintenattceliml-,roverttent'?
❑ Yes
0 No
(If any of questions 9-12 was answered yes, and the sitttation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers"
Waste Application
❑ Yes
o
14. Is there physical evidence of over application?
❑ Yes
No
(1f in excess of WMP, ur runoff entering waters of the State. notify DWQ)
15. Crop type r°SG� ............................................................... .. ................. �.-............................................................................�
Y
....
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP•)7
❑ Yes
N -
17. Does the facility have a lack of adequate acreage for land application'?
❑ Yes
i
18. Does the receiving crop need improvement?
❑ Yes
cm
19. rls there a lack of available waste application equipment?
❑ Yes
20. Does facility require a follow-up visit by same agency'?
❑ Yes
N
21, Did Reviewer/]nspector fail to discuss review/inspection with on -site representative'?
❑ Yes
,'
22. Does record keeping need improvement?
❑ Yes
No
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
24. Were an ,additional problems noted which cause noncompliance of the Certified AWMP?
El Yes
o
25. re any additional problems noted which cause noncompliance of the-Permit
Yes
No
No.violations or deficiencies were noted during this visit. You will receive no further
correspondence about this visit.• ;
to question 6 Explain any.; YES answers and/or'any recommendations or
icihty ta: better;expl4.in situation& (use additional p4e:s. as necessary):'
Reviewer/Inspector Name i�:�J
1
ri
y
Date:
7/25/97
Reviewer/Inspector Signature:

DSWC Animal Feedlot Operation Review
DWQ Animal Feedlot Operation Site Inspection
Routine O Com I drit O Follow-up of VWQ ins ection O Follow-up of DSWC review O other
Date of Inspection �
Facility Number " D
• oi'Inspection O O 24 hr. (hh:mm)
lit Un fraction of hours
Farm Status: Registered ❑Applied for Per (e�c, min)) Spent on Review
All (i es travel and processing)
❑ Certified ❑ Permitted `s�i� y ''
113 Not Operational Date Last Oper bfyN�¢ �.
Farm Name: ...........11.m...►.!►.& ........ G V Y' 0..!!✓ .. ��y�.. offi� �tr ........ �1/% G.....-.......
..
Owner Name: ............... .�.1...1.. .',?fir ......""......................................... No:........... 3.f...v
.^..750z...............................
Facility Contact: ......../Y... .. ........ .` °r ...... Title: ................................................................ Phone No:.....�',�..J�:.....7...�.i�..l.....
MailingAddress:.......!. 2......................z.foz......lf..�6...............!:......... ......... .................. ..........................
Onsite Representative:......... J 1...?'i�` .............1!�? `f................. Integrator:....................5.�':'"`.'�.....`....`.''...................... ..
i QQ J , �-y /.....
.,..... t Certified Operator :..•...��.1...`.,H'1................ 9) .z ,... ,.... .. Operator Cerification' Number .... l it:.,....,... F D
Location of Farm:
............ ....... ..
..... I ................................................................................................ I ........... I ...... : ..........
.......�...... ..
Latitude I-- J• 1 �` I_ _ I" Longitude 1 .1 9 �J
Type of Operation Design Current Design Current Design Current"
Swiine Capacity' Population Poultry. Capacity Population Cattle Capacity Population =;
❑ Wean to Feeder
Feeder to Finish
t•- Q
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Other
Number of Lagoons'/ Holding Ponds „ ❑ Subsurface Drains Present ❑ Lagoon Area ju Spray Field Area
General
1. Are there any buffers that need maintenance/improvement? [I Yes 03-No
?. -Is any discharge observed from any part of the operation? ❑ Yes %] No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Surface Water! (If yes, notify DWQ) ❑ Yes ❑ No
c. if dischar-e is observed. what is the estimated flow in gal/rain?
d. Does discharge bypass a I:agoon system? (If yeti, notify I)WQ) ❑Yes ❑ No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes gNo
4. Were there any adverse impacts to the waters of the State other than from a discharge'? ❑ Yes 34 No
5. Does any part of the waste management system (other than lagoons/laoldingponds) require ❑ Yes JUNo
4/30/97 maintenance/improvement?
Continued on back

Filed. ty Number: — 4
i
6. is facility not in compliance with any applicable. setback criteria in effect at the time of design? - . ❑ Yes No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes NrNo
Structures (Lagoons and/or _Holding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes �No
Freeboard (ft): Structur 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
3.............. ................... I .................. ...................................... ....................................... ....... _........ .................. ..................................
.....
10. Is seepage observed from any of the structures? ❑ Yes P, No
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes 9No
12. Do any of the structures need maintenance/improvement? ❑ Yes A No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Anplic:atintt
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type �+ ......LI s'l. �"^`q' !1.......�........................................................... I............... .
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
For Certified Facilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes P(No
❑ Yes 19 No
❑ Yes �XNo
❑ Yes P(No
❑ Yes PNo
❑ Yes RNo
❑ Yes No
❑ Yes "Of No
❑ Yes ❑ No
❑ Yes ❑ No
24. Does record keeping need improvement? ❑ Yes ❑ No
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date:
9.
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
E)EHNFZ
DIVISION OF WATER QUALITY
January 24, 1997
Mr. Jimmy Barrow
Route 1, Box 446
Jackson, North Carolina 27845
Subject: Compliance Evaluation Inspection
Facility # 66-40
Warrick Farm
Northampton County
Dear Mr. Barrow:
On January 15, 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 stewardship are an
important responsibility of all animal waste producers. The
Division of Water Quality has the responsibility to enforce water
quality regulations in order to protect the natural resources of
the State. Accordingly, illegal discharges of wastewater to surface
waters of the State are subject to the assessment of civil
penalties and may also result in the loss of deemed permitted
status, requiring immediate submission of a waste management plan.
This office would also like to take this opportunity to remind you
that you are required to have an approved animal waste management
plan by December 31, 1997. This plan must be Certified by a
designated technical specialist or a professional engineer. For a
listing of certified technical specialists or assistance with your
waste management plan you should contact your local Soil and Water
Conservation District office.
3800 Barrett Drive, Suite 101, if' FAX [phone]
Raleigh, North Carolina 27609 N� 4 An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 50% recycled/10% post -consumer paper

.s
'. rr—
DS«'C Animal Feedlot Operation Review
[l DAVQ Animal Feedlot Operation Site Inspection
�ORoutine 0 f'onr plaint 0 Follow-up of l)SIVC review 0 Other
--.`{'?�j D.itt� ti#' Irtspection
Facility `umber �•�
Time of Irrcpertian I!� 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: Renistered ❑ Applied for Permit (e\:1.2a for I hr 1= min)) Spent on Re%;ic-,t'
Certified [3 Permitted or Inspection (includes travel :Ind pr'oeessing)
,pl
© :NOt Operational Date Last Operated:................................................................................................................................................
FarmName:..............................................
'
...... Crrtrtt0:,.,.,./......����.1....�.:!!17.�/. ✓P......................
..........................................................................
Owner Name:....,.,.. ........ %!Ir?................ ..... Phone No: ....................
FacilitvContcEm............... ...... ............. .... .......................... I ....... I ..... .rith.................................................................. Phone. No:...........,.......................................
MailinsAddr•ess.................... .......................... ................................... .............. I...................... .... .................. ..................................... I......................... ..........................
Onsite Representative : ......................... .................................................................................. Integrator: ..... .......-'`,C`...r.........,................................
Certified Operator: ................................................................... Operator Certification Number
Location of Farm:
.............................................. ................ ............ ................... ......... .......... .................
Latitude Q ' Longitude • 6 :6
Type of Operation Design.• Current Design Current Desi;n Current
"Swine Capacity Population ;, Poultry Capacity, Population Cattle Capacity, Population 5
❑ NVean to Feeder
ceder to Finish
C%C�
El Farroxv to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Other
..
"I-ee of Lagoons / Holdtn� Ponds ❑ Subsurface Drains Present © Lagoon Area ❑ Spray Field Area .=w
General
1. Are there any haffers that need maintenance/iinprovenient'?
2. Is anv discharge observed from any print of the operation?
Oischarge originatccf at: ❑ Lagoon ❑ Spray Field ❑ Other
it. I1 dischar—,e is ohsrrved, was the conveyance man-made?
h. If discharge is observed, did it reach Surface Water? flf yes, notify DWQ)
c. if disch:tr-e is observed, what is the estimated flow in cal/ntin?
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
niaiiuenance/improvement'?
❑ Yes /z/�10
ElYes o
❑ Yes o
El Yesillo
❑ Yes o
El Yes No
❑ Yes o
❑ Yes //( No

Faci 'ty Number:
w
8. Are there lagoons or storage ponds on site which need to be property closed`?
Structures (Lagoons,lfolding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3 Structure 4
❑ Yes No
❑ Ye,_No
Structure 5 Structure 6
Identifier:
Freeboard(ft):............... �..arZ........ .................................... ......I-- .................
10. Is seepage observed from any of the structures? ❑ Yes L No
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes No
12.
Do any of the structures need maintenance/improvement?
❑ Yes
ETf,;o
(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
XNo
Waste Application
14. Is there physical evidence of over application?
❑ Yes
No
(If in excess of,WMP, or runoff en eying waters of the tate, notify DWQ)
167515. Crop type L ll'rp`]1� ........�rifz......... .....�-fit. q., l) r.........................................................
16.
Do the receiving crops differ with those designated in t e Animal Waste Management Plan (AWMP)?
❑ Yes
['No
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
;3N0
18.
Does the receiving crop need improvement?
❑ Yes
ENo
19.
Is there a lack of available waste application equipment?
❑ Yes
VNo
20.
Does facility require a follow-up visit by same agency?
❑ Yes
['No
21.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
PfNo
22.
Does record keeping need improvement?
❑ Yes
El No
For Certified or Permitted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
�No
24,
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
] No
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
No
[3, No.vio'lations or' d65cie'dis. were noted during this:visit.- :You.vviH recei've•ito•furtiier
correspondence: ahoid this'.visit:: :
S T ��JJc'� �'F';JY",lddJ?' "E. 4 'iif #a, i�yi2', )F'+i?%'"" �..t.#�_A >@c T+•. "8�yr .�9J2 5d&' c
Co�ntref�„�er�qu�n #� �, Epiat ny YESans�we,rs andlor any �r�comin� ions or. any�other cd�ments
Use.iiraw��gs of 1'acihty�to°better.explain�situations (use additional pages as nn essary) �_ ��� x �.
7/25/97
Reviewer/Inspector Name ," �INOk
Reviewer/Inspector Signature: Date:

DSWC 4Anlmal Feed t Opelration Review
3 u
❑ r h r€
L $Q Animal ;Feedlot Operation Site: inspection
.'o
Dateof :Inspection : 'Time ofk lnspec#son
F,acllly Number r� a`
�.✓: x>-:�,... :�`-" x �,;*. ,� -� li/ ,u x r `.:.r '�' t,l5e' r tme
24 hl
Farm Status:.................................................................................... Routine ❑ Complaint ❑ Follow-up
FarmName �Ofjlz ..................................................... County: � ���.��..........................
Owner Name: �...h' �........fi}�� ITS _ Phone No:
_�5y - 7i
:_.................................... r..._,.... _.......I.... ....... _y.._........ ._..................
Mailing Address: D Ytlra -1 t'e5 on yt/ L �7
. .................................................. .................................................................................... ..................... I.......
Onsite representative: J' h-M..._ ....... 61.Knej" � Integrator: /�Y� ................................................
l��
Certified Operator Name: l� n•—
............... I ..f ......1.............................................................................. .............
Location of Farm: /_S; 4
.......................................................................................................................................................................................................................................................................
Latitude �'���$4 Longitude a a 1.
❑ Not O eraiianal Date Last Operated: ..............................................................................................................................................
Type of Operation and Design Capacity
Y" � € - T•Y. S >x ..� �:.: "w , •f a S, .
Numtiera� w Poultr.•..y N'umbeKt "Cat.tle N�rmiaer <k £�
$ W o Feeder La er Dair
eeder to Finish tD `' Non La er Beef 0
t
Farrow to Finish x ❑ Other
st �i� y:•' a ':.,�,`,"3• m*ase.$4i a c,�c' r t4h„ ueaato&Tn;' x�k k• Type : of Livestock N. .•,¢,,t- ^
€,
£-.am
Number ofLagoonsfHo[dingRonds % n ❑ SubsurfacE Dra s Present
La oon Area ❑
General
1. Are there any buffers that need maintenance/improvement?
2. is any discharge observed from any part of the operation?
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. Was 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?
❑ Yes {]_No
❑ Yes L1 Iva "
❑ Yes [`No
❑ Yes Li No
❑ Yes
n
El Yes
❑ Yes
r
❑ Yes
No
Continued on hack

7. Did the facility fail to have a certified operator in responsible charge (if inspection after 111/97)? ❑ Yes 0 IVo
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes Oiz
Structures ,,,{La000ns andlor Holding__ Pondsj
9. Is structural freeboard less than adequate?
Freeboard (ft): l Lagoon 1 Lagoon 2 Lagoon 3
3
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(if any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWO)
13. Do any of the structures lack adquate markers to identify start and stop pumping levels?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ) J
15. Crop type ............r....'ri.?.r:...,....lal.-1-•�............................. _................_.............................
16. Do the active crops differ with those designated in the Animal Waste Management Plan?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the cover crop need improvement?
❑ Yes
Lagoon 4
19. Is there a lack of available irrigation equipment?
For Certified Facilities Only Aa yL, Car-t;rort' 1J1V'7-1' Rs-tae,
20. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
21. Does the facility fail to comply with the Animal Waste Management Plan in any way?
22. Does record keeping need improvement?
23. Does facility require a follow-up visit by same agency?
24. Did Reviewer/Inspector fail to discuss review/inspection with owner or operator in charge?
❑ Yes
❑ Yes L/J Nb
El Yes L'I %Nb
❑ Yes 2 No
❑ Yes 2 No
❑ Yes
L� No
❑ Yes
C No
❑ Yes
ElYes
o No
L No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
p
�-
-
h
hi • .'�. y'i
ry
V %'
• e
� C
M1
Rev�wer/Inspector �"'~.Sigratur.e'� °'� ? � Date �� �•-�' / ,
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit
1 111 a/96

JUL-14-1995 15126 FROM DEM WATER QUALITY SECTION TO
PRO P.02z02
7
Site Requires immediate .Atwnjor, - �_
Facility No. __ GG - yo
DIVISION OF ENVIRONMENTAL MANAGEMENT
A.NMMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
r , d !' DATE: 7- /
J , 1995
0EJ ,Sr 1 yl D
Time:
Farm Name/Owner -7; c'1^-
r L- ( e (,�r;7 i r i
Mailing Address: S D X y `/`�v c �'S'•, �/L 17' ,
Counry:. &0-14 //g,. - - --
Integrator. Phone:
On Site Representative: Kiq Phone:
Physical Addressa ocarion: Sid / oU Z, / �- /P s G a f^
Type of Operation: Swine ?oultry 4 Cattle
Design Capacity: FP Q Number of Animals on Site. 1j r-T e a a
DEM Cerdfication Number: ACE DEM Certification Number: ACNEW
Latitude: Longitude: Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately I Foot + 7 inches) (�Dor No Actual Freeboard: ?fit. Inches
Was any seepage observed from the lagoon(s)? Yes oz � Was any erosion observed? Yes or vo
Is adequate land available for spray? Yes or No is the cover crop adequate? Yes or No
Crop(s) being utilized: Lvrr4 c ¢,l �,'� `/'" , ,>* L7 iJGr /-r
Does the facility meet SCS minimum setback eriterhi? 200 Feet from Dwellings? c es'or No
100 Feet from Wells? ;&or No
�c animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes orlso
?: animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Ltne? Yes of To
is animal waste discharged into waters of the state by inan-made ditch, flushing system. or uther
iimilar man-made devices? Yes 0004 if Yws. Please Explain.
'k�Cti iric facility tttaintain adequate waste mattagernent records (volumes of manure, land applied.
spray irrigated on specific acreage with cover crop)'' Yes of -
Additional Comments: s�3 &V �l� v cf " .crap '{ Fcr �E:C l': �,: i '}
r s Y /f j, i !
cc: Facility Assessment Unit
SignetLue 1!,-7,1 7�- , , - (_-, e -
Use Attachments if Needed.
TOTAL P-02

State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
�EHNR
DIVISION OF WATER QUALITY
January 24, 1997
Mr. Jimmy Barrow
Route 1, Box 446
Jackson, North Carolina 27845
Subject: Compliance Evaluation Inspection
Facility # 66-40
Warrick Farm
Northampton County
Dear Mr. Barrow:
On January 15, 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 stewardship are an
important responsibility of all animal waste producers. The
Division of Water Quality has the responsibility to enforce water
quality regulations in order to protect the natural resources of
the State. Accordingly, illegal discharges of wastewater to surface
waters of the State are subject to the assessment of civil
penalties and may also result in the loss of deemed permitted
status, requiring immediate submission of a waste management plan.
This office would also like to take this opportunity to remind you
that you are required to have an approved animal waste management
plan by December 31, 1997. This plan must be Certified by a
designated technical specialist or a professional engineer. For a
listing of certified technical specialists or assistance with your
waste management plan you should contact your local Soil and Water
Conservation District office.
3800 Barrett Drive, Suite 101, 0% FAX [phone]
Raleigh, North Carolina 27509 N%f C An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 1 50% recycled/100/; post -consumer paper

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

[] DS,WC Animal:; FeetE dlot OperaW
a'WQ Animal Feedlot: CperatIon SIter,p[n5pection�
Cate of .;inspection Time of. Inspection
Faclliy^ Number:
�. flee 24 xhr time
Farm Status: ......... ....... ..._............................................................... Routine ❑ Com faint ❑ Follow-u
Farm Name f � r. ......._ ...-•--•-.. County: ...
Owner Name i t iH /v G—s . Phone No .. -�}`� ' 75 i;
J..................�----...f�...�... _...-...............................__..........._........_.._.....-•-----..................
Mailing Address: ..: .....! .......�. 0 Z` ..YS!�....... ...J ' t �5..��` .... C..... ?���� .......__. -- ..............
.._......_
Onsite representative: ��'}.✓vpc.! ... Integrator:✓' `I
Certified Operator Name: .�'J�.n,-�..,�L/.�o�i17�}✓vLl.._._,_.._W............ W_....__-_.......... .......... .._.... .... ........ ...... _................
Location of Farm:
Latitude �`���" Longitude
❑ Not Op e r at! o n a l Date Last Operated: .......................... .......... ................ . ................ .......... ............... . ....................... . ........
-Type of Operation and Design Capacity
x €..:#' #.� s zp,xa '# -,�.,,." ...
Swine X �yx> r �' .,g IVumb'er ,3:.:, PPo,uitry , ,NUmbet :.Ca.t.f:le4 w".Ndmber`y: a
r, ,
WgamTo Feeder
Laver Dair $
eeder to Finish EJayG' J Non Laver � Beef 4,
'fed°`�'1 Marrow to Wean
r�
00
34
M Farrow to Feeder
Farrow to Finish Ogg❑ Other hype of Livestock x
�aaa::�a�x „;at �..�Y.aw,�r}::. ,-:x_. .g.'?w. .ia*-.�f�.<:s b;r d•'r ".y.:s�'ti',€< �'w.'.c'',�.xi�-r i`-..#'°'`5+'�,<<�`s°`'.g�u.a".,
Number�of> L�agoonsx`/�Haldng Ponds / �� S bsurface Drains Present ����:
`°�� x� ��� La oon Area S ra Field Area
� '� m�q'� � 34£,3'�2 0%1�..:rt :e'Fk'.3:y€n ��"Q���5'4`y�sx�^`- {''r.s..?:".'r,�.;.w-3 k�; ❑h .7 ^� ❑ I� ! ,
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
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? (It yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Was 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?
❑ Yes Nb
❑ Yes L1 rva
❑ Yes �[�No
❑ Yes !J c
❑ Yes
0<
Z90
❑ Yes
❑ Yes
❑ Yes
Continued on back

8.
Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
_Str_uctures
(Lagoons andlo'r Holding _Ponds)
9.
Is structural freeboard less than adequate?
❑ Yes
Freeboard (ft): r Lagoon 1 Lagoon 2 Lagoon 3
Lagoon 4
........................ ........ ....................................... .
10.
is seepage observed from any of the structures?
❑ Yes
11.
Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
12.
Do any of the structures need maintenance/improvement?
❑ Yes
LJ fVa
(it 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
0No
Waste Anolication
14.
Is there physical evidence of over application?
❑ Yes
LDS I
(If in excess of WMP, or runoff entering waters of the State, notify DWQ) r
15.
Crop type 69 ..r....C' ^ y...t L.¢yxf ..................
16.
Do the active crops differ with those designated in the Animal Waste Management Plan?
❑ Yes
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
18.
Does the cover crop need improvement?
❑ Yes
E W
19.
Is there a lack of available irrigation equipment?
❑ Yes
0 fVo
For
Certified Facilities Qniv (-( mot%a-�vrj F]G:1�nP �s /fir l��� Sl+v,-f yiz-c-C
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 reviewfinspection with owner or operator in charge?
❑ Yes
❑ No
oiler
1}
d 2 3 �'
.0
f
.ter
36fA4
/Inspector
ReVlewer Name
4�M1�.
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£ d -� "���„ �'bT.H M'N2� �. 2*�N""Y Pik � nrh
N,y � R�:•E 1'�Y..'
S ,x„
£ ++� Y� �� �_ } �.Nx.
Rev erllnspector�._:Sigriature
a
'Date,
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 11/14/96

y
K,
s= State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
April 7, 2000
Jimmy Barrow
Barrow East
Route 1, Box 446
Jackson NC 27845
OF?WA
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RE50uRCE5
Subject: Certificate of Coverage No. AWS660040
Barrow East
Swine Waste Collection, Treatment,
Storage and Application System
Northampton County
Dear Jimmy Barrow:
In accordance with your application received on August 12, 1999, we are forwarding this Certificate of
Coverage (COC) issued to Jimmy Barrow, 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 Barrow East Farm, located in Northampton County, with an
animal capacity of no greater than 1400 Feeder to Finish and the application to land as specified in the
Certified Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until April 30, 2003. Pursuant to this COC, you
are authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of wastes to
surface waters. An adequate system for collecting and maintaining the required monitoring data and
operational information must be established for this farm. Any increase in waste production greater than
the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the CAWMP and this COC and shall be completed prior to
actual increase in either wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWW may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This request
shall be made within 30 days of notification by the Division.
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] FAX 91 9'-715-6048
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Certificate of Coverage AWS660040
Barrow East
Page 2
This COC is not automatically transferable. A name/ownership change application must be submitted to
the DWQ prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual non -discharge permit by contacting the engineer listed below for information on
this process. Unless such a request is made within 30 days, this COC shall be final and binding.
The subject farm is located in the Raleigh Regional Office. The Regional Office Water Quality Staff
may be reached at [phone], If you need additional information concerning this COC or the
General Permit, please contact Dianne Thomas at [phone] ext. 364.
Sincerely,
Kerr T. Stevens
cc: (Certificate of Coverage only for all ce's)
Northampton County Health Department
Raleigh Regional Office, Water Quality Section
Northampton County Soil and Water Conservation District
Permit File
NDPU Files

CQta- 4 a
NATURAL RESOURCES CONSERVATION SERVICE
United States Department of Agriculture
P.O. Box 218 Jackson, N. C. 27845
Phone: [phone] FAX: [phone]
------------------------------------------------------------
Date: March 15, 1999
Sue Homewood
DEHNR
Division of Water Quality
P.O. Box 29535
Raleigh NC 27626-0535
Sue,
Enclosed are re -certification forms for Jimmy Barrow's two
farms in Northampton county. The waste utilization plans
have also been revised. For the record no expansion of the
lagoon or buildings has been done; storage from the present
lagoons will retain and treat the waste.
Sincerely
Tony�Short
District Conservationist
e
RECEIVED
WATER QUALITY SECTION
MiAR .1 9 9199
Non -Discharge Permitting

n
Animal Waste Management Plan Certi£lcation
Name of Farm: S Facility No: -_K0__
Owner(s) Name:_ T1 c.�� T _ Phone No: S356 — ?90
MaiIing Address: Ax I &x rf�., ifiGT
Farm Location: County Farm is located in:
Latitude and Longitude: 34 o 2 y 2 S / 77a Z2 3Z reIntegrator:
Please attach a copy of a county road map with Iocation identified and describe below (Be s ecific: road
names, directions, milepost, etc.): -4 . e
ODeration Descrintion:
Type of Swine No. of Animals
❑ Wean to Feeder
ta(Feeder to Finish �( o
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Type of Poultry
❑ Layer
❑ Pullets
No. of Animals
Other Type of Livestock,
Type of Cattle
❑ Dairy
❑ Beef
No. of Animals
Number of Animals:
Acreage Available for Application: _ 5-o f- Required Acreage; .5—
Number of Lagoons / Storage Ponds : % Total Capacity: g 9Cubic Feet (ft3)
Are subsurface drains present on the farm: YES or � (please circle one)
It 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:
Signature:
Date: 3—/6 - 99
Name of Manager(iCOfferent from owner): _„ _. . • ._ _ _ _ _
Signature: Date:
AIVC -- August 1, 1997

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, 1), the technical specialist should only certify parts for which they are
technically competent.
IL Certification of Design
A) Collection Storage, Treatment System
Check the appropriate box
Existing, facility without retrofit (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with waste utilization
requirements.
❑ 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 4 5
Affiliation At Date Work Completed:
,.
Address (Agency): /0d
Signature: -.
No. S_JY—ZrfZ
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 (PIease Print):
.. A .
Affilia
Address (
Signature
C) Runoff Controls from Exterior Lots
Check the appropriate box
Facility without exterior lots (SD or WUP or RC)
This facility does not contain any exterior lots.
Work Completed:
to No.: ny — ZTS/
❑ Facility with exterior lets (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): S H5111. -
r
Affiliation _4(L-(. S _ Date Work Completed:
Address (Agency): a 6Wi Z ( '-` N � Phone No.: Z. S't — I /
Signature: Date:_
AWC -- August 1, 1997 2

D). Application and Handling Equipment
Check the appropriate box
Existing or exnandingfacility with existing waste application equipment (WUP or n
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).
a New,gxp;andgd, or existing gQg6lity without -existing —waste application equipment -for spray irrigation, (I)
Animal waste application equipment specified in the plan has been designed to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the
plan at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of
applications has been established; required buffers can be maintained; calibration and adjustment guidance are
contained as part of the plan).
w expanded. or existing facilitywigiQUt existingwastg j1pplication gquipmCnt for -land spECgdingnQt using
=ray iiaig i n. (WUP or I)
r[ 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).
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
E) Odor Control, Insect Control, Mortality Management 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):__ _
Affiliation_ _ �i tt--( T _ _Date Work Completed: S- s?- -17
Address (Agency): P44ax Phone No.: - --J, -
Signature: Date: 7 — I - U9
F) Written Notice of New or Expanding Swine Farm
The following signature block is only to be used -far new or expanding swine farms that begin construction after June
21, 1996. If the facility was built before June 2.1, 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:
Name of Manager (if different from owner):
Date:
Signature: Date:
AIVVC -- August 1, 1997 3

J) AaWkaiion�And Ilgns frog Eq iintnent
- Check the appropriate box
Existing facility with existing waste applic_atioit_equipment (WUP or I)
Animal waste application equipment specified in the plan has been either field calibrated or
evaluated ih 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).
a hiew or expanded facility: or existing facility without exisling wastf,application equipment (I)
Animal waste application equipment specified in the plan has been designed to apply waste as
necessary to accommodate the waste management plan; (proposed application equipment can
cover the area required by the plan at rates not to exceed either the specified hydraulic or
nutrient loading rates; a schedule for timing of applications has been established; required
buffers can be maintained; calibration and adjustment guidance are contained as part of the
plan).
Name of Technical Specialist (Please Print):_ William A. Stalls- „!,•„_
Affiliation:_ Revgie Agri=Rroduct_q. _Tnr- -
Address (Agency): P.O. Box68 Murfreesboro, NC 27855 PhoneNo.: 919-398-3116
Signature:_,� •c.Q.Q, ,O,.. �o -SIZUr Date:-.�—��—
III. Cerh0h.-Tcation of Installation
A) Cy-fteflQn. Storage, Treptunentit it
New, expanded or retrofitted facility (SI)
Animal waste storage and treatment structures, such as but not limited to lagoons and ponds,
have been installed in accordance with the approved plan to meet or exceed the minimum
standards and specifications.
For existing facilities without retrofits, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation:_
Address(Agency): •Phone No.:
Signature: Date:
AwC -- April 24, 1996 3

III. Certification of Installation
A) Collection, Storages Treatment Installation
New, expanded or retrofitted facility (SI)
Animal waste storage and treatment structures, such as but not limited to lagoons and ponds, have been installed
in accordance with the approved plan to meet or exceed the minimum standards and specifications.
For existing facilities without retrofits, no certification is n
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
XThe cropping system is in place on all land as specified in the animal waste management plan.
❑ 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.
❑ 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): 'V y S
Affiliation A14 C Date Work Completed: 2 -- Z L 5
Address (Agency): Pv tgwy Phone No.: r k&
Signature: Date: � 5' f
P
This following signature block is only to be used when the box for conditional approval in M. 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: Date:
Name of Manager (if different from owner):
Signature: Date:
AWC -- August 1, 1997

C) Runoff Controls from Exterior Lots (RC)
Facility with exterior lots
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 Equipment Installation (WUP or I)
Check the appropriate block
❑ Animal waste application and handling equipment specified in the plan is on site and ready for use;
calibration and adjustment materiais 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):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
The following signature block is only to be used when the box for conditional approval in M 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):
Signature: . - T Date:
E) Odor Control, Insect Control and MortalityManagement(SD, SI WUP, RC or!)
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 0141 Date Work Completed: Q L Z —9 7
Address (Agency): PO Oox 'L-1 S Esc+ X1C- Phone No.: 473y- -Ln1
Signature: 21e,_ Date: 3—/d - s ir
AWC -- August 1, 1997

D) Annlication aUdJdA-Mjing Eaui lation (WUP or I)
Check the appropriate black
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
containedas 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.
CL 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): W,7I. 2-M s&[!f
Affiliation:. rA.
Address(Agency): 4 Phone No.: 4 d ;Y//�
Signature: Date: .�`� In
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):
Signature: Date:
Please return the completed forin .to the Division of Environmental Management at the
following address:
Department of Environment, Health, and Natural Resources
Division Of Environmental Management
Water Quality Section, Compliance Group
P.O. Box 29535
Raleigh, NC 27626-0535
Please also remember to submit a copy of this form along with the complete Animal Waste
Management Plan to the local Soil and Water Conservation District Office and to keep a copy in
your tiles with your Animal Waste Management Plan.
AWC -- April 24, 1996

REVELLE,AGRI-PRODUCTS
10:919-398-3184
Natural Resources Conversation Service
United States Departmant Of Agriculture
PO Box 218
Jackson, NC 27845
JUN 19 `97: .16 �02 No ►OOA ,P'04 ''
'
1I. �eC
�'�f�tlTYg�U
crreN.
9 F�
Non.Discfa%e jo�nni
lu"g June 19, 1997
Attn, Mr, Tony Shen
Dear Sire;
The aboveground Aluminum pipeline, for swine waste application, used fbf Jitttniy. '
Barrow's hog fhnns of Jackson, NC, meets all design and installation.$peciftcations set,
forth by our design group at Revelle Agri -Products, This layout is in ircvdretanoe with. the ,'
plan approved by your office a few months ago. i � ; ,, ;
E, r i,
My own crews delivered the pipe for the fkrm, and one of our sales stafimem I rl trade a w
personal visit while The the customer laid out the pipeline.
At the start up, Jay Watson personally went through -the start up procedure Wlth the
owner and operator Mr. Jimmy Barrow. There were no leaks observed and the aystelt!
help a constant pressure,,
yr- # r _ .. .� ._ _ •;, ii�ri•:
The owner, Mr; Harrow is using the pipeline in conjunction with it Hobbs Reel Rant
Hose Traveler, inodel 1025d4. When used under specifications in out I dgadori plAn
system will apply the specified amount of waste water per hour as laid olit lhihe Irrlgadim `
Parameter Workshedts4 All buffer zones are being observed, in accordanciWitt1 all stat
and local laws. This system will adequately cover the acres needed fbr tho Atrtount
PAN produced by this particular farm as designed in the Waste Utillzatlott Flan, ;
Ifyou have. any questions on this farm, refer to the Irrigation Plant or feel flee to contact
our office.
Sincerely
ice• '
Oary Manning
lrriggtion Designer, Revelle Agri -Products, INC.
Copy: Jay Watson
Tony Short
Jinuny adow!9 �✓rv:✓
Joy Sherrod

USDA - NATURAL RESOURCES CONSERVATION SERVICE
P.O. BOX 10, 201 Saint Andrews Street
Tarboro, North Carolina 27886
June 25, 1997
Diane Brooks
Cost Share Technician
Division of Soil & Water
Raleigh, North Carolina
Dear Diane:
Attached is a letter from Revelle Agri Products, Inc. stating that the irrigation system
they installed for Jimmy Barrow in Northampton County, meets the design and
installation specifications as outlined in the original plan and has been pressure tested.
The test revealed no leaks in the system and the system Feld a constant pressure:
Based on this letter the system meets NRCS standards and specifications:
Sincerely,
Poy
Civil Engineer
Enclosures
cc: Tony Short

,QDUCTS ID:919-398-3184
JUN 19' 97 r16 : 02 No .004 P
Natural Resources Conversation Service
Utn ted States Departmant Of Agriculture
PO Box 218
Jackson, NC 27845
Attn: Mr, Tony Short
Dear Sirs:
June 19, 1997
The aboveground Aluminum pipeline, for swine waste application, used for Jimmy
Barrow's hog farins of Jackson, NC, meets all design and installation specifications set
forth by our design group at Revelle Atari -Products. This layout is in accordance with the
plan approved by your office a few months ago.
My own crews delivered the pipe for the fm-m, and one of our sales staff members made a
personal visit while the the customer laid out the pipeline.
At the start up, ray Watson personally went through the start up procedure with the
owner and operator Mr. Jimmy Barrow. There were no leaks observed and the system
help a constant pressure.
The owner, Mr. Barrow is using the pipeline in conjunction with a Hobbs Reel Rain Hard
Hose Traveler; model 102504, When used under specifications in our irrigation plan the
system will apply the specified aniount of waste water per hour as laid out in the Irrigation
Parameter Worksheets. All buffer zones are being observed, in accordance with all state
and local laws. "Plus system will adequately cover the acres needed for the amount of
PAN produced by this particular lamp as designed in the Waste Utilization Plan.
If you have. any questions on this farin, refer to the Irrigation Plan or feel fine to contact
our office.
Sincerely;
Clary . Manning
Irrigation Designer; Revelle Agri -Products, INC.
Copy. Jay Watson
Tony Short
Jinuny BOW 13wro-"
,toy Sherrod

USDA - NATURAL RESOURCES CONSERVATION SERVICE
P.O. BOX 10, 201 Saint Andrews. Street
Tarboro, North Carolina 27886
May 7, 1997
Tony Short
District Conservationist
Jackson, North Carolina
Dear Tony:
I have reviewed the information submitted to me on a proposed waste water land
application system plan for Jimmy Barrow as furnished by Revelle Agri Products, Inc.
Your office has confirmed the proposed irrigation system has been flagged in the field
and the lay out meets the design requirements as shown in the plan and the required
setbacks from a well and property lines are in place.. .
A review of the plan shows the waste utilization plan needs to be revised to show 31.68
acres as the effective wetted coverage from the irrigation system and the latest version
of the waste Utilization plan required specifications should be used. Once these
revisions are made, the plan will meet NRCS standards and specifications.
Once the system is Installed, a letter of. certification is needed from the irrigation installer
confirming the system has been pressure tested and has been installed according to
NRCS standards and specifications. You are encouraged to make one field visit during
Installation. Approval for cost share will be based on this certification.
Sincerely,
Joy. P. Sherrod
Civil Engineer
Enclosures
cc: Gary Manning, Revelle Agri Products, Inc.

11
iGRI--PRODUCTS
II3:919-398-31$4 OCT 29'96 8,55 NQ.003
REVEJ..Ln AGm PRC}I)T7ms, INa.
11101 ss0x os
6OR W"T BROAD ATset OT
ldVstMlcftL�sac�tto, NORTIr 0AROY.1.1*1.A irass
'i'L'ii.'EfrkK3NK MkOl ApH•dl116
PROPOSAL FOR.
Mr. Jimmy Darrow
Warrior Perm
Route i Box 446
lack%an, North Carolina 27845
Cc#ober 291 1996
3
f

RI --PRODUCTS
iD:919-398-3184 OCT 29'96 ''8:57 N0,003 P,04
IZ%IDVI LLn AGRI PRODUCTS, INC.
r.o. Box as
808 WROT IMOAD HTHURT
MURFREESBORO. NORTH 0AROLINA 27855
TELEPHONln 4010 BBB•8110
F it •i � � w _ � �_� � i ► � � � l i �■ ►_
l : Make Hobbs, Model 102504,
2. 850 feet of2.5 inch I.D. Medium density Polyethylene Hose
3. M7 Grin Cart
4. Nelson 100 Slow Reverse Bib Gun with Ring Nozzle
5. Drive, Gas
6. 20 feet of 3 inch Flexible end feed hose with Galvanized circle lock connections and
stainless steel bands.
I w t �1
1. Reel Speed Compensator,
2. Automatic Hose Stop.
3. Variable Speed Drive,
4. PTO Auxiliary Drive w/o PTO Shaft.
5. Disc Brake.
6. Heavy Duty Mechanical Hose Guide.
7. 360 Degree Turntable.
8. Nelson 150 End Gun.
9. Stabilizing Legs,
10. 36 Month Machine Warranty.
l 1. Five Year Pro -Rated Hose Warranty.
12.2� Pressure Gauges with isolators.
13. Galvanized inlet Connection.
14. Rugged Welded Frame.
15. Large Diameter Plumbing.
16. Made In The USA.

iRI-PRODUCTS ID:919-398-3184 OCT 29'96 8:57 Noi003 P.05
RD, V ELLim AGm PRODUCT19, 114C'
P.O. 110X Aa
ISM WKST F1ROAD STREBT
MURMRF9 380110. NORTH CIAROUNA 278els
T1rIX11110NO tnIM 8010.91 10 '
jtRpt.CaC Ancillary Equipment
QUOTATION PAVE: 1
Customer: ## QuctelD: 267
Date: 10/29/96
Part
Quanti.tX Number
1. H01025G5
i. RVTTIT380PTO
1000. KRA06F30ORL
ales 'tax is included
CUSTOMERG COPY
Phone:
PART
DESCRIPTION
HOBBS 1025 G HARD HOSE TRVLRj W;, 2,511 HRD HS
Ravotti T3-80 PTO pump, 540 RPM
611 ALUM. TUBING W/RING LOCK PER FT
w

1GRI--PRONCTS
(co
ID:919-398-3184 OCT
Revelle Agri -Products
i'.u. uvA bil WLZf l lfli[)RlJ `.i`li{tGtGl YtIV{�fLr !i]Y•39i!-:Sill!
MURFREESBORO, NORTH CAROLINA 278SS
Proposal and Contract Agreement
'rat Jimmy 13nrrow Date: 10129/96 pager of
Route I Box 446
Jackson, NC 2784:5 Project: Warrick Darin
Subject to the Imna and toWfUtes prJaW an the bark fiereor, which ore heratrr refi rre.d to and dude x part orthir proposal.
rra quott ar rollowst
I- Hobbs Hard Nose Traveler; Model 1 O2SO4; as described on gage one and two at` proposal dated
10129196
1- Ravotti T3.30 PTO Pontping unit, as described on page thrte of proposal dated 10119196
1000' of 6" circle lock Alumioum Pipe
Total Irrigation Package.. 64oi4*#664:i.0.418,3.75.00
,*NOTE., Prices are base on execution of contract }prior to 11122196e
TERM& !
20% Dire upon execution of contract
40%o Due upon delivery of Tr 4aveler
20% Due upon dellv&y otPTO rump ..ti,. .
20% Due upon delivery orAlumltfltm Pipe ; F
Unlrs! Othe.mite spteiffed, tilt: tenbut dare not Ilscludr pernllU. Ate pr eprlratirn into WMIng rauudaUm *044 tancreft, tlMWA airing,
or Nalyde7 lWk lneurvnre.
13tillders Risk Insurance covered by: Purrchater
'rhlc mp"af shidt not beeame bindIng upnn thr Irtlrr untcas and until It is wpprovld to writing hefton br lteveJie Aid-rrodut% cite, or !heir duly
authuiucd aloes rrpleaelst.�Urn
Accepted by purchaser
Date,
Purchaser:
Accepted by Seller
Qate
Seiler., REV! L LE RGl'tl-P11917UCTS; INC.
I�y�

rj
g:e
a
i

r
r:
Landowner/Operator Name:
Address:
Tr=lephone:
IRRIGATION SYSTEM DESIGN PARAMETERS
_s ► rrt m �3 a r► e�
TABLE I - Field Specifications'
County: jkloaa26 �
Date: Z—aa —9g�
Field
Numberz
Approximate
Maximum
Useable 5tze
of Feld=
(acres)
Sail Type
Slope
(7.)
crap(s)
Maximum
Application
Rate 4
it"r)
Maximum
Application
per irrigation
cycle•
finches)
comments
zest -F/
2
e 5
2- 1
Co
0.5-
-rzost -F
I
L z-
2,Z-,EZ
I A166
LZ
Go !
L 2-
2oS -
d
GL.
I I
O.. I
2.IS�
- rn.
/
IA XA-
I e- Z
I e-0
I o. 3�'�
I Z- y o
i
rib St_
I
l
I
I
f
'Table to be completed in its entirety by Feld Office personnel and forwarded to the irrigation system designer.
=See attached map provided bythe Feld Office for field locadon(s).
'Total field acreage minus required buffer areas.
`Refer to N. C. Irrigation Guide, Feld Office Technical Guide, Section II G. Annual application must not exceed the agronomic rates for the soil and crop used.
Irrigadon Parameters
octobee 1991S
USDA-URCS
North Carolina

TABLE 2: Traveling irrigation Gun Settings
Make, Model and Type of Equipincif l: Pt1 6b s %d Z�s f� W /✓t /S s r7 / 00 401 a 9,. r19 Nr-r le 9 A 7 ~
E UIPMEN'r SCITINGS
Field Nos rm. Application TRAVEL LANE Welled Noralc Operating Operating
and Speed Rafe Efrcclivc EfTective Diameter Diameter Pressure Pressure Arc
I lydranl No" (ll/min) (Whr) Widih(fi) Lcngth(R) (R) (in) (eq Gun (psi) @1 Red (psi) Paltcrn' Comments
ir y
'Y 7 1
aro 0
ro 'fo ` d 75 71 Y 0
178
--Ra o
/-L3
a.00
9
aoo
le 00
73-7
a
. 05
.35
00
9137
r 0"
4 �4a
�o7-ti
¢.05
.a
o?00
/ .�7
tea•:
S% Z
Fa -
SL05
S
a 00
740
o
o
F -A
•3
�-rts
6o
aoo
Sa a
!8o
S
?.55
•5Iu
ana
'lad
a770Al
s See attached rnap provided by the Field Ofiice for field location(s).
b Show separate entries for each -hydrant location in each field.
' Degree or Arc.
IRRIGATION PARAMETERS
September 25, 1995
2
USDA NRCS
North Carolina

TABLE 4: Irrigation System Specifications
rave mg 6011EI SU
Irrigation Gun Irrigation
Flow Rate of Sprinkler (gpm)
- `Operating Pressure at Pump (psi)
Design Precipitation Rate (hula)
I lose Length (It)
5 p XXXXXXXX
Type of Spccd Compensation
,y��,�h;�! XXXXXXXX
Pump Type (PTO, Engine, Electric)
p 7-6
Ptunp Power Ra piremcnt (hp)
3./ , e,
TABLE 5: Thrust Black Sncciiicationsll
LOCATION
THRUST BLOCK
AREA (FT)
90° Bend
A
Dead End
A
Tee
^/A
Other
Other
NOTE:
A buffer strip 50 feet wide or wider must be maintained between the limits of the irrigation system and all perennial streams and surface waters per
DEIINR-DEM Code, Section 15A NCAC 2B .0200 - Waste Not Discharged to Surfnce Waters.
" See USDA-NRCS Technical Guide, Section IV, Co,' "O-DD.
IRRIGATION PARAMETERS
September 25, 1995
4
USDA-NRCS
North Carolina
'0�

IRRIGATION SYSTEM DESIGNER
4
Name: GA Ru IN • AAAam Ix(cr_
Company: �„ eCi-c[
Address: job 5
Prone: g i g -3 ck8- S I t, -
REQUIRED DOCUMENTATION
The following details of design and materials must accompany all irrigation designs:
1.
2.
3.
4.
5.
6.
7.
Lm
g.
A scale drawing of the proposed irrigation system which includes hydrant locations, travel Ianes, pipeline routes, thrust block
locations and buffer areas where applicable.
Assumptions and computations for determining total dynamic head and horsepower requirements.
Computations used to determine all mainline and lateral pipe sizes.
Sources and/or calculations used for determining application rates.
Computations used to determine the size of thrust blocks and illustrations of ail thrust block configurations required in the system_
Manufacturer's specifications for the irrigation pump, traveler and sprinkler(s).
• .. .. -ate.'. :.
Manufacturer's specifications for the irrigation pipe and/or USDA MRCS standard for Irrigation Water Conveyance,
N.C. Field Office Technical Guide, Section IV, Practice Code 430-DD.
The information required by this form are the minimum requirements. It Is the responsibility of the
designer to consider all relevant factors at a particular site and address them as appropriate.
Irrigation pipes should not be installed in lagoon or storage pond embankments without the approval
of the designer.
NOTE: A buffer strip 5o feet wide or wider must be maintained between the limits of the irrigation system and all perennial
streams and surface waters per DEE NR--DEM Code Section 15A NCAC 2B .0200 - Waste Not Discharged to Surface
Waters.
trrigatfan Parameters USDA-URCS
October 1995 page4 North Camas

Narrative of Irrigation System Operation
Describe the operation of the system in the space provided below or on a similar sheet
most convenient to the designer/supplier.
Include procedures such as start-up, shut down, winterization and regular maintenance
of all equipment.
This irrigator is designed to apply .48" of water at specified ratings. Pump should be
primed and started and 1030 traveling Bose should be extended to specified destinations
in accordance with map. The reel should be started in manner that is given in owner's
manual that accompanies the machine. The machine is equipped with shutoff system,
so there is no harm done to the machine itself. The irrigator should only be run in
accordance with the waste management plans and to the specifications of this design.
Winterization should be done when the machine will be shut down for more than a
month at a, time, during the winter season. All water should be drained and machine
should be greased and oiled.
Regular check should be made on the reel, hose, and all mechanical equipment on the
machine itself.
Note: It is recommended to run the traveling gun with a 2701 arc pattern. In certain
4 ,
cases, to reach the required application rate, the arc may exceed 270° as noted in Table
2. The patterns in Table 2 are minimums and should not be lowered at any time. The
arcs may be increased when conditions are wet and the application rate needs to be
lowered. It is my recommendation to run the gun at 2701 when possible to decrease the
chance of runoff.

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,:IF
AGRI—PRODUCTS
ID:919-398--3184
IIAR 12'97
7:59 No.001 P.12
I..V. v . v w._t„__ — — _ —I -- _ r...__ -- j--_ ____ v_
Greater control ... more accurate application of both clean and
wastewater. Simpler to operate ... the Smooth operation of the six
speed gearboK eliminates
the need for multiple belts
and pulleys while providing
a full range of operating
speeds. Within a high and
low range there are three
speeds for Increased precl-
sion and accuracy In con-
trolling application rates.
Knowing and controlling
your application rotes have
become crucial wastewater Six Speed gearbox
management tools when
trying to adhere to ever increasing regulations. Each model Is
available with the standard 5.6 HP Honda engine or the efficient
peltcn Wheel Slurry
turbine. The Pelton
Wheel turbine Is the
Ideal drive system for
applying wastewater
or slurry from holding
areas such as tanks
andlor lagoons. The
f ellon Wheel turbine
can be mechanically
compensated for
accurate applications
or equipped with ilia
optional Irrigation
Pefron Wheal slurry turbine Computer.
This Improved design
only starts with the drive system. Other enhancements include:
• A oonstani preaeuro automatic braking system which
increases lensiori when the hose Is being pulled out but reverts to
lighter tension as the hose Is being retrieved.
A positive action lock down. When ongagod, this simple
brake will lock the tool In place when shifting ilia gearbox to neutral,
as well as secure the reel for transport when desired.
• A miswind sensor. Should a mtswind Irregularity ever occur,
this sensor will aulamatioally disengage the drive, protecting the
Real Rein from damage.
• Large selection of models. In an effort to offer customers
the proper system for their Irrigation needs, heel Raln models are
available In 29 different hose size / drive platform configurations.
Increased
speed range,
From .5 feel per
minute to 112.5
loot per minute,
you have the abil-
Ity to control the
application rate.
With F'teel 11aln
Irrigation equip-
ment from
AMADA5
INDUSTRIES,
you and your
Dealer receive Axel Rain Mode! 1376
speclal atlonlion from our fully equipped Service Department.
Each Service TTeohnfolan Is trained by the AMADAS staff englneer
who designed your Reel Bain. The 1000 8erlets offers only 5 of
����..1 � •! :AAAA . ;�, �}� [�/^� T•I�S'� d}t
..•.p.T.O. now rld a ; # �'r .>.° ;3
•� Automatic Hove: ,R�tatlf+live
;.stop r:1���lS�El,'6��
•� Ruggeri Fram6;fa;ail': `-F►a�:
;!h Turntable r,44AM t
[leel Speed com, Patvr .
•� Safety Shielding;' '+,0`�
-,GalvanizedMttingp� tirM ;.t ; fti
•,Galvanised Gun y1C�rrts.r.,
•',Mechsnlcml How �#lilda .�
ea11f t}
r+�Mlawlnd Sep r.
. i7.1
many dependable models
of Reel Rain Travelers. Ask
your Deafer to show you
other models that might
meet your needs. Reel
Raln Travelers are avail-
able In models which will
efnciently irrigate from 35 to
400 acres per week.
HOBBS•
Real Rain
AWMrIDHMUM [t
Model
Humber
Hose t.erigih
Fee
Hose I.D.
I hea
'Lana Spacing'Covered
!= et
No. of Aer es
Ins;{,
ne P II
Flow Rate
a=" Q;p.M, ° �;fi
!One•pull, Applying 1"
'''",y�'tif Water Hrs,j : `l''r
,
ti x:Nel�oi 11un',''
ur ne• GeV'
�• u ns es
1025
050
2.6
180
3.80 .'•.�:
y '107, i81
ti'. j 1.33' 10.60 ``• ''
'""
$RIf�J60 PSI'
1030
Des. ..
3.0
240
5.84 ,.:.,:
' 260 290
• i' ':., s.,
.r+�. �10:2..`� �:;;g.4:', ;��
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f.,8R1$0180 PB[
1033
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3.3.
2s0
a.es :S
3$0 ' 400
t'' t� ' �ri�1 i Y 8.4
: SRI50M psi
1325
=1250
3.2'
240 '
�:41 �
: 266. 290
"r^ 1 .8'' ''`11.8`• 's
' '
• :$Fi160IBO PSI
1375
1100
3.6
284
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•
8i4: rr:
•BR1S018d PSI
t !OD I Wand fld. • P.O. Dox 1033 • SUM01k. VA 23439.1833 A M A D A 1 1101 Sovlh 5lanoev 6tvd.. P.O. Box 3507 * Abany. OA 3170t1

REVELEE AGRI PRODUCTS, INC.
P.O. BOX Os
509 WEST BROAD STREE'C
MURFREESRORO. NORTH CAROLINA 27855
TELEPHONE 4910f 398-3110
March 17, 1997
Mr. Jimmy Barrow
Barrow Farms
Rt. 1, Box 446
Jackson, NC 27845
Dear Mr. Barrow,
As per the attached memorandum received from Carroll Pierce of DEHNR dated
March 3, 1997, and the guidelines that have been given to us to comply with your
animal waste irrigation system being classified as designed, we have completed
your Irrigation Design as of March 14, 1997.
Unless the rules are changed, Revelle Agri -Products, Inc. should be able to install
and certify your Irrigation System without the involvement of a Professional
Engineer.
Cordially,
William A. Stalls
President
WASIdd
Enclosures

THIS DESIGN IS FOR A SINGLE STAGE SWINE LAGOON
CLIENTS
NAME __________________________>
Barrow East
ITY
„=====--- ====.... ______________>
Northampton
.YS
DATE
3/11/99
b.. ING
LAW DISTANCES OKAY (YES OR NO) _>
Yes
NUMBER
OF PIGS WEANLING TO FEEDER
0
NUMBER
OF PIGS FEEDER TO FINISH =----___>
1400
NUMBER
OF SOWS FARROW TO WEANLING =____>
0
NUMBER
OF SOWS FARROW TO FEEDER =----__>
0
NUMBER
OF SOWS FARROW TO FINISH =______>
0
NUMBER
OF DEVELOPING GILTS =_------ __ >
0
NUMBER
OF STUD BOARS OR GESTATING SOWS >
0
NUMBER
OF YEARS OF SLUDGE ACCUMULATION >
0
(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 8.0
(minimum depth including sludge = 6 feet)
(maximum depth of sludge = 2 feet)
SIDE SLOPES
Permanent Volume Required 189000.0
Permanent Volume Provided 191578.7
ADDITIONAL DA W/O EVAP. (VEGETATED)
ADDITIONAL DA W/O EVAP. (NON-VEGET.)
(i.e. feedlot & non -diverted area)
-')DITIONAL D. A. WITH EVAPORATION
(i.e, pumpout pond)
_NGTH 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=O)
FREEBOARD
263.0
FEET
118.0
FEET
98.3
FEET
95.0
FEET
90.3
FEET
feet
2.5.1
cubic feet
cubic feet
0 SQUARE FEET
0 SQUARE FEET
0 SQUARE FEET
90 DAYS
0 GALLONS
11.2 INCHES
30 PERCENT
65 PERCENT
4.9 INCHES
6.7 INCHES
0.0 INCHES
0.0 INCHES
0 (NUMBER ONLY)
1.0 FEET
ESTIMATED TOP OF DAM ELEVATION =_______> 102.0 FEET
Temporary Storage volume Needed 80370.1 cubic feet
Temporary Storage Volume Provided 90899.6 cubic feet
Top of Dam Elevation =
Inside Dimensions of Lagoon at Top
Length = 281.5 feet Width =
ESTIMATED DEPTH TO PUMP =
Volume To Be Pumped =
Volume for Estimated Depth =
Begin Pumping Elevation =
Stop Pumping Elevation =
102.0 feet
of Dam
136.5 feet
1.8 FEET
58916 cubic feet
58996 cubic feet
100.1 feet
98.3 feet

1. STEADY STATE LIVE WEIGHT
0
head
weanling to feeder x 30 lbs.
0
lbs
1400
head
feeder to finishing x 135 lbs. =
189000
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 x 1417 lbs. =
0
lbs
0
developing gilts x 150 lbs. =
0
lbs
0
stud
boars or gestating sows -
0
TOTAL STEADY STATE LIVE WEIGHT (SSLW) = 189000 lbs
2. SLUDGE ACCUMULATION
Sludge accumulates at varying rates.
0
pounds
weanling to feeder x 0.25 =
0
cu.
ft.
189000
pounds
feeder to finishing x 0.25 =
47250
cu.
ft.
0
pounds
farrow to weanling x 0.17 -
0
cu.
ft.
0
pounds
farrow to feeder x 0.17 =
0
cu.
ft.
0
pounds
farrow to finish x 0.25 =
0
cu.
ft.
0
pounds
of developing gilts x 0.25 =
0
cu.
ft.
0
lbs. of boar studs or gent. sows * 0.125=
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.
189000
pounds
feeder to finishing x 1.0 -
189000
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.
0
pounds
of developing gilts x 1.0 =
0
cu.
ft.
0
lbs,. of
boar studs or gest. sows * 1 =
0
cu.
ft.
TOTAL LIQUID VOLUME REQUIRED FOR LAGOON = 189000 cu. ft.
TOTAL VOLUME FOR TREATMENT AND SLUDGE - 189000 cu. ft.
4. NORMAL LAGOON LIQUID LEVEL
Maintain normal lagoon liquid level at elevation 98.3 feet
Construct lagoon bottom elevation 90.3 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 8.0
AREA OF TOP
LENGTH *WIDTH =
263.0 118.0
AREA OF BOTTOM
Lb * Wb =
223.0 78.0
AREA OF MIDSECTION
(Lm * Wm)
243.0 98.0
31034.0 (AREA OF TOP)
17394.0 (AREA OF BOTTOM)
23814.0 (AREA OF MIDSECTION)
CU. YD. = [AREA TOP + {4*AREA MIDSECTION) + AREA BOTTOM] * DEPTH/6

31034.0 95256.0 17394.0 1.333
VOLUME OF LAGOON AT NORMAL LAGOON LIQUID LEVEL =91578.7 CU. FT.
• VOLUME NEEDED = 189000.0 CU. FT.
THE SURFACE DIMENSIONS OF THE LAGOON AT NORMAL LIQUID LEVEL
ARE 263.0 FEET LONG BY 118.0 FEET WIDE
5. DAM
Place spoil as a continuous darn to elevation 102.0 feet.
6. TEMPORARY STORAGE REQUIRED
DRAINAGE AREA:
Lagoon (top of dam)
Length * Width
281.5 136.5 38425 square feet
Additional Drainage Area without Evaporation
Vegetated 0 square feet
Non -Vegetated 0 square feet
Additional Drainage Area With Evaporation
0 square feet
TOTAL DA 38425 square feet
Pumping cycle to be 90 days.
6A. Volume of waste produced
0 head weanling to feeder x 0.5 gals/day = 0 gals/day
1400 head feeder to finishing x 2.3 gals/day = 3220 gals/day
0 sows farrow to weanling x 7.2 gals/day = 0 gals/day
0 sows farrow to feeder x 8.0 gals/day = 0 gals/day
0 sows farrow to finish x 23.0 gals/day = 0 gals/day
0 developing gilts x 2.5 gals/day = 0 gals/day
0 stud boars or gest. sows x 6.7 gals/day = 0 gals/day
TOTAL VOLUME OF WASTE = 3220 gals/day
Volume = 3220 gals/day * 90 days in the pumping
cycle divided by 7.48 gallons per cu. ft.
Volume = 38743.3 cubic feet
6B. Volume of rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation by largest
amount.
Excess rainfall (difference) = 6.3 inches
Volume = Volume from lagoon + volume from feedlots, etc * volume from other ponds
Volume = 20173.0 cubic feet
r.
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 6A.
Volume = 0 gallons/day * 90 days in pumping
cycle divided by 7.48 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 other ponds
Volume = 21453.8 cubic feet
6E. Volume of "Heavy Rain"
Volume = Volume from lagoon + volume from feedlots, etc + volume from other ponds
Volume = 0.0 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
6A.
38743.3
cubic
feet
of
waste
6B.
20173.0
cubic
feet
of
excess rainfall
6C.
0•.0
cubic
feet
of
fresh wash water
6D.
21453.8
cubic
feet
of
25yr-24hr storm water
6E.
0.0
cubic
feet
of
heavy rainfall
TOTAL TEMPORARY STORAGE '80370.1 cubic feet
7. DEPTH OF STORAGE REQUIRED (ABOVE NORMAL LIQUID ELEVATION OF LAGOON)
VOLUME OF TEMPORARY STORAGE WHEN TOP OF DAM IS 102.0 FEET ELEV.
AREA OF BOTTOM 31034.0 sq. ft.
AREA OF TOP = 36359.8 sq. ft.
AREA OF MID -SECTION = 33651.3 sq. ft.
VOLUME PROVIDED = 90899.6 cubic feet
THE DIMENSIONS OF THE INSIDE EDGE OF THE DAM AT ELEVATION 102.0 FT.
ARE 281.5 FEET BY 136.5 FEET
8. SET BEGIN PUMPING ELEVATION
PUMPED STORAGE VOLUME
6A. 38743.3 cubic feet of waste
6B. 20173.0 cubic feet of excess rainfall
6C. 0.0 cubic feet of fresh wash water
TOTAL PUMPED VOLUME = 58916.3 cubic feet
VOLUME AT ESTIMATED PUMPING DEPTH
AREA OF BOTTOM 31034.0 sq. ft.
AREA OF TOP = 34544.0 sq. ft.
AREA OF MID -SECTION = 32768.8 sq. ft.
VOLUME PROVIDED = 58995.9 cubic feet
DESIGNED BY: r%_ APPROVED BY:
DATE: �, DATE:

analm
Producer: Jimmy Barrow EAST
The purpose of this plan is to provide guidelines for carrying out
the routine operation and maintenance work needed to keep this swine
waste management system functioning as planned. Routine maintenance
is considered to be normal good care of the system. Good
maintenance adds to beauty, usefulness, and permanence.
A. Maintenance
The routine maintenance of the lagoon involves the following:
1. Maintenance of a vegetative cover on the embankment top and
side slopes: Fescue and common bermuda has been established
on these areas. Beginning in 1999 and each year thereafter,
the embankment should be fertilized with 800 pounds of 10-
10-10 per acre to maintain a vigorous stand.
2. Control of brush and trees on the embankment. This may be
done by mowing, spraying, or chopping, or a combination of
all three. This will need to be done at least once each
year and possibly twice in years favorable to heavy growth
of vegetation.
Maintenance inspections of the lagoon should be made during the
initial filling of the lagoon and at least annually. Items to
be checked should include, as a minimum, the following:
1. Waste Inlet Pipes, Overflow Pipes
a. condition of pipes
(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
4. Transfer Pump (not applicable)
1

ii '.( E
if ''!�, n' • �E, �f `
E'iI
i,,l3I.1
� f�
� a� : RRit �iR Por _ 1 u ��, Gf�7� E
9 EE'Es s �" a i
fE"j{�p�f., �3E�j I. MEBE�IE 3 3f 3 "9f4,. i 3if3 i E>l.
.14�hhES E!', ( �E
Et �
-
h 4'
am � 6iP�
!�I a�, �3�� ;{ ! 4
j 1
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B. Operation
Your animal waste management facility was designed for a total
of 1400 sows/animals (topping). The lagoon contains both
permanent and temporary storage. The permanent storage is not
to be pumped in order to ensure that anaerobic action will
occur. The design includes permanent storage of one cubic foot
per pound of steady state live weight.
The temporary storage portion of the lagoon includes capacity
for the volume of waste produced over 90 days, the amount of
rainfall in a 25 year 24 hour storm event, and rainfall in
excess of evaporation. Your facility is designed for 90 days of
temporary storage; therefore, it will need to be pumped every
three months. Begin pump -out of the lagoon when fluid level
reaches elevation 100.1 as marked by permanent markers. Stop
pump -out when the fluid Level reaches elevation 98.3.
The attached waste management plan should be followed. This
plan recommends sampling and testing of waste (see Attachment B)
before land application. The waste material should be analyzed
before each application cycle to determine its nutrient content.
A soil test of the area of application should be made annually
to insure the waste is applied as reasonably and practically
possible to recommended rates.
The Clean Water Act of 1977 prohibits the discharge of
pollutants into waters of the United States. The Department of
Environment, Health, and Natural Resources, Division of
Environmental Management, has the responsibility for enforcing
this law.
2

ENIERGEN CY ACTION PLAN
PHDWQ09y57it)OS
EMERGENCY NIANAGENIENT SYSTEM _ 911
SWCD _ sza 2s91
MRCS 5_u-759]
This plan wi.11 be implemented in the event that wastes from your operation are leafing.
overflowine, or running off site. You should not wait until wastes reach surface waters or
leave your property to consider that you have a problem. You should make every effort to
ensure that this does not happen. This plan should be posted in an accessible location for
all emplovees 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. Supsested 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. Inunediatelv 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: Leakage from the waste pipes and sprinklers -action include;
a. Stop recycle pump.
b. Stop irrigation pump.
c. Close valves to eliminate further discharce.
d. Repair all leaks prior to restarting pumps.
D: Leakage from flush s}'stems. houses, solid separators -action include:
a. Stop recycle put
h. Stop irngation pump.
c. Nkike sure no :ihhon occurs.
d. Stop ill tlow.s in the 110usC. 11u:11 sy ions. or _olid separators.
Ce_.;rhe: I S'. 199('

e. Repair all leaks prior to restarting pumps.
E: Leakage from base or sidewall of lagoon. Often this is seepage as opposed to
flowing leaks- possible action:
a. Dig a small sump or ditch away from the embankment to catch all seepage.
put in a submersible pump, and pump back to lagoon,
b. if holes are caused by burrowing animals. trap or remove animals and fill
holes and compact with a clay type soil.
c. Have a professional evaluate the condition of the side walls and lagoon
bottom as soon as possible.
2. Assess the extent of the spill and note any obvious damages,
a. Did the %vante reach any surface waters?
b. Approximately how much was released and for what duration?
c. Anv damage noted, such as employec 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.. CouId a future rain event cause the spill to reach surface waters?
g. Are potable water wells in danger (either on or off of the property)?
h. How much reached surface eaters?
3: Contact appropriate agencies.
a: During normal business hours, call your DWQ (Division of Water Quality)
regional office: Phone - - After hours, emergency number: 919-733-3942.
Your phone call should include: your name, facility, telephone number, the details
of the incident from item 2 above, the exact location of the facility, the location or
direction of movement of the spill, weather and wind conditions. The corrective
measures that have been under taken, and the seriousness of the situation.
b. If spill leaves property or enters surface waters, call local EMS Phone number -
c. Instruct EMS to conLict local Health Department...
d. Contact CES, phone number - - , local SWCD office phone number
and local NRCS office for advice/technical assistance phone number - -
4: If none of the above works tali 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 Four choice to begin repair of problem to minimize off -site
damage.
a. Contractors Name:
b. Contractors address:
c. Contractors Phone:

G: Contact the technical specialist who certified the lagoon (NRC5, Consulting
Eni inter. etc)
a. Name: Tany Shert, - —
b. Phone: �gig-539 2591 — -
7: Implement procedures as advised by D«Q and technical assistance agencies to
rectify- the damage, repair the systeni. and reassess the waste management plan to
keep problems with release of %vaster from happening again.
! 1 u9o'

Swine Farm Waste Management Odor Control Checklist
Source Cruse 11Mi's to Aliuiniizc Odor — - --- - Site Specific Practices
fanusi�ad Swi,it production ©' Vegetative or wooded buffers;
9- Recommended best management practices;
Er Good judgment and; common sense
Animal body surfaces • Dirty manure -covered aninials R- Dry floors
I Euur surfaces Wit nianure-covered floors 9' Slotted floors;.
9' Waterers located over slotted floors;
❑ Feeders at high end of solid floors;
M' Scrape manure buildup from floors;
A' Underfloor ventilation for drying
t.la„ure CIAICLtiU,i pits 6 ilriiie; R' Freiluetit tiiailure removal by Ilusli, pit rcchar;e,
• Pailial microbial decomposition or scrape;
R Underfloor ventiladmi
Veatil.111o,t exhaust fans • Volatile gases; I?` Fan maintenance;
Dust a Efficient air move llicilt
Luiuur surf:,ccs • Dust l3' Washdown between groups of animals; -
0 Deed additives;
❑ feeder covers;
f7 beet delivery downspout cxtentim to fctder
covers
I'lresh trots
. Agitation of recycled lagoon
0
Flusli tank covers;
AfIA
liquid while tanks are filling
p
Extent rill lines to near bottom of tanks wish
anti-siplion vents
I lusli allCys
Agitalion during wastewater
Q' Underfloor flush with underfloor ventilation
conveyance:
I'll ,ecb.uZe I,uinis
• Agitation of recycled lat;unn
❑
ILXleiid recharge liucs to,iear bolkai, ul'pils
ff��
liquid while pils are filling
with anti-siphou veials
I.ifi slalivas -
• Agitation during sump tank
0
Sump tans: covers
A11A
filling and drawdown
Okiuitle drain colicctinn
Agitatim, during wastewater
0
Box covers
or juuctiun Isaacs tyl t
conveyance:
ANIOC - November 11, 1996. Page 3

Source Cause DMPs to Minimize OcIor - Site Specific 1'raciices
End of drainpipes at • Agitation during wastewater ❑ Extend discharge point of pipes underneath
lagnon conveyance lagoon liquid level
Lagoon surlaccs Volatile gas emissions; a Proper lagoon liquid capacity;
• Biological mixing; 13' Correct lagoon startup procedures;
• Agitation Ct Minimum surface area -to -volume ratio;
Gr Minimum agitation when.ptimping;
O Mechanical aeration;
1I Proven biological additives (Ltme.)
litigation sprinkler • Iligh pressure agitation; Gr Irrigate on dry days with little or no wind;
nozzles . Wind drift Q' Minimum recommended operating pressure;
Or Pump intake near lagoon liquid surface;
❑ Pump from second -stage lagoon
Swrage unik or basin a Partiat microbial decomposition; C1 Botioni or midlevel loading;
si° lace N r� • Mixing while filling; ❑ 'yank covers;
` • Agitation when emptying ❑ Basin surface mats of solids;
❑ Proven biological additives or oxidants
Scidisit; haiiu ,mrfiALC •
Partial 11114rohial &cuinpusiliou;
❑
Extend drainpipe oialets undernealli liquid
JVI.A •
Mixing while filling;
level;
•
Agitation when emptying
❑
Remove settled solids regularly
Manure, sherry or slndlic •
Agitation when spreading;
❑
Soil injection of slurry/sludges;
spicader outhYs o
Volatile gas eniiSSiOtiS
❑
Wash residual manure from spreader after use;
A/ A
❑
Proven biological additives or oxidants
tlncovcred nianure, Volatile gas emissions while ❑ Soil injection of slurry/sludges
shirty or sludge on field drying ❑ Soil incorporation within 48 hrs.;
surt;ices
fV f A. ❑ Spread in thin uniform layers for rapid drying;
❑ Proven biological addilives or oxidants
Dead animals • Carcass decomposition fK Proper disposition of carcasses
Dead anitILA dishusal 0 Carcass decomposiliuii Cl Complete covering of carcasses in burial hits;
Nils
SK Proper loeation/crntstnrctinn ol'clispnsa! lilts
Liciuej"Ants 14 0 li►cuuiplele coadgiSiiorl Cl Secondary stack huriters
ANIO tcwhcr 11, 1996. Page 4

Source Cause DNIPs to h1iniutize odor Site Specific Practices
Standing water around • Improper drainage; i?f Grade and landscape such that water drains
facilities Microbial decomposition of away front - acilities
organic matter
itlanure tracked onto Poorly maintained access roads Lf Farm access road maintenance
public road4 i+uut farm
access
Additional Information : Available From :
Swine Niannre Management ; 0200 ItuldBMP Packet NCSIJ, County Extension Center
Swine Production Dann Potential Odor Sources and Remedies ; EBAE Fact Sheet
Swinc Production Facility Manure Management: I'it Reclprge - Lagoon Treatment; EBAE 128-89
Swine Production Facility Manure Management: Underfloor Flush - Lagoon Treatment ; EBAE 129-88
Lagoon Design and Management for Livestock Manure Treatment and Storage ; EBAE 103-83
Calibration of Manure and Wastewater Application Equipment; EBAE I -act Sheet
Controlling Odors from Swinc Buildings; Pill-33
Ftivirunnicnial Assurance Program ; NI'11C Manual
Options Cur Managing Odor; a report from the Swine Odor Task Force
Hinsanc. C'miccnu in Animal Manure Management: Odors and Ries; PRO107, 1995 Conference Proceedings
NCSU - IIAE
NCSIJ - IlAE
NCSIJ - BAE
NCSIJ - IIAE
NCSIJ - IIAE
NCSIJ - Swine Extension
NC fork Producers Assoc
NCSIJ Agri Conimunications
Flnrida Cooperative Fxtrnsion
AAI()C - 14ovetuher 11, 1996, Palle 5

Insect Control Checklist for Animal Operations
Simucc Cause ithli's to Conlrol haseeaa Site Slaecific t'raclices -
- Liquid Systems
f111511 Gilu4rs Accumulation of solids Er flush system is designed and operated _
sufficiently to remove accumulated solids from
gutters as designed.
La' Remove bridging of accumulated solids at
discharge
lagoons and Pits • Crusted Solids 1i-Maintain lagoons, settling basins and pits where
pest breeding is apparent to minimize the
crusting of solids to a depth of no more than 6 -
8 inches over more Ili -an 30% of surface.
I.acubsive vegutaiivc • Decaying veg'clalioll M' Mattltadn vegetative control along hanks of
t ilu+gill lagoons and other impoundments to prevent
accumulation of decaying vegetative matter
along watees edge on impoundment's perimeter.
Dry Systems
Deed Sl)illagc f>K Nsign, operale and 131ain4lin fecal systems (c.g.,
bunkers and troughs) to minimize the
accumulation of decaying wastage.
L;r Clean up spillage an a routine basis (e.g., 7 - 10
day interval daring summer, 15-30 day interval
during winter).
Fcc11 Sluraue • Accumulations of feed rusidues ET Reduce moisture accumulation within and
around immediate perimeter of lied storage
areas by insuring drainage away front 5ild:
and/or providing adedluale: containment (e.g.,
covered hin for brewer's grain and similar high
enaisturc grain prodnels).
Cir Inspect flor and remove or break up .1CC1e111tllMCLl
solids in filter strips around feed staar ge as
needed.
AAIIC - November 11, 1996, Page 1

Suurca Cause RMPs to Control lusects. Site Specific Practices
Animal l lolding Areas Accumulations of animal wastes ©' Eliminate low areas that trap moisture along
and feed wastage fences and other locations where waste
accumulates and disturbance by animals is
minimal.
E; Maintain fence rows and cheer -strips around
animal holding areas to minimize
accumulations of wastes (i.e., inspect for and
remove or break up accumulated solids as
needed).
Dry Maiutre I l:uidling • Accumulations of animal wastes ❑ Remove spillage on a routing basis (e.g., 7 - 10
Systems day interval 'during summer, 15-30 day interval
during winter) where manure is loaded for land
application or disposal.
❑ Provide for adequate drainage around manure
stockpiles.
❑ Inspect for and remove or break up accumulated
wastes in filter strips around stockpiles and
manure handling areas as needed.
Feu nwre inlunuation contact the Cooperative Extension Service, Department of Entomology, Box 7613, North Carolina Stair; I niversily,
Raleigh, IBC, ?7695-7613.
AAIIC: :aulrer 11, 1996, Page 2

I
Mortality nlati.-i-emettt Methods
(check which method(s) are being implemented)
r1 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.
x>' Rendering at a rendering plant licensed under G.S. 106-168.7
rJ` Complete incineration
In the case of dead poultry only. placing in a disposal pit of a size and design
approved by the Department of AQriculture
r! Anv 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)

'WASTE UTILIZATIONisPLAN.
Producer: Jimmy Barrow, Barrow East
Location: on Firetower Road, R.R.1 Box 446, Jackson NC 27845
Telephone: [phone]
Type Operation: Topping
Number of Animal Units: 1400
The waste from your animal facility must be land applied at a specified
rate to prevent pollution of surface and/or ground water. The plant
nutrients in the animal waste should be used to reduce the amount of
commercial fertilizer required for the crops on the fields where the waste
is to be applied. This waste utilization plan uses nitrogen as the
limiting nutrient. Waste should be analyzed before each application cycle.
Annual soil tests are strongly encouraged.so that all plant nutrients can
be balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization plan
in order to maximize the fertilizer value of the waste and to ensure that
it is applied in an environmentally safe manner. Always apply waste based
on the needs of the crop to be grown and the nutrient content of the waste.
Do not apply more nitrogen than the crop can utilize. Soil types are
important as they have different infiltration rates, leaching potentials,
cation exchange capacities, and available water holding capacities..
Normally waste shall not be applied to land eroding at greater than 5 tons
per acre per year. With special precautions, waste may be applied'to land
eroding at up to 10 tons per acre per year. Do not apply waste on
saturated, soils or on land when the surface is frozen. Either of these
conditions may result in runoff to surface waters. Either of these
conditions may result in runoff to surface waters which is not allowed
under DEM regulations. Wind conditions should also be considered to avoid
drift and downwind odor problems. To maximize the value of nutrients for
crop production and to reduce the potential for pollution, the waste
should be applied to a growing crop or applied to bare ground not more than
30 days prior to planting. Injecting the waste or disking will conserve
nutrients and reduce odor problems.
The estimated acres needed to apply the animal waste is based on typical
nutrient content for this type of facility. Acreage requirements should be
based on the waste analysis report from your waste management facility.
Attached you will find information on proper sampling techniques,
preparation, and transfer of waste samples to the lab for analysis.
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, tone etc.
00 animals X ?5/gal. waste/animal/year = Zoo gals. waste/year.
Amount of Plant_ Available Nitrogen (PAN) Produced Per Year
1400 animals X 2.3 lbs. PAN/animal/year = 3220 lbs. PAN/year. (PAN
from N. C. Tech. Guide Std. 633)
Applying the above amount of waste is a big job. You should plan time and
have appropriate equipment to apply the waste in a timely manner.
The following acreage will be needed for waste application based on the
crop to be grown and surface application:
Table 1: ACRES OWNED BY PRODUCER
Tract Field Soil Crop Lbs. N Acres Lbs. N Month of
# No. Type Per Ac.* Utilized Application
WSW
���
sae■■
KM.
• L
0 . AM
r I I M
Total S Imo►
28-kr
* This N is from animal waste only. If nutrients from other sources such
as commercial fertilizer are applied, they must be accounted for. N mu
be -based on realistic yield expectation._
NOTE: The applicator is cautioned that P and K may be over applied while
meeting the N requirements. This plan only addresses Nitrogen.
NOTE: Total Acres are wettable acres not irrigated acres. Nitrogen
needs are exceeded to compensate for the difference.

Table 2: ACRES WITH AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowner must be attached)
(Required only if operator does not own
adequate land [see Required Specification 21)
Tract Field Soil Crop Lbs. N Acres Lbs. N Month of
# Type Per Ac.* Utilized Application
*See footnote for Table 1.
Totals from above Tables
Table 1
Table 2
Total
Amount of
Surplus or
Acres Lbs. N
Utilized
N Produced
Deficit
s3
NOTE: The Waste Utilization Plan must contain provisions for periodic land
application of sludge at agronomic rates. The sludge will be nutrient rich
and will require precautionary measures to prevent over application of
nutrients or other elements.
See attached map showing the fields to be used for the utilization of waste
water.

Application of Waste by Irrigation
Field
No.
Soil Type
Crop
Application
Rate(In/Hr)
Application
Amount(In.)
7 245
to4h
'ir
r'
d
6.�
Z0
IDA-
This table Is not needed If waste Is not being applied by Irrigation, however a shnllar table will be needed for dry litter or sludge.
3 /l�rl 7
�b 7p •3-tS-ct9
Your facility is designed for _ days of temporary storage and the
temporary storage must be removed on the average of once every month .
In no instance should the volume of waste being stored in your structure
exceed Elevation 9- /o o./
Call the local Natural Resources Conservation Service (formerly Soil
Conservation Service) or Soil and Water Conservation District office after
you receive the waste analysis report for assistance in determining the
amount per acre to apply and the proper application rate prior to applying
the waste.
Narrative of Operation:
Waste will be applied to common bermuda and fescue grazed and cotton and
small grain.

wa:
UTILI
ANIMAL WASTE UTILIZATION AGREEMENT
{Needed only It additional lend has to be leased, etc.)
apply
1110 m "a{)•� �5 hereby give Wr i,- �ii,��?0 �-J permission to
e�
pp y waste from his Waste Utilization System on 15. acres of my
land for the duration of time shown below.
I understand that this waste contains nitrogen, phosphorous, potassium, and
other trace elements and when properly applied will not harm my land or
crops. I also understand that the use of waste will reduce my need for
commercial fertilizer. �•
Adjacent
Landowner : [.i C� Date: -
ZIL-
Waste Producer: µ L. Date:
Technical
Representati : Date: Qi Z r
SWCD Representative: Date:
Term of Agreement: ,19_ to 20_
Iminlmum of ten years on cost shared items)
{See Required Specification No. 21

v
;7z
. . . . . . .....
jil�
V, V
JQ
"I Fri, 1ti
r" r•er
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4 7,
roq
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I. UZI-
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Table 2: ACRES WITH AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowner must be attached)
(Required only if operator does not own
adequate land Csee Required Specification 21)
Tract Field Soil Crop Lbs. N Acres Lbs. N
*See footnote for Table 1.
Totals from above Tables
Table 1
Table 2
Total
Amount of
Surplus or
Acres Lbs. N
Utilized
Produced Deficit
.
Month of
on
3
s3
NOTE: The Waste Utilization Plan must contain provisions for periodic land
application of sludge at agronomic rates. The sludge will be nutrient rich
and will require precautionary measures to prevent over application of
nutrients or other elements.
See attached map showing the fields to be used for the utilization of waste
water.
0

Application of Waste by Irrigation
Field
No.
Soil Type
Crop
Application
Rate(In/Hr)
Application
Amount(In.)
7 ZO
Ala b
co4n
4.
,.
0
6.�
-r yv5
.�-
.
This table Is not needed It waste is not being applied by Irrigation, however a slmllar table will be needed for dry litter or sludge.
b
Your facility is designed for -fiM days of temporary storage and the
temporary storage must be removed on the average of once every 36 months..
In no instance should the volume of waste being stored in your structure
exceed Elevation 9z-,2— /06. /
Call the local Natural Resources Conservation Service (formerly Soil
Conservation Service) or Soil and Water Conservation District office after
you receive the waste analysis report for assistance in determining the
amount per acre to apply and the proper application rate prior to applying
the waste.
Narrative of Operation:
Waste will be applied to common bermuda and fescue grazed and cotton and
small grain.

c
Via',
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L .. .1. 1l. S.7„ .a .i ....1��. i�/F•IY ���'r ri .� ;!a -ills t�:. _ '

TILIZATION PLAN
PXQUIRE D 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 a notarized 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 a notarized 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, climate conditions, and level of management, unless
there are regulations that restrict the rate of application for other
nutrients. Actual yields may be used in lieu of realistic yield tables
at the discretion of the planner.
4. Animal waste shall be applied on land eroding less than 5 ton per
acre per year. Waste may be applied to land that is eroding at more
than 5 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 Strips)
5. Odors can be reduced by injecting the waste or disking after waste
application. Waste should not be applied when there is danger of drift
from the 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 N.C." for guidance.)
7. Liquid Waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur off site or to
surface waters and in a method which does not cause drift from the site
during application. No ponding should occur in order to control
odor and flies.
B. Animal waste shall not be applied to saturated soils, during rainfall
events, or when the surface is frozen.

r
9. Animal waste shall be applied on actively growing crops in such a
manner that the crop is not covered with waste to depth that would
prohibit growth. The potential for salt damage from animal waste
should also be considered.
10. Waste nutrients shall not be applied in fall or winter for spring
planted crops on soils with a high potential for leaching. Waste
nutrient loading rates on these soils should be held to a minimum and
a suitable winter cover crop planted to take up released nutrients.
Waste shall not be applied more than 30 days prior to planting of a
crop or forages breaking dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall comply
with the following: The outer pi�rimiter 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
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 surface
water. This distance may be reduced for waters that are not perennial
provided adequate vegetative filter strips are present (See Standard
393-Filter Strips).
12. Animal waste shall not be applied closer than 100 feet from
wells.
13. Animal waste shall not be applied closer than 200 feet of dwellings
other than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property and
public right-of-ways.
15. Animal waste shall not be discharged into surface waters, drainageways
or wetlands by a discharge or by overspraying. Animal waste may be
applied to prior converted cropland provided it has been approved
as a land applications site by a "technical specialist". Animal waste
applied on grassed waterways shall be at agronomic rates and 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. Lagoon berms and structures should be inspected
regularly for evidence of erosion, leakage, or discharge.

WASTE UTILIZATION PLAN
18. If animal production at the facility is to be 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 permanent 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. Soil tests shall be made every two years and a liquid waste analysis
be taken at least twice each year consistent with waste utilization
plan. Poultry litter shall be tested prior to application. Soil
and
waste analysis records shall be kept for five years.
23. Dead animals will be disposed of in a manner that meets NC regulations.

.................
TILIZATI0:N PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm: �gyyYJLt% %
Owner/Manager Agreement
I (we) understand and will follow and implement the specification and the
operation and maintenance procedures established in the approved animal
waste utilization plan for the farm named above. I (we) know that any
expansion to the existing design capacity of the waste treatment and
storage system or construction of new facilities will require a new
certification to be submitted to the Division of Environmental Management
(DEM) before the new animals are stocked. I (we) also understand that
there must be no discharge of animal waste from this system to surface
waters of the state from a storm event less severe than the 25-year, 24-
hour storm. The approved plan will be filed on -site at the farm office and
at the office of the local Soil and Water Conservation District and will be
available for review by DEM upon request.
Name of Facility Owner: (nease print)- 4.)
n
Signature:
Name of Manager C(nf different from owner:
Signature:
Technical Representative: Tony Short
Affiliation: Natural Resources Conservation Service
Address (Agency:
P.O. Box 218
Jackson N.C. 27845
Date: - IL' 7 L
Date:
252-534- 1
Signature: Date

WA,....... . ... ..STE`°UTILIZATI.............
ANIMAL WASTE UTILIZATION AGREEMENT
(Needed only it additional lend lies to 6e leased, etc.1
1, jo,,Jf S hereby give W, q (2Jkfr0E.1 permission to
apply animal waste from his waste Utilization System on _ 15 acres of my
land for the duration of time shown below.
I understand that this waste contains nitrogen, phosphorous, potassium, and
other trace elements and when properly applied will not harm my land or
crops. I also understand that the use of waste will reduce my need for
commercial fertilizer. ".
Adjacent Landowner:., C Date: _ �- rj - y S
Waste Producer:
Technical Repre
SWCD Representa
Term of Agreemeiiu :
J.7- UU
(minimum of ten years on cost altered Items)
ISee Required Specification No. 21
Date:
Date:
Date: V-
20_

Aiiimal Waste Management 1'lau Certiricatioll
Name of Fartn:_- &19z ito _ i�&Sf � _Facility No: -- K0
Owner(s) Nanie:T I r*- rw.l Ad -- � Plione No:. S73' f - No /
Mailing Address: Alt 1X_-
a
Fctrni Location: County Farin is Iocated in:
2r 2S / 7 Z2� 3Z F Integrator: Latitude and Longitude: 3G-
Please attach a copy of a county road neap with location identified and describe below (Be s ecific: road
names, directions, milepost, etc.): -4 e
Operation Description:
Type of Swine
No. of Anionals
❑ Wean to Feeder
AXFeeder to Finish
_ f' 0 _
❑ Farrow to Wean
U Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
O Boars
7j!pe of Poultry
* Layer
O Pullets
No. of Animals
Type of Cattle
❑ Dairy
0 Beef
No. ofAnitrwls
Other Type of Livestock; Number of Anintals:.
Acreage Available for Application: - Required Acreage: -
Number of Lagoons / Storage Ponds : I Total Capacity' g ?Cubic Feet (10)
Are subsurface drains present on the farm: YES or � (please circle one)
If YES: are subsurface drains present in the area of lie LAGOON or SPRAY FIELD (please circle one)
Owner / Manager Agreement
1 (we) verify that all the above infonnation is correct and will be updated upon changing. I (we) understand the operation
and maintenance procedures established in lie approved animal waste management plan for the farm namted above and will
implement these procedures. I (we) know that any expansion to We existing design capacity of the waste treatment and
storage systeni or construction of new facilities will require a new certification to be submitted to the Division of
Environmental Management before the new aninials are stocked. I (we) understated 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 front the
application of aninial 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 rite fans 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.
Narne of Land Owner :
Signature:_^
Name of Manager(
Signature:
nt from owner):
Date- 3.14 " p
Date:
AWC -- August 1, 1997

Technical Specialist Certification
L As a technical specialist designated by (lie Notdi Carolina Soil and Water Conservation Conui►ission pursuant to 15A
NCAC 6F .0005, I certify that the animal waste management system for the farm nained 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 Conunission 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, S1, WUP, RC, I), the technical specialist should only certify parts for which they are
technically competent.
H. Certification of Design
A) Collection, Storage, Trea_ tinent Systept
Check the appropriate box
Existing facility without retrofit (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with waste utilization
requirements.
❑ 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 ntinintum standards and specifications.
Name of Teclmical Specialist (Please Print): ?2Tha
Affiliation_ rV��G,S . -Date Work Completed:
Address (Agency):
lone No.:_
ate: 3-�s-Sg
D) 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.
Nance of Technical Specialist (Please Print): 7-6 t!!:�j
. Affila A ' jr
Address (
Signature
C) Runoff Controls froin Exterior Lots
Check the appropriate box
Facility without exterior lot (SD or WUP or RC)
This facility does not contain any exterior lots.
Work Completed:
No. S %C —
❑ Facility with exterior lots (RC)
Methods to minimize the run off of pollutants from lounging and heavy use areas have been designed in
accordance with technical standards developed by NRCS.
Nance ol" Technical Specialist (Please Print):
Affiliation 0 (L(.. s Date Work Completed:
Address (Agency):_,.,
Signature:
A W C -- August 1, 1997
)ne No.: L PL- 1: �j-J/
te: .7— /._+9

v). Application and I-ianclling- quipment
Check the appropriate box
CI Lxisting or_expanding facility with existiiikwaste aLmlicatiou equiotiient (WUP or l)
Animal waste application equipment specified in the plait 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 tinting of applications has been
established; required buffers can be maintained and calibration and adjustment guidance are contained as part of
the plan).
U Ne-w,_exoandesl. or existing facility without existing waste application equipment for spray irrigation. (1)
Animal waste application equipment specified in die plan has been designed to apply waste as necessary to
acconunodate the waste management plan; (proposed application equipment can cover the area required by the
plan at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of
applications has been established; required buffers cart be maintained; calibration and adjustment guidance are
contained as part of die plan).
U New._exp nded. or existing. facility without_existing_waste application guuinuie,n(„fit l�an�preading_not usitig
spray i�i�ation, (WUP or 1)
we q 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 caning of
applications has been established; required buffers can be maintained; calibration and adjustment guidance are
contained as part of the plan).
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
E) Odor Control, Insect Control, Mortality Managertlent and E, mergence Action Plan (SD,
81, WUP, RC or 1)
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 die waste management plan. Both the
Mortality Management Plait and the Emergency Action Plan are complete and can be implemented by this facility.
Nance of Technical Specialist (Please Print):
Affiliation N t C.f . Date Work Completed: -9 7
Address (Agency): PC) 4ax Phone No.:S"' 3 `F 2 r9r
Signature: Date:
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 front this new or expanding swine fart, The notice was
in couipliance 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:
Nance of Nianuger (if different from owner):
Signature: Date:
AWC -- August 1, 1997 3

Anvlicallon mid 11andlin r L util rnent
C(ieck the appropriate box
Existing facility with existing waste application ecLi,ptuent (WUP or I)
Animal waste application equipment specified lit the plan his been either field calibrated or
evaluated iii accordance with existing desigii 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).
❑ New or expanded facility: or existing facility without existing waste aI'c ti t ui net (1)
Animal waste application a(juipment specified in the plan has been designed to apply waste as
necessary to accommodate the waste immagement plan; (proposed application equipment can
cover the area required by the plait' at rates not to exceed either the specified hydraulic or
nutrient loading rates; a schedule for timing of applications has been established; required
buffers can be maintained; calibration: and adjustment guidance are contained as part of the
plan).
Name of Technical Specialist (Please Print): Wi•lliann A. Stalls
Affiliation: e Agrzi-Prod=ta,
Address(Agency): P.O. Box 68 Murfreesboro, NC 27855 Rhone No.:
919-398-3116
• �r��`
Signaturee�' Da
te:
ate:
III. Certification of Installation
A) Collgctigu, &rAl;e, TLt menj Installation
New, expanded or tetrofittecl_facility (SI)
Animal waste storage and treatment structures, such as but not limited to lagoons and ponds,
have been installed in accordance with the approved plan to uteet or exceed the minimum
standards and specifications.
For existing facilities npillsoul rely-ofls, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation:
Address(Agency): Phone No.:
Signature: Date:
AWC -- April 24, 1996 3

III. Certification of Installation
A) Collection, Storage, Treatment Installation
New, expanded or retrofitted facility (SI)
Animal waste storage and treatment structures, such as but not limited to lagoons and ponds, have been Installed
in accordance with the approved plait to meet or exceed the minimurn standards and specifications.
For existing facilities ivithout retrofits, no certification is necessaa
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
XThe cropping system is in place on all land as specified in the animal waste management plan,
❑ 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 commlued to establish the
vegetation as specified in the plan by (nionth/day/year); the proposed cover crop is
appropriate for compliance with the wasteutilization plait.
❑ Also check this box if appropriate
if the cropping system as specified in the plait can not be established on newly cleared land within 30 clays
of this certification, the owner has committed to establish an interim crop for erosion control;
Name of Technical Specialist (Please Print): 1V y S
Affiliation AMCJ Date Work Completed:_ 2 — ZL -V2
Address (Agency): Pd Q�t' Phone No.:
Signature: Date: 49k` 3—tT'-Nf:9,3
This following signature Flock is only to be used when the box for conditional approval in M. 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
front 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 front DEM.
Nance of Land Owner:
Signature: Date:
Name of Manager (if different from owner):
Signature:
Date:
AWC -- August 1, 1997

C) Runoff Controls froin Exterior Lots (RQ
Facility -with exterior lots
kletlwds to minimize the run off of pollutants From lounging and heavy use areas have been installed as specified
in the plats.
For facilities without exterior lots, rto certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
D) Application and Handling 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 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 lie plan; required buffers can be maintained; calibration and
adjustenent guidance have been provided to the owners and are contained as part of the plan.
X04( ❑ Conditional approval: Anintai waste application and handling equipment specified in the plan has
been purchased and will be on site and installed by (nionth/day/year); Here 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
f _ been provided to the owners and are contained as part of the plan.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
The following signature block is only to be used when the box for conditional approval in IH D
above has been checked.
I (we) certify that I (we) have committed to purchase the anfinal waste application and handling equipment as
specified in my (our) waste management plait and will submit to DEM a verification of delivery and installation
froin a Technical Specialist within 15 calendar days following the date specified in the conditional certification. I
(we) realize that failure to subinit 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):
Signature: Date:
E) Odor Control, Insect Control and Mortality Management _(SD, S1, WUP, RC or I)
Methods to control odors and Insects as specified in the Plan have been installed and are operational. The
inortality management system as specified in (lie Plan has also been installed and is operational.
Name of Technical Specialist (Please Print): _ f��..t,l 914—,
Affiliation NU S Date Work Completed: 2: L L --S 7
Address (Agency): P° i$en 1-($_ Ties« P�l C- Phone No.: S'` - -A Eq
Signature:
AWC -- August 1, 1997 5

D) Altltlir,aGott lnttd alldlittg Euuil anent ttstttllaliont (W UI' or I)
Check the appropriate block
Animal waste application and Handling equipment specified in the plan is on site and ready
for use; calibration and adjustment materials have been provided to the owners acid are
contained. as part of the plait.
❑ Animal waste application and handling equipment specified in the plait 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
(nio nth/day/y ear); there is adequate storage to hold the waste until the equipment is installed
and until the waste can be land applied in accordance with the cropping system contained
in the plan; and calibration and adjustment guidance have been provided to the owners and
are contained as part of the plmi.
Nance of Technical Specialist (Please Print):
Affiliation: /w� Ci AA -_ & -
Address (Agency): 0 Phone No.:
Signature: ..-:,, Date:
The fulluwing signature block is only to be used when the box for conditional approval in W D
above has been checked.
1(we) certify that 1(we) have committed to purchase the aninial waste application and handling
equipment as specified in my (our) waste management plan and will submit to DEM a verificationof
delivery and installation from a Technical Specialist within 15 calendar days following die date specified
in the conditional certification. 1 (we) realize that failure to submit this verification is a violation of the
waste management plait and will subject the (us) to an enforcement action from DEM.
Name of Land Owner
Signature: Date:
Name of Manager(if different from owner):
Signature: Date:
Please return the completed form to the Division of Environmental Management at the
following address:
Departtnent of Environment, Ilettllh, and Natural Resources
Division Of Environnneiilal Management
Water Quality Section, Compliance Group
11.0. Box 29535
Raleigh, NC 27626-0535
Please also remember to submit a copy of this fornn slung with the complete Animal Waste
ManaCement flan to the local Soil and Water Conservation District Office attd to keep a copy in
your files with your Animal Waste Management flan.
AWC — April 24, 1996

re
Please return the completed form to the Division of Water Quality at the following address:
Department of Environment, Health, and Natural Resources
Division Of Water Quality
Non -Discharge Branch, Compliance Unit
P.O. Box 29535
Raleigh, NC 27626-0535
Please also. remember to submit a copy of this form along with the coniplete Animal Waste
Management Plan to the local Soil and Water Conservation District Office and to Deep a copy
In your files with your Animal Waste Management Plan.
AWC -- August 1, 1997 6

WASTE UTILIZATION PLAN �(a_�()
ProJimmy Barrow, Barrow East
Location: on Firetower Road, 732 Barrow's Mill Rd., Jackson NC 27845
Telephone-. 252-534 -7901
Type Operation: Topping
Number of Animal Units: 1400
The waste from your animal facility must be land applied at a specified rate to prevent pollution of surface
and/or ground water. The plant nutrients in the animal waste should be used to reduce the amount of
commercial fertilizer required for the crops on the fields where the waste is to be applied. This waste
utilization plan uses nitrogen as the limiting nutrient. Waste should be analyzed before each application
cycle. Annual soil tests are strongly encouraged so that all plant nutrients can be balanced for realistic
yields of the crop to be grown.
Several factors are important in implementing your waste utilization plan in order to maximize the fertilizer
value of the waste and to ensure that it is applied in an environmentally safe manner. Always apply waste
based on the needs of the crop to be grown and the nutrient content of the waste. Do not apply more
nitrogen than the crop can utilize. Soil types are important as they have different infiltration rates, leaching
potentials, cation exchange capacities, and available water holding capacities. Normally waste shall not be
applied to land eroding at greater than 5 tons per acre per year. With special precautions, waste may be
applied to land eroding at up to 10 tons per acre per year. Do not apply waste on saturated soils or on land
when the surface is frozen. Either of these conditions may result in runoff to surface waters. Either of these
conditions may result in runoff to surface waters which is not allowed under DEM regulations. Wind
conditions should also be considered to avoid drift and downwind odor problems. To maximize the value of
nutrients for crop production and to reduce the potential for pollution, the waste should be applied to a
growing crop or applied to bare ground not more than 30 days prior to planting. Injecting the waste or
disking will conserve nutrients and reduce odor problems.
The estimated acres needed to apply the animal waste is based on typical nutrient content for this type of
facility. Acreage requirements should be based on the waste analysis report from your waste management
facility. Attached you will find information on proper sampling techniques, preparation, and transfer of waste
samples to the lab for analysis.
This waste utilization plan, if carried out, meets the requirements for compliance with 15A NCAC 2H.0217
adopted by the Environmental Management Commission.
RECEIVED / DEN ! DWQ
AQUIEFR'PR0TFr.TI0N SFCn0N
MAR 17 2099

Amount of Waste Produced Per Year(gallons, tons,etc.)
1400 animals X 751 gal. waste/animal/year = 1,051,400 gals. wastelyear.
Amount of Plant Available Nitrogen (PAN) Produced Per Year
1400 animals X 2.3 lbs. PAN/animal/year = 3220 lbs. PAN/year. (PAN from N. C. Tech. Guide Std. 633)
Applying the above amount of waste is a big job. You should plan time and have appropriate equipment to
apply the waste in a timely manner.
The following acreage will be needed for waste application based on the crop to be grown and surface
application:
Table 1: ACRES OWNED BY PRODUCER
Tract Field Soil Crop Lbs. N Acres Lbs. N Month of
# No. Type Per Ac.* Utilized Application
6218
FIA,
F1B
NoB
Com ber.
Gr.
4.9 x
50 x
75�s
7.0 x
75%
964
Mar 1- Sept
30
FIA,
F1B
NoB
Sm grain
1
50
7.0 x
75%
262
Oct 1-Mar 31
F2A,
BC, D
BoB
Sm. Gr.
50
6 x75%
225
Oct 1-Mar 31
F2A,
BC,D
BoB
Com ber.
HAY
4.9 X
50
6 x75%
1103
Mar I- Sept
30
Total
13
2554
Table 1 I I 2554 1
' This N is from animal waste only. if nutrients from other sources such as commercial fertilizer are applied,
they must be accounted for. N must be based on realistic yield expectation.
NOTE: The applicator is cautioned that P and K may be over applied while meeting the N requirements.
This plan only addresses Nitrogen.
NOTE: Total Acres are wettable acres not irrigated acres. Nitrogen
needs are exceeded to compensate for the difference.

Application of Waste by Irrigation
Field Soil Type Crop Application Application
No. Rate(In/Hr) Amount(In.)
T 6218 Fl
Norfolk
Comm. Ber
grazed
0.5
1.0
F'2
Norfolk
COASTAL/sm gr
0.4
1.0
F2
Gritney
0.4
1.0
F2
Goldsboro
"
0.4
1.0
Robert Jones
Gritney
Com. Berm.
0.4
1.0
Sm Gr.
0.4
1.0
This table is not needed if waste is not being applied by irrigation, however a similar table will be needed for
dry litter or sludge.
Your facility is designed for 90 days of temporary storage and the temporary storage must be removed on
the average of once every 3 months.
In no instance should the volume of waste being stored in your structure exceed Elevation 100.1.
Call the local Natural Resources Conservation Service (formerly Soil Conservation Service) or Soil and
Water Conservation District office after you receive the waste analysis report for assistance in determining
the amount per acre to apply and the proper application rate prior to applying the waste.
Narrative of Operation:
Waste will be applied to common bermuda
grazed and cut for hay with small grain interseeded.

REQUIRED SPECIFICATIONS
1. Animal waste shall not reach surface waters of the state by runoff,
drift, manmade conveyances, direct application, or direct discharge
during operation or land application. Any discharge of waste which
reaches surface water is prohibited.
2. There must be documentation in the design folder that the
producer either owns or has a notarized 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 shalt provide a
copy of a notarized 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, climate conditions, and level of management, unless
there are regulations that restrict the rate of application for other
nutrients. Actual yields may be used in lieu of realistic yield tables
at the discretion of the planner.
4. Animal waste shall be applied on land eroding less than 5 ton per
acre per year. Waste may be applied to land that is eroding at more
than 5 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 Strips)
5. Odors can be reduced by injecting the waste or disking after waste
application. Waste should not be applied when there is danger of drift
from the 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 N.C." for guidance.)
7. Liquid Waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur off site or to
surface waters and in a method which does not cause drift from the site
during application. No ponding should occur in order to control
odor and flies.
B. 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 depth that would
prohibit growth.. The potential for salt damage from animal waste
should also be considered.
10. Waste nutrients shall not be applied in fall or winter for spring
planted crops on soils with a high potential for leaching. Waste
nutrient loading rates on these soils should be held to a minimum and
a suitable winter cover crop planted to take up released nutrients.
Waste shall not be applied more than 30 days prior to planting of a
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
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 surface
water. This distance may be reduced for waters that are not perennial
provided adequate vegetative filter strips are present (See Standard
393-Filter Strips).
12. Animal waste shall not be applied closer than 100 feet from
wells.
13. Animal waste shall not be applied closer than 200 feet of dwellings
other than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property and
public right-of-ways.
15. Animal waste shall not be discharged into surface waters, drainageways
or wetlands by a discharge or by overspraying. Animal waste may be
applied to prior converted cropland provided it has been approved
as a land applications site by a "technical specialist". Animal waste
applied on grassed waterways shall be at agronomic rates and 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. Lagoon berms and structures should be inspected
regularly for evidence of erosion, leakage, or discharge.

18. If animal production at the facility is to be 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 permanent 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. Soil tests shall be made every two years and a liquid waste analysis
be taken at least twice each year consistent with waste utilization
plan. Poultry litter shall be tested prior to application. Soil
and waste analysis records shall be kept for five years.
23. Dead animals will be disposed of in a manner that meets N.C. regulations.

WASTE UTILIZATION PLAN AGREEMENT
Name of Farm: Barrow West
OwnerlManager Agreement
I (we) understand and will follow and implement the specification and the operation and maintenance
procedures established in the approved animal waste utilization plan for the farm named above. I (we) know
that any expansion to the existing design capacity of the waste treatment and storage system or
construction of new facilities will require a new certification to be submitted to the Division of Environmental
Management (DEM) before the new animals are stocked. I (we) also understand that there must be no
discharge of animal waste from this system to surface waters of the state from a storm event less severe
than the 25-year, 24-hour storm. The approved plan will be filed on -site at the farm office and at the office of
the local Soil and Water Conservation District and will be available for review by DEM upon request.
Name of Facility Owner: Jimmy Barrow
Signature: Date: _3 - J Z- Q
Technical Represen ive: William P. Boone
Affiliation: Naturals Resources Conservation Service
Address Agency: P.O. Box 218
Jackson N.C. 27845
252-534}}-2591
Signature:J���/ Date: C

(Needed only if additional lend has to he $eased, etc.)
I, �� Q R� ��OT� P S hereby give 0 ("1 permission to
apply animal waste from his Waste Utilization System on 15 acres of my
land for the duration of time shown below.
I understand that this waste contains nitrogen, phosphorous, potassium, and
other trace elements and when properly applied will not harm my land or
crops. I also understand that the use of waste will reduce my need for
commercial fertilizer.
Adjacent
Landowner: ageztl -7-L.0 -3 Date:
Waste Producer: tr Date:
Te^hnical
C.
4
Representati Date: 2- 2.
Representative: Dater
Term of KgreemelIL :
, 'L 7 t< v , 2 0 ____
num of ten years an cost shared itemel
Required Specification No. 2$
V- '-� f/ J/ � /

Table 2: ACRES WITH AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowner must be attached)
(Required only if operator does not own adequate land [see Required Specification 2))
Tract Field Soil Crop Lbs. N Acres Lbs. N Month of
# No. Type Per Ac.* Utilized Application
Robe
its
A,B
GxB
Com Ber
grazed
4.9 x 130
50 x
75%
x 75%
4134
Mar 1- Sept
30
Sm Gr.
30 x 50
x 75%
1125
Oct 1-Mar 31
Total
5259
J
Totals from above Tables
Acres Lbs. N
Utilized
Table 1 1
37
1 2554
Table 2 1
15
1 5259
Total 152
1 7813
Amount of
N Produced
1 -3220
Surplus or
Deficit
1 -4593
NOTE: The Waste Utilization Plan must contain provisions for periodic land application of sludge at
agronomic rates. The sludge will be nutrient rich and will require precautionary measures to prevent over
application of nutrients or other elements.
See attached map showing the fields to be used for the utilization of waste water.

- &,Ze 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
January 31, 1
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Jimmy Barrow
Rt. 1 Box 446
Jackson NC 27845
E F4- F1
Kp 1991
SUBJECT: Request for Remission of Civil Penalty
Pursuant to N. C. G. S. 143-215.6A(f)
File No -Case CF 95-009
Dear Mr. Barrow:
sic
Your request for remission has been placed on the agenda for the February 13, 1997,
meeting of the Environmental Management Commission's Committee on Civil Penalty
Remissions. The Committee will convene immediately following the closing of the regularly
scheduled business meeting of the Environmental Management Commission in the Fifth Floor
Conference Room of the Archdale Building located at 512 North Salisbury Street, Raleigh,
North Carolina (see enclosed map). You should arrive no later than 10:00 a.m.
The factors to be considered by the Committee on Civil Penalty Remissions are whether:
(a) one or more of the civil penalty assessment factors in G.S. 143B-282.1(b) were
wrongly applied to the detriment of the petitioner;
(b) the violator promptly abated continuing environmental damage resulting from the
violation;
(c) the violation was inadvertent or the result of an accident;
(d) the violator had been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary
remedial actions.
The Committee on Civil Penalty Remissions may remit none of the penalty, a part of the
penalty, or the entire penalty. The entire amount of the penalty can only be remitted when the
violator has not been assessed civil penalties for previous violations, and when payment of the
civil penalty will prevent payment for the remaining necessary remedial actions.
P.O. Box 29635, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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Page 2
Jantary 31, 1997
You or your representative should be available to make your presentation to the
Committee on Civil Penalty Remissions at the above mentioned time and location. You are
allowed approximately fifteen minutes for your presentation.
Your cooperation in this matter is greatly appreciated. if you have any questions
concerning this matter, please call Robert L. Sledge, Supervisor of our Water Quality
Compliance Group, at [phone], ext. 233.
Sincerely,
�~ A. Preston Howard, Jr., P.E.
cc: DWQ--Regional:Qffice�
Enforcement File

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
JIMMY BARROW
BARROW EAST
ROUTE 1, BOX 446
JACKSON NC 27845
Dear Jimmy Barrow.
IN WIWI; WFA
NORTH CAROL;NA'DEPARTMENT OF
ENVIRONM NA O NATURALIRESOURCES
February 15, 2000 r
11
Lo
z .1
Subject: Application -,No: AWA G6 040 «�
i.- i
Additional Inform to on'_Request'�
CBarrow_East—
CAnimal Waste Operation
1 orthamptori_County,
The Non -Discharge Permitting Unit has completed a review of the additional information received. However, additional
information is required before we can continue our review. Please address the following by March 16, 2000:
I was unable to find a map that identifies (outlines or highlights) and shows the acreage for the fields leased
from Robert Jones for waste application. Please provide this.
Please note that all WUP revisions must be signed and dated by both the owner and the technical specialist. Please
reference the subject permit application number when providing the requested information. All information should be signed,
sealed, and submitted in duplicate to my attention at the address below. The information requested by this letter must be
submitted on or before March 16, 2000 or the Division will return your application as incomplete in accordance with 15A
N.C.A.C. 2H .0200 and your facility will be considered to be operating without a permit.
Please be advised that operation of the subject animal waste management system without a valid permit is a violation of North
Carolina General Statute 143-215.1 and will subject you to the enforcement authority of the Environmental Management
Commission.
1f you have any questions regarding this request, please call me at [phone], extension 364.
cc:_Raletsh.RegionaI Office, VVatereQu`ah
Permit File
Sincerely,
60
Dianne Thomas
Soil Scientist
Nan -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

1"
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
BARROW EAST
ROUTE 1, BOX 446
JACKSON NC 27845
Attn: Jimmy Barrow
Dear Jimmy Barrow:
unwom
NCDEN
NORTH CAROLINA DEPARTMENT ROF��'
ENVIRONMENT AND NATURAL RESCES
November 4, 1999
Subject: Application No. AWS660040
Additional Information Request
Barrow East
Animal Waste Operation
Northampton County
The Non -Discharge Permitting Unit has completed a preliminary engineering review of the subject application. Additional
information is required before we can continue our review. Please address the following by December 4, 1999:
1. In the application package submitted, it is stated that the irrigation design for this facility was completed
after October 1, 1996. Due to this, the irrigation design is required to be part of your Certified Animal
Waste Management Plan (CAWMP) and needs to be submitted to complete your application package.
Please be sure that maps are included that clearly show the tract numbers, field numbers and pull numbers
along with the acreage amounts, as listed in your Waste Utilization Plan (WUP). I was unable to get this
information from the maps submitted with your original application.
Please note that all WUP revisions must be signed and dated by both the owner and the technical specialist. Please
reference the subject permit application number when providing the requested information. All information should be signed,
sealed, and submitted in duplicate to my attention at the address below. The information requested by this letter must be
submitted on or before December 4, 1999 or the Division will return your application as incomplete in accordance with 15A
N.C.A.C. 2H .0200 and your facility will be considered to be operating without a permit.
Please be advised that operation of the subject animal waste management system without a valid permit is a violation of North
Carolina General Statute 143-215.1 and will subject you to the enforcement authority of the Environmental Management
Commission.
If you have any questions regarding this request, please call me at [phone], extension 364.
Sincerely,
Dianne Thomas
Soil Scientist
Non -Discharge Permitting Unit
cc: Raleigh Regional Office, Water Quality
Permit File
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
June 22, 1999
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Jimmy Barrow''
Barrow East
Route 1, Box 446
Jackson NC 27845
Farm Number: 66 - 40
Dear Jimmy Barrow:
/ • •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
You are hereby notified that Barrow East, in accordance with G.S. 143-215.1 OC, must apply for
coverage under an Animal Waste Operation General Permit. Upon receipt of this letter, your farm has
sixty (60) days to submit the attached application and all supporting documentation. In accordance
with Chapter 626 of 1995 Session Laws (Regular Session 1996), Section 19(c)(2), any owner or
operator who fails to submit an application by the date specified by the Department SHALL NOT
OPERATE the animal waste system after the specified date. Your application must be returned
within sixty (60) days of receipt of this letter. Failure to submit the application as required may also
subject your facility to a civil penalty and other enforcement actions for each day the facility is operated
following the due date of the application.
The attached application has been partially completed using information listed in your Animal
Waste Management Plan Certification Form. If any of the general or operation information listed is
incorrect please make corrections as noted on the application before returning the application package.
The signed original application, one copy of the signed application, two copies of a general location
map, and two copies of the Certified Animal Waste Management Plan must be returned to complete the
application package. The completed package should be sent to the following address:
North Carolina Division of Water Quality
Water Quality Section
Non -Discharge Permitting Unit
Post Office Box 29535
Raleigh, NC 27626-0535
If you have any questions concerning this letter, please call Sue Homewood at [phone]
extension 502 or Charles Alvarez with the Raleigh Regional Office at'[phone].
cerely,
for err T. Stevens
cc: Permit File (w/o encl.)
,Raleigh -Regional Offce (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
6
18

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Jimmy Barrow
Barrow East "
Route 1, Box 446
Jackson NC 27845
Dear Jimmy Barrow:
i •
NCDENR
NORTH CAROUNA DERARTMEN "OF
ENVIRONMENT AND YNATURA R�5 l,1RCES
December 30, 1999
Y UG0-
,
Subject:
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 66=40_
-Northampton. County
This letter is being sent to clarify the recordkeeping requirement for Plant Available Nitrogen (PAN)
application on fields that are part of your Certified Animal Waste Management Plan.
In order to show that the agronomic loading rates for the crops being grown are not being exceeded, you
must keep records of all sources of nitrogen that are being added to these sites. This would include nitrogen
from all types of animal waste as well as municipal and industrial sludges/residuals, and commercial fertilizers.
Beginning January 1, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. IRRI, IRR2, DRYI, DRY2, DRYS, SLUR1, SLUR2,
SLD1, and SLD2) and maintained in the facility records for review. The Division of Water Quality (DWQ)
compliance inspectors and Division of Soil and Water operation reviewers will review all recordkeeping during
routine inspections. Facilities not documenting all sources of nitrogen application will be subject to an
appropriate enforcement action.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Ms. Sonya Avant of the
DWQ staff at [phone] ext. 571.
Sincere
Kerr T. Stevens, Director
Division of Water Quality
cc: Raleigh Regional Office
Northampton County Soil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10%a post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
.lames B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
November 13, 1996
Jimmy Barrow
BarrowsO Hog Farm
Rt 1, Box446
Jackson NC 27845
SUBJECT: Operator In Charge Designation
Facility: BarrowsO Hog Farm
Facility ID#: 66-40
Northampton County
I��:.�T�T•i��
EDEHNR
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study
Commission on Agricultural Waste, enacted by the 1996 North Carolina General Assembly,
requires a certified operator for each animal waste management system that serves 250 or more
swine by January 1, 1997. The owner of each animal waste management system must submit a
designation form to the Technical Assistance and Certification Group which designates an
Operator in Charge and is countersigned by the certified operator. The enclosed form must be
submitted by January 1, 1997 for all facilities in operation as of that date. Failure to designate a
certified operator for your animal waste management system is a violation of 15A NCAC 2H
.0224 and may result in the assessment of a civil penalty.
If you have questions concerning operator training or examinations for certification, please
contact your local North Carolina Cooperative Extension Service agent or our office.
Examinations have been offered on an on -going basis in many counties throughout the state for
the past several months and will continue to be offered through December 31, 1996.
Thank you for your cooperation. If you have any questions concerning this requirement please
call Beth Buffington or Barry Huneycutt of our staff at 91gn33-0026.
Sincerely,
..,�J,
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
Enclosure
cc: Raleigh Regional Office
Water Quality Files
P.O. Box 27687, C�
Raleigh, North Carolina 27611-7687 An Equal Opportunity/Affirmative Action Employer
Voice 919-715-4100 50°,6 recycled/10% post -consumer paper

GROUNDWATER SECTION
July 17, 1996
MEMORANDUM
TO: Ken Schuster
Raleigh Regional Office
FROM: Burrie Boshoff 14
SUBJECT: Barrow Hog Farm
Financial Disclosure
JUL 2 2 1996
L -�
��_!f lR RAl 111 P ki
Attached is the packet of financial information submitted by
Mr. Barrow. The following information is provided for further
review and consideration:
Mr. Barrow's net worth as of May 28, 1996 was $623.00.
Cash value of his life insurance policy is $16,697.00, but it is
being used as collateral for two loans which total $16,700.00.
A note in the amount of $5,600.00 is due Mr. Barrow, but he'must
use this for the daily operation of the farm.
Mr. Barrow did not include the number of livestock, nor the value
of same.
Tax return for year 1995 reports a taxable amount of $1,468.00.
Tax return for year 1994 reports a taxable amount of - 0 -.
Tax return for year 1993 reports a taxable amount of $543.00.
The cost of the necessary remedial actions was not included in
this packet.
A

State of North Carolina
Department bf Environment,
T. Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B, Howes, Secretary
DIVISION OF ENI IRONMENTAL MANAGEMENT
May 15, 1996 RECEIVED
s
Mr. Jimmy Bartow' MAY 2 2 19,
Barrows Hog Farm��'�
FACILITIES ASSESSi'EN-�lalT-v
Rt 1 Box 446
Jackson, N.C. 27845 J``tif�<`
SUBJECT: Request for Financial Information
Northampton County
Dear Mr. Barrow:
During the recent EMC Remission Committee meeting, the
Committee requested that you supply additional information. The
Committee requested that you supply written financial information
prior to making a final decision on your request for remission. .It
is requested that you submit the following financial information to
substantiate your claim of inability to pay:
(a) Complete copies of state and federal personal income tax
returns prepared for the last three (3) tax years (including
returns for all States in which an income tax return was
filed);
(b) Complete copy of the North Carolina Intangible Personal
Property Tax Return for the most recent year;
(c) Complete copies of all real and personal property tax records
(including records filed in all counties within North Carolina
and other states);
(d) Complete both pages of the attached Financial
Statement; and
(e) itemization of insurance expenditures listed in Schedule C of
the tax returns required in item (a) above. The itemization
of insurance expenditures shall include, for each policy: a
3800 Borrett Drive, Suite 101, Raleigh, North Carortno 27609 Telephone [phone] FAX 919-57T-4718
An Equal Opportunity Affirmative Action Employer W%recycled/ 10%past-con�umer paper

Mr Jimmy Barrow
May 15, 1996
Page 2
..brief description of the type of coverage; name, address and
phone number of the insurance company or agent; and the policy
identification number.
The information will be used to validate your claim of
insufficient financial reserves. If the property concerning this
remission is owned by a corporation or something other than by you
personally, you need to contact our office so that we may send you
the appropriate forms.
Please submit the requested information within thirty (30)
days from receipt of this letter.
If, you should' have any questions about the financial
information requested, please contact Judy Garrett or me at the
letterhead telephone number.
Sincerely,
Kenneth Schuster, P.E.
Regional Supervisor
Raleigh Regional Office
Attachment
cc: Bob Sledge

STATE OF NORTH CAR�Pln
OLINA ENVIRONMENTAL MANAGEMENT
COUNTY OF 1 t/ d IJ CON MISSION
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINISTRATIVE HEARING AND
PERMIT NO. ) STIPULATION OF� FACTS
FILE NO. C F 9-5--�_
Having been assessed civil penalties totalling ��% _ for
violation(s) as set forth in the assessment document of the Director of the Division of Environmental
Management dated, un,ec Z , the undersigned, desiring to seek remission of
the civil penalties, does hereby waive the right to an administrative hearing in the above -stated matter
and does stipulate that the facts are as alleged in the assessment document.
This the 3 Tti day of 19961 .
BY
ADDRESS
UCO ce ��
T_IM k 0.
—
TELEPHONE

Division of Environmental Management
Raleigh Regional Office
June 19, 1996 r;
MEMORANDUM
To: Burrie Boshoff '.
From: Ken Schusteo---"`�
Subject: Barrow's Hog Farm
Financial Disclosure
Mr. Barrow was assessed $4,000 for water quality violations at the subject farm. He
requested remission before the EMC Remissions committee in May, and represented to the
Committee members that payment of the fine would prevent payment for the remaining necessary
remedial actions. They requested that Mr. Barrow submit financial information to substantiate his
claim. In response, he mailed the attached packet of financial information.
Based on the Groundwater Section's experience on reviewing this type of information, I
am requesting that the Pollution Control Branch review the packet and advise whether Mr.
Barrow's inability to pay is substantiated. Note that his cover letter questions -the inclusion of life
insurance assets. A GW financial statement summary sheet is included in the packet. Your
comments are appreciated and if at all possible could they be made before July 22nd.

North Carolina Department of 0 d Jimmy Barrow
Environment, Health, & Natural Re 6t�r.F, Route 1, Box 446
AJackson, N.0 27845
cyAF�% May 28,1996
y�! oFF
Dear Mr. Schuster,
I believe I have enclosed all information that was asked of me by the
committee. As you can see this operation is under financial stress. If it were not for
the $5,500.00 that should be coming soon, I would be behind in my day to day
operating bills.
As you can also see from the newspaper clipping enclosed, the farm I
have leased is trying to be sold and the lease will expire 12-31-96. I cannot get
financial backing at this time. I can only hope no one buys it. Richard Thiele can
explain my situation if you call him at 919-534-5331.
I have enclosed the unpaid bulldozer bill for the clearing that I have done
for grass planting. The proposal from Revelle for the waste management plan is
enclosed too. This system will not run without a tractor which I have recently
purchased to keep up the farm. I still owe $8,000.00 plus interest on this. I don't
know if the bank will even finance this proposal from Revelle. It all depends on what
DEM does to the fine and the sale of the farm.
I don't see how my life insurance can be used. It is already being used as
collateral at Centura Bank on the tractor loan and my credit line loan. It is the only
security my family has in the case of my death. I think it is hard enough for us to have
to live without health insurance.
I hope the enclosed tax forms and the information supplied by Richard
Thiele on my farm will be enough proof that I should be allowed the remission I have
asked for. I have sent everything and done everything I can think of and I am now
asking the committee for a fair review.
Sincerely,
MJ
Barrow

ti
4
Y
-09271
►TEMENT TERMS
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f
fr United States
Department of
Agriculture
Farm Service
Agency
Mr. and Mrs. Jimmy F. Barrow
Route 1, Box 446
Jackson, NC 27845
Dear Mr. and Mrs. Barrow:
P. O. Box 67
Jackson NC 27845
((9191554-5331
(919534 1850 FAX
a1
May 22, 1996
yIle
✓.
e�
�l
Per your request I am sending you the financial information
concerning your recent debt servicing with the Farm Service
Agency. Your balance available to pay debts with is $6080.00 and
your debt service is $5780.00. These figures are highlighted in
the attached DALRS report.
In relation to your question concerning if there was any equity in
the real estate. The answer is no because the property appraised
for $68,500.00 and you currently owe $86,750.00 against that
property.
If you have any questions please call our office.
Thank you.
Sincerely,
Richard B. Thiele
Credit Manager
RBT/gbn
Enclosure
Farm Service Agency is an Equal Opportunity Lender.
Complaints of discrimination should be sent to:
Secretary of Agriculture, Washington, D.C. 20250

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Fnd was no �,n noie
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Me
45 - Si i us 'searpne
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KEASE SM PAGE
5 for Notes on this section

MRS AA: Y3 REKR7
5.0
�+."+444,*4 44*.F44-.-
NEE f
�aFor.,• f-,r:
NOTES ON THIS SECIUN
* 76 "SUKAG RTAY MY mon nrinm the vnE of re�,sy.7..Er!t on He mn 2352 11 Ee"Ve pays.-.E
minwah To CWHI we -
!!.a 15 e 11 � 2., 7 7.. E: rI i P.. -Q r t ii E d u r e i a
U = E C * 11� sy..mz.-�E: nic.u-�E, PpAnytry inm ynr a Par, or MIA i S
to 10U.
D = Punks an the Lou in MY or PKV . Y �jy lifyid.
- 14MIAS are -,nw �71-ler
5 z �:15 !ran r"!.L been iuiy or
C = The ir-an .z a recoveraDie cc-5:
* Tne "SC.URITY FRIMY FN WHM' cotm indintes how wk t FAA W pr"esk from 4w ay MiArm
means thit e i her FBA ME no cd Ateral for the i eaq or that FAA wn i e "t me We ny money
to put AM pay! n2 -thi 5 i :u i F FnJHA j-eP4eS5E5SE� 5G i Cj ,':a CLl j l j'Sra?
wou. ��j rerE WE sme way to py; tomr; PSYNS to inn if HE 0 ions!
anc S,o, t..jt the !nn wou!d "ot,6e �'U;'Y P3LIQ,
r..E-tnE that if FAA r"mmul and sol_ the calhatwil For tKe inn, he inn w-A 0 ;Qd OF,
Triti "Ci:NSIDER SE`.R.V:H ;-jiumn te.�s DAL!l w-.-:t'.-IEr �.-, ERry.--2 twE ionn,
--neans t,.-,e iDa..,f ii z-.-t,: out hut sawn provos apik-J.
"AS" Maui the i.-.-sn 'is r,':t bo 51vice prosrsm.s w0d be Claimed if naulary to
a ?Easi6.ii -a5iwer.
"w" mein Kit SaNva pregams whi no be SPIA& to me M by Xv.
C-OFTAK.- MMER, PROGW.
A awes..t ldEs E-.-,.rerQ therefore the E&M, t4oar pnFaz as no caskeras in ME wqEls,
CC:NfMRVAT-+f-',N EASED CNT MCC-PAM
NO AUS WOE eAL40 0 CinleOltiO4-. C?� eace.ngn.-E,
N07 E,
The 1_Qye ;jjtj rit, `:o�— T!mner -�e n.E-�
-,4- - � a rvi
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-a t -� �lctL ai a� .'rea.,jes are ,
1? pu nwtqweQQn; ag"t the regirapQ Ar He 550.-jc- Ti!A._Er
yoir Fr.n.HA Ciffics,
4. Net Recovery Value Informatior,
. V... :,
To toil Net A-LI-1-0-f 11"% :1
T.-,.�s t,.e i--.,iiowin2 tr-n rn.2 for wi poputin:
AMIXIMUPE CHT �-F I
07HER MAIM- 67
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wi t-e -''ice w i nw,
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le V= j4 j_F

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ANALMH ..ERGAT
!I!. FLLL ANNCi3 PART:AL DEF----�RALS (continlued)
B. MF�KD TOM? W PKWI-y
4
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7�:NCIF'k lN7 END
-- 7 37 GN ET 145 YQ 1 AMAT N I aump as ammo t0ramrs IN S&WOO; thear prognm WEE m comism in WS laqv;.
70s satan ska .ha mskastan & WE fa,fy? or jachi Winh of papeks for 5 yews.
one Mums la NOW mt.,: t...-m -:..,Ft W'_"?(." E-mwn 1�-Ove.
:N7 SO DIRING AFTER MAR O.N. MAIN
DURL RA72 DE L t - YDI.,R .1, 11. 6

a
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HJV 9NAR ADI Al 701511, 7VO13NIVO WAIDWIR W07
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Ind amymp fy;xEd wo jyj jai Sao; go teplawsm: ap loci upm BN.�
111110 irise's movoi OrBOYAL or 0 q
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rk 40501 RAC' ARUBA= E14 FRAU,

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1S`f
w'7
FRANKLIN L. FERGUSON P. O. BOX 637 • JACKSON, NORTH CARp.LINA 27845
TAX ADMINISTRATOR 919-534-4461
Tax Collections
STI_SBINORI
Tax Bill Inquiry
Bill Nbr:
95VAZX667'D
Bill. Date: 10/13/95
Bill Status: C.
Ar;F-,_,unt:
3118E BARROW, ,JIMMY F'URR BARROW,
Bf CKY
Bill Class: VV
De5c/1_..oc :
88*i--:HEV*BL.AZE'F*'
SIO 4WD CJ?,00a ",; rs
Bill Type: V
Parcel ID:
AZ-X6E79
Mafia/B1 k/Lt; :
District:
Tax Year (s) : 95
Real Value:
Furs Values
5,e O
Principal:
0.00
Exemptions:
Interest:
0.00 as
+_-,f Cry;/: 8/96
Deferments:
Balance Due:
0.00
L.n Eff Date: Trans; Amount: Paid By: Reference:
1 10/24/95 COUNTER 57.72- BEi KY BARROW WW.J*9 *.:_97*37
n
4
5
J
Enter det.:ail (/), date(D ), receipt (Ln#), rep,_,rt (P), vehi,_le(V), or return<CR :.
`T� p ppilcef opjTke wylue a�) These TiOu Mks
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F'RANKLIN L. FERGUSON
TAX ADMINISTRATOR
Tax Collections
Nort4ampta'
P. 0. 80X 637 • JACKS
919-534-4461
4 627845
ax Dill Inquiry
artrrment
STCSD I NQR I
Bill Nbr:
95VAF'F•i6933
Dill
Date: 04/04/96
Dill Status; C:
Accounts
31186 6 BARROW, JIMMY FURR BARROW, DEi KY
Bill Class: VV
Desc/I_.oc:
Rol*FORD*PIE:KUP
F150 4X4 1/2 TON
1141000000.5
Bill Type- V
Parcel. .T.D-
AR-H6933
Map/Bl k/L._t :
District-
lay: Year (s): 35
Real Value:
F'ers Value:
5,510
Principal:
0„00
Exemptions:
Interests
0.00 0 as
of 05/28/96
Deferments:
Balance Dues
0„00
Ln Eff Date:
Trans:
Amount: Paid By-
Reference-
1 c i4/ 16/'96
2
COUNTER
54. 55- BARROW,
JIMMY FURR
SED*96 *• 107*27
+" 5
4
5
Enter detail(/), date(D), receipt(Ln#), report(P), vehicle(V), or return<CF
Tax Collections
STCSDINQRI
Tay. Dill
Inquiry
Bill Nbr:
95VHXY34 'Cl
Bill
Date: 12/15/95
Dill Status: is
Accounts
31 186 BARROW, JIMMY FUIr P
BARROW, BEI_:KY
Bill Class; VV
Desc/Loc:
93*MERC*GRAND
MARQUIS LS
Bill Type: V
Parcel ID:
HX-Y3420
Map/Bl k:/Lt:
District:
Tax Year (s) : 95
Real Values
Per s Value:
14,440
Principal;
0.00
Exemptions:
Interest:
0.00 as
of 05/28/96
Deferments:
Balance Due:
0.00
Ln Eff Date:
Trans:
Amount; Paid
By:
Reference:
1 12/: 'S/'95
COUNTER
142. 96- BARROW,
JIMMY FURR

- '- . :,� • - • - •...,.,�- �rtS4 tifrr't ': _ _� �t1 �a�:. rir� ti�.. :i_�'7�y.�i1 : '}�,:;.,.';;_ �.,� I; ;. 'r:,u� _ _ �._j �. .•=-�,_j
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V A A
O z • • NOT LIST ANY MOTOR 4 HAD LIST UNREGISTERED MOTOR VEHICLES INCLUDWG `ALL CARS;-TRUCKS,,3OATS, MOTORS,
z LICENSE PLATE/TAG TRAILERS AND AIRCRAFT, THAT. -ARE. NOT ;CURE ENTLY• LICENSED BY NORTH CAROLINA
ON DIVISION OF MOTOR. VEHICLES. { ..
Y 0 COMPLETE IF YOU HAVE BOUGHT %R SQLD ANY pp ESTATE IN TH]S CQIIINTY SINCE OAST JAN. '
i'( w Q x.-... C.,n� '�JarV� �C ��-li �+4,�v Q..:1 _��'— ��. Wt r ME XEYIEM -h a.r,... n T
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2 w SOLD TO
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0 SW6E LAST 115TYi0
m COST WHEN COMPLETED S % JMR.E.FE
ao Q HOUSEHOLDPERSON PROPERTY k r r r V AL 0 - iP - Y -+' UMMAKE:. r -c .:t.' S12PY'-'S x-ia,".SYt .[' f `t da 3 C .tr t ­lm gm USE
• A- RESIDENTIAL NON INCOME PRODUCING HOUSEHOLD PERSONAL ©
PROPE•RTY:IS;NOT TAXABLE DUE TO CHANGES IN STATE LAWS. I"
Z w B HOUSEHOLD "PERSONAL PROPERTY USED TO PRODUCE INCOME: s ON WHOSE LAND TAX,flFFICE'LISE -SUMMARY
u) E LOCATED: I �, REAL'. e
U3 IF YOU RENT OR'LEASE PROPERTY. DO YOU PROVIDE ANY -
Z a HOUSEHOLD, PERSONAL PROPERTY ITEMS AS A PART OF YOUR AFFIRMATIONOFPROPERTY OMER-GS-1Ds31D-811.UI1dei{1BnNmpra=bed I roAEX ,MON'
�. K RENT'RR LEASE SUCH:A FURNITURE APPLIANCES "AIR r �, by 3aw.,l hereby atlrm mat m sty best d mY knawledye.er?4 bed Sys usnrW �sEludulA NET Fii:A1:. �• 103 ! .
O TCONfITlpl!1lrRS; ETC ? , s ^3 < ' " : y end accor�enyvrg paseigWsts. In eertories'sclieduTes and olt} i�Eormv3�e!L a dye s f
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4' IF YES. AI3QVE:• PLEAS CO[IAEt 5Y..TH€ COUNT Y TAX OE FIC a �y " '• , { "+
tQ1 4 in m minty end that his �"gllon is lased op 0 the'infom �Tws�q rh�Gh c s }
O: • ; A! BI�Si1dFrSS BF.FtSO' PRFijY LISTIN% FOfiMr t L f i he has ag ldla
a. � y �a I. i � � ,! r, , ut .s .r. � .L•' ,y4'}" r � N^ t ` lA/l�k{INER'F ^ tii � �-+c
4 t F +.q ' , - _-4� -ry,. r :� X ^.i"Y • (i�v�f%: jam' a. l ,�...1 r - _y.. �- ' =
SPQt15ESE61�lY�E; �:Y _ r SV, i rFEMPWM
t1r1
...�OYSE4 DAiEOF� a '� ':r"' _ + $S .L , V.. _ .x •. r 5 E,: aS'{PL , S r" t.0 '' i �" �H 4EF_9C1.E$ ? 5 I t al 3� 3 ,'.C•' V '•;,`
0., - S 8><iTj{.:, ".••, ' : .,f� - - - ®:11{A1d !� I ;=a 4 'r'y- iyQj.. '
z O O WF{AT CrfY LUAITS IS THIS PROPERTY IN7 O . •� ©' o TON:SouoWASTE FEES. 1 - fl AA'Z C:)' • • B EC A Y
IyAR :N, JIMMY ;=URR. MOBUKaE5
I, r' RT 1 LOX 44 f
J::CYs. ON. 'NC; 27845 OTHER
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l

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JIMMY F BARROW � .= "��t ;% co use
BECKYA,.MARTIN
RT. ! BOX,"446 "Add
�--� JACKSON NC 27845-9734
018 004-615=2
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Note: Please type or print all information.
page I
Fiinanbaal,Stat2ment
Financial Stalament'
Name (First Name Fin cull),. .
i M /�'
Resitlonce Add s
N.C. DEPARTMENT OF ENVIRONMENTAL',HEALTA AND NATURAL
DIVISION OF ENVIRONMENTAL MANAGEMENT
.GROUNDWATER SECTION
As Of
c ksf
If Joint talamenl, List Below the Names of the Other Individuals
age Buslness or OCCVpaII
[ale Zip j S.S. o.
N•C'... 2 7��fS 2ti2-9�r- z
Assets, Llebililles and lncome are Included Heroin
1 Dependents
t
Assets 1
T
LiabMttes
D
Cash, on nand and in banks
Notes Payable to Banks {Schedule on reverse side))
$ _
�Cr
Notes and Accounts cutme(Collectlble)
„s-4 to
Notes and Accounts Due Others (Schedule aver)'
�/V „
Cash Value of Life imurarlce
/ Q - / / •
O
Taxes Accrued but Unpild: All taxes paid thru
SIoUU and Bonds (Senedule on reverse side)
City aAd County I4
.Autos_
I OV(/, �0
Sta to 19
Rear Estate (Sch etlulc an reverse side}
oa
Federal ]9�
D
Other Assents (Please Itemize)
Real Estate Mortgages and Assessment$ (Schedule)
s h%� 4o,
R eti T
3 460
Total Liabilities
2
Net Worth
r
Totat
$ x. .✓ 7 7
Totes
$
My total CONTINGENT LIABILITY as endorser, surety, partner and otherwise does not exceed $
Mc. 31
y earned INCOME (Salary, commisslons, fees, etc.) for year �entlEng�_ 19��waf $ � f S�.
J
other Income from * 6/P D In` l /N&nr/' fi,-d ;;Vc0,
•Disclosure of income Irom alimony. child support or separate maintenance payments is Optional
- Gross Income
Otduct: Taxes b `�
Net Income $ tJ
I carry $ f LIFE INSURANCE payable to 0 go G� �' /�I` D
I warrant that there IS no Judgement against me nor lien unsatlstled upon my property except as shown, nor priCr suit panding against me in any court, that
no assets are pledged In any manner not shown herein, and that 1n Es statement Is true and eompiete,' "
NOTE: Any persons making a false statement or representation in this document shall be guilty of a misdemeanor
punishable by a fine not to exceed ten thousand dollars ($10,000) or by imprisonment not to exceed 'six
months, or by both. G.S. 143-225.6C(i).
1
5ignalure D to JA 4 y^ Signature
1
Date

e Rote: Planae type or print all information. p■8 a p
Schedules (Be sure to include every debt under each schedule) Financial Statement
Real Estate
SUO al Land Type of Ilding
Re►str�t
Mortgage a,
Location Assessments payaple
� wr, s Par—
cR
To. valve
$kr4
Title Held
Markel Value In Name Of
N 3ev e
T.4§ OV
'-�T
r
per
per
per
per
per
per
oar
per
A y per
Total fire Insurance carried $ Totals S. pT(. D 1 $ 4fQ
Title 10 air real estate listed 11 In my name solely and Una ncumbered, except as shown hereon.
Stocks and Bonds
r No. of Markee Value Total - ... salved In
Name of lssuing Corporation end Type of Security She a (per she rat Market Value Name Of
Ap securIII4$ 1111ed are mine solely, and are in my possession except as shown hereon. Total Y.
Debts
Nams vl Bank (please Itemise) Collateral or Endorsement payable Unpaid Balance
Ceo TM R /9,tl c - X0, lb
Loam on Cash Value o1 Life Insurance, from
Total $
To Others • (Itemize every debt over 111001 Name of Credlten
".I� IP ;PP 00,r1' 1�ofarP'
U Ple03*4 , IA4f
PAY abll
S p.rJ_Let $ I sdd N
All �1,t "�'u1 DO ri e �b
per
!'ar;,pm des) Make n( L60
For Automoblle s'+' M i lVl r et' 9 to V RH F1 a 01�'¢ar! f ►t is [ Der .JDV'� +
All My Other Debts, Not Shown Above, F Not Exceed $ T+�
Total Notes and Acco - . nJ
ue Olheri$ J 7

OPERATIONS BRANCH - WQ Fax=919-715-6048
Sep 19 '96 11:13
P. 02/02
State of North Carolina Of 2 1906
Deput-nent of Eiivii`kinmetlt;11,
Heald's and Natural Resources ' DIRF-GTirR'S OFFICE.
De:n• -Mr. Howard.
Sc`i170 v's Ho .i~ilI7I�
Route. I Lox 446
Jackson, N. C. 2 7845
oeptember 5. 1996
nil re,-arcis to a Cater sent to me, August ust 22, 1996. it is my understaridiu that the
commiltee was to revie"", my taL, sratemeiltl Ind oth-r find 6i] itdbrm.atiou beforkv a
decision ,,v-,t-, to be road;;. In-Odition to this when I was before the rcymmit,he, tye }-�
ch"11-1-man of tl�ic, Collis ii oe ii�clic.�i.c� to aw tllrt di -r,tire penalty could not bti r-i:lAtlt.d but
Uwsre could bo a b-ooO reduction in tiie ant main of 1Ele penalty.
I Would like'tor thi committee to rvi-w 111V tli. stateMOM: ietterG fror ; Farm
_rVice �encti' send my letter before a #Illal decision is Iriada in iyrlis mat*r. I beliL�ve I
have all reKly sent ul[icient ?ling; ,-Jloa to prnrv- tent L pUOty ibis lai'7a CQUId PL',L M
bus'neSS in too big of :i fmc,-d strain 3vI1tli all tll? lit W r-`:'rpiti'C'ments that have t0 (?P don ,.
PIe'1:�e find l.rll leper in !moll falih SO '-1. �U 111t10I1 to ihrq, Matter dill be r-cached.
siat;Vroiy,
JiIllllly'arrow
` gEP k 3 1996
wATtit QUWV
r=,vE1D
w P ')U4U v
SAP 1811
OPERATION- 11PA1+�'!t'

r
State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
ILFFWA
A&',*
6 - -00%
C�EHNR
DIVISION OF ENVIRONMENTAL MANAGEMENT
May 15, 1996
Mr. Jimmy Barrow
Barrows Hog Farm
Rt 1 Box 446
Jackson, N.C. 27845
SUBJECT: Request for Financial Information
Northampton County
Dear Mr. Barrow:
During the recent EMC Remission Committee meeting, the
Committee requested that you supply additional information. The
Committee requested that you supply written financial information
prior to making a final decision on your request for remission. it
is requested that you submit the following financial information to
substantiate your claim of inability to pay:
(a) Complete copies of state and federal personal income tax
returns prepared for the last three (3) tax years (including
returns for all States in which an income tax return was
filed);
(b) Complete copy of the North Carolina Intangible Personal
Property Tax Return for the most recent year;
(c) Complete copies of all real and personal property tax records
(including records filed in all counties within North Carolina
and other states);
(d) Complete both pages of the attached Financial
Statement; and
(e) itemization of insurance expenditures listed in Schedule C of
the tax returns required in item (a) above. The itemization
of insurance expenditures shall include, for each policy: a
3800 Barrett Drive, Sulte 101, Raleigh, North Carolina 27609 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 60% recycled/ 10% post -consumer paper

I
Ei w
Mr Jimmy Barrow
May 15, 1996
Page 2
• brief description of the type of coverage; name, address and
phone number of the insurance company or agent; and the policy
identification number.
The information will be used to validate your claim of
insufficient financial reserves. If the property concerning this
remission is owned by a corporation or something other than by you
personally, you need to contact our office so that we may send you
the appropriate forms.
Please submit the requested information within thirty (30)
days from receipt of this letter.
If you should have any questions about the financial
information requested, please contact Judy Garrett or me at the
letterhead telephone number.
Attachment
cc: Bob Sledge
Sincerely,
Z,.X-
Kenneth Schuster, P.E.
Regional Supervisor
Raleigh Regional Office

page 1
Note: Please type or print all information. FinanLial $latenCnt
N.C. DEPARTMENT OF ENVIRONMENTAL',,HEALTH AND HATTRAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GROUNDWATER SECTION
Financial Statement As Of 19
Name (First Name in Full) Ape Business or Oooupa(ionr Your Position
Aaaidena Address Street CitylState Zip S,S. No, No, of Depentlenls
If Jomf Sglsmenl, List Below the Names of the Other Individuals Whose Assets. 0ab!title$ end Income are Included Herein
Assets
Cash, on nand end In banks
Notes end Accounts due me {Colleelibla)
Cash valve of Life Insurance
Stocks and Bones lSchedule on reverse sldel
Autos_.
ReaPEktale (Schedule on reverse kids)
Other Assets (pie ase IIemIZ!)
Total
S
Liabilities
Notes Payable to Banks (Schedule on reverse sloe)
Notes and Accounts Due Others (Schtci Omer)
Tastes Accrued out Unpaid AI texts Cain Ihru
City antl County 19
State 19
Federal } g
Masi Estate Mortgages and Assessments (Schedule}
Total Llatilitles
Net 'North
Total
My :olal CONTINGENT LIABILITY as endorser, surety, partner and otherwise does not exceed '
My earned INCOME ISala W, eomintsslohf, lees, etc.) for year ending 19. was S
other IneOme from - $
a Disclosure of Income tom a lmony, [hI tl support or separate maintenance payments is optional
Gross income
Deduct: Taxes b
Net Income $
I carry R
LIFE INSURANCE payable to
I warlihl that the,* if ho judgement against me nor Ilan unsatisfled upon my property except as shown, mar prior sulk pending against me In any tour;, Ihal
no asset; are otedged In any manner not shown herein, and that this statement Is true and Complete,'
NOTE: Any persons making 9 false Statement or representation PA this document shall be guilty of a misdemeanor
punishable by a fine not to exceed ten thousand dollars ($10,000) or by imprisonment not to exceed 'six
months, or by both. G.S. 143-215.6C(i)•
Signature
Oa to
Signature
Dote

'--State of North Carolina
D6partment 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
Certified Mail
Return Receipt Requested
ATTN: Jimmy Barrow
Barrows Hog Farm
Route 1 Box 446
Jackson, NC 27845
Dear Mr. Barrow:
g4 J 7L*A
C)EHNR
August 22, 1996
AUG 2 19%
__J
DEHNR RALEIGH PEGVul "L ofI1CF.
Subject: Request for Remission of Civil Penalty
Pursuant to N.C.G.S. 143-215.6A(f)
Barrows Bog Farm
(Northampton-County�
CF 95-09 "�
I considered the information submitted in support of your request for remission in
accordance with G.S. 143-215.6A(f) and my delegation under G.S. 143-215.6A(h) and have not
found grounds to modify the assessment of $4,284.44.
Should you choose to pay the penalty, you may tender payment to me at the letterhead
address within 30 days of your receipt of this letter. Please make checks payable to the Department
of Environment, Health, and Natural Resources.
You also have the option of presenting your request to the Committee on Civil Penalty
Remissions, which is comprised of members of the Environmental Management Commission.
The committee may consider such requests and render final and binding decisions in these matters.
You may argue your request before the committee and Division Staff will argue for full payment of
the initial assessment.
Should you choose to present your request to the committee, please notify me at the
letterhead address on or before within 30, days of your receipt of this letter. Your request will be
scheduled to be heard on the agenda of the next scheduled committee meeting and you will be
notified of the date and time. If a response is not received by the Division regarding this notice
then your request will be scheduled on the agenda for an upcoming committee meeting.
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

Thank you for your cooperation in this matter. If you have any questions about this letter,
please feel free to contact Shannon Langley at [phone], extension 581.
Sincerely,
A. Preston How
cc:cDWQ.-Regional-Off ce—�
Enforcernent file`"

• - : State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
April 26, 1996
CERTIl-IED MAIL
RETURN RECEIPT REQUESTED
Mr. Jimmy Barrow
Barrows Hog Farm
Rt 1 Box 446
Jackson NC 27845
SUBJECT: Request for Remission of Civil Penalty
Pursuant to N. C. G. S. 143-215.6A(f)
File No. CF 95-09
Dear Mr. Barrow:
Your request for remission has been placed on the agenda for the May 11, 1996, meeting
of the Environmental Management Commission's Committee on Civil Penalty Remissions. The
Committee will convene at 11:00 a.m. or immediately following the closing of the regularly
scheduled business meeting of the Environmental Management Commission in the Ground Floor
Hearing Room of the Archdale Building located at 512 North Salisbury Street, Raleigh, North
Carolina (see enclosed map). You should arrive no later than 11.00 a.m.
The factors to be considered by the Committee on Civil Penalty Remissions are whether:
(a) one or more of the civil penalty assessment factors in G.S. 143B-282.1(b) were
wrongly applied to the detriment of the petitioner;
(b) the violator promptly abated continuing environmental damage resulting from the
violation;
(c) the violation was inadvertent or the result of an accident;
(d) the violator had been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary
remedial actions.
The Committee on Civil Penalty Remissions may remit none of the penalty, a part of the
penalty, or the entire penalty. The entire amount of the penalty can only be remitted when the
violator has not been assessed civil penalties for previous violations, and when payment of the
civil penalty will prevent payment for the remaining necessary remedial actions.
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
I

Page 2
.April26, 1996
You or your representative should be available to make your presentation to the
Committee on Civil Penalty Remissions at the above mentioned time and location. You are
allowed approximately fifteen minutes for your presentation.
Your cooperation in this matter is greatly appreciated. If you have any questions
concerning this matter, please call Robert L. Sledge, Supervisor of our Water Quality
Compliance Group, at [phone], ext. 233.
Sincerely,
ej--�.� s
A. Preston Howard, Jr., P.E.
cc: LDEM:Regional-Office
Enforcement File
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AGENDA ITEM: Request for Remission of Civil Penalmisc, 41z')
Barrow's Hog Farm (CF 95-09) � ��6)
Northampton County X
EXPLANATION: On December 15, 1995, the Director, Division of
Environmental Management assessed a civil penalty
of $4288.44 against Barrow's Hag Farm for
violations of G.S. 143-215(e) and constructing a
conveyance for willfully discharging pollutants to
waters of the State. The civil penalty assessment
represents 80 percent of the maximum allowed by
G.S. 143-215.6A.
On January 13, 1996, Mr. Jimmy Barrow requested
remission and waived Barrow's Hog Farm's right to
an administrative hearing and stipulated that the facts
were as alleged in the assessment document.
RECONEVIENDATION: The Division of Environmental Management opposes
any remission or mitigation of the penalty.
The recommendation is made for the following
reason:
1. The Director considered information
submitted in support of Barrow's Hog
ZA
Farm's request for remission of civil
penalties in accordance with G.S. 143-
215.6A(f) and his delegation under G.S.
143-215.6A(h) and dad not find grounds to
modify the assessment.

State of North Carolina
Department of Environment, Y15TA
Health and Natural Resources A «
Raleigh Regional Office
James B. Hunt, Jr., Governor Oak
Jonathan B. Howes, Secretary
Boyce A. Hudson, Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
August 21, 1995
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Jimmy Barrow
Route 1, Box 446
Jackson, North Carolina 27845
Subject: Notice of Recommendation for Enforcement
Notice'of Violation
Barrow Hog Farm SR 1126
Northampton County
Dear Mr. Barrow:
This letter is to notify you that the Raleigh Regional Office of
the Division of Environmental Management is considering making a
recommendation for. an enforcement action to the Director of
Environmental Management. The recommendation concerns the violation
of North Carolina General Statute 143-215 (e) for Willfully
Discharging Pollutants to the Waters of the State.
On August 17, 1995, an inspection was conducted at your swine
facility located on "SR 1126. The inspection revealed a willful
discharge from your waste lagoon via a jet pump fitted with 1 1/2
inch PVC pipe that was discharging animal waste at approximately 10
gallons per.m_inute into the adjacent woods. This waste then flowed
into a small ravine and on into an unnamed tributary to Gumberry
Swamp within the Roanoke River Basin..
With this Notice you are hereby instructed to immediately cease
discharging waste into the waters of the State and to .reply in
writing to the Raleigh Regional Office within ten (10) days after
the receipt of this Notice stating the measures that you will take
to permanently eliminate the discharge from this facility.
If you have questions concerning this matter, please contact either
Mr. Buster Towell.or MS. Judy Garrett at (919) 571--4700.
Sincerely
enneth chus , P.E.
Regional Supervisor
cc: Northampton County Health Department
Northampton Soil and Water Conservation District
3800 Barrett Drive, Suite 101, Raleigh, North Carolina 27609 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Aug.28,1995
From: Jimmy Barrow
RT, I Box 446
Jackson N.C.
27845
To: Division of Environmental Management
In response to your letter recieved on Thursday Aug.24,1995; I was unaware
that a nun off would occur with this small amount of water over a one day period.
Now that I know this is a problem, we are seeking help from our local soil and water
conservation people. We are having an on farm meeting with Mr. Tony Short at 10:00,
Tuesday Aug.29. We are going to arrange an apprioate waste disposal system for this
.farm. I plan to have it in place very soon, so we will meet the requirement of the
Division of Environmental Management.
OCT 26 ig95
WATER QUALITY
SECTION
Sincerely,
Jimmy Barrow
`' inc:

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State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
January 3, 1996
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Jimmy Barrow
Barrows Hog Farm
Route I Box 446
Jackson, NC 27845
SUBJECT: Assessment of Civil Penalties for Violation(s) of N.C.
General Statute(s) 143-215.1(a)(1)
Northampton County
File No. CF,95'709 r
Dear Mr. Barrow:
This letter transmits notice of a civil penalty assessed against Jimmy Barrow in the amount of
$4,284.44 including $284.44 in investigative costs.
Attached is a copy of the assessment document explaining this penalty. This action was taken
under the authority vested in me by delegation pursuant to N.C.G.S. 143-215.6A(h). Any continuing
violation(s) may be the subject of a new enforcement action, including an additional penalty.
Within thirty days of receipt of this notice, you must do one of the following:
1. Submit payment of the penalty -
Payment should be made directly to the order of the Department of Environment, Health,
and Natural Resources (do not include waiver form). Payment of the penalty will not
foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Mr. Steve W. Tedder
Water Quality Section Chief
Division of Environmental Management
P.O. Box 29535
Raleigh, North Carolina 27626-0535
N'
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

2. Submit a written request for remission or mitigation including a
detailed justification for such request:
A request for remission or mitigation is limited to consideration of the
reasonableness of the amount of the penalty and is not the proper procedure
for contesting the accuracy of any of the statements contained in the
assessment letter. Because a remission request forecloses the option of an
administrative hearing, such a request must be accompanied by a waiver of
your right to an administrative hearing and a stipulation that there are no
factual or legal issues in dispute. You must execute and return to this office
the attached waiver and stipulation form and a detailed statement which you
believe establishes whether:
(a) one or more of the civil penalty assessment factors in G.S. 14313-
282.1(b) were wrongfully applied to the detriment of the petitioner;
(b) the violator promptly abated continuing environmental damage
resulting from the violation;
(c) the violation was inadvertent or a result of an accident;
(d) the violator had been assessed civil penalties for any previous
violations;
(e) payment of the civil penalty will prevent payment for the remaining
necessary remedial actions.
Please submirthis information to the attention of:
Mr. Steve W. Tedder
Water Quality Section Chief
Division of Environmental Management
P.O. Box 29535
Raleigh, North Carolina 27626-0535
0
3. Submit a written request for an administrative hearing:
If you wish to contest any statement in this assessment letter, you must
request an administrative hearing. This request must be in the form of a
written petition, conforming to Chapter 150B of the North Carolina General
Statutes, and filed with the Office of Administrative Hearings, Post Office
Drawer 27447, Raleigh, North Carolina 27611-7447. A copy of the
petition must be served on the Department as' follows:
Mr. Richard Whisnant
Office of General Counsel
NCDEHNR
Post Office Box 27687
Raleigh, North Carolina 27611

Failure to exercise one of the options above within th_ irty days, as evidenced by a
date stamp (not a postmark) indicating when we received your response, will result in this
matter being referred to the Attorney General's Office with a request to initiate a civil action
to collect the penalty. Please be advised that additional assessments may be levied for
future violations which occur after the review period of this assessment.
If you have any questions, please contact Mr. Shannon Langley at [phone],
extension 581.
Sincerely,
�5 . zc-x�j
A. Preston Howard, Jr., P.E.
ATTACHMENTS
cc: Raleigh Regional Supervisor;w/ attachment
C_ gmplianceEnforcement File w/_attachments. l
Tony Short, Northampton County Soil and Water Conservation District
Pat Hooper, Washington Regional Coordinator, NC DSW

STATE OF NORTH CAROLINA
COUNTY OF NORTHAMPTON
IN THE MATTER OF
JIMMY BARROW
FOR A VIOLATION OF
G.S. 143-215(e)
CONSTRUCTING A CONVEYANCE FOR
WILLFULLY DISCHARGING POLLUTANTS
TO WATERS OF THE STATE
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT
COMMISSION
File No. CF 95-09
FINDINGS AND DECISION
AND ASSESSMENT OF
CIVIL PENALTIES
Acting pursuant to North Carolina General Statute (G.S.) 143-215.6A, I, A. Preston
Howard, Jr., P.E., Director of the Division of Environmental Management (DEM), make the
following:
I. FINDINGS OF FACT:
A. Jimmy Barrow operates an animal feeding operation consisting of several confinement
houses and a lagoon on SR 1126 near the town of Jackson, North Carolina.
B . On August 17,1995, DEM staff observed a discharge of wastewater from Jimmy
Barrow's Hog Farm lagoon via a jet pump fitted with a 1 1/2 inch PVC pipe to an
unnamed tributary to Gumberry Swamp, which are Class C Waters within the
Roanoke River Basin.
C. Jimmy Barrow willfully discharged pollutants to waters of the State.
D. The costs to the State of the enforcement procedures in this matter totalled $288.44.
Based upon the above Findings of Fact, I make the following:
II. CONCLUSIONS OF LAW:
A. Jimmy Barrow is a "person" within the meaning of G.S.143-215.6A pursuant to
G.S. 143-212(4).
B. The Unnamed Tributary to Gumberry Swamp constitutes waters of the State within
the meaning of G.S. 143-215. 1 (a)(1) pursuant to G.S. 143-212(6).
C. The above -cited discharge constituted constructing a conveyance for the willful
discharge of pollutants from an animal feeding operation to waters of the State
pursuant to 143-215(e).

D. Jimmy Barrow may be assessed civil penalties in this matter pursuant to G.S. 143-
215(e), which provides the Commission the authority to assess fines and penalties not
to exceed five thousand dollars ($5000.00) for the first offense for the willful
discharge of pollutants from an animal feeding operation to waters of the State.
E. The State's enforcement costs in this matter may be assessed against Jimmy Barrow
pursuant to G.S. 143-215.3(a)(9) and G.S. 143B-282.1(b)(8).
F. The Director, Division of Environmental Management, pursuant to delegation
provided for by G.S. 143-215.6A(h), has the authority to assess civil penalties in this
matter.
Based upon the above Findings of Fact and Conclusions of Law, I make the following:
III. DECISION:
Accordingly, Jimmy Barrow is hereby assessed a civil penalty of:
$ Le�..o for constructing a conveyance for the willful discharge of pollutants
from an animal feeding operation to waters of the State.
$ 4}ewy. ev TOTAL CIVIL PENALTY, which is " percent of the
maximum penalty authorized by G.S. 143-215(e).
$ 288.44 Enforcement costs.
$ —W-&-i Yy TOTAL AMOUNT DUE
As required by G.S. 143-215.6A(c), in determining the amount of the penalty I have
considered the factors listed in G.S.143B-282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or to
private property resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which
the Environmental Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
(Dat) A. Preston Howard, Jr., P.E., Director
Division of Environmental Management

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
January 26, 1996
MR. JIMMY BARROW
BARROW'S HOG FARM
ROUTE 1, BOX 446
JACKSON NC 27845
RE: Request for Remission of Civil Penalty
Barrow's Hog Farm
File No. CF 95-09
Northampton County
Dear Mr. Barrow:
The Division of Environmental Management has received your request for remission of civil . .
penalty dated January 13, 1996, with accompanying support information. Your request will be placed on
the agenda of the Director's next scheduled enforcement conference and you will be notified of the
results.
Should you have any questions, please feel free to call Linda Forehand at [phone],
extension 526, or me at extension 233.
Sincerely,
4 �,-Y, e, � /-: � � �
Robert L. Sledge, Supervisor
Compliance/Enforcement Group
cc: DEM Raleigh Regional Supervisor w/ Attachments
Enforcement File w/ Attachments
Robert L. Sledge w/ 3 Attachments
P.Q. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

RECEIVED
WATER QUALITY SECTION
m 2 2 1996
OPERATIONS BRANCH
State of North Carolina x
Department of Environment
Health and Natural Resources
Division of Environmental Manaaem .
E-111 T.I.,
�
t.IAN 19 1dd„v Ban•ow's Hog Fann
GUAL' 7 Y Route I Box 446
SC'E"i0IN, Jackson, h..C.27845
(;919) , 4-7901
Jan. 13.1996
Deli- Mr. Steve Tedder,
I would like to submit this written request for remission or mitigation of this civil
penalty against me. I feel the penalty was %�Ton;Fully applied because I immediately
complied witli tine D.E.N1. instruction. The pumping wqs clone from approximately 8:00
that morning iintil 4:00 in the afternoon. Larger than normal amounts of rain had filled my
lagoon. I thought I was preventing a violation by pumping what I thou�i3t to be mostly rain
water off the very top. In my mind I was preventing an overspill, Anyway, I promptly
abated pumping this way and will never use this method again. I have put in sprinklers and
will use only them. I still have some land to be cleared and it will be done as soon as it is
dry enough for a bulldozer to work on Us area. Coastal will be. planted over this area
with sprinklers put in.
Payment of this civil penalty will prevent payment of the remaining necessary
remedial actions. I have several days of bulldozer worm to be done, which is very
expensive. I have plans for the spillway and some low areas to be tilled with dirt.
Planting coastal will be another expense, as well as putting down pipe for additional
sprinklers.
I have just gone through a major restructuring of my loans with F.H.A. due to low
market prices. My funds are very limited. My family has had no health insurance for
several years now. I am in desperate need of a tractor to cut the grasses to prevent weeds
from taking over. These things take money and a penalty like this could possibly put me
into bankruptcy. This farm has only two of the four houses in operation. The other two
have been closed for over ayear now. My farm can gross only about $16,000 per year, so
you can see money is very tight for me,

I would like to take this time to tell you about my fainily and farm. I am 39 years o I d
and a hi¢h school graduate. My wife and I have been married for 19 years. We have a 14
veal- old d211ahter. We have been living here in m} gr,-wdparents house Ibr "lie entire 19
years. I moved her.- from across the road where I ryas barnand gr'—w tip. This road bergs
my name. I love this land with all my heart. It is in my blood.
I have been raising hogs here since 19.,9 without,,my previous violations. I love
raising ho7s. This matter leas had an everh tiny effect on me; one that I will never er for et.
hi a previous letter the DIA-1. has stated that they would ,vork ,, ith me in e,rel-V
wav then' can. I am bezzin, you to find it in _your heart to remit this civil pens- ky and help
save my farm, my home, my life.
:Sincerely,
Ju uny F. Barroix

STATE OF NORTH CAROLINA ENVIRONMENTAL MANAGEMENT
6LnCOUNTY OF N d 1J COMMISSION
IN THE MATTER OF ASSESSMENT
OF CIVIL PENALTIES AGAINST
PERMIT NO,
WAIVER OF RIGHT TO AN
ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
FILE NO. C FF 9
Having been assessed civil penalties totallin z/2 of. . for
violation(s) as set forth in the assessment document of the Director of the Division of Environmental
Management dated, U7W u me may' _ the undersigned, desiring to seek remission of
the civil penalties, does hereby waive the right to an administrative hearing in the above -stated matter
and does stipulate that the facts are as alleged in the assessment document.
This the 13 P day of .lAnJ to ff2 V 19 9G .
BY
ADDRESS �}
gc lc sa ,--off 0,
ro-OW09K•I&A
219-s31112-79el

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7

State of North Carolina
Department of Environment,
Health and Natural Resources • e
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary ID FE i
A. Preston Howard, Jr., P.E., Director V �i
February 15, 1996
Certified Mail
Return Receipt Requested
ATTN: JIMMY BARROW'
BARROW'S HOG FARM
ROUTE 1 BOX 446
JACKSON, NC 27845
Subject: Request for Remission of Civil Penalty
Pursuant to N.C.G.S. 143-215.6A(f)
Barrow's Hog Farm
Northampton County
Dear Mr. Barrow:
I considered the information submitted in support of your request for remission in
accordance with G.S. 143-215.6A(f) and my delegation under G.S. 143-215.6A(h) and have not
found grounds to modify the assessment of $4,284.44 (including $284.44 in investigative costs).
Should you choose to pay the full penalties, you may tender payment to me at the letterhead
address within 30 days of your receipt of this letter. Please make checks payable to the Department
of Environment, Health, and Natural Resources.
You also have the option of presenting your request to the Committee on Civil Penalty
Remissions, which is comprised of members of the Environmental Management Commission.
The committee may consider such requests and render final and binding decisions in these matters.
You may argue your request before the committee and Division Staff will argue against any
reduction of the assessment.
Should you choose to present your request to the committee, please notify me at the
letterhead address within 30 days of your receipt of this letter. Your request will be scheduled to
be heard on the agenda of the next scheduled committee meeting and you will be notified of the
date and time. If a response is not received by the Division regarding this notice then your request
will be scheduled on the agenda for an upcoming committee meeting.
P.O. Box 29535, Raleigh, North Carolina 2762E-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Actions Employer 50% recycled/ 10% post -consumer paper

Thank you for your cooperation in this matter. If you have any questions about this letter,
please feel free to contact Shannon Langley at [phone], extension 581.
Sincerely,
A. Preston Howard, Jr), P.E.
cc: DEM Raleigh Regional Office
yEnforceiii ntf ; ; =

- - zz,
�G-2)
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Certified Mail
Return Receipt Requested
ATIN: JIMMY BARROW
BARROW'S HOG FARM
ROUTE 1 BOX 446
JACKSON, NC 27845
Dear Mr. Barrow:
A74
E: >EHNF1
February 15, 1996
Subject: Request for Remission of Civil Penalty
Pursuant to N.C.G.S. 143-215.6A(f)
Barrow's Hog Farm
Northampton County
CF 95-09
I considered the information submitted in support of your request for remission in
accordance with G.S. 143-215.6A(f) and my delegation under G.S. 143-215.6A(h) and have not
found grounds to modify the assessment of $4,284.44 (including $284.44 in investigative costs).
Should you choose to pay the full penalties, you may tender payment to me at the letterhead
address within 30 days of your receipt of this letter. Please make checks payable to the Department
of Environment, Health, and Natural Resources.
You also have the option of presenting your request to the Committee on Civil Penalty
Remissions, which is comprised of members of the Environmental Management Commission.
The committee may consider such requests and render final and binding decisions in these matters.
You may argue your request before the committee and Division Staff will argue against any
reduction of the assessment.
Should you choose to present your request to the committee, please notify me at the
letterhead address within 30 days of your receipt of this letter. Your request will be scheduled to
be heard on the agenda of the next scheduled committee meeting and you will be notified of the
date and time. If a response is not received by the Division regarding this notice then your request
will be scheduled on the agenda for an upcoming committee meeting.
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

Thank you for your cooperation in this matter. If you have any questions about this Ietter,
please feel free to contact Shannon Langley at [phone], extension 581.
Sincerely,
A. Preston Howard,
cc. tiI)EM,Raleigh.Regional_Offic. e
Enforcement file .
I

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
January 3, 1996
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Jimmy Barrow
Barrows Hog Farm
Route 1 Box 446
Jackson, NC 27845
LTI.I;qAI
A&I�j 0
DEHNF11
SUBJECT: Assessment of Civil Penalties for Violation(s) of N.C.
General Statute(s) 143-215.1(a)(1)
INorthamp no County
File No. CF 95-09
Dear Mr. Barrow:
This letter transmits notice of a civil penalty assessed against Jimmy Barrow in the amount of
$4,284.44 including $284.44 in investigative costs.
Attached is a copy of the assessment document explaining this penalty. This action was taken
under the authority vested in me by delegation pursuant to N.C.G.S. 143-215.6A(h). Any continuing
violation(s) may be the subject of a new enforcement action, including an additional penalty.
Within thirty days of receipt of this notice, you must do one of the following:
1. Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environment, Health,
and Natural Resources (do not include waiver form). Payment of the penalty will not
foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Mr. Steve W. Tedder
Water Quality Section Chief
Division of Environmental Management
P.O. Box 29535
Raleigh, North Carolina 27626-0535
OR
P.Q. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

2. Submit a written request for remission or mitigation including a
detailed justification for such request:
A request for remission or mitigation is limited to consideration of the
reasonableness of the amount of the penalty and is not the proper procedure
for contesting the accuracy of any of the statements contained in the
assessment letter. Because a remission request forecloses the option of an
administrative hearing, such a request must be accompanied by a waiver of
your right to an administrative hearing and a stipulation that there are no
factual or legal issues in dispute. You must execute and return to this office
the attached waiver and stipulation form and a detailed statement which you
believe establishes whether:
(a) one or more of the civil penalty assessment factors in G.S. 14313-
282.1(b) were wrongfully applied to the detriment of the petitioner;
(b) the violator promptly abated continuing environmental damage
resulting from the violation;
(c) the violation was inadvertent or a result of an accident;
(d) the violator had been assessed civil penalties for any previous
violations;
(e) payment of the civil penalty will prevent payment for the remaining
necessary remedial actions.
Please submit'this information to the attention of:
Mr. Steve W. Tedder
Water Quality Section Chief
Division of Environmental Management
P.O. Box 29535
Raleigh, North Carolina 27626-0535
w•
3. Submit a written request for an administrative hearing:
If you wish to contest any statement in this assessment letter, you must
request an administrative hearing. This request must be in the form of a
written petition, conforming to Chapter 150B of the North Carolina General
Statutes, and filed with the Office of Administrative Hearings, Post Office
Drawer 27447, Raleigh, North Carolina 27611-7447. A copy of the
petition must be served on the Department as' follows:
Mr. Richard Whisnant
Office of General Counsel
NCDEHNR
Post Office Box 27687
Raleigh, North Carolina 27611

Failure to exercise one of the options above within thirty days, as evidenced by a
date stamp (not a postmark) indicating when we received your response, will result in this
matter being referred to the Attorney General's Office with a request to initiate a civil action
to collect the penalty. Please be advised that additional assessments may be levied for
future violations which occur after the review period of this assessment.
If you have any questions, please contact Mr. Shannon Langley at [phone],
extension 581.
Sincerely,
A. Preston Howard, Jr., P.E.
ATTACHMENTS
cc:Raleigh'sRegional�Supervisor w/,rattachmentss
Compliance/Enforcement File w/ attachments
Tony Short, Northampton County Soil and Water Conservation District
Pat Hooper, Washington Regional Coordinator, NC DSW

STATE OF NORTH CAROLINA
COUNTY OF NORTHAMPTON
IN THE MATTER OF
JIMMY BARROW
FOR A VIOLATION OF
G.S. 143-215(e)
CONSTRUCTING A CONVEYANCE FOR
WILLFULLY DISCHARGING POLLUTANTS
TO WATERS OF THE STATE
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT
COMMISSION
File No. CF 95-09
FINDINGS AND DECISION
AND ASSESSMENT OF
CIVIL PENALTIES
Acting pursuant to North Carolina General Statute (G.S.) 143-215.6A, I, A. Preston
Howard, Jr., P.E., Director of the Division of Environmental Management (DEM), make the
following:
FINDINGS OF FACT:
A. Jimmy Barrow operates an animal feeding operation consisting of several confinement
houses and a lagoon on SR 1126 near the town of Jackson, North Carolina.
B . On August 17,1995, DEM staff observed a discharge of wastewater from Jimmy
Barrow's Hog Farm lagoon via a jet pump fitted with a 1 1/2 inch PVC pipe to an
unnamed tributary to Gumberry Swamp, which are Class C Waters within the
Roanoke River Basin.
C. Jimmy Barrow willfully discharged pollutants to waters of the State.
D. The costs to the State of the enforcement procedures in this matter totalled $288.44.
Based upon the above Findings of Fact, I make the following:
II. CONCLUSIONS OF LAW:
A. Jimmy Barrow is a "person" within the meaning of G.S.143-215.6A pursuant to
G.S. 143-212(4).
B. The Unnamed Tributary to Gumberry Swamp constitutes waters of the State within
the meaning of G.S. 143-215.1(a)(1) pursuant to G.S. 143-212(6).
C . The above -cited discharge constituted constructing a conveyance for the willful
discharge of pollutants from an animal feeding operation to waters of the State
pursuant to 143-215(e).

D. Jimmy Barrow may be assessed civil penalties in this matter pursuant to G.S. 143-
215(e), which provides the Commission the authority to assess fines and penalties not
to exceed five thousand dollars ($5000.00) for the first offense for the willful
discharge of pollutants from an animal feeding operation to waters of the State.
E. The State's enforcement costs in this matter may be assessed against Jimmy Barrow
pursuant to G.S. 143-215.3(a)(9) and G.S. 143B-282.1(b)(8).
F. The Director, Division of Environmental Management, pursuant to delegation
provided for by G.S. 143-215.6A(h), has the authority to assess civil penalties in this
matter.
Based upon the above Findings of Fact and Conclusions of Law, I make the following:
III. DECISION:
Accordingly, Jimmy Barrow is hereby assessed a civil penalty of:
$ for constructing a conveyance for the willful discharge of pollutants
from an animal feeding operation to waters of the State.
$ �ec4rU• r" TOTAL CIVIL PENALTY, which is " percent of the
maximum penalty authorized by G.S. 143-215(e).
288.44 Enforcement costs.
$__�/WI yy TOTAL AMOUNT DUE
As required by G.S. 143-215.6A(c), in determining the amount of the penalty I have
considered the factors listed in G.S.143B-282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or to
private property resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which
the Environmental Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
(D ) A. Preston Howard, Jr., P.E., Director
Division of Environmental Management

i
Division of Environmental Management
Raleigh Regional Office
,October 16, 1995
M E M O R A N D U M
To: Steve Tedder, Water Quality Section Chief
Through: Dianne Williams Wilburn, Supervisor
Facility Assessment Unit
Through: Ken Schuster, E. �P/
Raleigh Regional D& Supervisor
Through: Judy Garrett,
Regional Water Quality Supervisor
From: Buster Towell, Environmental Technician
Subject: Loss of Deemed Permitted Status\NOV
Civil Penalty CF Case
Jimmy Barrow, Barrow's Hog Farm
Northampton County
On August 17, 1995, an inspection revealed the above referenced
swine operation to be willfully discharging animal waste via a jet
pump fitted with 1 1/2 inch PVC pipe into an unnamed tributary to
Gumberry Swamp which is rated Class C waters within the Roanoke
River Basin. This facility has registered with DEM and is #66-21 in
Northampton County. Please find attached the following documents:
1� NOV/Notice of Intent to Revoke Permitted Status letter for
Director's signature.
2. CF Case Enforcement Package, including inspection forms and
Assessment Factors.
3. NOV/Notice of Intent to Enforce dated August 21; 1995
from Raleigh Regional DEM Supervisor, and Return Receipt.
4. Photographs of Barrow's Hog Farm.
If there are any questions of if additional information is needed
please contact Buster Towell at the Raleigh Regional Office.
0

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Jimmy Barrow
Barrows Hog Farm
Route 1, Box 446
Jackson, North Carolina 27845
Subject : Notice of Violation
Notice of Intent to Revoke Deemed Permit
Barrows Hog Farm
Facility # 66-21
Northampton County
Dear Mr. Barrow:
You are hereby notified that Barrows Hog Farm, which has been deemed permitted to
have a nondischarge permit for an animal waste disposal system pursuant to 15A NCAC
2H .0217, has been found to be in violation of its 2H .0217 Permit. Pursuant to North
Carolina General Statute 143-215.1(b)(4)c, 15A NCAC 2H .0213 and 15A NCAC 2H
.0217(d).
On August 17, 1995, Mr. Buster Towell from the Raleigh Regional Office conducted a
compliance inspection at the above referenced facility. The inspection revealed a willful
discharge of swine lagoon waste at this facility. A jet pump fitted with 1 1/2 inch PVC
pipe was discharging waste into the adjacent woods. The waste flowed onto the ground
and into a ravine that conveyed the wastewater into an unnamed tributary to Gumberry
Swamp within the Roanoke River Basin. The waste stream was discharging at
approximately 10 gallons per minute.
Within 60 days from your receipt of this letter, the Division of Environmental
Management intends to revoke Barrows Hog Farm' s permit unless the following
emiditions are completed:
1. Immediately eliminate the discharge of wastewater.
2. Make any modifications needed to ensure there will be no future discharges.
3. Send in an approved animal waste management plan and have the attached
certification form completed. This form and a copy of your plan must be returned to:
P.O. Box 29535. Raleigh. North Carolina 27626-%35 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ t 0`i6 post -consumer paper

Division of Environmental Management
Water Quality Section Operations Branch
P.O. Box 29535
Raleigh, NC 27626-0535
Failure to comply with the above conditions will cause the existing wastewater treatment
system serving your animal operation to be considered being operated without a permit
as required by North Carolina General Statute 143-215.1.
The facility may be deemed to have a permit following revocation if the former permittee
makes such a request in writing and the previously stated conditions are met to the full
satisfaction of the Director.
Your approved animal waste management plan must explain how you -will collect, store,
treat and land apply your animal wast: to the land in an environmentally acceptable
manner. To assist you in the development of this plan and to provide the required
certification that the plan is acceptable, you should contact your local agricultural
agencies such as the Soil and Water Conservation District, the USDA Natural Resource
Conservation Service, or the North Carolina Cooperative Extension Service.
If we have not received the requested animal waste management plan and certification
within 60 days of receipt of this letter or if there are additional discharges to the
surface water, a civil penalty of up to $10,000 may be assessed and you must apply for
an individual non discharge permit from the Division. Please find attached a permit
application which must be completed and returned if you wish to apply for an individual
non discharge permit. This permit, if issued, will contain monitoring and reporting
requirements determined to be necessary by the Division. This letter does not prevent
the Division of Environmental Management from taking enforcement actions for this
violation or any past or future violations.
If you have any questions concerning this matter please do not hesitate to contact either
Judy Garrett, Water Quality Regional Supervisor for our Raleigh Regional Office at
(919)-571-4700 or Mr. Shannon Langley at [phone], ext. 581.
Sincerely,
A. Preston Howard, Jr., P.E.
ATTACHMENTS
cc: Ken Schuster, P.E. , RRO Regional Supervisor
Mr. Tony Short, Northampton County Soil and Water Conservation District
Ms. Pat Hooper, Environmental Engineer, NC DSWC--WARO
Compliance/Enforcement File

STATE OF NORTH CAROLINA
COUNTY OF NORTHAMPTON
IN THE MATTER OF
JIMMY BARROW
BARROWS HOG FARM
FOR A VIOLATION OF
G.S. 143-215 (e)
CONSTRUCTING A CONVEYANCE FOR
WILLFULLY DISCHARGING POLLUTANTS
TO WATERS OF THE STATE
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT
COMMISSION
File No. CF
FINDINGS AND DECISION
AND ASSESSMENT OF
CIVIL PENALTIES
Acting pursuant to North Carolina General Statute(G.S.) 143-215.6A,
I, A. Preston, Howard, Jr., P.E., Director of the Division of
Environmental Management (DEM) make the following:
I. FINDINGS OF FACT:
A. Barrow's Hog Farm, owned and operated by Mr. Jimmy
Barrow, is a confined swine operation organized and
existing under the laws of the State of North Carolina.
B. On August 17, 1995, DEM staff observed a discharge of
wastewater from Barrow's Hog Farm lagoon via a jet pump
fitted with 1 1/2 inch PVC pipe to an unnamed tributary
to Gumberry Swamp which is Class C Waters within the
Roanoke River Basin.
C. Mr. Jimmy Barrow operates an animal feeding operation
consisting of several confinement houses and a lagoon
on SR 1126 near the town of Jackson, North Carolina.
D. Mr. Jimmy Barrow willfully discharged pollutants to the
waters of the State.
E. The costs to the State of the enforcement procedures in
this matter totalled $ 288.44 .
Based upon the above Findings of Fact, I make the following:
II. CONCLUSIONS OF LAW:
A. Jimmy Barrow is a"person" within the meaning of G.S.
143-215.6A pursuant to G.S. 143-212(4).

B. Gumberry Swamp constitutes waters of the State within
the meaning of G.S. 143-215.1(a)(1) pursuant to G.S.
143-212(6).
C. The above cited discharge constituted constructing a
conveyance for the -willful discharge of pollutants
from an animal feeding operation to the waters of the
State pursuant to G.S. 143-215 (e).
D. Jimmy Barrow may be assessed civil penalties in
this matter pursuant to G.S. 143-215(e), which provides
the Commission the authority to assess fines and
penalties not to exceed five thousand dollars
($5,000.00) for the first offense for the willful
discharge of pollutants from an animal feeding
operation to the waters of the State.
E. The State's enforcement costs in this matter may be
assessed against Barrow's Hog Farm pursuant to G.S.
143-215.3(a)(9) and G.S. 143B-282.1(b)(8).
F. The Director, Division Environmental Management,
pursuant to delegation provided for by G.S.
143-215.6A(h), has the authority to assess civil
penalties in this matter.
Based upon the above Findings of Fact and Conclusions of Law, I
make the following:
III. DECISION:
Accordingly, Barrow's Hog Farm is hereby assessed a civil
penalty of:
for constructing a conveyance for the
willful discharge of pollutants from
an animal feeding operation to the
waters of the State.
$ TOTAL CIVIL PENALTY, which is_
percent of the maximum penalty
authorized by G.S. 143-215(e).
$ 288.44 Enforcement costs.
$ TOTAL AMOUNT DUE

As required by G.S. 143-215.6A(c), in determining the amount of the
penalty I have considered the factors listed in G.S. 143B-282.1(b),
which are:
(1) The degree and extent of harm to the natural resources of the
State, to public health, or to private property resulting from
the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity,or quality or
on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or
intentionally;
(7) The prior record of the violator in complying or failing to
comply with programs over which the Environmental Management
Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
( Date } A. Preston Howard, Jr., P.E., Director
Division of Environmental Management

Inspection Form for Animal Operations
1. Inspection Date: August 17, 1995
2. Regional Office: RRO
3. Name of Owner of Property:
current address: Mr. Jimmy Barrow
Route 1, Box 446
Jackson, North Carolina 27845
4. Name of Operator: Same as above.
5. Description of Facility Location: SR 1126 aprx. 1 mile from
intersection of Hwy. 158, West of Jackson, N.C.
6. Date facility began operation: Aprx. 10-15 years old
7. Date of last inspection: NA
8. Has Facility registered with DEM: Yes
9. Does facility have an approved animal waste plan: NO
10. Has facility received a CAFO Designation: NO
11. Operation type: swine
12. Number of animals: 1220 as per registration.
13. Length of confinement: year round
14. Are crops or pasture sustained in normal growing season over
any portion of the facility. NO
15. Types of Waste Management: containment buildings, solids
collectors, pipes and associated apertures and one lagoon.
16. Description of other animal operation in immediate vicinity:
There are 2 Perdue Broiler operations, also owned and operated
by the Barrow family within 1/2 mile.

Inspection Form For Animal Operations
Page 2
17. Proximity of facility to neighboring houses, wells etc.:
aprx. 1000 feet
18. Groundwater depth: unknown
19. Proximity of facility to surface waters: less than 1000 feet
20. Was an Animal Waste Discharge occurring during the inspection:
yes, attached are photographs.
21. Are Pollutants discharged into waters of the State:
Yes. See attached photos.
22. Was the subject discharge caused by a 25yr/24 hr storm event:
NO.
Assessment Factors
1. The degree and extent of harm to the natural resources of the
State, to public health, or to private property resulting from
the violation. Barrow's Mill Pond is down stream from this
operation. Discharges from this operation could possibly
cause fish kills in the pond due to low dissolved oxygen.
2. The duration and gravity of the violation: No waste application
equipment was noted on site during the initial inspection. It
appears that the jet pump that was used to discharge waste
during this particular event has been used as the primary means
of waste disposal for quite some time. It should also be noted
that Mr. Barrow also owns and operates another swine operation
in the county ( Designated July 14, 1993 ) where similar waste
disposal methods have been recently observed.
3. The effect on ground or surface water quantity or quality or on
air quality. Cumulative effects on down stream Barrow's
Mill Pond, that might result in fish kills due to low
D.O..
4. The cost of rectifying the damage: The capital investment
involved in the purchase of application equipment and
possibly the acquisition of more land on which to properly
apply the waste from this operation.
5. The amount of money saved by noncompliance: unknown.

6. Whether the violation was committed willfully of intentionally:
This was an intentional violation.
7. The prior record of the violator in complying or failing to
comply with programs over which the Environmental Management
Commission has regulatory authority: Mr. Barrow owns another
swine operation in Northampton County that was Designated
as a CAFO in July of 1993. With the receipt of that Notice, He
should have become aware that any discharge to the waters of
the State from animal operations are illegal.
8. The costs to the State of the enforcement procedures:
staff time:
mileage
administrative
total cost
8 Hrs.
18`) miles
$ 100.00
$ 288.44
9. Type and general nature of business:
Mr. Barrow is a swine producer and a row crop farmer.
10. What is the violators degree of cooperation (including efforts
to prevent or restore) or recalcitrance:
Mr. Barrow has contacted the RRO by phone and spoken with Ms.
Judy Garrett concerning the NOV/ Notice of Intent to Enforce.
He stated that he was unaware that he did anything
illegal. The RRO has received the Return Receipt from this
letter, but, to date, have yet to receive any written
correspondence. Mr. Tony Short, District Conservationist, has
informed this office that he has been contacted'by Mr. Barrow
concerning a waste utilization plan but Mr. Short stated that
Mr. Barrow will need more land for application prior to the
development of a final animal waste management plan.
11. Mitigating Circumstances: No comments to offer.
12.Assessment Factors:
IWC: unknown -
Receiving Stream: Gumberry Swamp\ Roanoke\ C
Damage Y\N If yes, include report from WRC None

Conclusion 1-4
1. Include copy of any Designation letter signed by the Director:
NA
2. Recommendations made to operator: Mr. Barrow was inforined in the
NOV dated August 21, 1995 to cease discharging animal waste and
to contact the RRO within 10 day of the receipt of that letter.
Other than a phone call, the RRO has not heard anything else
regarding this matter.
3. Recommendations for Further DEM Action: Loss of Deemed Permitted
Status, followed by either a closure plan or an approved animal
waste management plan. Continue to pursue Enforcement
4. Other comments: If more information is needed contact Buster
Towell, RRO.

• J1L-14-1995 15: 26 FROM r,Er1 tJF+TER GIt1AL 1 TY SEAT I ON TO
F�PCI P.02z02
Site Requires immediate A7enrnn- L
Facility No.
DIVISION OF ENVIRONN ENTAL MANAGEM _'N_ T
ANIMAL FEEDLOT /OP�] EkAl IONSITE VISITATION SIVISITATION RECORD
DATE: , 1995
Time: a 0 00 = -
Farm Name/Owner 3i n�,�.� 6,-o :�%
Mailing Address: 6 o 6 kpt ftv
County:.,-,A'Vrr--
lntegtor. J_ _ Phone:
On Site Representative: ,.._ ` , _ Phone: `/ - ? 9 G /
Physical Address/Location: -61? // Z 6 i w+ Le �f +•►1 �6 ti /- l2 t -j4
Type of Operation: Swine Poultry Cattle
7
Design Capacity: 1 2o Number of Animals on Site.
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: ' 'Z Longimde:7 7 • �Z' . �,�" Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon hav icienr freeboard of l Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches a or No Acrcai Freeboard: Z Ft. Inches
Was any seepage observed from the'lagoon(s)? Yes 4! it Was any crosion observed? Yes or�i�;
Is adequate land available for spray? Yes orNIO is the cover crop adequate? Yes or No
Crop(s) being utilized: kdf4
Does the facility meet SCS minimum setback criteria'! 200 Feet from Dwellings? or No
100 Feet from Wells?(Jj�i or No
^.e arirnal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes
?. animal waste land applied or spray irrigated within 25 Fwt of a USGS Map Blue Line? Yes ot`l\o`
animal waste discharged into 4:r
of the state by inan-made ditch, flushing system, or other
iimila_r man-made deNnces? No If Yts. Please Explain.
"s+ s me fadlity maintain adequate waste managerncnt records (volumes of manure, land applied
!>pruy wrigated on specific acreage with cover crop 0 Yes or No
Additional Comments: r
ry � L,a... � I c..ou;. � y�,,.� E.� [.�, � n. ..� [ . � �. • ram,.,
Signature
cc: Faciliry Assesstmnt Unit
Use Attachments if Needed
TOTAL

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State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Boyce A. Hudson, Regional Manager
4••
FL
DIVISION OF ENVIRONMENTAL MANAGEMENT
August 21, 1995
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Jimmy Barrow
Route 1, Box 446
Jackson, North Carolina 27845
Subject: Notice of Recommendation for Enforcement
Notice of Violation
Barrow Hog Farm SR 1126
Northampton County
Dear Mr. Barrow:
This letter is to notify you that the Raleigh Regional Office of
the Division of Environmental Management is considering making a
recommendation for an enforcement action to the Director of
Environmental Management. The recommendation concerns the violation
of North Carolina General Statute 143-215 (e) for Willfully
Discharging Pollutants to the Waters of the State.
On August 17, 1995, an inspection was conducted at your swine
facility located on SR 1126. The inspection revealed a willful
discharge from your waste lagoon via a jet pump fitted with 1 1/2
inch PVC pipe that was discharging animal waste at approximately 10
gallons per.minute into the adjacent woods. This waste then flowed
into a small ravine and on into an unnamed tributary to Gumberry
Swamp within the Roanoke River Basin..
With this Notice you are hereby instructed to immediately cease
discharging waste into the waters of the State and to .reply in
writing to the Raleigh Regional Office within ten (10) days after
the receipt of this Notice stating the measures that you will take
to permanently eliminate the discharge from this facility.
If you have questions concerning this matter, please contact either
Mr. Buster Towe11, or MS. Judy Garrett at [phone].
Sincerely
enneth thus P.E.
Regional Supervisor
cc: Northampton County Health Department
Northampton Soil and Water Conservation District
360Q Bmett Drive, Suite 101, Raleigh, North Carolina 27609 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer W%recycled/ l OIL post-conmmer paper

r�
SENDER:
1
st •Complete name t srrdl« 2 for additional sarvias.
I also wish to receive the
.
• Complete items 3, and 4a a b.
following services {for an extra
• Print.your name and address on the reverse of this form so thirt we can
feel.
• return this card to you.
20
Lo • Attach this form to the from of the mailpism, or on the back if space
1. ❑ Addressee's Address
op
does not permit.
r • write "Return Receipt Requested" on the mailpisce below the article number
❑ Restricted Delivery
• • The Ratum Receipt will show to whurp the article was delivered and the date
o delivered.
Consult postmaster for fee.
3. Article Addressed to: 6 9,
4a. Article Number
JIMMY BARROW �
P2 1 676413
� RT 1 sax 446 �
4b. Service Type
❑ Registered ❑ Insured
�
v J A C K S O N NC 27845
❑
8 _ 21- 9 5 N 0 RE
Certified COD
S
cc
BARROW -HOG FARM SR 1126
❑ Express Mail ❑ Return Receipt for
Merchandise
3
N r H CO W Q
7. Date of ell ry
a
KS/JB
O�o�
20
5. Signature (Addressee)
8. Addresseels Address Only if requested
and fee is paid)
aC
8. Signatu (Agen
r Form , December 1991 ou.s.ctlPMING�41sza14 DOMESTIC RETURN RECEIPT
rs

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
MR. JIMMY BARROW
BARROW'S HOG FARM
ROUTE 1 BOX 446
JACKSON, NC 27845
WMAI
�••
ID FE N F=1
November 15, 1995
Subject: Notice of Violation # 95-49
Notice of Intent to Revoke Deemed Permit
Barrows Hog Farm
Farm Number 66-021
Northampton County
Dear Mr. Barrow:
You are hereby notified that, having been deemed permitted to have a nondischarge permit for the
subject animal waste disposal system pursuant to 15A NCAC 2H .0217, you have been found to
be in violation of your 2H .0217 Permit.
On August 17, 1995, Mr. Buster Towell from the Raleigh Regional Office conducted a compliance
inspection at the above referenced facility. The inspection revealed a willful discharge of swine
lagoon waste at this facility. A jet pump fitted with a 1 1/2 inch PVC pipe was discharging waste
into the adjacent woods. The waste flowed along the ground and into, a ravine that conveyed the
wastewater into an unnamed tributary to Gumberry Swamp within the Roanoke River Basin. The
waste stream was discharging at a rate of approximately 10 gallons per minute.
In accordance with the requirements of NCAC 2H.0213, you are hereby given notice that sixty
(60) days following your receipt of this letter, the Division of Environmental Management intends
to revoke your permit unless the following conditions are completed:
1. Immediately eliminate the discharge of wastewater or correct the violation.
2. Make any modifications needed to ensure there will be no future discharges.
3. Submit an approved animal waste management plan and have the attached certification form
completed. One copy of the plan must be sent to your local Soil and Water Conservation
District. The certification form and two (2) copies of your plan must be returned to the address
below:
Division of Environmental Management
Water Quality Section Operations Branch
P.O. Box 29535
Raleigh, NC 27626-0535
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

Failure to comply with the above conditions will result in permit revocation and therefore, the
existing animal waste management system serving your animal operation will be in operation
without a permit as required by North Carolina General Statute 143-215.1.
Your approved animal waste management plan must explain how you will collect, store, treat and
land apply your animal waste in an environmentally acceptable manner. To assist you in the
development of this plan and to provide the required certification that the plan is acceptable, you
should contact your local agricultural agencies such as the Soil and Water Conservation District,
the USDA Natural Resource Conservation Service, the North Carolina Cooperative Extension
Service or a technical specialist designated pursuant to the rules adopted by the Soil and Water
Conservation Commission.
If we have not received the requested animal waste management plan and certification within 60
days of receipt of this letter or if there are additional discharges to the surface water a civil penalty
of up to $10,000 may be assessed and you may be required to apply for an individual
nondischarge permit from the Division. This permit, if issued, will contain monitoring and
reporting requirements determined to be necessary by the Division.
Although we will make every effort to work with you in correcting the problems found at your
facility, please be advised that nothing in this letter should be taken as preventing the Division from
taking appropiate enforcement actions for either these violations or other past or future violations.
If you have any questions concerning this matter please do not hesitate to contact either Judy
Garrett, Water Quality Regional Supervisor for our Raleigh Regional Office at [phone] or
Mr. Shannon Langley at [phone], ext. 581.
Sincerely,
A. Preston Howard, Jr., F.E.
ATTACHMENTS
cc: Regional Water Quality Supervisor
Tony Short - Northampton County Soil and Water Conservation District
Pat Hooper - Regional Coordinator, NC DSWC--WARO
Compliance/Enforcement File

C22
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State of North Carolina
Department of En e
Health and Natura urE
Division of Environme al enU U
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Mr. Jimmy Barrow
Route 1, P.O. Box 446
Jackson, NC 27845
Dear Mr. Barrow:
Y A
IDEHNR
September 17, 1993
Subject: Compliance Inspection
Jimmy Barrow Hog Operation
State Road 1500
Northampton County
CAFO 93-019
On September 16, 1993 Mr. Karl Shaffer of the Raleigh Regional
Office conducted an. inspection of the above named facility. The
inspection was conducted to determine if compliance with state
regulations was being maintained at the facility.
At the time of the inspection, the operation was compliant,
with no evidence of impacts to any adjacent surface waters. The
lagoon freeboard was estimated at about one foot. You are
encouraged to maintain a sufficient amount of freeboard to assure
that another discharge does not occur. The upcoming wet season may
reduce your ability to land apply the waste. Future waste
discharges from this facility will result in the recommendation for
an enforcement action.
If you have any questions concerning this information or the
site inspection, please contact Mr. Karl Shaffer at ( 919 ) 571--4700.
Sincerely,
Kenneth Schuster, P.E.
Regional Supervisor
cc: Northampton County Health Department
Northampton County Soil and Water Conservation District
CAFO Files
CAFO.INS/KAS
P.O. Box 29535, Raleigh, North Carolina 276260535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office -E
James B. Hunt, Jr., Governor IL
Jonathan B, Howes, Secretary
Boyce A. Hudson, Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
January 4, 1995
Mr. Jimmy Barrow
Route 1 Box 446
Jackson, North Carolina 27845
Subject: Compliance Investigation
Jimmy Barrow Hog Operation
SR 1500
Northampton County
Dear Mr. Barrow:
On December 28, 1994, Mr. Charles Brown, of the Raleigh
Regional Office, conducted an inspection at the subject facility.
The inspection was conducted to ensure compliance with state
regulations concerning animal facilities.
At the time of the inspection, the operation was compliant,
with no evidence of impacts to any adjacent surface waters. The
freeboard in the lagoon was estimated at 18 to 24 inches. There was
no evidence of other problems which could lead to water quality
degradation such as leaking pipes or other malfunctioning flushing
system components. The spray area appeared well maintained.
In addition, the operation has been confirmed to be registered
with the state. In addition to this registration, please be advised
you are also required to submit an Animal Waste Management Plan on
or before December 31, 1997, as per Title 15A of the North Carolina
Administrative Code, Chapter 2, Subchapter '2H, Section
.0217(a)(1)(E). If you need assistance with regard to development
of your waste management plan contact your local Soil and Water
Conservation District office.
If you have any questions concerning this letter, please
contact Mr. Brown at [phone].
Sincerely,
C J y Garrett,
Water Quality Supervisor
cc: Northampton County Health Department
Northampton County Soil and Water Conservation District
3800 Barrett Drive, Suite 101, Raleigh, North Carolina 27609 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer W%recycled/ 10% post -consume r paper

r-:
Date D!
!ame o
D I~ice)
Name of
Address
Appendix )
Inspection Form for Animat Operation -
Inspection:
Owner of Property : (Che& Register of Deeds or 1 ax
-------------
3a- 7 �i
// t II I 11
operator: I M-W-A-------------'----k4sa
J 53 V -7'701 /
'----------
rr S
-------------
---------- �� --- --- - -
R n a n e n; r d e r: tic Z,"l,' i -
DESCription of 4'racility Cormsion (Sat2 Ho.1d Nos., 7:
- > --nveowr MAI <
Type of Operation (Examples: `arrow to finish, oppirn
dairy, s.-pine, cattle, chickens or broiler Burley
production, etc.)
---------------------
number and Type of Animals and Animal Units:
Length of -(ime Pnimals -Have Been, Pre, an Wi I I Be SQ50d, of -
Con -Fin d and Fed or Maintained in Any 1�2 -Mo-ntPeriod.
Are Crops, Vegetation Forage Growth, or PosZ-Harvesv Pe51duu­,
Sustained in the Normal Growing Season Over Pny Portion or
the Lot or Facility'___--
l'm
Wi6 04f e/
100Ll%,k.3a;7
a 7145

Description of Other Animal Operations !in hmnediaue vicinity
and Prox imi ty" to Same or Other Surf ace Waters
swreowe
7'
Proximity of Facility to Neighboring I -louses, Wells, etc.:
--------------------------
Approximate Depth of Groundwater Table in the Are8 a-, the
f=ac; I i ty or Discharge: -_-_-_
Proximity of FaciIity to Surface Waters (provide name and
:7 F, Or-kr -raCe a e r s ) .
---�----------------------- - --
A,re Pollutants Discharged into the Waters of t'n= S-sate? if
5o, How? (directly or by man-made ditch, ;flush'ng system, or
other similar man-made device) - _ __-V-_��
_____________,,.-__--_—_—__—._—___—_---_—___--_---
Do or Have Discharges Occurred in Response Lo a Storrs Event.
of Less Than a 25-year, 20-hour Intensity? (lr yes, inclhde
a brief 1 i at i ng of incidents and suspected causes. i ____ __-------------------------------------------
-
I-yPe of Waste Management (Examples: Lype of conf inemenl-Tree
stall harms, shel tered or l imi ted shelter dirt lots, paved or-
(J?rt Open lots, swing houses, pasLurej hype ci waste
handling -direct spreading in solid form, Slatted floor S.oii-h
lagoon or pit, single nr multi -cell lagoon, aerated )agoon,
p acation of liquid manure, spray irrigation)
contractor disposal, etc.)
24

Condition of Ulasie Manacjernent F a c i I i ty (rate as poor -good, nr-)
discharge, sufficient freeboard in lagoon, etr include
weather coedItions during inspection.l-
.
-- u___----------------_--__--_-------_-------,-------.----_----
Animal Waste Discharge (inc1�-ding photos and witnessnames,
addresses, teIepnanes numbers and statements c-f fac . .
----_,��_ y�,%,�.� _ gEin-.�d---(r_�o_tis4ad.�_.1ec._-1&,144 .49 �, Ge� _Z/9
-----------------------------------------
rfater Duality Assessment: (include description of sampling,
f 1 E 1 Ci f, ea-,ui-ements, visual 0b5 'ry a l; i oils grid s 1 ope and
••/egataCive cover of lard adjacent to water, extent of
rainfall and Gtner factors relative to the likelihood or
frequ_-I-C­ of discharge o.� ani ma i %-+antes and process
L-Jai P_k-,,=ter5)
-
_ - -- ------------ l�r-----_--_-_ _

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State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr„ Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
July 14, 1993
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Jimmy Barrow
Route 1, Box 446
Jackson, NC 27545
RECEIVED
Am 15 1993
DEHNR-RAL RO
Subject: Designation of Concentrated Animal
Feeding Operation
JIMMY BARROW HOG OPERATION
State Road 1500
Northampton County
CAFO 93-19
Dear Mr. Barrow:
This letter is to notify you that the Jimmy Barrow Hog
Operation, referenced above and presently owned by Farmer's Home
Administration and leased to Mr. Steve Warrick, is hereby
designated a concentrated animal feeding operation in accordance
with Title 15A, North Carolina Administrative Code 2H .0123, and
adopted Federal Regulations 40 CFR 122.23.'By copy of this letter,
we are notifying FmHA and Mr. Warrick. You have been determined to
be the operator of this facility, and as such all correspondence
will be sent to you and you shall be responsible for all corrective
action. The designation of your. hog operation was based on an
inspection conducted on April 29, 1993 by Mr:' Karl. Shaffer of the
Raleigh Regional Office. This inspection showed that you had
established a concentrated animal feeding operation requiring such
designation based on the following facts:
1. Wastewater from the hog lagoon had overflowed, carrying
with it pollutants into Wiccacanee Creek. Wiccacanee
Creek is classified as Class C-NSW waters.
2. There are approximately 1000 hogs at the facility.
3. There is a broken solids collector at the end of' one
confinement building, causing waste materials to enter
the stormwater diversion and to be discharged directly to
the creek.
P.O. Box 29535, Rdeigh. North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% past -consumer paper

M
Mr. Jimmy Barrow
Page 2
A National Pollutant Discharge Elimination System (NPDES)
permit is required for discharges of waste to the surface waters
of the State. However, if you can permanently eliminate the
discharge by implementing changes within sixty (60) days of your
receipt of this notice, including, but not limited to,
modifications to lagoons and the implementation of a final waste
disposal plan, a permit application will not be required. If
compliance has been achieved, you must.notify us in writing
within sixty (60) days describing, in detail, the changes or
modifications you made.
If the discharge of waste to the surface waters of the State
is not permanently eliminated within sixty (60) days of receipt
of this notice, an NPDES permit application must be submitted
within that time.
Permit applications should be submitted, in duplicate, to
the Director, Division of Environmental Management, P.O. Box
29535, Raleigh, N.C. 27626-0535. Assistance, if desired, can be
obtained by contacting Mr. Timothy L. Donnelly, Water guality
Supervisor, 3800 Barrett Drive, Suite 101, Ra_ieighh, NC 27609,
phone number 919-571-4700. The applications should be accompanied
by construction plans for the animal waste management system.
For your information,.the following items are enclosed:
1. One copy of the Federal Register- Concentrated Animal Feeding
Operations, 40 CFR 122.23.
2. Three copies of NPDES Discharge Permit Application- Short Form
B.
If you need financial or technical assistance with -regard to
managing animal waste, you should contact your local Soil and
Water Conservation District Office at telephone number 534-2591.
If you wish to contest this Designation, you must request an
administrative hearing within thirty (30) days of your receipt of
this Notice. This request must be in the form of a written
petition, conforming to Chapter 150E of the North Carolina
General Statutes, and filed with the Office of Administrative
Hearings, Post Office Drawer 27447, Raleigh, NC 27611-7447. A
copy of the Petition should be filed with this office.
If you do not request an administrative hearing, this
Designation will become final in thirty (30) days.

Mr. Jimmy Barrow
Page 3
Should you have any questions regarding this matter, please
do not hesitate to contact us.
Sincerely,
A. Preston Howard, Jr., P.E.
u
Enclosures
cc: Mr. Kenneth Schuster- Raleigh Regional Office
Mr. Tony Short - Northampton County Soil and Water
Conservation District
Mr. Jack Moore - Northampton County Health Department
Mr. Steve Bennett- N.C. Division of Soil and Water
Conservation
Mr. Steve Warrick
Mr. Bobby Capel- Farmers Home Administration
CAFO Files

` State of North Carolina
Department of Environment,
Health and Natural Resources •
Division of Environmental Management
James B. Hunt, Jr.,Governor
Jonathan B. Howes,,Secretary
F C
A. Preston Howard, Jr., P.E., Director
CERTIFIED MAIL ;
RETURN RECE
IPT �1
Q
� ECEIV,ED
JUN 1 1 M
Mr. Jimmy Barrow
Route 1, Box 446 DEHNR-R�,L RO
Jackson, NC 27545
Subject: Designation of Concentrated Animal
Feeding Operation
JIMMY BARROW HOG OPERATION
State Road 1500
Northampton County
CAFO 93-19
Dear Mr. Barrow:
This letter is to notify you that the Jimmy Barrow Hog
Operation, referenced above and presently owned by Farmer's Home
Administration and leased to Mr. Steve Warrick, is hereby
designated a concentrated animal feeding operation in accordance
with Title 15A, North Carolina Administrative Code 2H .0123, and
adopted Federal Regulations 40 CFR 122.23. By copy of this letter,
we are notifying FmHA and Mr. Warrick. You have been determined to
be the operator of this facility, and as such all correspondence
will be sent to you and you shall be responsible for all corrective
action. The designation of your hog operation was based on an
inspection conducted on April 29, 1993 by Mr: Karl Shaffer of the
Raleigh Regional Office. This inspection showed that you had
established a concentrated animal feeding operation requiring such
designation based on the following facts:
1. Wastewater from the hog lagoon had overflowed, carrying
with it pollutants into Wiccacanee Creek. Wiccacanee
Creek is classified as Class C-NSW waters.
2. There are approximately 1000 hogs at the facility,
3. There is a broken solids collector at the end of'one
confinement building, causing waste materials to enter
the stormwater diversion and to be discharged directly to
the creek.
P.O. Box 29535, Raleigh, North Carolina 27626-0636 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Mr. Jimmy Barrow
Page 2
A National Pollutant Discharge Elimination System (NPDES)
permit is required for discharges of waste to the surface waters
of the State. However, if you can permanently eliminate the
discharge by implementing changes within sixty (60) days of your
receipt of this notice, including, but not limited to,
modifications to lagoons and the implementation of a final waste
disposal plan, a permit application will not be required. If
compliance has been achieved, you must.notify us in writing
within sixty (60) days describing, in detail, the changes or
modifications you made.
If the discharge of waste to the surface waters of the State
is not permanently eliminated within sixty (60) days of receipt
of this notice, an NPDES permit application must be submitted
within that time.
Permit applications should be submitted, in duplicate, to
the Director, Division of Environmental Management, P.O. Box
29535, Raleigh, N.C. 27626-0535. Assistance, if desired, can be
obtained by contacting Mr. Timothy „L. Donnelly, Water Qualit�r
Supervisor, 3600 Barrett Drive, Suite 101,E Raleigh, NC 27609;
hone number 919-571-4700. The applications should be accompanied
by construction plans for the animal waste management system.
For your information, the following items are enclosed:
1. One copy of the Federal Register- Concentrated Animal Feeding
Operations, 40 CFR 122.23.
2. Three copies of NPDES Discharge Permit Application- Short Form
B.
If you need financial or technical assistance with regard to
managing animal waste, you should contact your local Soil and
Water Conservation District Office at telephone number 534--2591.
If you wish to contest this Designation, you must request an
administrative hearing within thirty (30) days of your receipt of
this Notice. This request must be in the form of a written
petition, conforming to Chapter 150B of the North Carolina
General Statutes, and filed with the Office of Administrative
Hearings, Post Office Drawer 27447, Raleigh, NC 27611-7447. A
copy of the Petition should be filed with this office.
If you do not request an administrative hearing, this
Designation will become final in thirty (30) days.

r
Mr. Jimmy Barrow
Page 3
Should you have any questions regarding this matter, please
do not hesitate to contact us.
Sincerely,
A. Preston Howard, Jr., P.E.
Enclosures
cc: Mr. Kenneth Schuster- Raleigh Regional Office
Mr. Tony Short - Northampton County Soil and Water
Conservation District
Mr. Jack Moore - Northampton County Health Department
Mr. Steve Bennett- N.C. Division of Soil and Water
Conservation
Mr. Steve Warrick
Mr. Bobby Capel- Farmers Home Administration
CAFO Files

!a I (7-146 Edition) I
1 Envlronm+niol Prot&c- lon Agancy yS 122-23
suLhority to 1%JM
Provide for amign.
o Lppllesble corporate
-t3H1)(LI) raLber tban
-•ip or s014 propri-
c =! partner or the
=T, or
;r iCy, State- F eder-
c-='-ncy.' 3y eicber a
o:ilcer or ranking
rr atXWszs Of this
"_zVcuti-.e officer of
.cludes: (1) The
INr of the azency.
11=7e of£!cer havi,zzg
' Overall oper.
' geogmpbic unit
=f VOC,�J.Ar-i---iaLS-
uer: the
it :apUcz— ons
".• :22.25(a)(3) shai
de,Cn bed in
z s a. or by
�^".-n[o :•!e of _hat
ni:_•, hr7
L�: a:
Ses
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t; :or `^e overall
-.Led :a.ciliy or
• :)SltJc-n of, r1!aZL
0' a cac'1 or 4 =eL1
. p-czitlon of
ty, C. an .ac!i.
�..ing o•�e �:;. rc.
'. 'uly authe cd
- b} either a
. y inc?.iduti; x-
c`criza_:cq is 5cib-
..-;rZ.zGt-D7L
_ r a,cc ttrl Le b c -
util position
•'c o•rers.il oDer-
❑ew autho^1:a-
-•_4uiremenis of
s _rcL ion m us.t be
r:tor prior to or
together with any reports, Lnforma-
tion, or applications Lo be signed by an
authorized representative.
(d) Certihcatiort- Any person signing
a document under paragraph (a) or (b)
of this section shall make the follow•
Lng certl_flcatlon.
T certify under penalty of la chat this
doCLMCM and all attachments were pre-
pas•c-d u.ader my dlrecllo❑ or supervision In
accordance with a system deaigped t0 NSSUre
thit qualllled pXnonnei prape:ly gather
and evaluate the information sibcoALed.
Based on my LDquiri of the person or per -
sow who M n._.onve the system- ar those per-
soas dlre-cLly responsible for gaLhering the
inforrnntlon. the information submL" U.
to the best of my 'mopledgc and txlief,
true, a.ccuratr. and comolete. 1 am aware
that there ar•c slgnlflcanc 'or sub-
---Ii[Ling fats: Lnfarr..ation, L~.c!t:dh; L`7: os-
-(cult-; of ._ d knprL �_... 'or e:
.:�! 2: violations.
!Ciern VVELLcr ?.ct (33 U.S.C. 1251 of :cq•).
S._fc Drina7, Wr.u.r Act (12 G.S.C. 300f cf
secy.). Clean Air ?.ct (42 CS.C. 7 01 el :en.).
Reseurce Coasemacro❑ and ACL
(42 U-S.C. 590L et im))
(43 Pp 14153, Aar. 1, 19V. as �--• nded at 48
FIR 39619, Sept. 1, 1983: 49 FIR SCpi.
29, 1084: 50 FR 591 1. Feb. 19. 19851
J 122 23 Concentrated animal ':eding op-
cradons (applic2blc to State \PDES
pr6g-riru, sec.g I2a.25),
(a) Permit reou-rernenL Cc-:cencrat-
ed arlipaal feeding opera:!ors are point
souxces subject Lo the `t?D S permit
p r o gra a-
(b) Definitions. (1) "Ard-mal feeding
operation" meann a loc or faculty
(other Lhan ar. aquatic rtir r-I produc-
tion fac!iity) where the follo..;ring con-
dltians are met:
(1) Anima -Ls (other Lbn aqu<.t!c ani-
m2ls) have bcerL are, or vU! tc stabled
or confined and fed or n7, r. v!ncd for
a tacal of 45 days or more _n any 12-
month period. and
(il) Crops, vcgccatlon-;oragc growth,
or post -harvest residues ve not sus-
tained In the normal scnson
over any portion of 07e IOL .3r fscillLy.
(2) T-o or more animrd fecdtn,( op•
eraLiorLs under common arc
considered, (Or Lhe purposes of Lhc3e
regulations. to be a single fccd-
ing operation if they adjoin tech ocher
or If they use a common area or
sysLem for the disposal of t,-stes.
(3) "Cancer crated animai feeding
73
operation" means an "aramal fec,ding
operation" wh.1ch meets the criteria in
Appendix H of this part, or which the
Director designates under paragraph
(c) of this section.
(c) Coae•av-case de.rip-nafion of con-
centruted animal feeding operatioru.
( i ) The Director may _desigmAte any
animal feeding ope-ration zsa concen•
tratcd animal feeding oppratlL�7i upon
d o to r7minin g th a t I t' is a s i 9 nif l ca6 t
contributor of pollution'to the'wntcrs
of the United States. In ma-kcing tbis
designation the Director shall consider
the following factors:
(I) The size of the animal feeding op=
er-atlon and the amount of wa-sLes
reaching"watersof the IIni(xd States;-�
(ii7 The IOCl lOn of the '4:117F11 feC.Ci
Ing opera !ot: relative to waters of the
United S to tcs:
(w) the means of conveyance of
animal wastes rind process ua-;tc:
waters into waters of the ijniLed .`
Slates: +>
(!v) The slope, vegetatiola_ minfala,•
and other factors affecting the L14,eL
hood or frequency ofelscharge of
inixtial -wastes and process wazte:
waters into waters of Lhe' Unjted
States; and
(v) Other relevant factors.
(2) No anim l feeding operation w!Lh
less than the cumbers of animals set'
forth In App-, ]c x D of this part shall
be desLgnntcd as . a co0Cc0trated
animal feedjzg operatlon unless:
(I) PoLluL&ct9 are dLschanged Leto
waters of the Gaited States tkzrough a
maomadc dJtch. fiushir:; s7sten7. or.
ocher similar )manmade device; or.
(II) PoliutanLs axe disc h.ul9ed direct.'
ly Into waters of the United SUiLzs
which originate oucsidc of Lhe facility;
and pans over, across, or through the':
fmillty or otherwise come L.nc.o direct':
coo cicc with the animals confined to
the operation.:::
(3) A permit appiieatlon shall not be
rcquLrcd from a concentrated animal
feeding opemlon designaLed under
this paragraph until Line Director bas
condUCLed an on•siLe inspecLian of the
operaLlon aid decermined LhaL Lhtr op-
crnclon should and could be r•endaced
under the pennlL program.

NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE
SHORT FORM S-AGRICULTURE
GENERAL INSTRUCTIONS
The Federal Wader Pollution Control Act, ae amended by Pubiic
Law 92.500. enacted October 18, 1972, prohibits any person from
discharging pollutants into a waterway (e.g,. streams, rivers, lakes)
from a point source (sec definitions below), unless his discharge is
authorized by a permit issued either by the U.S. Environmental
Protection Agency o'r by an approved State agency. t,Sec "Proce-
dotes for Filine.")
Requirements
If you have a discharge or discharges, such as Ihal described in
the first paragraph of these instructions, you must compictr one of
the following forms to apply for a discharge permit. The forms
differ by types of discharges as indicated below:
Short FormA—Municipai Wastewater Dischargers.
Short Form B—Agriculture,
Short Form C—Manufacturing Establishments and Mining.
Short Form D—Services, Wholesale and Retail Trade, and All
Other Commercial Establishments, Including Vessels, Not
Engaged in Manufacturing or Agriculture,
If your business or activity involves production of both raw
products and rcady•formarket products, you may be required to
complete two of the above forms. For example, if you produce a
raw product, such as milk, and, on the same site, process the raw
milk into chose, you must complete Form B—Agriculture, and
Form C—Manul'acwring and Mining.
If the discharge is from a Federal facility's treatment plant
receiving more than 50 percent domestic waste (based on the dry
weather flow rate), complete and submit form A.
If the discharge is from a sewage treatment process which is not
from a municipal, agricultural, or industrial facility (e.g., housing
subdivision, school), complete and submit form D.
Exclusions
You are not required to obtain a permit for the following types
of waste discharges:
!. Sewage discharged from vessels (e.g., ships); or
2. Water, gas, and other materials Injected into a well to
facilitate production of oil or gas, or water derived in association
with oil or gas production and disposed of in a well, where
authorized by the State in which the well is located; or
3. Dredged or fill material; or
4. Discharges from properly functioning marine engines; or
5. Thou discharges conveyed directly to a publicly or privately
owned waste treatment facility (however, discharge; originating
from publicly or privately owned waste treatment facilities are not
excluded); or
Noic.—Municipal aril manufacturing dischargers
that believe they are exempt due to item 5 are
requested to complete certain items and return the
form (see "Procedures for Filing"),
6. Most discharges from separate slonn sewers. Discharges from
storm sewers which receive industrial, municipal, andhrr agricultural
wastes, or which arc considered by EPA or a Stale to be significant
contributurs tL� pollution, arc not excluded.
Procedures for Idling
1f you hsv, any quc�lions as to whether or not you need a
permit under this prolt:anr, contact your State water pollution
control agency or slse nearest regional office of the U.S. E•nviron•
mcntal Prulccliun Agency. A list of EPA regional offices is given in
table 1.
Copies of all forms are avai)ublc at State water pollution control
aKencits and it 'all Environmental Protection Agency rCQlonal
offices.
Data submitted on these forms arc to be used as a basis for
issuing disch irge permits. Depending on the adequacy and rialurd of
the data submilled, you may be called upon for additional
information bet'ore a permit is grunted.
Complete the appropriate. (orm(s) for your operation, bring sure
that each item is considered and the required data submitted. Give
the answer which most nearly applies to you and your operalion. if
an item dots not apply, please enter, in the appropriate place, "Not
Applicable" or —NA- to show that the item was given consideration.
Most of the items on the form require the checking of one or more
of several possible answers.
If the appiication is to be sent to the Environmental Protection
Agency, [here is an application (cc of S 10. This fee, in the form of a
check or mo!tey order- made payable to the Environmental
Protection Ag•:ncy, should be mailed with the original of the
application form to the EPA rclional office having jurisdiction over
the Slate in which the discharge is located.
if the Stag in which the discharge is located has a federally
approved permit program, the application should instead be sent to
the State 4gcncyadministering the program You will be'snformcd as
to the amount of the application fee, if any, and the address to
which the application and fee should be sent.
Agencies and instrum,�nlalitics of Federal, State, or local
governments will not be required to pay an application fee to the
Environmental Protection Agency.
Anyone who applied to the U.S. Army Corps of Engineers for a
discharge permit under the Refuse Act of 1899 need not reapply (or
a permit for the same discharge, unless it is substantially changed in
nature, volume, or frequency; application must also be made for any
other discharges not covered by the Refuse Act.
Applications for proposed discharges must apply at least 180
days before the date the discharge is due to begin, unless a delay is
granted by the approved Slate agency or by EPA.
Signature on Application
The person who signs the application form will oflen be the
applicant himself. When another person signs on behalf of the
applicant, his tide or relationship to the applicant should be shown
in the space provided. In ail. eases, the person signing the form
should be authorized to dti 5o by the applicant, An application
submitted by a corporation must be signed by a principal executive
officer of at Icast the level of vice president, or his duly authorized
representative, if such representative is responsible for she overall
operalion of the facility Itom which the discharge(s) described in
the form originate. In the case of a parincrship or a sole
proprietorship, the application must be signed by a general partner
or the proprietor, respectively. In the case of a municipal, Stale,
Federal, or ollscr public facility, the application roust be ,signed by

TABLE 1,—Addresses of EPA legion at offices and Srafer within their joeirdicIion
Region
Address and phone
States
1,
Regional Administraior, Region i, Environmental Protection Agency,
Connecticut, Maine, Massachustttz, New Hampshire,
John F. Kennedy Federal Mcig_. Room 2:J03, Boston, glass.
Rhode Island, Vermont,
07203, Attention: Permits Branch, 617-223.7210.
11,
Regional Administrator, Region It, Environmental Protection
New Jr!rsey, New York, Virgin Islands, Puerto Rico,
Agency, 26 Federal Plaza, Room 908, Nn,v York, N.Y. 10007.
Alsention: Permits Branch. 212.264.9695.
III.
Regional Administrator, Region 111, Environmental Protection
Delaware, District of Columbia, Maryland, Pennsylvania,
Agency, Curtis Bldg., Sixth and Walnut Sts., Philadelphia, Pa.
Virginia, West Virginia.
1910G. Attention: Permits Branch, 215.597.9966.
tV.
Regional Administrator, Region IV. Environmental Protection
Alabama, Florida, Georgia, Kentucky, Mississippi, North
Agency, 1421 Peachtree Sr„ N,E,; Atlanta, Ga. 30309. Allen-
Carolina, South Caroline, TennesRe,
lion: Permits Branch. 404.526.3971.
V.
Regional Administrator, Region V, Environmental Protection Agency,
Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin,
I North Wacker Or., Chicago, Ill. 60606. Anen6on: Permits
Branch, 312.353.1472.
VI.
Regional Administrator, Region VI. Environmental Protection
Arkansas, Louisiana, New Mexico, Oklahoma, Texes.
Agency, 1600 Patterson St„ Suite 1 100, Dallas, Tex, 79201.
Attention: Permits Branch. 214-749.1983,
VII,
Regional Administrator, Region Vil, Environmental Protection
Iowa, Kansas, Missouri, Nebraska,
Agency, 1735 Baltimore Ave„ Kansas Ciry, Mo. 64108. Allen.
lion: Permits Branch, 816.374.5955.
Vill,
Regional Administrator, Region Vill, Environmental Protection
Colorado, Montana, North Dakota, South Dakota, Utah,
Agency, 1860 Lincoln St., Suite 900, Denver, Colo. 80203.
Wyoming.
Attention: Permits Branch, 303.837-4901.
X.
Regional Administrator, Region IX, Environ,-rental Protection
Arizona, Calilornia, Hawaii, Nevada, Guam, American
Agency, 100 California St-, San Francisco, Calil. 94111. Atten•
Samoa, Trust Territories,
lion: Permits Branch. 415.556.3450-
X.
Regional Administrator, Region X, Environmentar Protection
Alasko, Idaho, Oregon, Washington,
Agency, 1200 Sixth Ave., Seattle, Wash. 98101. Attention:
Permits 8ranch. 206442.1213.
either u principal executive officer. ranking elected official, or other
duly 3ullteuizcd empioycc,
Use of Information
A11 information contained in Iltis application will, upon request,
be made avaihtble to the public fur inspection and copying. A
s_parale sheet entitled "Confidential Answers" must be used to set
out information which,is considered by [lit: applicant to be mclhods
and ptoce.cses entitled to protection us trade sccrets,'rite informa-
lion must clearl}• indicate the item number to •Vlli.:h it applies.
Confidcntiai tr.21ment can be consideral only for ih3' information
for which a specific written request of confidentiahly has been
made on the attached sheet. However. in no event will identification
of the contents, volume, and frequency of a discharge he recognized
as confidential or privileged infurmation, eccrpi in certain cases
involving. the national sccurily.
Dentitions
1. A "person" is an individual, partnership, corpuralion, associa•
lion. State, municipality, commission, other pufiiical subdivision of
a Sate, or any inlcrstate body,
'_, The term "pollutant" includes solid A-3s1c, incinerator
seiidstc, sewage, garbage, wwag:c ciudge, munilinns, chemical wastes,
biological malcriais, radioactive materials, heal, wrcckcd or dis•
carded equipment, rock. sand. cellar dirt, and industri2l, municipal,
and al;kuiturai taste discharged into water.
3, A "point sourcc— is any discernible, confined and discrete
can Yeyaocc including: bill not limited to a pint:, di:ch, channel,
lunnct, conduit, stell, diwrrrr lkkurc, cuntaincr, rolling sloes:,
concentrated animak(cccling operation, or vessel or other floating
craft from which pollutants are or may be discharged.
4. A "discharge of pollutant" or a "discharge of pollutants"
means any'addttion of any pollutant to the waters of the United
States from 3n'v point source; any addition of any pollutant to the
waters of the contiguous zone or the ocun from any point source
other than a vessel or other floaling craft.
5. A "di).charge," when used without qualification, includes a
"discharge of pollutant" and a "discharge of pollutants" (see
above),
6, The term "municipality" means a city, town, borough.
county, parish, district, a=cialion, or other public body created by
or pursuant to State law and having jurisdiction over disposal of
sewage, induslrul wastes, or other wastes, or an Indian tribe or an
authorized Indian tribal organization, or a designated and approved
arcawidc waste treatment management agency.
SPECIFIC INSTRUCTIONS
Who Must Apply
The owner or oper3lor of any facility as described below or any
facility, regardless of size, which the Regional Administrator or
Director of the Stale water pollution control agency or inlcrstate
agency considers to be a significant pollution problem. Final
determination on the need for a permit will be based upon: review
of the application and, in many inslances, site visits.
1. Animal Troducrion facilities.
A. A racilily that has or may have a discharge, providing a
confined area (of t'eedirig or holding animals, but not including areas

used for growin, crops or vegetation fur snirnal feed, which holds,
or during the previous 12 months held for a Iola] of 30 days w
more, any of the following number of animals:
Types of animals j Number o1
animals
Slaughter and feeder cattle . ... ..... . . . .
1,000
Mature dairy cattle -milker and dry .. , , . ...
700
All swine over 55 pounds ..... ........
2,500
Sheep .................. ........
10.000
Turkeys -in open lots .................
55,000
Ducks ............................
5,000
Laying hens and broilers:
Facilities with continuous
overflow :.
10.0,000
Facilities with liquid manure
handling systems . .... ...
30,000
'Any system where the manure is collected, stored, or
transported utilizing liquid manure conveyance by gravity
flow or pumping system.
B. Any facilily that has or may have a discharge. wherein
animals are held, or during the previous 12 months were held for a
total of 30 days or more, in such combination that the sum of the
following animals multiplied by the following multipliers equals or
exceeds 1,000:
Slaughter and feeder cattle ... .. . .. .. . . . . 1.0
Mature dairy cattle .. ..... ..... ...... .. 1,A
Swine over 55 pounds .. ............. ... 0A
Sheep ............. . .. .
Trample:
Numt]er of animals
Times
Multiplier
Equals
Slaughter and feeder saute .. .600
X
1.0
600
Mature dairy cause ....... . 200
X
1.4
280
Swine over 55 pounds ...... 500
X
0.4
200
Total .......... .....
1.080
Since the tidal exceeds 1,000, a permit application must be
submitted,
C. Owners or operators, whether individuals, partnerships, or
corporations, with most than one confined animal production
facility loculid on adjacent or nearby properties, where:
(1) such facilities utilize a common waste control system or
disposal area, and
(2) the Total number of animals or combination of animals in
the individual operations exceeds the above animal limits.
2. Firh and aquatic animal production facilities.
A. Fucilitics such as hatcheries, fish farms,•or, other facilities
which contain, •.ruw. or hold aquatic animals in ponds, raceways or
other sintttar structures for purposes of production and from which
there is or will be a discharge for any 30 days or'more per year.
Closed ponds which discharge less than 30 days per year or only
during periods of excess runoff arc excluded from These rcquur
ments except ac provided in 28 and 4 below, In addition, facilities
which produce less than 20.000 pounds of aquatic animals per year
are excluded from filing an application, except as provided far in 26
and 4 below.
B. Any factiiiy which contains, grows, or.,holds any species of
fish or other aquatic animal life nonnative to the Unitcd States,
from which there is a discharge In a navigable water it any lim-.
The nonnative %pecies of fish are as defined in Special Publication
No. 6 of Ilse lmcrican Fisheries Sociely, entitled, "A list of
Common and S, ientific Names of Fishes from the United Stales and
Canada." (for ( urposcs of this application, carp, brown trout, and
goldfish are not considered to be nonnative species.)
3. Irrigation activities.--Dik•hargcs of irrigalion return flow (such
as lailwater, lily draima C. surfaced ground water now or bypass
water), opcsaled by public or private urganizalions or individuals
if: ( I ) there is a point source of discharge (e.g., a pipe, ditch, or
Miter defined or discrete conveyance, whether natural or ar(ificial)
and; (2) the return now is from land areas of 3,000 or more
contiguous acres, or 3,000 noncontiguous acres which use the same
drainage system. It is the individual or organization who actually has
control of or sesponsibiliiy for the discharge of irrigation return
flow who muse apply for the permit. For example, if water is
supplied by an lrrganizalion but returned to navigable waters by an
individual.wlio has 3.000 or more acres under irrigalion, it is the
individual who must apply fur u permit. On the other hand, if an
irrigation organization supplies and controls the ur4alioh return
flow discharL!cd from a total of 3,000 or mote acres to navigable
waters, the organization must apply for a permit; an individual
whnse acrcage is counted in the organization's total, even though
the individual's acreage alone may be 3,000 acres or more, need not
apply for a permit if the organization, and not the individual,
controls the discharge of return flow.
4. General agriculture activilies.-Any agricultural operation
with any point source discharge, otherwise excluded from manda-
tory application filing requirements, which the EPA Regional
Administrator or State or iwcrslate agency identifies as a sip nlfica nt
contributor of pollution.
S: Volurtfar}- filing. -None of the above requirements preclude
the voluntary filing of an 14PDES application by the owner or
operator of an agricultural or silviculturai activity.
Instructions for Individual Items
Section I -General
item 1. A. Give the name, as it is legally referred to, of the
person, firm, public organization, or any other entity which owns or
is directly responsible for the facility or activity described in this
application. Thi, may or may not be the same namc as the facilily
or activity producing the discharge. Do not use colloquial names as a
substitute lot the official name.
B. Give the complete mailing address of the applicznl's main
office. This often will not be the same address used to designalc the
location of the facility or activity.
Item 2. Give the name, title, address, and telephone number of a
person who is thoroughly familiar with the facts reported on the
forms and can be contacted by reviewing offices if necessary.
Item 3. The facility is the distinct activity or installation, under
the responsibility of the applicant, which produces or may product
one or more point sources of pollution. Name the facility as it is
officially or legally referred to in order to distinguish it from similar
entities in the some geographical area. Do not use colloquial names
as a substitute for the official name. Check the appropriate box in
item 3.B to indicate if the facility is publicly or privately owned or
both.. Check cite box in item 3.0 if this is a federally owned or
operated facility. Give the actual location of the facility in item 3.D.
If the area in which the facility is located uses the grid system 6,e.,
township, section, quarter, range) for specifying location, complete
items 3.13.1 (a-). If the grid system is not used, complete items
3.D,2 (a-c).
item 4. Indicate whether the facility is existing (currently
operating) or pr,iposed Ire be operating in the future).
Item 5. For an existing facility, give the dale construction was
completed for its current capacity. The expected completion dale
should be giro[, if the facility is currently under construction or
planned.

item 6. Name the wa(crway(s) (e.g.. stream, river, lake) at the
point(s) cf discltargc. Usc the namc of the uatuway by which it is
usually designated on published maps of the area; if possible, refer
to one of the snap serics published by the U.S. Geologicai Survey.
When the discharge is to an unnamed Iribulary, picasc so slate and
Rive the name of the first body of wale( fed b). that tributary that is
narrrcd on the map, e,g., "Unnamed ditch to Vaughan Creek;"
"Unnamed arroyo to Serpent River," where Serpent River is the
first body of water reached by the discharge that is named on the
map.
Item 7. Sclf-cxplanatory.
Item 8. Self-explanatory.
Item 9. Ducctinns should use known landmarks and route
numbers if possible.
Item 10, Self-cxplanalory.
Item 11. Check the appropriate box(cs) [u Indicate (he one or
more types of agricultural operations which arc being described in
this application. Proceed to the appropriale section(s) according to
the box(es) checked.
Section ]I—Animzl confinement and feeding facilities.
Item 1. Give the largest number of each type of animal held by
the facility for 30 days or more during the previous 12 months. if
possible, use the samc_designations for the types of animals as was
Listed at the beginning of these instructions under "Who Must
Apply." _
Item 2. Give only the area used far the animal confinement or
feeding facility. Do not include area used for growing or preparing
feed.
Item 3. Give acres of land that arc owned or leased by the
facility for manure disposal.
Item 4, Indicate in 4,A whether the animals are entirely in the
open, totally under roof, or partially under roof. lndicate in 4,13
the percentage of the lot that is roofed versus that which is open.
Item 5, It the facility is planned to be expanded in the future,
give the expected dale for this expansion and the new total capacity
by type and number of animals.
Section III —Fish and other aquatic animal production facilities.
Item 1. Give the month during which the maximum total weight
of the combined species on Itand occurs, For that month, list the
type and average pounds of cac)s species in the system. Fish names
listed should be the proper, common, or scientific names as given in
Special Publication No. 6 of the American Fisheries Society, "A Lis[
of Cumn}on and Scientific Names of Fishes from [he United States
end Canada."
Item 2. The above publication should also be used as the
reference to determine whether (it not a fish species is native to the
United Statcs, except (hat carp (Cyprinus carpfo), goldfish (Carar-
sius aurarus), and brown trout (Salmo truffa) are d.eemed native For
purposes of this program.
Item 3. Self-explanatory.
Item 4, SelF�xplanatory,
Item 5. Provide the values for the parameters listed in the units
specified. Samples should be rcpresert[alive of the month indicated
in item 1. In order for the v31UCS to be reptesentalivc, they should
be based on at least a 24-hour composite sample. If grab samples
were taken, va[ncs should represent a minimum of the average of 4
consecutive weeks. Analytical methods to be used and level of data
reported arc shown in table 2.
Item 6. Give the average number of pounds of food fed pet day
For the month listed in item I in which the maximum total weight
of the combined species on hand occurs. Also, give the type of food
utilized; i.e., specify moist pellets, dry pellets, offal, or other
specific food type.
Section W—lrrigition ictivitiey with point return flows.
Item 1. 11' return flows from the irrigation occur the yeas
around, check the box provided in item I.A. Otherwise, check the
bo�(cs) beside the monih(s) listed under item 1.8 to show when [he
Flows occur.
Item ?, Give the acreage irrigated by each irrigation method.
Item 3. Gitc the (Old[ wa(cr diverted (total inflow) by this
activity For irrigation From a basic source of supply, such as a river,
reservoir, or well. Give the total Water returned from point sources
and discharged to surface waters (e.g., streams, rivers, lakes. etc.).
Item 4. Give the number of separate discrete points at which
water is being diverted for irrigation purposes and the number of (he
return points.
TABLE 2,—Chemicalparamerers: srandardanatyricalmerhods (interim)
)To be used with item 5, section 111) '
References
Standard A.S.T.M.
Pafameter, units, and (code)
Method
Methods
Standards,
EPA
13th edition,
Part 23,
Methods, 1971
1971
1972
Total suspended (nonli)rerable) solids, milrigrams
Glass fiber filtration 103°•105' C.
p. 537
p.278
per liter (005301
Ammonia•(as Nlcmill�rams.p.gr liter 00610)
—...
Qtillat�o_n;nesslerization of �,—
p. 134, p. 141
automated phenolate.
BCD 5-d3y, milligrams per liter (00310)
4 Modified winkler or probe method,
I p. 489
p. 618
P. 15
fj _J
Note. —This table is to be used as a guide in reporting the data concerning each parameter. The first column, "Parameter, units, arid. (codel"
indicates the preferred units for reporting data for a given parameter, The second column, "Method," lists the preferred analytical method for
determining the required parameter values. The next three columns, "References," give the page numbers in standard reference works where a
detailed description of the recommended analytical techniques given under "Method" can be found. These standard references are:
1. "Standard Methods for the Examination of Water and Wastewaters," 131h Edition, 1971, American Public Health Association, New
York, N,Y. 10019.
2. "A.S,T.M. Standards," pt. 23, Water; Atmospheric Analysis, 1972. American Society for Testing and Materiafs, Philadelphia, Pa. 19103,
3. "EPA Methods for Chemical Analysis of Water and Wastes," April 1971, Environmental Protection Agency, Water Quality Office,
Analytical Quality Control Laboratory, NERC, Cincinnati, Ohio 45268,
Copies of the publications are available from the above sources, or for review its the regional office$ of the Environmental Protection Agency
or the State water pollution control agency.
Data must Ise reported with on accuracy of at feast two significant digits: i.e., values less than 1 must be reported or terse to the nearest .01,
values between 1 and 10 to the nearest 0.1, vatuet between 10 and 100 to the nearest 1,0, end so forth.

NORTH CAROLINA DEPT. OF NATURAL & ECONOMIC RESOURCES
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE
SHORT FORM a
AGRICULTURE.
To be completed by confined animal production facilities, lish (arms, hatcheries, and preserves, and irrigation activities meeting size or
other criteria described herein. Please print or type,
I. GENERAL
1. Name and address of applicant
A. Legal name of applicant
B. Mailing address of applicant
(1) Street, route, or P.O. box No
12) City or town
13) County, parish, or borough
(4) State
C. Telephone number
Area code Number
2. Applicant's autftwized agent
A. Name
C. Mailing address of agent
( I i Street, route, or P.O. box Nn.
i2} City or town _
Q) County, parish, or borough
B. Title
(5) Zip code
(4) State __. is) Zip code
D. Telephone number
Area code Number
I certify that I am familiar with the information contained in the application and that to the best of my knowlydrte end h0ief such
formation is true, complete, and accurate.
Printed name of person signing Title
Signature of applicant Date application signed
lorth Carolina General Statute 143-215,6(b)(2) provides that: An
y person who knowinalse statement representation, or certification in any application, record, reportgly
, plan,makes any
then document files or required to be maintained under Article 21 or regulations of heor
nvironmental Management Commission implementing that.Article, or who falsifies, tampers with, o
nowly renders inaccurate any recording or monitoring device or method required to be operated o
aintained under Article 21 or regulations of the Environmental Management Commission implementi
hat Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $10,000, or by
mprisonment not to exceed six months, or by both. (18 U.S.C, Section 1001 provides a punishment
y a fine of not more than $10,000 or imprisonment not more than 5 years, or both, for a similar
Ffense. )

FOR
AGENCY DATE RECEIVED
USE
YR. MO. DAY
10. Attach a sketch, serial photograph, or map of the existing or proposed Irrality and/or activity, with the following information
marled (a Soil Corsaervetion Service aerial photograph, ar ■ U.S. Geological Survey Map, of the @ran Involved Is preferred).
A. Approximate overall dimensions of the facility
B. Direction and location of surface drainage and other discharges from the facility
C. General location of waterways (e.g., streams, rivers, takes) in the area
D. Location of area for manure disposal
E. Direction and location of diversion points for irrigation activities
II. ANIMAL CONF114EMENT AND FEEDING FACILITIES
1. Largest number of enirtvJs held by confinent+nt or f"*ng facilities at any (-na tune In tfse previous 12 months, Give type and
number of animals.
TYPE OF ANIMAL NUMBER OF ANIMALS
2. Approximate area used for animel confinement or feeding.
3. Approximate lard avrilrNe for manure disprnal, acres
4• A. Animals in this facility are (check one) (1)F� 1n open confinement
(21[] Housed under roof
(3}Q Both in open confinement and housed under roof
B. Percentage of lot under roof is %
C. If there is open confinement, has a run-off r and control system been 'constr`QCted.
(1) 7 Yes (2) F-1 No
D. If there are any housed animals at this facility, is there a liquid manure handling system used for manure management?
(11 ID Yes (2) ❑ No 11 yes, is there a discharge to a waterway (e.g., stream, river, lake)?
(3) ❑ Yes (4) tJ No
FOR APPLICATION NO.
AGENCY DATE RECEIVED
USE
YR. MO. DAY
5. M you anticipate axpension of this facility in the future?
A. 0 Yes 13• ❑ No If yes, compute the following staterrwnts.
C. Date or future expemion
Month/Year
D. TYPE OF ANIMALS NUMBER OF ANIMALS

NORTH CAROLINA DEPT. OF NATURAL & ECONOMIC RESOURCES
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE
SHORT FORM 4
AGRICULTURE
To be completed by confined animal production facilities, lish farm$, hatcheries, and preserves, and irrigation activities meeting sire or
other criteria described herein. Please print or type.
I. GENERAL
1. Name and address of applicant
A. Legal name of applicant
B. Mailing address of applicant
I11 Street, route, or P,O. box No
12) City or town
131 County, parish, or borough
14) State
C. Telephone number
Area code Number
2. Appl i can is a uth on zed agent
A. Name
C. Mailing address of agent
111 Street, route, or P,O. box No.
(2) City or town _
(3) County, parish, or borough
B. Title
f 51 Zip code
0f State (5) Ztp code
D. Telephone number_
Area code Number
I certify that 1 am familiar with the information contained in the application and that to the best of my knowrrdge. and hrr,ef such III -
formation is true, cornplete, and accurate.
Printed name of person signing Title
Signature of applicant Date application signed
^forth Carolina General Statute 143-215.6 b 2
� )E )provides that: Any person who knowingly makes any
false statement representation, or certification in any application, record, report, plan, or
ather document files or required to be maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article or who falsifies,
with, o
cnowly renders inaccurate any recording or monitoring device or method required toabeers operated o
nainta'ined under Article 21 or regulations of the Environmental Management Commission implementi
:hat Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $10,000, or by
'mprisonment not to exceed six months, or by both. (18 U.S.C, Section 1001 provides a -punishment
Iy a fine of not more than $10,000 or imprisonment not more than 5 years, or both, for a similar
iffense.)

FDtZ AYYL,II.AI lun rw.
AGENCY DATE RECEIVED
USE
YR, MO, DAY
10. Attach ■ sketch, aerial photograph, or map of the sxirting of proposed lecility and/or activity, with the following information
marked (a Soil Conwrvstion Service serial photograph, or a U.S. Geological Smvrry Map, of the arts Involved is prsferrodl.
A. Approximate overall dimen!ions of the facility
B. Direction and location of surface drainage and other discharges from the facility
C. General location of waterways (e.g., Weems, rivers, lakes) in the area
D. Location of area for manure disposal
E, Direction and location of diversion points for irripation activities
11, ANIMAL CONFINEMENT AND FEEDING FACILITIES
1. Largest number of anim4s held by confinement or f"ding facilities at any cno time in the previous 12 months. Give type and
number of anitntFs.
TYPE OF ANIMAL NUMBER OF ANIMALS
2. Approximate arwa used for animal confinement or feeding,
3. Approximate IBM availaNe for manure disposal.
acres
4. A. Animals in this facility are ichccl: one) (1)o In open continement
(21❑ Housed under roof
(310 Both in open confinement and housed under roof
B. Percentage of lot under roof is %
C. 11 there is open confinement, has a run-off r and control system been 'constMcted .
(1) []Yes 12)[J No
D. Jf there are any housed animals at this facility, is there a liquid manure handling system used for manure management?
(I1 ❑Yes (2) Q No 11 yes, is there a discharge to a waterway (e,g„ stream, river, lake)?
(3) Q yes (4) n No
_APPLICATION N0.
FOR
AGENCY DATE RECEIVED
USE
YR. MO. DAY
S. Da you anticipate expansion of this facility in the future?
A. Yes B. No If yt,, complete the following statements.
C. Date of future expansion — _ i _
Month/Year
D. TYPE OF ANIMALS NUMBER OF ANIMALS

PENDING SIGNATURE-
FILt -'Copy
DIVISION OF ENVIRONMENTAL MANAGEMENT
RALEIGH REGIONAL OFFICE
May 11, 1993
M E M O R A N D U M
-TO Kent Wiggins
Supervisor- Facility Assessment Unit
THROUGH Kenneth Schuster, P.E.
Regional Supervisor
4xTimothy L. Donnelly, P.E.
Regional Water Quality Supervisor
FROM :,earl Shaffer- Soil Scientist
SUBJECT :/Designation of Concentrated Animal Feeding
Operation
Jimmy Barrow Hog Operation
Steve Warrick property
State Road 1500
Northampton County
Please find attached a letter for your signature concerning
the above facility. At the time of the inspection, the operation
contained 1000 topping hogs. Mr. Karl Shaffer of the Raleigh
Regional Office (RRO) witnessed evidence of a direct discharge
from the facility. The discharge is directly into Wiccacanee
Creek in the Chowan River watershed; class C NSW.
The deed to this facility is currently held by Farmers Home
Administration under foreclosure procedures. During this time,
FmHA allows the facility to be maintained and operated. The
operator, Mr. Jimmy Barrow, is the -most reasonable recipient of
the designation letter. It has been explained to all relevant
parties; FmHA, the landowner, and the operator that this
designation targets the facility proper, not the operator or
owner. The new owner will likely be another party not listed in
this letter. This procedure will allow DEM to track the facility
and it's impact on the environment.
If further information or a briefing session is necessary,
please contact me at the RRO.
Attachment

' State of North Carolina
Department of Environment, F15WA
Health and Natural Resources A&4Jf'A
Dlvision of Environmental Management
James B. Hunt, Jr.,Governorry p E H N R
Jonathan B. Howes,,Secretary
A. Preston Howard, Jr., P.E., Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Jimmy Barrow
Route 1, Box 446
Jackson, NC 27545
Subject: Designation of Concentrated Animal
Feeding Operation
JIMMY BARROW HOG OPERATION
State Road 1500
Northampton County
Dear Mr. Barrow:
This letter is to notify you that the Jimmy Barrow Hog
Operation, referenced above and presently owned by Farmer's Home
Administration and leased to Mr. Steve Warrick, is hereby
designated a concentrated animal feeding operation in accordance
with Title 15A, North Carolina Administrative Code 2H .0123, and
adopted Federal Regulations 40 CFR 122.23. By copy of this letter,
we are notifying FmHA and Mr. Warrick. You have been determined to
be the operator of this facility; and as such all correspondence
will be sent to you and you shall be responsible for all corrective
action. The designation of your hog operation was based on an
inspection conducted on April 29, 1993 by Mr. Karl Shaffer of the
Raleigh Regional Office. This inspection showed that you had
established a concentrated animal feeding operation requiring such
designation based on the following facts:
I. Wastewater from the hog lagoon had overflowed, carrying
with it pollutants into Wiccacanee Creek. Wiccacanee
Creek is classified as Class C-NSW waters.
2. There are approximately 1000 hogs at the facility.
3. There is a broken solids collector at the end of'one
confinement building, causing waste materials to enter
the stormwater diversion and to be discharged directly to
.the creek.
P.O. Box 29535, Raleigh, North Carolina 2762640535 Telephone [phone] FAX [phone]
An Equal opportunity Affirmative Action Employer 60% recycled/ 10% post -consumer paper

M
Mr. Jimmy Barrow
Page 2
A National Pollutant Discharge Elimination System (NPDES)
permit is required for discharges of waste to the surface waters
.of the State. However, if you can permanently eliminate the
discharge by implementing changes within sixty (60) days of your
receipt of this notice, including, but not limited to,
modifications to lagoons and the implementation of a final waste
disposal plan, a permit application will not be required. If
compliance has been achieved, you must notify us in writing
within sixty (60) days describing, in detail, the changes or
modifications you made.
If the discharge of waste to the surface waters of the State
is not permanently eliminated within sixty (60) days of receipt
of this notice, an NPDES permit application must be submitted
within that time.
Permit applications should be submitted, in duplicate, to
the Director, Division of Environmental Management, P.O. Box
29535, Raleigh, N.C. 27626-0535. Assistance, if desired, can be
obtained by contacting Mr. Timothy L. Donnelly, Water Quality
Supervisor, 3800_Ba_rrett Drive, Suite 101, Raleigh, NC 27609;
phone number 919-571-4700. The applications should be accompanied
by construction plans for the animal waste management system.
For your information, the -following items are enclosed:
1. One copy of the Federal Register- Concentrated Animal Feeding
Operations, 40 CFR 122.23.
2. Three copies of NPDES Discharge Permit Application- Short Form
B.
If you need financial or technical assistance with regard to
managing animal waste, you should contact your local Soil and
Water Conservation District Office at telephone number 534-2591.
If you wish to contest this Designation, you must request an
administrative hearing within thirty (30) days of your receipt of
this Notice. This request must be in the form of a written
petition, conforming to Chapter 150B of the North Carolina
General Statutes, and filed with the Office of Administrative
Hearings, Post Office Drawer 27447, Raleigh, NC 27611-7447. A
copy of the Petition should be filed with this office.
If you do not request an administrative hearing, this
Designation will become final in thirty (30) days.

Mr. Jimmy Barrow
Page 3
Should you have any questions regarding this matter, please
do not hesitate to contact us.
Sincerely,
A. Preston Howard, Jr., P.E.
Enclosures
cc: Mr. Kenneth Schuster- Raleigh Regional Office
Mr. Tony Short - Northampton County Soil and Water
Conservation District
Mr. Jack Moore - Northampton County Health Department
Mr. Steve Bennett- N.C. Division of Soil and Water
Conservation
Mr. Steve Warrick
Mr. Bobby Capel- Farmers Home Administration
CAFO Files

f-
Append i x
?nspection Form for Animal Operat_ion5
;a Le n-I Inspection:
%)arise of Owner of Property: (Check Register of Deeds or Tz�
Of i ice)
Larne o? CDC) a for #" jf------- --- -�' �41�� I��� �i4Q 1?t?�SC�--
;- , - - - - o-- l �_
-AGjdr?ss.
--lid a,rj-rck---------- - - - - --
---_---__--_------------_-___ ---__,
Phone
n Qi F'C 11'i'j Tati;atC- C,Yd r� ?c_
is. _.- - - — - -- - 4
J
".type , t Operation (Examples: .carro-; �o i ?is?�57 �:0
dairy; s:-11-Ile , Cattle, chickens -:avers Or• bi-oi Ui"kny
praduc - i Olds e t`.0 )
t--Number _rtd Type of Animal, and animal Uni'Us:
Length o-f -f ine AnirnaIs.Wave Been, Are, or Wi I i I-3e Stao':cr, o
Con"f i r,ed and �:Pd or Ma i nta i ners i n Any 1 Month Per i od .
n �
Are Croc]5, Venetation For Grovih, or Posy-�ervest ResidLJ?
sustained in the Norma? Grov,ing Season Over Anil Pore%ion�oT
the Lot or Facility? r ���11?z !✓'.�1_-C,a{'`� _

otscription Of lJther primal Order aL:ons iin if[1ffed7aLai ',_.10: -.
a;-,Pr�o f i•rni 4y to Same o•- Other- Surdace W@ te,­ 1:
PrO;:imity
of F a c i l
it,,,,
_O Neighboring Hou5eS, WaI ls, etc.
L42_---_-_--------------------
aaoros irnate Depth of 2rounc?Ka ter Table in the Aria o! the
aci1ity or Discharge:----------------------------------------
7
------------- - - - - -- __ - - ----- -
arr..:ml ty of Fac i i ? t`! to Surface s-Jater5 (provide nili e and
i
Ar_ PoI Iu ants D-sc'nargRd into the WaL'ers e the S a=._
sp, HIOw7 (di4-2ct'y or by man -rn@de ditch, f 1Ush .-ICJ S;'Si0M; Gr
o :her semi I a r mars-r,,)ace de`/ice)
-------------------------.--------
Do or Have Discharges Occurred in Response to a Storm E•junt
of Less Than a 25-year, 20-hour Intensity? ( 1, yes, include
a brief listing Of i oc i denies and suspected causes .) ___-----
T-vpfe Of, wastes tlanae_.nen'c (Examples: tyre of confinement-:ree
Stall Karns, Sheltered or limiteco shelter dirt lots, paved or
dirt open lots, houses, pasture; I tYp? Of w'Bste
h, ndl ing-direct spreading in solid -Forrh, 5lott-2d Floor s•r t.h
lagoon or pi t, single or multi -col l lagoon, @,,-rated :a,cJuor-I,
p ication aV liquid manure, spr y irrigation,
contractor disposal, etc.l
24

Condi t2Gn D„ Wcyst- Manacgernent Far• i I i ty (rate as poc7 r-good, no
discharge, freeboard in lagoon, c,tC lncIuU�-
weather corvitItn-'s during inspection.)
A"----------------------------_--_---, ----- --- --_--___
An; ma! Wa :? D? sL ,arge ? nC I u d l r,g photos and w i �nes5 n fne5,
addresses; teIep. on.2s nurnbers and statemenrs o-F f6ct)
area
----------
- ------------------------------------------- --,.--.-
-__--
Water G,-. a 1 i ty Psse5sment -. ( 1 r.0 1 u d e deSc r i p1, i on o-F samp 1 i ng ,
field r a ,ul"ernents, visual observatic)ns F,rid slope and
4egeta : ve cove,' o` land adjacent to .later , e� t�=nt of
rainfa? � and other factors relative to the likelihood. or
of discharge of animal waSt.es and process
tray,?+•,v:;r5)----------------------------------------------------
J
-------- - - --°- }�'-__-_
25

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SluauJu)CJ Jcu10
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