660084_PERMIT FILE_20171231

jType of Visit: ' i ) Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance I
Reason for Visit: O Routine 0 Complaint C) Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: Departure Time: County: egion:
Farm Name: P 1-t n -�a -� i 'o f17 1,y-) « 7 F6, C vn Owner Email:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: Integrator:
a so U Q p p
Certified Operator: f) Certification Number: / / 7 FO
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
1p
Ij
Design Current
Swine Capacity Pop.
Finish
Design Current
Wet Poultry C**specify Pnp.
La er
Cattle
Dai Cow
Design
Capacity
Current
Pap.
Feeder
Non -La er
Dai Calf
o Finish
Dai Heifer
o Wean
o Feeder Q
Finish
F
Design Current
Dr l;oultr C►a aci P,o
La ers
D Cow
Non-Daio
Beef Stocker
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turke s
Turke Pouits
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes 4!1/No ❑ NA ❑ NE
❑ Yes Z�No
[—]Yes 7 No
❑ Yes Ef No
❑ Yes No
❑ Yes No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
Page I of 3 21412014 Continued

'a
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 ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: `
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):�
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(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 1�fNo ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation Poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes [ INo
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes TVNo
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures
require ❑ Yes No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes No
❑ NA
❑ NE
maintenance or improvement?
TT
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground
❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure
to Incorporate Manure/Sludge into
Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift
❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ Yes
r] No
❑ NA
❑ NE
❑ Yes
[t No
❑ NA
❑ NE
❑ Yes
9 No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
[;XNo
❑ NA
❑ NE
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. [:]Yes [� No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes [ No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? [:]Yes No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412011 Continued

i
Facility Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permi .
❑ Yes
No
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
T
No
❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑ Yes
No
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
[jNo
❑ 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.
T
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
[] Yes [71 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 ,ZNo ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes 0 No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes J7No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes PNo ❑ NA ❑ NE
Comments.. I(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).
D1S tI ,( pk-sdue-
5 = L-i , 4 _- 3
✓ m r Fm V
a 11
IDr.I��5 0,q-1
-I� S 0,_77
Reviewer/Inspector Name:
Reviewer/Inspector Signatun
Page 3 of 3
D�`sy
62,E R
l(e)T
Phone:
Date:
214,12011

May. 3, 2017 9: 35AM
No, 5585 P. 3
Animal Waste Management System Operator Designation Form
Facility/Farm Name:
Permit: A WG 100000
PLANTATION
Operator In Charge (OIC)
WPCSOCC
NCAC 15A 0,0201
Facility lb#; 66 - 84 County
NORTHAIvf)?TON
Name: C14RISTOPHER WADE WILLIAMS
Farr MiddIs Lost Jr, Sr, erc.
Cert Type /Number: AWA-1002858
(252) 217 - 5784
Sigrtuttrre: r'� �✓ ! 1� �� Date:
"I certify zhai I agree to my designation as the Operator in Charge for the facility noted. 1 understand and will abide by the rules and regulations
pertaining to the responsibilities set forth in 15A NCAC 08F .0203 and failingto do so can result in Disciplinary Actions by the Water
Pollution Control System Operators Certification Commission."
Work Phone:
Back-up operator In Charge g5ack-up Ulu) (uptional)
Name:
Asr Middle Lose Jr, Sr, erc.
Cent Type / Number:
Signature:
Work Phone. ( )
Date:
A certify that I agree to my designation as Back-up Operator in Charge for the facility noted. I understand and will abide by the rules and
regulations pertaining to the responsibi litics set forth in 15A NCAC 08F .0203 and failing to do so can result in Disciplinary Actions by the
Water Pollution Contrul System Operator's Certification Corrunission."
Owrner/Permittee Name: MAXWELL FOODS L
Phone #: L 19) 778-3130
1" ax#: ,(9l 9)778-5762
Signature:
Date: 05102�2 _
(Owner or authorize
enr
a , ax or FOR Me
WPCS0CC-,T6J3
Mail Service Lenter, a erg i, 14C 27699,ax:
original to;
Frnail: certadminAnedenn
ov
Mail or fax a copy to the
Asheville
Vayotteville
Mooresville
Raleigh
appropriate Regional OfCe;
2090 US Hwy 70
225 Crrem St
610 E Ccnter Ave
3800 Barrett Dr
Swannanoa 29778
Suite714
Suite301
Raleigh27609
Fax: [phone]
Fayetrevdle28301-5043
Mooresville , 28115
Fax: [phone]
Phone:928.296,4500
Fax-. 910.486.0707
Fax: [phone]
Phone:[phone]
Phoen:910.433.3300
Phone:704.663,1699
Washington
943 Washington Sq Mall
Washington 27889
Farce 252,946.9215
Phone: 252,946.6481
Wilmington
127 Cardinal Dr
Wilmington 28405-2845
Fax: 910, 350.2004
Phone: 910.796, 7215
Winsio"Alem
450 W. Hanes Mall Rd
Winston-Salem 27I05
Fax: 336,776.9797
Phone. [phone]
{Retain a copy of this form for your records}
Rcv=d 05-20 r 5

Type of Visit: O Compliance Inspection 0 Operation Review O Structure Evaluation p Technical Assistance
Reason for Visit: O Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: U99M Departure Time: County: Region: f
Farm Name: � �n 1� it n ry ZXL Q_ � ( N(� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes [—]No
❑ Yes ❑ No
❑ Yes ❑ No
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page 1 of 3 21412015 Continued

Facili Number: Date of Inspection:
Waste Collection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑ No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? [—]Yes ❑ No ❑ NA ❑ NE
Stru pre I Structure 2 Structure 3 Structure 4
Identifier: s
Structure 5
Structure 6
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):--H�f�-
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
threat,
notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
❑ No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
❑ No
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
❑ No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
❑ No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge
into
Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application
Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
[] Yes
❑ No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
❑ No
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists [-]Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement'? If yes, check the appropriate box below. ❑ Yes ❑ No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No
❑ NA [] NE
❑ Weather Code
❑ Sludge Survey
❑NA ONE
❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: (6 jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA ❑ NE
25. is the facility out of compliance with permit conditions related to sludge? if yes, check ❑ Yes ❑ No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑ No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [] No [] NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
❑ 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. 84.
Use drawings:of facility.to better explain situations (use additional pages as necessary).
Ibato I (a COCO-3 193 P G A N-B a-0,54' FT Ati 5,55-
�G9!! Lo od 14b$ PLA t : 0. 59 P(-A 0- 0 %5& PLA 3= 0 ,y-3
Lo 0 a065 c( N-RI 0, SIB PL4 a= 01 su PLr 3 01 Ll
dill4, &o0Ok N73 Pip l i p pc aa� = Qr�7 Pt-0©�5�
(J1yll u� 00 ! 1 1� PCA 0,9 4 PL Ra= 4 i 4 W PLA3 o , a_ l
ba 0& LO 0,2090 1 q '61 '7) 0,06,
c 0j'P &(0-) i 1 /) N 115 a4kt oAs, 0 fie. — ► J ► g 11
5"V_wux�j/ f i Pa3i 1S 03
&)Ur� af
Reviewer/Inspector Name:
Reviewer/Inspector Signat
Page 3 of 3
Phone:
Date: /
21412015

Type of Visit: JO Compliance Inspection 0 Operation Review O Structure Evaluation Q Technical Assistance
Reason for Visit: ORoutine O Complaint O Follow-up O Referral O Emergency O Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: _N�f� �4#Region:
Farm Name: p �(� �-�pL� j (}� So W VCA C y- \ Owner Email: r
Owner Name: no-)�WeA Foods Phone:
Mailing Address:
Physical Address:
Facility Contact: 1 yy\ L V n-si c ^ Title:
Phone:
Onsite Representative: Integrator: C r= ! W.S-bG r-6
Certified Operator: 7_ze_5d(\)N Obb:s Certification Number: 0­\"Sa L
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
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 ❑ Qther:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State`? (If yes, notify DWQ) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)? _
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the -waters
of the State other than from a discharge?
❑ Yes ❑ No
❑ Yes0lo
❑ Yes 0'*No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA NE
Page 1 of 3 21412011 Continued

Facilit 'Number: - Date of Inspection: E
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate'? ❑ Yes Z'No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes [] No ❑ NA ❑ NE
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: n 0
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 1
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes �Z 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 ZfNo ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes 'no ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 7No ❑ 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 rXNo ❑ NA ❑ NE
maintenance or improvement?
Waste ADplication
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes PNo ❑ NA ❑ NE
maintenance or improvement`?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 9No ❑ 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): 15ti Z Cr ()L Q 3
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ;EI'No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes FNo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes eNo ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes ONo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes �TNo
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes ONo
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes ZNo
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes�No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes �No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes Z No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412011 Continued

acilit Number: Date of Inspection: 0-
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 2 o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes )2�-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 ZNo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [ErNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? if yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes P'No ❑ NA ❑ NE
❑ Yes �' o
❑ Yes 51Vo
❑NA ❑NE
❑ NA ❑ NE
❑ Yes F7 No ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes [2'No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes Z'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 additional4recomtnendations;or'any, other comments
Use drawings`of facility to better;explairi situations; (use: additio;n:' pages as, necessary) s
2t0 I q �.
uQ 4-n Q 3 V/V\ n Ue� a s -- 3 1- 2, o 114 a,,U &1- 7� l � c�fc,c-ue—
y i �Y, ct� 4A-A-L l
fc-1 3, p P- 3,
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a
" t•
Reviewer/Inspector Name:
"C f
C` nrit r ft) thn F C4 11 f) o 4 -P r, r-
Reviewer/Inspector Signature: C�
Page 3 of 3
,j -e shewa(u 6o NCAe,nr • 5��
Phone: 9Vq. / I
Date: L 10
21412011

`Y Co
T 4
Ir-
a3�
Ao
4 -3o -ra
0 - c2

Type of Visit: Z Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: fO'Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
IIiY Yli i lil
Date of Visit: Arrival Time: Departure Time: County: egion: Q(RD
Farm Name: Owner Email:
Owner Name: M X".X u FjJ'ykp Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: Rabb
Title:
Phone:
Integrator:
Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at; ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes le
❑ NA ❑ NE
❑ Yes
❑ No
❑ 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 ,En�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 21412011 Continued

i
Facility Number: Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes jErNo
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes �o
❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
Identifier: r— 4=17 3
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 35
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 J!f No
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat,
notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes PPNo
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes 4 No
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
[] Yes P No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes ; �xfto
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below, ❑ Yes PrNo ❑ 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): `f.(`fLQ,O
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes W❑ No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes jEfNo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ;DIRo ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes �No ❑ NA ❑ NE
❑ Yes L ]' o ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes ,Efl'—No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check [:].Yes ErNo ❑ 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 ETNo
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall [:]Stocking [:]Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes CEr—No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No
❑NA ❑NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412011 Continued

}
• Facility Number: Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ONo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ;no ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes o ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ,ETNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes 6No ❑ 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
C'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:
T
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
0No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
oNo
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
P/No
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations,or any other comments
Use drawings pf facility to.better explain situations.(use additional pages as necessary)
1.. a-3 Y— r
t q
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Reviewer/Inspector Name:
Phone: M. RK954
Reviewer/Inspector Signature:
Page 3 of 3
Date:
21412011

jType of Visit: fO Compliance Inspection U Operation Review U Structure Evaluation U Technical Assistance
(Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: � Departure Time: County: (UdOha�Mion:6�j
Farm Name: ' pr\/ pL(-rn Owner Email:
Owner Name:ry\{/ Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Title:
Integrator:
Phone:
Certified Operator: 9,1 (mr)_ Z LQt4 +0 {J Certification Number: 6106-442$0 9
Back-up Operator:
Certification Number:
Location of Farm: Latitude: Longitude:
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation? ❑ Yes ❑ No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
[:]Yes [—]No
[:]Yes 0 No
❑ Yes ❑ No
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
Page 1 of 3 21412011 Continued

Facility Number: - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑ No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:` '
Spillway?; 11
Designed Freeboard (in); J
Observed Freeboard (in): jJ�� (J 07 Z
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 [DNA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes [] No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ❑ No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): L_Q 5, 3 Q
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Reauired Records & Documents
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
❑ No
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists [—]Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
❑ NA
❑ NE
Page 2 of 3 21412011 Continued

Facility Number: _<71 L1 jDate of Inspection:
24. Did the facility fai to calibrate waste application equipment as required by the permit? ❑Yes ❑ No ❑ NA ❑ NE
25. s the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No ❑ NA ❑ NE
the appropriate box(es) below. 0VV_1 CLILIU e1-0 {—
❑ Failure to complete annual sludge survey []Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes ❑ No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑Yes ❑No ❑NA ❑NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑Yes ❑No ❑NA ❑NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes [] No
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
Comments (refer to question #): Explain any YES: answers and/or any additional recommendations or any`other 6inments..;-
Usedrawings of facility to better explain situations (use additional pages as necessary).
10111iq
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Reviewer/Inspector Name:
Reviewer/Inspector Signature
Page 3 of 3
,--I (�-, 07�
Lqg67o a
�_Dclo 5 r
gd
C"""( C�t 6QV,"j
Phone:q/9 991 /ro
Date: A'a
2/4/2011

-Z6 1 ao a 5-7 d
PLAN OF ACTION (PoA) FOR HIGH FREEBOARD AT ANIMAL FACILITIES
30 DAY DRAW DOWN PERIOD
I. TOTAL PAN TO BE LAND APPLIED PER WASTE STRUCTURE
1. Structure Name/Identifier (ID): 1 PLANTATION 66-84 # 3
2. Current liquid volume in 25 yr.124 hr. storm storage & structural freeboard
a. current liquid level according to marker 17.0 inches
b. designed 25 yr.124 hr. storm & structural freeboard 19.0 inches
c. line b - line a (inches in red zone) = 2.0 inches
d. top of dike surface area according to design
(area at below structural freeboard elevation) 19096 ftz
e. line c112 x line d x 7.48 gallons/W 23806 gallons
3. Projected volume of waste liquid produced during draw down period
f. temporary storage period according to structural design 180 days
g. volume of waste produced according to structural design 10550 ft3
h. current herd # 1 fi0 certified herd # 160
actual waste produced = current herd # x line g =
certified herd #
i. volume of wash water according to structural design
j. excess rainfall over evaporation according to design
k. (lines h + i + j) x 7.48 x 30 days/line f=
4. Total PAN to be land applied during draw down period
i, current waste analysis dated 1 1/26/2010
m. ((lines e + k)11000) x line I =
REPEAT SECTION I FOR EACH WASTE STRUCTURE ON SITE.
(Click on the next Structure tab shown below)
PoA (30 Day) 2/21/00
10550 fts
©W
23573 ft3
42540 gallons
0.46 Ibs11000 gal.
30.5 lbs. PAN

Z-St kZ
Type of Visit: Q Com ce Inspection O Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ORoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: / / Z Arrival Time: Departure Time: Q O O County: Region:
Farm Name: P� ( -0 ^ Sp c✓. Owner Email:
Owner Name: Phone:
Mailing Address:
A"r
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: t?^ Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Certification Number:
Longitude:
Design Current
Design Current
Design Current
Swine C►apacity Pop.
Wet Paultry . Captacity Pap.
Cattle Capacity Pop.
Wean to Finish
Layer
DairyCow
Dai Calf
Wean to Feeder
Non -La er
Feeder to Finish
DairyHeifer
arrow to Wean
you u
Design Current
D Cow
Farrow to Feeder
Dr, P�oultn. Ca aci P.a
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turkey Poults
Other
Other
Discharres and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes o ❑ 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 the discharge bypass the waste management system? (If yes, notify DWQ) [:]Yes rNo
❑ NA', ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes❑ NA .' ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

Facility Number: tle- t Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level. into the structural freeboard? ❑ Yes
Structure I
Identifier: 450 .
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
dNo NA
No NA
Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
0 1j
« 3& rr Jb A
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 k7No ❑ NA
[] Yes No ❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental eat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes WNpo�
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ NA ❑ NE
(riot applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require [—]Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12.Crop Type(s): �P- C4'a7
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
ff No ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
[21No ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Required Records & Documents
I9. Did the facility fail to have the Certificate of Coverage & Permit readily available?
[:]Yes
No ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
r �No❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes o ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes o 0 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

Fac ility Number: jDate of Inspection: /(
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes 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 tail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern'?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Comments (refer to question #) Explain any YES answers and/or any additional' recommendations or;any other coininent's. �
Usedrawingsof facility'to better explain situations (use additional pages as necessary). _
Reviewer/Inspector Name: Phone: -79/ yzpD
Reviewer/Inspector Signature: t_ �� (�/ (7/� J _ _ Date: %t'
Page 3 of 3 21412011

WASTE UTILIZATION PLAN
Goldsboro Hog Farms, Inc.
Wednesday, September 09, 1998
Producer: Maxwell Foods, Inc.
Farm Name:
Telephone # :
Type of Operation :
Plantation Sow Farm
P.0, Box 10009
Goldsboro,NC 27530
[phone]
Farrow to Weanling Swine
Number of Animals : 4160 sows design capacity
Application Method: Irrigation
The waste from your animal facility must be land applied at a specified rate to prevent
pollution of surface and/or groundwater. The plant nutrients in the animal waste should be
used to reduce the amount of commercial fertilizer required for the crops in the fields where
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
contents 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 avaialable water holding capacities. Normally waste shall not be applied to
land eroding at greater than 5 tons per acre per year. With special pre -cautions, waste may
be applied to land eroding at up to 10 tons per acre per year. Do not apply waste on
saturated soils, when it is raining, or when the surface is frozen. Either of these conditions
may result in runoff to surface waters which is not allowed under DEM regulations. Wind
conditions should also be considered to avoid drift and downwind odor problems. To
maximize the value of the 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. This plan is based on waste application through irrigation for this is
the manner in which you have chosen to apply your waste. If you choose to inject the waste
in the future, you need to revise this plan. Nutrient levels for injecting waste and irrigating
waste are not the same.
The estimated acres needed to apply the animal waste is based on typical nutrient content for
this type of facility. Acreage requirements should be based on the waste analysis report from
your waste management facility. Attached you will find information on proper sampling
techniques, preparation, and transfer of waste samples to the lab for ananlysis. This waste
utilization plan, if carried out, meets the requirements for compliance with 15A NCAC
2H.0217 adopted by the Environmental Management Commission.
Page 1

AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
4160 sows X 6.1 tons wastelsowslyear = 25376 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
4160 sows X 5.4 Ibs PANlsowslyear = 22464 PAN/year
Applying the above amount of waste is a big job. You should plan time and have appropriate
equipment to apply the waste in a timely manner.
The following acreage will be needed for waste application based on the crop to be grown,
soil type and suface application.
TABLE 1 : ACRES OWNED BY PRODUCER
TRACT - FIELD SOIL TYPE &CLASS- CROP YIELD LBS AW COMM ACRES LBS AW APPLIC.
DETERMINING PHASE CODE NIACRE NIACRE USED TIME
NONE,RARE
FC
3.8
190-
0--5.89
1119.1NUG
1-JUL31
2958
11B
CRAVEN 1-6%
FC
3.2
160
0
1.22
195.2
UG 1-JUL 31
-2958 -
2958
2.44
463.6
-11A-LENOIR
11B
-11B
-- -
LENOIR NONE,RARE
FC
3.8
-
190
0
UG 1-JUL 31
2958 -
CAROLINE 0-2% FSL, SL, L, SI
FC
3.2-
160
- 0
2.441
390.4
UG 1-JUL 31
2958
11C
CRAVEN 1-6%-�
FC
3.2�
160
0
6.1
976
UG i-JUL31
2958
11D _
CAROLINE 0 2% FSL, Si, L, SI
FC _
3.2
160
0
6.1
976
UG 1-JUL 31
- 2958
11E
CAROLINE 0-2% FSL, SL, L, SI
FC
3.2
160
0
5.51
881.E
UG 1-JUL 31
2958
11F
CRAVEN 1.6%
FC
3.2
160
01
3.69
590.4
UG 1-JUL 31
2958
12A
CRAVEN 1-6% --
BC
4.8
240
0
6.51
1562.4
MAR-SEP
- 2958
- 12A
CRAVEN 1-6%
SG
1
50
0
6.51
325.5
SEP-MAR
2958
12B
CRAVEN 1-6%
BC
4.8
240
0
5.23
1255.2
MAR-SEP
2958
_ 12B
CRAVEN 1-6%
SG
1
50
0
5.23
261.5
SEP-MAR
2958
12C
BETHERA DRAINED
BC
3.4
170
0
0.44
74.8
MAR-SE1 P
2958
_ 12C
BETHERA DRAINED
SG
_
50
0
0.44
22
SEP-MAR
2958
12C
LENOIR NONE,RARE
-_
6C
4.5
225
0
-
1.32
297
-
MAR-SEP
2958
- 12C _
LENOIR NONE,RARE
SG
1
_
50
0
1.32
66
SEP-MAR
2958
12C -
CRAVEN 1-6% -
BC
-4.8
240
-_ 0
2.65
636
MAR-SEP
2958
12C
CRAVEN 1-6%
SG
1
50
0
2.65
_
132,5
SEP-MAR
2958
12D
BETHERA DRAINED
BC
3.4
170
0
0.99
168.3
MAR-SEP
2958
12D
BETHERA DRAINED
SG
1
50
0
0.99
49.5
SEP-MAR
2958
12D
LENOIR NONE,RARE
BC
4.5
225
0
3.97
893.25
MAR-SEP
2958
12D
LENOIR NONE,RARE
SG
1
50
0
3,97
SEP-MAR
198.5
12E
BETHERA DRAINED
BC
3.4
170
0
1.11
188.7
MAR-SEP
2958
! 12E
_.._.._ _.1..
BETHERA DRAINED
- ---
' SG
-
1
F
50
--- - Y
0
L11
.
55.5
SEP-MAR
-
2958
.
12E
I--
- - -
!CRAVEN 1 6%
ICRAVEN
BC I
-
4.8
-
--.
240
0
-
2.21
- .. -
528
---R
MAR SEP
12E
1 6%
SG
1
54
0
2.2
110I-SEP-MAR
-2958
2958
12E
CAROLINE 0-2 /° FSL, SL, L, SI
BC
5A
255
OI
2.2
561
MAR-SEP
2958
12E
l
ICAROLINE 0-2%FSL, SL, L, SI,
SG
1
50.
0
--2.2
110
SEP MAR
2958
12F
CAROLINE 0-2%FSL, SL, L, SI
BC j
5.1
-
255
0�
5.51
1405.05
MAR-SEP
2958
12F
CAROLINE 0-2% FSL, SL, L, SI
SG
lit
501 0
5.51
275.5
SEP-MAR
2958
I 12G
,CRAVEN 1 6 /°
BC
4 8�
240
0�
3 9
93
_ 6
MAR-SEP
_- -
2958
12G
CRAVEN 1-6%
SG
11,
50i
0
3.9i
1951
--
SEP-MAR
I- - -
2958
_.
l 3A
-
';CRAVEN 1-6%
BC
--
4.8i
-
j - j
240 0
- --
3.68
- - -j--
883.2
- - - -
MAR-SEP
2958
3A
_°
L RAVEN 1_6 /
-
5G j
1L_.
3.681
184--SEP-MAR
2958.
_.
', 5A
-
.CRAVEN 1-6/°
BC
....5p1
240
-4j
0�
3.72
- Y
892.8
-
MAR-SEP
2958
_ ` -
5A
!CRAVEN 1-6%
'i
.. ..
SG I
_--
1k
-
50i
_
0',
._
.7-
3.72'
.. _._.. ---•
186
----------
5EP MAR
I 2958
4-
6S
.. - °
CRAVEN 1 6/°-
..il.....
BC
.4_Sl.._
4_8.
-
2401
_
0{
2.48
595.21-MAR-SEP
2958
q1_ 5B
iCRAVEN 1-6%
j SG
11
-
50, O!
2.48
-
124
SEP-MAR
2958
5C
CRAVEN 1-6%
1 BC
44
240� OI
1.551
372
MAR-SEP
2958
_
5C
CRAVEN 1-6%
SG
1{
50
!.- 0�
1,55J
77.5!
SEP-MAR
1 2958
-..
...__ 6A
----._-----_ ._
'CRAVEN 1-6%
!
_..----- ----
BC
- --.
4.8
�
--
---
-------!_
240 0,
- ---,
3.72
--'
.. _._.-- --
892.8�
-
-----------
MAR-SEP
Page 2

2958
6A 'CRAVEN 1-6%
SG
�1
50
0
3.72
1861
SEP-MAR
2958
6B ICRAVEN 1-6%
BC
4.81
240
0
3.31
794.4
MAR-SEP
295B
6B -CRAVEN 1-6%
SG
1
50
0
3.31
165.5
SEP-MAR
2958
-
6C CRAVEN 1-6%-
BC 1
SG
BC
4.8
240
-
0
2.34
561.6
MAR-SEP
2958
2958
6CT
7A
CRAVEN 1-6%
�LENOIR NONE,RARE
1
50
0
2.34�
117
SEP-MAR
4.5
225
0
4.63
1041.75
MAR-SEP
2958
2958
7A
7B
7B
LENOIR NONE,RARE
CRAVEN 1-6%
CRAVEN 1-6%
I SG
BC
SG
1
4.81
1
50
240
50
0
0
0
4.63
4.96
4.96
231.5
1190.4
248
SEP-MAR
MAR-OCT
SEP-MAY
2958
-�
2958
7C
CRAVEN 1-6% - -
BC
4.88
�240
0
5.58
1339.21
MAR-SEP
�- -2958 -1--
7C.___.CRAVEN
1-6% --^--
SG -
--� 1I
50
0
5.58
279
5EP-MAR
TOTALS: 26261.4
Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow
summer annuals.
* Indicates a Crop Rotation
NOTE: The applicator is cautioned that P and K may be over applied while meeting the N
requirments. Beginning in 1996 the Coastal Zone Management Act will require farmers in
some eastern counties of NC to have a nutrient management plan that addresses all
nutrients. This plan only addresses Nitrogen.
Page 3

TABLE 2 : ACRES WITH AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land. See required specifications 2.)
There are no Acres Leased
-- Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow
summer annuals.
* Indicates a Crop Rotation
* Acreage figures may exceed total acreage in field due to overseeding.
**Lbs AW N (animal waste nitrogen) equals total required nitrogen less any commercial
nitrogen (COMM N) supplied.
The following legend explains the crop codes used in TABLES 1 and 2 above:
CROP CODE CROP UNITS LSS NIUNIT
BC
HYBRIb BI=RMUDAGRASS-CONTROLLED GRAZED _
TONS
50
SG
SMALL GRAIN OVERSEEDED
AC
50
FC
TALL FESCUE -CONTROLLED GRAZED
TONS
50
FC
TALL FESCUE -CONTROLLED GRAZED
Page 4

TOTALS FROM TABLES 1 AND 2
ACRES LBS Aw
N USED
TABLE 1 105.39 �26,2fi1
TOTALS: 105.39 _-26,261
AMOUNT OF N PRODUCED: 22,464
—BALANCE -3,797
*** This number must be less than or equal to 0 in order to fully utilize the animal waste N
produced.
Acres show in each of the preceeding tables are considered to be the usable acres excluding
required buffers, filter strips along ditches, odd areas unable to be irrigated, and perimeter
areas not receiving full application rates due to equipment limitations. Actual total acres in the
fields listed may, and most likely will be, more than the acres shown in the tables.
NOTE: The Waste Utilization Plan must contain provisions for periodic land application of
sludge at agronomic rates. The sludge will be nurturient rich and will require precautionary
measures to prevent over application of nutrients or other elements. Your production facility
will produce approximately 3660.8 pounds of plant available nitrogen (PAN) per year in the
sludge that will need to be removed on a periodic basis. This figure is PAN when
broadcasting the sludge. Please be aware that additional acres of land, as well special
equipment, may be needed when you remove this sludge.
See the attached map showing the fields to be used for the utilization of waste water.
APPLICATION OF WASTE BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the soil at the time of
irrigation such that runoff or ponding occurs. This rate is limited by initial soil moisture
content, soil structure, soil texture, water droplet size, and organic solids. The application
amount should not exceed the available water holding capacity of the soil at the time of
irrigation nor should the plant available nitrogen applied exceed the nitrogen needs of the
crop.
Your facility is designed for 180 days of temporary storage and the temporary storage must
be removed on the average of once every 5.92 months. In no instance should the volume of
waste being stored in your structure be within 1,533 feet of the top of the dike.
If surface irrigation is the method of land application for this plan, it is the responsiblity of the
producer and irrigation designer to ensure that an irrigation system is installed to properly
irrigate the acres shown in Tables 1 and 2. Failure to apply the recommended rates and
amounts of Nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application rates and amounts.
TRACT
FIELD
SOIL TYPE
2958
-11C, -1 - 21),--7A
LEN&R NONE,RARE
12958
1 In, 1113
LENOIR NONE,RARE
2958
12C, 12D, 7A
LENOIR NONE,RARE
2958- -
-12 3A--5A,--513 sC
CRAVEN 1-6%
y2958
1113, 11C, I IF
CRAVEN 1-6%
02958
12E. 12G 3A, 5A, 313, 5C, nA
CRAVEN 1-6%
-
2958
_- - ----- -
--12H,--13F
CAROLINE 0-2% FSL, SL, L, SIL, VF
2958
11H, 111)• 11 E
CAROLINE 0-2% FSL, SL, L, SIL, VF
2958
12E, 121'
CAROLINE 0-2% FSL, SL, L, SIL, VF
,,2958
_ 12C,-12D,-1?h._...
13ETHERA DRAINED
_
82958
12C. 12D. 121_
BETi1ERA DRAINED
APPLICATION
APPLICATION
CROP
RATE (inlhr)
T
AMT (inches)
SG
I 0.35 I
`1
FC
I 0.35 j
'1
BG
0,35 j
`1
SG
0.50
*1
! 050
-FC
BC
0.50 i
"1
SG
0.35
*1
FC_.. _-
0.35
BC
...
j 0.35SG
- 0.30
-
j BC_
0.30
1
Page 5

* This is the maximum application amount allowed for the soil assuming the amount of
nitrogen allowed for the crop is not over applied. In many situations, the application
amount shown cannot be applied because the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil conditions.
Page 6

NARRATIVE OF OPERATION
This WUP has been revised to reflect wettable acres with a FSA map showing irrigation pulls
(to scale: 1 "=660'), with the pulls labeled and corresponding to the WUP. A D-1 furnishes all
required documentation. Per the Sixth Guidance Memo, Revision Two, 100 Ibs of PAN may
be applied to small grain overseeded in bermuda with the following conditions: the last
waste application to bermuda must occur prior to August 31, 50 lbs may be applied between
Sept 15 and Oct 30 and an additional 50 Ibs may be applied Feb - Mar. The small grain must
be harvested prior to heading or April 7,
Fescue Application windows have been amended to reflect August 1 - July 31 per SIB 1217
Interagency Group Seventh Guidance Memo.
Page 7

PLANS & SPECIFICATIONS
1. Animal waste shall not reach surface waters of the state by runoff, drift, manmade
conveyances, direct application, or direct discharge during operation or land application. Any
discharge of waste which reaches surface water is prohibited. Illegal discharges are subject
to assessment of civil penalties of $10,000 per day by the Division of Water Quality for every
day the discharge continues.
2. The Field Office must have documentation in the design folder that the producer either
owns or has long term access to adequate land to properly dispose of waste. If the producer
does not own adequate land to properly dispose of waste, he shall provide NRCS with a copy
of a written agreement with a landowner who is within a reasonable proximity, allowing
him/her the use of the land for waste application for the life expectancy of the production
facility. 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.
4. Animal waste may be applied to land that has a Resource Management System (RMS) or
an Alternative Conservation System (ACS). If an ACS is used the soil loss shall be no greater
than 10 tons per acre per year and appropriate filter strips will be used where runoff leaves
the field. These filter strips will be in addition to "Buffers" required by DEM. (See FOTG
Stantard 393 - Filter Strips and Standard 390 Interim Riparian Forest Buffers).
5. Odors can be reduced by injecting the waste or disking after waste application. Waste
should not be applied when there is danger of drift from the irrigation field.
6. When animal waste is to be applied on acres subject to flooding, it will be soil incorporated
on conventionally tilled cropland. When applied to conservation tilled crops or grassland, the
waste may be broadcast provided the application does not occur during a season prone to
flooding. (See "Weather and Climate in North Carolina" in the NRCS Technical Reference -
Environment file for guidance.)
'7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff
does not occur offsite or to surface waters and in a method which does not cause drift from
the site during application. No ponding should occur in order to control conditions conducive
to odor or flies and to provide uniformity of application,
8. Animal waste shall not be applied to saturated soils, during rainfall events, or when the
surface is frozen.
9. Animal waste shall be applied on actively growing crops in such a manner that the crop is
not covered with waste to a depth that would inhibit growth.
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 on bare soil.
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
Page 8

and from any perennial stream or river (other that an irrigation ditch or canal. Animal waste
other than swine waste from facilities sited on or after October 1, 1995), shall not be applied
closer than 25 feet to perennial waters. (See Standard 393 - Filter Strips)
12. Animal waste shall not be applied closer than 100 feet to wells.
13. Animal Waste shall not be applied closer than 200 feet of dwellings other than those
owned by the landownwer.
14. Waste shall be applied in a manner not to reach other property and public right - of ways.
15. Animal waste shall not be discharged into surface waters, drainageways, or wetlands by
discharge or by over -spraying. Animal waste may be applied to prior converted croplands
provided they have been approved as a land application site by a "technical specialist".
Animal waste should not be applied on grassed waterways that discharge directly into water
courses, except when applied at agronomic rates and the application causes no runoff or drift
from the site.
*16. Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc.,
shall not be discharged into the animal waste management system.
*17. A protective cover of appropriate vegetation will be established on all disturbed areas
(lagoon embankments, berms, pipe runs, etc.). If needed, special vegetation shall be
provided for these areas and shall 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 suspended or terminated, the owner is
responsible for obtaining and implementing a "closure plan" which will eliminate the possibility
of an illegal discharge, pollution and erosion.
*19. Waste handling structures, piping, pumps, reels, etc., should be inspected on a regular
basis to prevent breakdowns, leaks, and spills. A regular maintenance checklist should be
kept on site.
20. Animal waste can be used in a rotation that includes vegetables and other crops for direct
human consumption. However, if animal waste is used on crops for direct human
consumption, it should only be applied as a preemergence with no other applications of
animal waste during the crop season.
*21. Highly visible markers shall be installed to mark the top and bottom elevations of the
temporary storage (pumping volume) of all waste treatment lagoons. Pumping shall be
managed to maintain the liquid level between the markers. A marker will be required to mark
the maximum storage volume fpr waste storage ponds.
22. Waste shall be tested within 60 days of utilization and soil shall be tested at least annually
at crop sites where waste products are applied. Nitrogen shall be the rate -determining
element. zinc and copper levels in the soils shall be monitored and alternative crop sites
shall be used when these metals approach excessive levels. pH shall be adjusted for
optimum crop production amd maintained. Soil and waste analysis records shall be kept for
five (5) years. Poultry dry waste application records shall be maintained for three (3) years.
Waste application records for all other waste shall be maintained for five (5) years.
23. Dead animals will be disposed of in a manner that meets North Carolina Department of
Page 9

NAME OF FARM: Plantation Sow Farm
OWNER 1 MANAGER AGREEMENT
l (we) understand and will follow and implement the specifications and the operation and
maintenance precedures estalished 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/or storage system or construction of new facilities will require a new utilization
plan and a new certification to be submitted to DEM before the new animals are stocked.
I (we) understand that I must own or have acces to equipment, primarily irrigation equipment,
to land apply the animal waste described in this waste utilization plan_ This equipment must
be available at the appropriate pumping time such that no discharge occurs from the lagoon
in a 25-year 1-day storm event. I also certify that the waste will be applied on the land
according to this plan at the appropriate times and at rates that no runoff occurs.
NAME OF FACILITY WNER: Maxwell Foods, Inc.
SIGNATURE: DATE: 1-7-6-03
NAME OF MANAGER (if different from owner):
SIGNATURE:
please print
DATE:
NAME OF TECHNICAL SPECIALIST: George H. Pettus
AFFILIATION: Maxwell Foods, Inc.
ADDRESS (AGENCY): PO Box 10009
Goldsboro, NC 27532
[phone]
SIGNATURE:&V06Q;_j DATE: 26 SeEl 03
Page 11

/, f �y 51'
(Type of Visit: jQ Co5p nce Inspection O Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: (XRRoutine 0 Complaint 0 Fallow -up 0 Referral 0 Emergency Q Other 0 Denied Access
Date of Visit: —L Arrival Time: Departure Time: County:
Farm Name: pl 4 #j t6�r'd r] ',30 Cj A 0Wl Owner Email:
Owner Name: fi? !Q )( W'4_7 L 0 IC. Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: Cs�`N� YQf(� _ Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current
Deign
Current
Design Current
Swine Capacity Pop.
Wet Poultry
acity
Pop.
Cattle Capacity Pop.
Wean to Finish
La er
Dairy Cow
Wean to Feeder
Non -La er
Dairy Calf
Feeder to Finish
Design
Current
airy Heifer
Dry Cow
Farrow to Wean
Farrow to Feeder
Dr,, P,oultrF
Ga aci
P,a ,
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
1,6P
0
-Layers
Beef Feeder
Boars
1pullets
Turkeys
Beef Brood Cow
Other
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes No A ❑ NE
❑ Yes N ❑ NA ❑ NE
b. Did the discharge reach waters of the State`? (If yes, notify DWR) ❑ Yes A ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)? T
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation'?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes rNoCO]
NA ❑ NE
❑ Yes NA ❑ NE
❑ Yes NA ❑ NE
Page 1 of 3 21412015 Continued

Facility Number: jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes �E]
NA ❑ NE
a. Ifyes, is waste level into the structural freeboard? ❑ Yes NA ❑ NE
Structure i Structure 2 Structure 3
Identifier: �IeS
Spillway?:
Designed Freeboard (in). -
Observed Freeboard (in): d �i 3 2 �' -3 d
Structure 4 Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes No NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental reat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes VNo
' ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes LQ 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): j'"'_'a5 A4
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
rN
❑ NA
❑ NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No ❑ NA
❑ NE
acres determination?
17.
Does the facility lack adequate acreage for land application'?
❑ Yes
❑ NA
❑ NE
18.
Is there a lack of properly operating waste application equipment?
❑ Yes
�No ❑ NA
❑ NE
Required
Records & Documents
19.
Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
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 V Rainfall Inspecti10,
ludge Survey
22. Did the facility fail to install and maintain a rain gauge`? ❑ ons Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: - 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 L No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes;"No
No A ❑ 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?
0 Yes
❑ No
0 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 Aany YES answers and/or any additionnl,recommendations or�'any other comments ��
Use `drawingsgof'facility, to better explainsituations"(use additional pages as necessary).
y
sfyd Q su,��e s. 2y-1
Reviewer/Inspector Name: Phone: -1 [4 7 9l VZO G
ReviewerlInspector Signature: C SST-__-T&'_J-C- Date: A - rl q — (2
Page 3 of 3 21412015

Lt to ( 01
Type of Visit 4 Compn a Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visi Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: li ( 1Arrival Time: Departure Time: County: Region:
Farm Name: A rI "1 CY 1 c�' s� W 6i O-twi Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator: Dn4e7dlL
Back-up Operator:
Location of Farm:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: = c= i 0 q Longitude: 0 0 =' = "
Design Current
Design Current
Design Current
Swine
Capacity Popututiou
Wet Poultry Capacity Population
Cat#le Capacity Population
❑ Wean to Finish
10 Layer
I I
❑ Dai Cow
❑ Wean to Feeder
JE1 Non -La er
❑ Dairy Calf
❑ Feeder to Finish
1
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ D Cow
El Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish
El Layers
❑ Beef Stocker
El Gilts
❑Non -La Non -Layers
❑ Beef Feeder
❑ Boars
❑ Pullets
❑ Beef Brood Cow
❑ Turke s
Other
❑ Other
❑Tu rkey Pou Its
❑Other
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
e. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes �00 NA ❑ NE
❑ Yes Vo�
NA ElNE
[I Yes NA ❑ NE
❑ Yes [6 o NA El NE
El Yes ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
12128104 Continued

. 1
Facility Number: ( Date of Inspection �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 1 Structure 2 Structure 3 Structure 4
Identifier: ,_S
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �j
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes No 'NA ❑ NE
ElYes o ADNA ❑ NE
Structure 5 Structure 6
❑ Yes No r NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental three notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes I o '❑ 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 El Yes o El NA El NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes o []NA [:IN E
maintenance/improvement?
11. is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes �❑NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
C
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 2rNZo
❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? El Yes ❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application?
El Yes
Z'
'
[I NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
El Yes
FNo
❑ NA
❑ NE
ny `3 itl iiktr - �
Comments (refer to`question.#) , Ezlairr any YES answers and/nr any recommendateons or any other comments. , , r
Use drawings of facility to better explain situationsi (use, additional pageVas necessary)• �
Reviewer/Inspector Name � t s.. � ' ,f7=9 Phone: /W �/ 2 (7
Reviewer/Inspector Signature: (� �Z �d'1„J-�� Date: ! I 1 k9
12128104 Continued

Facility Number: 6j — Date of Inspection U jc?
Required Records &_Documents
19, Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box. [] WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes No NA ❑ NE
ElYes No ❑ NA [INE
ElYes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ . eather Code
22. Did the facility fail to install and maintain a rain gauge?
-23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28, Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
3 I. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (iel 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 ❑ NA El NE
El Yes �❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes VoN
A El NE
El YesA ❑ NE
El Yes
A ❑ NE
[--]Yes ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Addttona! Cannmetitsand1or51)rawin s:
12128104
12128104

(Type of Visit OCom ' nce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
li Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Z 2 Arrival Time: �.3 Q� Departure Time: County:
Farm Name: D )n n `sLL ql. Q n E!J0 n-, Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: n Title:
Onsite Representative: 6cu i►-`� �r J-'
Phone No:
Integrator: 1C4f
Certified Operator: Operator Certification Number:
Back-up Operator:
Back-up Certification Number:
Region:
Location of Farm: Latitude: 00 =6 = Longitude: [=o =, =
Design CurrentIla
Design Current Design
Current
Swine
Capacity Population Wet Poultry Capa�eity Population C*attle Capacity
Population
❑ Wean to Finish
10 Layer I ❑ Dairy Cow
❑ Wean to Feeder
JEJ Non -Layer I
I ❑ Dairy Calf
❑ Feeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ Dry Cow
❑ Farrow to Feeder
❑ La ers
❑Non -Layers
❑ Non -Dairy
❑ Farrow to Finish
❑ Beef Stocker
❑Beef Feeder
❑ Gilts
❑ Boars
El Pullets
❑ Turkeys
❑ Beef Brood Cow
Other
❑ Other
❑ Turkey Poults
❑ Other
Number ofi Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
VNo ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
NA
�NoONA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
❑ 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
?fj❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
ElYes
No ❑ NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
❑ No ❑ NA
❑ NE
other than from a discharge?
Page I of 3
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?
Stru ture I �SStructure 2 Structure 3 Structure 4
Identifier: "3 G� , to
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): e7 + ��
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes No NA ❑ NE
❑ Yes o ❑ NA ❑ NE
Structure 5 Structure 6
ElYes No A ❑ NE
❑ Yes o ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre , no DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes:No
No NA ❑ NE
S. Do any of the stuctures lack adequate markers as required by the permit? El Yes ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes Flo A ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes o ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 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) 13e r r. a G4 q - :M !if n-i r►- C soda
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
6/4, dye SIA r Ire `I
Reviewer/Inspector Name
Reviewer[Inspector Signature:
ZNo NA
r❑ NA
VNo
NA
NA
NA
Phone: / % t — '/ `O'(
Date: / Z 1L31 / 0
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
Page 2 of 3 12178104 Continued

Facility Number: Date of Inspection Z Z
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes gT No - NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box.
❑ WUP El Checklists [I Design El 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 ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes N�No
❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes;N��[01
NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes FNoo'
❑ 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
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
12128104

N.
Type of Visit Co fiance 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: U Arrival Time: ayrb] Departure Time: County:
Farm Name: P1 i Q r ` �` S/� Owner Email:
Owner Name: ��! A-/JDrd Phone: _
Mailing Address:
Physical Address:
Facility Contact: nn 1 Title: Phone No:
Onsite Representative: -V r�74-r Integrator:
Certified Operator: Operator Certification Number:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Back-up Certification Number:
Region:
Latitude: r-1 o ='
= Longitude: = ° =' ❑ «
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
I�❑ Layer
JEJ Non -Layer -- - - -
Dry Poultry
❑ Layers
❑ Non -Layers
j
❑ Pullets
❑ Turke s
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
Design Current I
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocket
❑ Beef Feeder
❑ Beef Brood Cow
c. What is the estimated volume that reached waters of the State (gallons)?
Number of Structures:
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?
_11� .
❑ Yes 2rNo ❑ NA .❑ NE
❑ Yes No NA El
❑ Yes o ❑ NA ❑ NE
❑ Yes N NA ❑ NE
❑ Yes No NA ❑ NE
❑ Yes o ❑ NA ❑ NE
12128104 Continued

Facility Number: — Date of Inspection ®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 1 Structure 2 Structure 3 Structure 4
Identifier: S b
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in) 0 %q
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Arc there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes No NA El
❑ Yes :No ❑ 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 L No ❑ NA ❑ NE
8. Do any oft he stuctures lack adequate markers as required by the permit? Dyes �NoZNA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
4. 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 0 �No[j
NA El NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. El Yes 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 ❑f Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) a� g r,.�. d yl}
13. Soil types) r ✓ lei Vol1 4-/4&r /q-
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
n No NA ❑ NE
o NA ❑ NE
o NA ❑ NE
o NA El NE
No ❑ NA ❑ NE
Carnnn�eantts(refer to question #,) � Expfamjan�YES answers an( iy, recommt?ndati 'ns or any other comments.
Use r�aw�ia[g�sofffacilityWto..better expiainrsituatttonsw(use additio/.nal�pages3as necessaiy):
Ak!$»
Reviewer/Inspector Name �t d ' Phone-.
Reviewer/Inspector Signature: Date:
12128104 - Continued

Facility Number: — Date of Inspection 3 6
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes No - NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the 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
El Waste Application El Weekly Freeboard ❑ Waste Analysis [I Soil Analysis El 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
- NA
❑ NE
25,
Did the facilityfail to conduct a sludge survey as required b the permit?
g Y q Y
❑ Yes
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
N ❑ NA
:No
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
ElYes
❑ NA
❑ NE
Other Issues ,
z
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
k 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
NA
El 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
❑ YesNA
PN
❑ NE
General Permit? (iel discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑YesNA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
No ❑ NA
❑ NE
Additional Comments and/or' Drawin is
1d
`
..{1
12128104

Date of Visit: 57VKI Time:
F ility Number
Not Overational 0 BeIQ w Threshold
Permitted 12/�'t
rrtified D Conditionally Certified D Registered Date Last Operated or Above Threshold:
Farm Name: " o'''JalM-j r—�A County:
Owner Name: _
Mailing Address:
Facility Contact:
—( _i' Z" Gc--5� Title:
Onsite Representative:
Phone No:
Phone No:
Integrator: �/�7 f D b,z)g
Certified Operator: D4 a, e- f 4 Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 00 04 0 66 Longitude 0 ' "
Design
C►urrent
Design
t
Currensm
Design Current
Swine
Ca aci
f'a ufation
P,oult .ry Ca aci
P,a ulation Cattle
Ca aci P.a ulatinn
Feeder
❑ Layer
❑ Dairy
Finish
❑ Non -La er
❑ Non-Daio
Weano
ME]FarrowtoWean
Feeder
❑ Other
o Finish
Total Desin Capacit
Total SSLW
Number of Lagoons
❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps
❑ No Liquid Waste
Management S stem
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 l Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches): V
05103101
❑ Yes ONo
❑ Yes No
❑ Yes No /
❑ Yes Wo
❑ Yes N
❑ Yes o
❑ Yes o
Structure 6
Continued

... �w{f'�G+wr�c'-••Y�.i's-�T„C'.CyS.waVn..'�..rlXtfr.-.cry
Ak
Facility Number: — ' ! Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
❑ Yes
WNNo
�.
immediate public health or environmental threat, notify DWQ)
7. Do
❑ Yes
gNg•
any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
El Yes
�N//o
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
124
Waste Application
y'
10. Are there any buffers that need maintenance/improvement?
❑ Yes
Q NO/
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
El Yes
N'
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
.No
b) Does the facility need a wettable acre determination?
❑ Yes
2 N
c) This facility is pended for a wettable acre determination?
Cl Yes
N¢
15. Does the receiving crop need improvement?
❑ Yes
Ef No,,,,,
16. Is there a lack of adequate waste application equipment?
❑ Yes
Q No
Reguired Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
Q No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
No .X
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?
ElYes
Q No I
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?
❑ Yes
No
(ie/ discharge, freeboard problems, over application)
,Q
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
r"�
El No '
24. Does facility require a follow-up visit by same agency?
❑ Yes
El NQ '
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
Cl Yes
.••❑ No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments;{refer to:�quesEivn�#) E plain1any 7&E-S answers,�i edr any recommeodatians or anyPotffer:coinments. = .:
ULse drawings of faciiity�wbetter�explainisitu��atyi'ons4,¢.p(use additional:bages as ne,c[.6sayry)q - ., ❑Field Copy ❑Final Notes
,h"e
hx xi . CTAON Q i '[ tl .lYa
Ak
G.
Reviewer/Inspector Namur
Reviewer/Inspector Signature: Date: zzzj
O5103101 Continued

Facility Nurnber:&Yz — Date of Inspection L�
Odor s es
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28, Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes No
El Yes
❑ Yes No
El Yes No
El Yes.
El Yes.
No
❑ Yes No
Additid-ifid comet tsxandJbi'jD;rawing,
_...i. s:
R
r
O5103101

FFacility Number
�
ivision of Water Quality
0 Division of Soil and Water Conservation
O Other Agency
Type of Visit 4 Corn ' ce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for V' Routine 0 Complaint Follow up 0 Referral 0 Emergency Other [I Denied Access
Date of Visit: Arrival Time: 3 a Departure Time: County:
Farm Name: P ���✓ �'�- Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Region:
Facility Contact: Title: Phone No:
Onsite Representative: Integrator:
Certified Operator: ��" ^ 1 S Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: n o 1-71 n Longitude: n° n A n
Design. Current 1, Des.
Cafacity :Population .'Wet Poultry `Cap'
❑ Wean to Finish
❑ Wean to Feeder
❑ Fee to Finish
arrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
f ❑ Gilts
❑ Boars
Other..::
❑ Other
N
Dry Poultry:
f
Designs t Cur`"real
�hon C�ittic Capad P6pu12ti0
❑ La ers
❑ Non -Layers
❑ Pullets
❑ Turke s
❑ Turkey Poults
❑ Other
❑ DairyCow
❑ DairyCalf
❑ DairyHeifer
❑ D Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
I
N umbel
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page I of 3
.Wucture5
❑ Yes JZNo ❑ NA ❑ NE
❑ Yes N ❑ NA ❑ NE
❑ Yes No ONA ❑ NE
❑ Yes A
❑ NE
A
❑ YesPNoE]
El NE
El YesA
❑ NE
12128104 Continued

r . s
Facility Number 6 --3y Date of Inspection ?GIZ
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes N ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? El Yes No ❑ NA ❑ NE
Structure I Structure Sturre 3 Structure 4 Structure 5 Structure 6
Identifier: C l% j7:
Spillway?:
.Designed Freeboard (in):
Observed Freeboard (in): 3-2k Z 2 t� r
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No 0 NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thr ,ENA
tify DWQ
7. Do any of the structures need maintenance or improvement? El Yes N ❑ NE
8. Do any of the stuctures 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 Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ZNoNA 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 t0 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) j�P SGI. P , bey n w t S r•S r pr f f-�
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
E
N NA ❑ NE
N NA ❑ NE
NA ❑ NE
o NA ElNE
o ❑ NA [3 NE
Comments (refer to question #): Explain any YES answers and/or any recommendations°Or any, other. comments
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/Inspector Name F Phone:
Reviewer/Inspector Signature: &-V-e U Date: (o 2 6
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? ❑ 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 ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard El Waste Analysis El Soil Analysis El Waste Transfers Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections Weather Code
22. Did the facility fail to install and maintain a rain gauge? El YesVN1❑ NA ElNE
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 ElNA ElNE
25. Did the facility fail to conduct a sludge survey as required by the permit? ElYes ❑ NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes N ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ;No
o NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? El Yes ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes ❑ No ❑ NA ❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, Freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additional Comments and/or Drawings:
Page 3 of 3 12128104

Facilot Number
Y
I
i
1
Division of Water Quality c �.
O Division of Soil and Water Conservation
0 Other Agency
Type of Visit 6 Co ance Inspection Operation Review 0 Structure EvaluationTechnical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Z a 1_Arrival Time: EEB75 Departure Time: County:
Farm Name: �M lam- 01-N50-w F�rz� Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
�S
Certified Operator: vt
Back-up Operator:
Location of Farm:
Phone:
Phone No:
Integrator: ! /4 S •U't o
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: [= o = = Longitude: = ° =, =
Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
arrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
❑ Layer
❑ on -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Design Current :
Capacity Population;
i
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy, Heifer
0-Dry Cow
❑ Non -Dairy
❑ Beef Stocket
❑ Beef Feeder
❑ Beef Brood Cowl
Number of Structures:
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
o ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
"No
a. Was the conveyance man-made?
❑ Yes
NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
V
NE
2. is there evidence of a past discharge from any part of the operation?
❑ Yes
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?
12128104 Continued

R'acility'Number: k — t
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 ..S ructure 3 Structure 4
Identifier: ���' '` l)
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
S. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ Iarge 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 ZNoNA ❑ NE
❑ Yes o ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes 2fNo 0 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 [INE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑Yes;No
No NA El NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑Yes ❑ 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?
l 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) CC�Ye..±,e 13Q r �+-• c,•�-;g — --
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 acre determination?[] Yes N ❑ A ❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes N NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE
Comments (refer to question ##): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/Inspector Name rZ Phone: 7`!/ "Y ZV G
ReviewerlInspector Signature: Date:
12128104 Continued

Facility Number: Date of Inspection !L C
Re wired Records & Documents ,
ZNV6
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes
NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ YesNA
❑ NE
the appropirate box. ElWUP ElChecklists❑ Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ YesNA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1"
Rain Inspections eather Code
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
No NA
ElNE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
No ❑ NA
❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
No ❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑,NA
❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
❑ NA
El NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
No 21 NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
ElYes
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 )6Co rice 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: tf�(j Arrival Time: ® Departure Time: County:
Farm Name: 1Y1 Cl-riji vv' _l%�h--� Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title:
Onsite Representative: %L[.S Integrator:
Certified Operator:
Back-up Operator:
Phone No:
Operator Certification Number:
Back-up Certification Number:
Region:
Location of Farm: Latitude: =a =' =" Longitude: =o =& ❑ N
Design
Swine Capacity
Current
Population
Design Current
Wet Poultry t Ya city Population
Design Current
Cattle Capy Population
❑ Wean to Finish
❑ La er
❑ Dai Cow
❑ Wean to Feeder
❑Non -La er
❑ Dai Calf
❑ Dai Heifer
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
Gilts
PBoars
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ D Cow
❑ Non-Dai
❑ Beef Stacker
El Beef Feeder
❑ Beef Brood Cow
❑ Turkeys
Other ❑ Turkey Poults
❑ Other ❑ Other
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes o [MINA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made? ❑ Yes No 'NA El
b. Did the discharge reach waters of the State? (if yes, notify DWQ) ❑Yes o ❑ NA El
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 ElNE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes � ❑ NA [I NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ❑ Yes `LJ No ❑ NA ❑ NE
other than from a discharge?
Page I of 3 12128104 Continued

Facility Nupber: — Date of Inspection ZMLIN
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 StructurY_ Structure 4
Identifier: C �Z -�— &V iC3
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 ❑ A El NE
❑ Yes;;o>[] NA ❑ NE
Structure 5 Structure 6
❑ Yes No I 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 threa 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? ElYes o ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
4. Does any part of the waste management system other than the waste structures require ❑ Yes �N�o[01A ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No DNA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes o ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) P
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No 'NA El NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes o NA ❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes o NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes o ❑ NA ❑ NE
:ilk
C�ments(referto qu trots #) iEzplatn any(YS¢answer;'s and/o a }y reomm nda so any other comments,
r e d wing of factitty 6 better. etxplat €situations: (use additional pages necessary)
s ¢ m` 1 i f i t.- 1
A
w
Reviewer/Inspector Name Phone:
Reviewer/Inspector Signature: r Date: / 12 Q
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? ❑ Yes No NA El NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check [I Yes No ❑ NA ❑ NE
the appropirate box.
❑ WUP El 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 �ONA
ather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ YesZEI
❑ 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 NA ElNE
25. Did the facility fail to conduct a sludge survey as required by the permit? ElPNXQ,O
NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ElYes
NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ❑ NA ❑ NE
Other Issues
2$. 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
fir- k.... g- � xi`� ��'i�,�-�*
AdditionalfCommentsand.o.r4Dr�,wings .�. �i `s'e 1j
i
Page 3 of 3 12128104

F 'lity Number Date of Inspection S
Time of Inspection O a j 24 hr. (hh:mm)
Permitted 0 Certified , © Conditionally Certified 13 Registered JE3 Not O erational DateLastOperated: ........................„
FarmName: ..eI4n <i r oSQ r�2 County: .....f'!rj..... ..................................................................`.'-...................................I.......... �'' ........................
Owner Name:....... ...............................................
/YI G>/�L � ........`................................................... Phone No:.. ....3�. K�..�........................
Facility Contact: ...... .P� �. s.................Title:................................................................. Phone No:...................................................
Mailing Address:..... ..Q...... D x•. �D oo i 60lc.�r6 I—� �L................................................................ ..........................
................. /......... .......... ...
Onsite Representative: ,./...L................................................. Integrator:...��.��....1 5
..................
Certified Operator: ........................................ * ........ ....... ...................... Operator Certification Number:
Location of Farm: !
...................................
............................................................................................................................................................................................................................
.....................................................................
Latitude 0 A « Longitude • 4 46
s Destgn Ct
;$wine 'Capacity";�'po:.
❑ Wean to Feeder
❑ F er to Finish
j, [Ifarrow to Wean
.'; ❑ Farrow to Feeder
0 Farrow to Finish
f ❑ Gilts
tt
F1 Boars
'rent Design
In tion .,Poultry._ Capacity:
®1■1w,
❑ Other
€r !, Number of Lagoons �;, ; ❑ Subsurface Drains Present
i,'1161ding Ponds / Solid TrapsJE1 No Liquid Waste Managen
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 ycs, 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: S
Freeboard (inches): cf....................l ( .. I /I ..........................................................
y Field Area c
❑ Yes Y �O
❑ Yes No
❑ Yes No
❑ Yes o
❑ Yes o
❑ Yes o
Structure
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
❑ Yes ❑ No
Continued on back

I
Facility Number: L Date 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?
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^9 C J9-., <An 9 r9 it S- 4�fGcA.
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Document~ t
I7.• 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 facilityjoqTire a follow-up visit by same agency?
25. Wer ny additional problems noted which cause noncompliance of the Certified AWMP?
�'S10 •j+iolaiignjs:o#� dQf c!e'r�cie� •i��re pQte�7• d�x;irig ���s:vps�t; • :Yorlr will •>�•ee�iye �ti fu�t�gr
. • . • cot•'resoorideRce: a�otiti this visit: . ::::::................. • . • . • . • : • : • .
❑ Yes
No
❑ Yeso
❑ Yes
:�No
❑ Yes
❑ Yes
❑ Yes 6N
❑ Yes N
❑ Yes
❑ Yes
❑ Yes N
❑ Yes No
111",-
❑ Yes o
❑ Yes
❑ Yes
❑ Yes //
V
❑ Yes
ElYes
❑ Yes❑ Yes
❑ Yeso

•Facility Number: — t Hate of Inspection
Odor Issues
a 26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes a
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes:No
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
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑
:.s6C,94,."7w

ap
IL£F

Type of Visit _15FComplian�spection O Operation Review Q Lagoon Evaluation
Reason for Visit O tine O Complaint. O Follow up O Emergency Notification O Other 1 ❑ Denied Access
Fa ' ty Number L hate of Visit: �` Time: L__� O Not O erational O Below Threshold
Ye;mJtted 0 Certified 0 Conditionally Certified 13 Registered Date Last Operated or Above Threshold:
FarmName: ..4�j..�.. ..{....�i...__............................. County:.......................................................................
OwnerName:.....:.....................................................................................................................
Facility Contact: .. Title: 1.... ...4,�......�lJ..............................
Mailing Address:
Onsite Representative: ..............................................................................
Certified Operator:...... ........If/.'}.!^...5��.....L..........................
Location of Farm:
PhoneNo: .................................................................................
Phone No:
Integrator:. .i?.. ....z..................................
Operator Certification Number: .................... . ....................
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �• �` 0°� Longitude �• ��
Design ; Current Design :Current -Design Carr
$!fie Ca aci Pa ulatiou . Poultry Cg :ici Po `ulation ; Cattle Ca aci Po'ulatian.
❑ Wean to Feeder ❑ Layer ❑ Dairy
❑ F er to Finish ❑ Non -Layer ❑ Non -Dairy
arrow to Wean W6 6
❑ Farrow to Feeder ❑ Other
❑Farrow to Finish Total'Design Capacity
❑ Gilts
❑soars Total SSLW
Discharges & Stream Im acts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any pan 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 Stru----- - O—Structure 4
tt 2G
Identifier: .................. .Q...
❑ Yes a
❑ Yes -C�
❑ Yes �O
❑ Yes Q'No
❑ Yes . <0
❑ Yes
❑ Yes ❑ o
Structure 5 Structure
Freeboard (inches):
5100
Confinued on back

s
Facility Number: — Bate of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes zo
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
S. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
❑ Yes No
❑ Yes No
❑ Yes :Z�
❑ Yes o
12. Crop type ? Ak/"A1g_ I S
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes
14, a) Does the facility lack adequate acreage for land application? ElYes N
b) Does the facility need a wettable acre determination? ❑ Yes5No
N
c) This facility is pended for a wettable acre determination? ❑ Yes
15. Does the receiving crop need improvement? ❑ Yes o
16. Is there a lack of adequate waste application equipment? ❑ Yes o
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes o
18. Does the facility fail to have ail components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes
i9. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes Vo
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard probiems, over application) ❑ Yes N
23. Did Reviewer/Inspect ail to discuss review/inspection with on -site representative? ❑ Yes
24. Does facility ire a follow-up visit by same agency? Yes N
25. Were • y additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes No
�'Vo:yii? 40ii •or' de�cie;n' �ies •W'6re ita e'd.' during *this:visit. • ;Yoit will reegiye lid' #'urther; ; ;
. :corresnoric�ence:about:thisvisit:•:•:•:•:•:•:•:•.•:•:•:•:•: ..:-•�• :....:-:-::-:-.•:•:•:•:•
X L..1r 99

M
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 attor below ❑ Yes e2ro
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes F Th o
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes o
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes 31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes;�No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes
+1
J
5/00

.1 ;1
Type of Visit O'Gompl' a inspection O Operation Review 0 Lagoon Evaluation
Reason for Visit Routine O Complaint O Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facility Number Date of Visit: d 'rime:
t ti low Threshold
Permitted [3 Certified 3 Conditionally Certified © Registered Date Last Operated or Above Threshold:
Farm Name: r I a."': T, &A —`mi County:
Owner Name:
Mailing Address:
Facility Contact:
Onsite Representative:
Certified Operator:f�--
Location of Farm:
Title:
Phone No:
Phone No:
Integrator• K-,6 1 l;S4 1i1,_-Q,..„_
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 6 c{ Longitude 0 4 OK
Design Current
Design Current Design Current
ine Ca aci P.o uiatinn
P,oultr.
Ca acit 1'.o ulatlon Cattle Ca aclt�+. 1'o ulation
Wean to Feeder
❑ La erF
._
r to Finish
Non -La er
Non-Dai
to Wean
/ aFarrow
to FeedertherFarrow
Irp2tarrow
to Finish
Total Design CaBoars
Total SSLW
Number of Lagoons
Subsurface Drains Present Le oon Area ❑ S ra Field Area
Holding Ponds 1 Solid Traps
No Liquid Waste Management 5 stem
Discharees -& 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 lle tin & Ireatment
4. Is storage capacity (Freeboard plus storm storage) less than adequate? ❑ Spillway
Structu 1 Struc re 2 Structure 3. /Structure 4 Structure 5
Identifier: V� 1 0LVII Iy
Freeboard (inches): 1 Z
05103101
[]Yes No
❑ Yes •i�No
❑ Yes
❑❑ YesFO/
Yes
El Yes
❑ Yes o
Structure
Continued

w
Facility Number: — L Date of Inspection �5
S. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
3yaltg Annlication
10, Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Pending ❑ PAN ❑ Hydraulic Overload
12. Crop type OJ /1'I �•
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
❑ Yes o
❑ Yes o
❑ Yes I.Xo
❑ Yes IdNo
❑ Yes o
ElYesiNo
o
El Yes
❑ Yes Q No
❑ Yes No
❑ Yes }" "
ElYes No
❑ Yes No
16. Is there a lack of adequate waste application equipment? ❑ Yes o
Required 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?
(iel WUP, checklists, design, maps, etc.) ❑ Yes N
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes N
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
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
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments;(refer fo questl6n #) Explain any�YES answers andlorfany recommendations'or anyother comments.v,
Use ilrawrn s of facili tnftietter ex lain sit on '.(use ad�ditia 1 a es as necesser
�h a t3 ,P ( P g .:. Y) ❑Field Copy nal Notes
Y..
:.
Reviewer/Inspector NameAk
--y » ;,
Reviewerllnspector Signature: Date:
05103101 Continued

Type of Visit 40 Compli nspection O Operation Review O Lagoon Evaluation
Beason for Visit 4ZrRoutine Q Complaint Q Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number L Date of Visit: s Zb 0 Time: O o
Q Not O erational Q Below Threshold
13 Permitted 0 CerrtifiedLL© Conditionally Certified © Registered Date Last Operated or Above Threshold: ...........
FarmName: .... I&. . ............................................................................. County:......................................................................
OwnerName:........................................................................................................................... Phone No:
Mailing Address:
Facility Contact:
Title:
Phone No:
Onsite Representative: (13` . �� .............. Integrator: ... ......................... ........................................................
.................................4:.........................................
Certified Operator: ................................................... .. . ......................................................... Operator Certification Number:..........................................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 4 " Longitude • 6 64
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
Struc}urrcw I Structure
uctture 2 Sy turre 3 Structure 4 Structure 5
Identifier: ................................... ....... ................................................................ .............................. .......
L r i 3a t�
Freeboard (inches}:
❑ Yes o
❑ Yes No
❑ Yes o /
❑ Yes 17No
El Yes
❑ Yes a
❑ Ye No
Structure 6
.12112103 Continued
/A

' Facility Number:,66 — ( Date of inspection �
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
C �No_
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
❑ Yes
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
No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
La'N0
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
❑ Yes
o
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Yes
No
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type -r rr. �. � in 19 r Al I' 7
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
�No
14, a) Does the facility lack adequate acreage for land application?
❑Yes
b) Does the facility need a wettable acre determination?
❑ Yes
c) This facility is pended for a wettable acre determination?
❑ YesPNo
15, Does the receivin cro need im rovement?
g p P
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑ Yes
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below
Yes
ONo
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
❑ No
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
❑ 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
❑ No
Air Quality representative immediately.
<. P° ,.,�F:&.',°EP:. s.-.� „ii! iiEE..�i-"ffi 3,.8, :i.#'6,€" �2.; ''.Ea:a'.. .i3 :c?.1..8._ .viUdll4!.E 331'°.4%i4 E....<.:,..'1cY E a,9....f..<< -i-,.:Iti@,•.,,a€;�ux"�iSl' i"�al'.P,IF.,i.18 1. 3.°37,i i,.i ,..E,c.. aY x-:.i..,,.., e@..$�j ,.'`P i,�� 3i�i i1+¢?� i�td'.- ii3 feE ;}3
Corauue�uts {,refer�to questroxt #). �;Eatplatn, ppattyY>�.S answers aGadlar€spry rrecontmendahons or, aryl other�cornments �jyagtEjpE�tp��,' � �, ;,E, -� € E� � E B, .-. �j7
a;U� drawtrr of�faclli �ta�better ex la�nasituateons use;gdditrona! esEas necessa . :� t � _. _�� � �f€ SSE ;;,
�<E �' , . , e�', � �,; ,� P, 5� � r 1-.{ .. ,..,. s< leg � ,,. , , t'3') ❑Field Cop ❑Final Notes 1 €,Et <��
a(.f@7 ,a F,,d�a i r, , f .F.4. (.j�/�jj99�;,;,f.�;;ppjj..1 f.}}ry8y t� jj..�s,[[,11i a ?3,,.,,.IE .�� ttESS i...€a �t }$$9•y d �-S... €j isE aF . �.� y 1 L. ? . ..@. ,t , sE. .E � E�.�(tE ,{�!j}},� �.8. r,Fr ige,,r±. ess.%1 fn•s Ir n!e „1 { €e Pv.<3 �.t, E
. <�=S�4:J31i M.' id.i��i.li.ai. .liS •rc1@#7.3E,.Si-vl'�SS
1
Reviewer/Inspector Name �-�= tLsr h� n "�f 3iVN 'aTisr+.�
Reviewer/Inspector Signature: Date: Z G D
12112103 Continued

Facility Number: t Date of Inspection
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes eNo
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes eNo
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes �10
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling 4
24. Is facilitynot in compliance with an applicable setback criteria in effect at the time of design? Yes No
P y PP g ❑
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes o
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? ElYes FNo
28. Does facility require a follow-up visit by same agency? ❑ Yes
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) Yes ❑ No
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes l4 No '
32. Did the facility fail to install and maintain a rain gauge? ❑ Yes �Ta
33. Did the facility fail to conduct an annual sludge survey? El Yes Q ZOO
34. Did the facility fail to calibrate waste application equipment? ❑ Yes o
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. ❑ Yes
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
12112103

S!e
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7.
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21

TYPES OF MATERIAL ENCOUNTERED INBORINGS
(Use one of systems below)
UNIFIED CLASSIFICATION USDA CLASSIFICATION
GW-WeII graded gravels; gravel, sand mix g-grav el
.GP -Poorly graded gravels s -,sand
GM -Silty gravels; gravel -sand -silt mix vfs-very fine sand '
GC -Clayey gravels; gravel -sand -clay mix sl+sandy loam
SW -Well graded sands;, sand -grovel mix fsl'-fine sandy loam
SP -Poorly graded sands 1-• am
SM - Silty sand gl -gravelly loam
SC -Clayey sands; sand -clay mixtures si- ilt
ML -Silts; silty, v. fine sands; sandy or clayey silt Sil' silt loam
.CL-Clays of low to medium plasticity cl- lay loam
CH -Inorganic clays of,high plasticity sicl-silty clay loam
MH- Elastic silts 'scl-sandy clay loam
OL-Organic silts. and silty clays, low plasticity sic -silty clay
OH -Organic clays, medium to high plasticity c - clay
L. Suitable material for embankment is available ee 0 No Omdlcaie Where lawr.d an the zk'Ok on -
RENLkRKS:
2- Explain hazards requiring special attention in deaign (Seeyass. spring. -rock rrc) /
Sm o' '5-1 "r.S -6vp�"r1 c'XCCrVu�CI !�n i� m b/
�e u 'e rccc •f O P71
Si(a 5/o�S in US Cti� ciCrjP�
. z') i� Q O Q i�'I�O Ci.0 rfec� �C[ flP� = 4 � C'L �^ C� � •� _ . ' . . .
GENER&L' REMARK
76
24 25 26 27 28 29 30 31 32 33 34' 35 1136 37 38 1391140 41 42 43 44 46 46 47 46 49 60 61
i

-M -1M,
UR L}y
u- • u$r
r ..
r
r'
4
E••
f
E
1. •

•:4/26/94
__ __ ____ _ — - __ ern•
GENERAL INFORMATION
NAME 6o46fi&46 11bG fA,4M-5
ADDRESS ''t"'�. D. RrvC /0009
_L�n�1.S�rn /Vc
.1 7S3d
TELEPHONE - .77L- 26 ._
LOCATION Q I _Q m< <es - 5oL4-i
49-1 /✓c 56 / _an sR // o
('saa-, me Farm
v
TYPE OF .OPERATION �? �carrb►oa e�!�/.��
SIZE OF OPERATION 4D05 e6c) J
_ t i Sp/a*oh
LOCATION DATA
.DISTANCE FROM NEAREST RESIDENCE NOT OWNED BY PRODUCER
�, / 60 0 FEET.
IS SITE WITHIN 100—YEAR FLOOD PLAIN? YES NO ✓
IF YES, SCS CANNOT PROVIDE ASSISTANCE.
IS SITE AT LEAST 100 FEET FROM A "BLUE LINE" PERENNIAL STREAM?
YES -'NO
IF NO, SITE MUST BE RELOCATED.
IS SITE WITHIN 100 FEET OF A WELL? YES NO
IF -YES, SITE ' MUST BE RELOCATED.
IS SITE WITHIN 1 MILE.ZONING JURISDICTION OF A MUNICIPALITY?
YES NO
IF YES, LANDOWNER WILL CONSULT WITH LOCAL ZONING BOARD
ABOUT REQUIRED PERMITS. PERMITS MUST BE OBTAINED PRIOR TO
DESIGN APPROVAL.
ARE UTILITIES WITHIN THE CONSTRUCTION AREA? YES NO '✓
IF YES, SEE PART 503 OF THE'NATIONAL ENGINEERING MANUAL AND
FOLLOW POLICY.
(COPIES OF MAPS OR OTHER REFERENCE MATERIALS MAY BE
ATTACHED TO SITE EVALUATION.)
PAGE 1

11
4/26/94
w
:r;"�=�+�%1sir;Yc�'�.Y�''Sa���'�"�'i�..��a: �'a��'�aa�:;�;������;r: ;•
WETLANDS
WILL SITE INVOLVE CLEARING WOODLAND OR ANY NON —CROPLAND?
YES NO
IF YES, LAND —OWNER MUST COMPLETE A FORM AD-1026.
WILL ACTION RESULT IN SWAMP —BUSTING? YES NO ✓
IF WETLANDS ARE INVOLVED, IT IS THE RESPONSIBILITY OF THE
LANDOWNER TO CONTACT THE US ARMY CORP OF ENGINEERS AND THE
DIVISION OF ENVIRONMENTAL MANAGEMENT TO DETERMINE IF
ADDITIONAL PERMITS ARE REQUIRED. NO WETLANDS SHOULD BE
ALTERED UNTIL PRODUCER RECEIVES WRITTEN APPROVAL FROM SCS,
US ARMY CORP OF ENGINEERS AND NC DIVISION OF ENVIRONMENTAL
MANAGEMENT:
(A COPY...OF_ AD--1026 AND CPA-026 WILL BE. ATTACHED ,TQ THIS
SITE EVALUATION:)
OTHER ENVIRONMENTAL FACTORS
IS -ENDANGERED AND/OR THREATENED SPECIES HABITAT PRESENT? ✓
YES NO
IS A DESIGNATED NATURAL SCENIC AREA INCLUDED IN THE PLANNING
AREA OR WILL PLANNED ACTIONS IMPACT ON AN ADJACENT NATURAL
SCENIC AREA? YES NO
IS AN ARCHAEOLOGICAL OR HISTORICAL SITE LOCATED IN THE PLANNED'
AREA? YES NO ✓
IS THERE PRIME, UNIQUE, STATE OR LOCALLY IMPORTANT FARMLANDS
IN THE OPERATING UNIT? YES NO f
WILL THIS ACTION RESULT IN SODBUSTING? YES NO
IF THE ANSWER TO ANY OF THESE QUESTIONS IS YES, -REFER TO
FORM NC—CPA-16 FOR POLICY SOURCES. THE FORM DOES NOT -NEED
TO BE COMPLETED.
ODOR CONTROL
HAS ODOR CONTROL BEEN DISCUSSED WITH THE PRODUCER WITH
RESPECT TO ...
.... /
PREDOMINANT WIND DIRECTION? YES NO
.... PRECHARGING LAGOON WITH FRESH WATER TO AT LEAST
1/2 OF THE CAPACITY? YES NO
.... USING GOOD SOUND JUDGMENT IN LAND APPLICATIO
OF WASTE? YES NO
PAGE 2

WASTE MANAGEMENT
DOES THE PRODUCER OWN ENOUGH LAND TO PROPERLY LAND APPLY
THE WASTE? YES j NO
IF NO, DOES THE PRODUCER HAVE ACCESS TO MORE LAND?
YES NO
IF LAND IS NOT OWNED BY THE PRODUCER, CAN THE PRODUCER GET
AN AGREEMENT ON LAND ON WHICH TO APPLY WASTE?
YES NO
ATTACH A COPY OF THE WASTE UTILIZATION PLAN TO THIS SITE
EVALUATION.
SOIL INVESTIGATION
IS SOIL SUITABLE FOR LAGOON?_
YES V NO
IS A LINER (CLAY OR SYNTHETIC) REQUIRED? YES NO
IF YES, IS CLAY MATERIAL AVAILABLE ON --SITE? YES NO
QUESTIONABLE
IS A CORE TRENCH REQUIRED? �oc.'�'✓C'�r/� YES NO
sM ^ us4 he �►`,�PRxi -
(ATTACH SOIL INVESTIGATION SHEET TO SITE EVALUATION!
SITE APPROVED? YES V NO CONDITIONAL
COMMENTS
THIS SITE INVESTIGATION IS VALID FOR 180 DAYS AS LONG AS THE
PRODUCER CONTINUES TO MAKE REASONABLE EFFORTS TO OBTAIN
REQUIRED PERMITS AND PURSUES CONSTRUCTION IN A PRUDENT MANNER.
UNDUE DELAYS OR HESITANCY IN OBTAINING PERMITS OR PURSUING
CONSTRUCTION MAY REQUIRE THIS SITE EVALUATION TO BE
INVALIDATED.
LANDOWNER/PRODUCER DATE
SCS/DISTRICT REP. j ��, C.� . DATE
PAGE 3

i 3.Z
4'/14/94
--
,,.D;. 'fL:�.�<�%c.;
Producer:
SCS Job Class: ra�
Lagoon: � l
ond:
other:
Hazard Classification:
r<ur-
Housing Facility:,
La -o'on S ecif ics r
one spry e
Pumping Cycle a_ %PO dap
Identify:_
GJatS7� /3.'�/ Fi7fPr
/Q1cts,e/*C O-ee-4
and Application of Waste acres available cro s etc. : 13�acr
/6D AMacl-es d� cn)plro/x� .�pCtcr�-� /7Pe ed r oPe�a �aP a"/c/o /e
4000 Scxu h S, 4 /6 A/14r7"M4/ o O A Allyr,
(phi S dc�eS . no4 i rwude .: vPfa- on .5- J Waj in be- ePplJ e o r
Waste Disposal Ecruipment:
Permits Recruired:
Na-,bra//mod ra z" � .
NO/1/C
Summary -of' 'Soils Investi ation : L �� � •G7 fU rcc 717, s Le
Good cla�/So,/s ... • ��. c ) . �;� �''a Sf?ot.C.P� �
heed
If interested in hay•�r-xr�/ /�•�/� �"��''�r `'�a'l
Hay mower:
Hay
rake:
Hay
baler
Hay
trailer:
Hay
market:
Miscellaneous Items:
9

U. S. Department of Agriculture
Soil Conservation Service
HAZARD CLASSIFICATION DATA SHEET FOR DAMS
NC-ENG-34
September 1980
Landowner 4oLA43oRo_ Ang FR,erv.S _ County. A1,oP_
Community or Group No, r Conservation Plan No. 'r
Estimated Depth of. Water to Top of Dam 43 Ft. Length of Flood Pool 606 Ft.
Date of Field Hazard Investigation
Evaluation by reach of flood plain downstream to the point of estimated minor effect
from sudden dam failure.
Est. E ev.
st. Elevation
Kind of
:Improvements:
of Breach
Reach:. -Length: Width:, Slope: Land Use-
...Improvements
: _,Above :Floodwater Above
Flood. Plain:
Flood -Plain
Ft. Ft..
Ft.
Ft. j
.7/ a 1i/. O _ Gr c�S .�.��!
n
D�/c iC ���r
- U
O. /
1 9 L .
Spa /ice
r D 7/0
2
3
Describe potential for loss .of life and damage to existing or probable future downstream
improvements from a sudden breach A/,? _ _da,_,'? ry -r" rfZ"
Hazard Classification of Dam (a, b, c) (see'NEM-Part 520.21)
Dam Classification (I, 11, III, IV, V)
M.
e
Concurred 8y Ids--•
n me title
NOTE: I. Instructions on -reverse side.
2. Attach additional sheets as needed.
Date_ o?/�i/_
Date -Z-6-1 s �--

2
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W.
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IM,
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_ is , 11pG ; _•:. •,•;:.;,.. w, ri, .. (((``` 1 � f!•�Y ! � t . r
ie �V
..fit. ;fy... 70 �� .% • Z J^r �. r i • • ,
kie~ t I1 _�yc'
-• ";`'.-.{`i1'G:. '. � . _ � �1 ��r H�lzi� -', tritrry tl 1Ud:
Gaging '-r"'�x" ✓ t , ):'::'
• x �a � r: .. ` ��
1102
a 75
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SCS-ING-S]8
Nov. S-70
U. S. DEPARTMENT OF AGRICULTURE
SOIL CONSERVATION SERVICE
aSe
���� hC uc7E4/1
SOIL INVESTIGATION TO DETERMINE SUITABILITY OF PROPOSED POND SITE
FARMER'S NAME yO� asAn!?O o ; 123' DISTRICT g —m-
DATE — QwamR] Qr r•» J— COUNTY
S. C. S. PHOTO SHEET NO. WORK UNIT
WATERSHED AREA MEASUREMENTS
CROPLAND ACRES PASTURE ACRES 44600AJ JZ p ti/Y %3;/0/?-r
WOODLAND ACRES TOTAL. ACRES LASS WORK UNIT CONSERVATIOi4IST
SKETCH OF PROPOSED POND SHOWING WHERE BORINGS WERE MADE (Approx. scale 1" feet)'
Locale r0erence point in eenler line o/ dam and ldenli/y on ikelcA. f
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BORWGS MADE BY SIGNATURE &
C

TYPES OF MATERIAL ENCOUNTERED INBORINGS
(Use one of systems below).
UNIFIED. CLASSIFICATION
USDA CLASSIFICATION
GW-Well graded gravels; gravel, sand mix
g-gravvel
GP -Poorly graded gravels
s -.sand ;
GM -Silty gravels; gravel -sand -silt mix
vfs - very fine sand
GC -Clayey gravels; gravel -sand -clay mix
sl;sandy loam
SW -Well graded sands;•sand-grovel mix
fsll-fine sandy loam
-SP-Poorly graded sands.
I -• am "
loam
SM -Silty sand
gl .tam
SC -Clayey sands;,sand-clay mixtures
si- iIt
MIS-Silts;silty,v.fine sands; sandy or clayey silt
sil- slit loam
.CL-Clays of low to medium plasticity
cl- lay loam
CH -Inorganic clays of.high plasticity
sic, -silty clay loam
MH-Elastic silts
scl-sandy clay loam
OL-Organic silts, and silty clays, Iow plasticity
sic -silty clay
OH -Organic clays, medium -to high plasticity
c - clay
1.• suitable materW for embaaloment i� nvailahla
ea No (lnd;cnie whiny 1«al.e on !h. skrfdi on -
_ �_tFt.M.4i2TCG• _ _. _
7LCp is " o -� S r� e ,� �lczc�.>7�ir� 4) A
2 Explain hazards requiring special attention in design . fseevape, rr.ino,mck eir-i
�,r7 akCavrt'%crf 1�, '`' do7`{a•-r, br'
5/0hs ;74 „7c�s� �e Gcr�'Prcc.Cf Gi�-Ti �C%C 7�Z /�E�L
u„ A Q Co rn�eW A-d
ell led Q '7�ICl � 5.
GENERAL' RE1viARK -
sca •:�z c�
24 25 26 27 28 29 301131 32 S31134'll 35 11 36113,711381139 46 41 42 43 44 45 46 47 48' 49 11 bQ 11 u

THIS DESIGN IS FOR A SINGLE STAGE LAGOON
CLIENTS NAME
COUNTY
TODAYS DATE
DISTANCE TO NEAREST NONFARM RESIDENCE =>
NUMBER OF PIGS WEAKLING TO FEEDER
NUMBER OF PIGS FEEDER TO FINISH =======>
NUMBER OF SOWS FARROW TO WEANLING
NUMBER OF SOWS 'FARROW TO FEEDER
NUMBER OF SOWS FARROW TO FINISH
DEGREE OF ODOR CONTROL
(minimum 1.0 cu. ft. per lb SSLW)
(maximum 3.0 cu. ft. per lb SSLW)
NUMBER OF YEARS OF SLUDGE ACCUMULATION >
BENNETT-SWAMP TRACT
NORTHAMPTON COUNTY,
MARCH 20, 1995
1500 FEET
0
0
2000.
0
0
1.0
TOP LENGTH AT NORMAL WATER LEVEL
TOP WIDTH AT NORMAL WATER LEVEL
NORMAL WATER LEVEL ELEVATION ==========>
SEASONAL HIGH WATER TABLE ELEVATION ==_>
LAGOON BOTTOM ELEVATION
Depth of Permanent -Water 6.0
(minimum depth without sludge = 6 feet)
(minimum depth with sludge = 8 feet)
SIDE SLOPES -_--- _--__--_--___--------_--_>
Permanent Volume Required ..866000.0
Permanent Volume Provided 945106.6
ADDITIONAL DRAINAGE AREA IN SQUARE FEET>
(i.e. pumpout pond & other outside area)
LENGTH OF PUMPING CYCLE
GALLONS.OF FRESH WATER ADDED DAILY ====>
EXCESS RAINFALL ABOVE EVAPORATION =====>
25YR/24HR STORM RAINFALL
FREEBOARD
ESTIMATED TOP OF DAM ELEVATION ==----==>
Temporary Storage Volume 536482.1
Top of Dam Elevation = 50.1
Inside Dimensions of Lagoon at Top of Dam
Length 600.0 feet Width 1,325.0
Begin Pumping Elevation = 48.5
Stop Pumping Elevation = 46.0
Volume To Be Pumped = 427607.1
0.0 YEARS
575.4
FEET
300.4
FEET
46.0
FEET
46.0
FEET
40.0
FEET
feet
3.0:1
cubic feet
cubic feet
FARM#2
NC
0 SQUARE FEET
180 DAYS
0 GALLONS
13.3 INCHES
6.7 INCHES
1.0 FEET
50.1 FEET
cubic feet
feet
feet
feet
feet
cubic feet

1. STEADY STATE LIVE WEIGHT
0 head weanling to feeder x 30 lbs. -
0
lbs
0 head feeder to finishing x 135 lbs. =
0
lbs
2000 sows farrow to weanling x 433 lbs. -
866000
lbs
0 sows farrow to feeder x 522 lbs. -
0
lbs '
0 sows farrow to finish x 1417 lbs. -
0
lbs
TOTAL STEADY STATE LIVE WEIGHT (SSLW) -
866000
lbs
2. SLUDGE ACCUMULATION
Sludge accumulates at the rate of 0.080 cu. ft. per year
per pound of STEADY STATE LIVE WEIGHT in swine.
Years of sludge accumulation in design? 0.0
Sludge Volume = 0.0 cubic feet
3. REQUIRED LIQUID VOLUME OF LAGOON
Design for 1.0 cu. ft. per pound SSLW
a
Total Volume = (SSLW * Design factor) + Sludge Volume
Total Volume = 866000.0 cubic feet
4. NORMAL LAGOON LIQUID LEVEL
Maintain normal lagoon liquid level at elevation
46.0
feet
Construct lagoon bottom elevation 40.0 feet
Lagoon size for normal lagoon liquid volume using
prismodial
f ormu'
SS/END1 SS/END2 SS/SIDE1 SS/SIDE2
DEPTH
3.0 3.0 3.0 3.0
6.0
AREA OF TOP
LENGTH *WIDTH =
575.4 300.4
AREA OF BOTTOM
Lb * Wb -
539.4 264.4
AREA OF MIDSECTION
(Lm * Wm) . =
172850.2 (AREA OF TOP)
142617.4 (AREA OF BOTTOM)
557.4 282.4 157409.8 (AREA OF MIDSECTION)
CU. YD. = [AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM] * DEPTH/C
172850.2 629639.0 142617.4 1.000
VOLUME OF LAGOON AT NORMAL LAGOON LIQUID LEVEL=45106.6 CU. FT.
VOLUME NEEDED = 866000.0 CU. FT.
THE SURFACE DIMENSIONS OF THE LAGOON AT NORMAL LIQUID LEVEL
ARE 575.4 FEET LONG BY 300.4 FEET WIDE

5. DIKE
Place spoil as a continuous dike to elevation n 50.1 feet.
6. TEMPORARY STORAGE REQUIRED
DRAINAGE AREA:
Lagoon (top of dike)
Length * Width -
600.0 325.0 195000 square feet
Additional Drainage Area
0 square feet
TOTAL DA 195000 square feet
Pumping cycle to be 180 days.
6A. Volume of waste produced
Volume = 866000 SSLW * 0.0101481 gallon/lb. SSLW/day
in the pumping cycle / 7.48 gallons per cu. ft.
Volume = 211482.1 cubic feet
6B.. Volume of wash water
This is the amount of fresh water used for washing floors or
volume fresh water used for a flush system. Flush systems that
recycle the lagoon water are accounted for in 6A.
Volume = 0 gallons/day * 160 days in the pumping
cycle divided by 7.48 gallons per cu. ft.
Volume = 0.0 cubic feet
6C. Volume of rainfall in excess of evaporation
Use period.6f time when rainfall exceeds evaporation by largest
amount.
Excess rainfall (difference) = 13.3 inches
Volume = 13.3 inches * DA / 12 inches per foot
Volume = 216125.0 cubic feet
6D. Volume of 25 year -- 24 hour storm
Volume = 6.7 inches * DA / 12 inches per foot
Volume = 108875.0 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
6A.
211482.1
cubic
feet
6B.
0.0
cubic
feet
6c.
216125.0
cubic
feet
6D.
108875.0
cubic
feet
TOTAL TEMPORARY STORAGE 536482.1 cubic feet

7.
8.
DEPTH OF STORAGE REQUIRED (ABOVE NORMAL LIQUID ELEVATION OF
LAGOON)
Depth required - Volume
of temporary storage divided by
surface
. area of lagoon.
N
Depth required =
536482
cu.ft. / 172850
sq. ft,
Depth required =
3.1
feet
Normal lagoon liquid elevation
46.0 feet
Depth required
-
3.1 feet
Freeboard
=
1.0 feet
Top of Dam
=
50.1 feet
THE DIMENSIONS OF THE INSIDE EDGE OF THE DAM AT ELEVATION 50.1
ARE 600.0
FEET BY
325.0 FEET
SET BEGIN PUMPING ELEVATION
PUMPED STORAGE VOLUME
6A.
211482.1
cubic feet
6B.
0.0
cubic feet
6C.
216125.0
cubic feet'
i
TOTAL PUMPED VOLUME =
427607.1
cubic feet
. Depth required Volume
of pumped
storage divided by surface
.area of lagoon
at normal water level.
Depth required =
427607.1
cu.ft. / 172850.2
sq. ft.
Depth required =
2.5
feet
DESIGNED BY:
DATE:
I
APPROVED BY:
DATE:

Zas.oA,..a
f inwp
FLAGOON SUMMARY SHEET & TYPICAL CROSS-SECTION
SINGLE STAGE LAGOON
Top Width
-�{
Settled Tap of Dam: 4, 1 �o.� Construct Top 'of D
Fill Yardage: L// 1� 8Y
Slope Slope
,3�1
Natural Ground Elev.
Cut-off Trench t4-r-e rick ro+
Y
SG__G man e
-__._� b �-rtip +0 i a'' o .5 M b J
Width depends on equipment p��cernc a e��h.�t
Start land application Stop land application
elev. _� 5_. r _ elev. Ly�,p
-------------------- : ---------------------------
Bent rTemporary Storage Volume S3 b q-EQ cu. ft. /
Support---------------------_------------------------------/
Treatment volume 9�4 /1�7. cu. ft.
Top of sludge elev.
--------------------------------
Bottom elev. -f04/
Lagoon size (inside top):
Length Width .3 zar Cu. Yds. Excay..3 3l
Bench Mark Des/cJription: A1Q,
L,Ll. ld QiS l y 0 -
General Information
Engineering Job Class:
Hazard Class:
Animal Type:
Type Operation: L-, a .,
Number of Animals: 20�0
s
NOTE: If construction is not started
within one year, this plan is not valid
until a re-evaluation of the design and
flood plain safety hazards are -made.
Elevation; u. n
Lagoon for Animal Waste
(_7oI� saw �S �.•x,. !
Farm
��.•/,r,o c'. Count
/v c- StatE
U. S. Department of Agriculture
Soil Conservation Service
Designed by: c,�s
Approved by:
Title:
Date:

SHEET 1 OF 2
SPECIFICATIONS FOR CONSTRUCTION OF WASTE TREATMENT LAGOONS
----------------------------------------------------------
FOUNDATION PREPARATION:
-----------------------
The foundation area of the lagoon embankment and building pad shall be
cleared of trees, logs, stumps, roots, brush, boulders,sod and rubbish.
Satisfactory disposition will be made of all debris. The topsoil from
the lagoon and pad area should be stripped and stockpiled for use on
the dike and pad areas. After strapping, the foundation area of the
lagoon embankment and building pad shall be thoroughly loosened prior
to placing the first lift of fill material to get a good bond.
EXCAVATION AND EARTHFILL PLACEMENT:
The completed excavation and earthfill shall conform to the lines,
grades, and elevations shown on the plans. Earthfill material shall
be free of material such as sod, roots, frozen soil, stones over
6 inches in diameter, and other objectionable material.' To the extent
they are suitable, excavated materials can be used as fill. The fill
shall be brought up in approximately horizontal layers not to exceed 9
inches in thickness when loose and prior to compaction. Each layer
will be compacted by complete coverage with the hauling and spreading
equipment or standard tamping roller or other equivalent method.
Compaction will be considered adequate when fill material is observed
to consolidate to the point that settlement is not readily detectible.
NOTE THE SPECIAL REQUIREMENTS FOR PLACEMENT OF LINERS IN THE LINER
SECTION OF THIS SPECIFICATION. The embankment of the lagoon shall be
installed using the more impervious materials from the required
excavations. Construction of fill heights shall include 5 percent for
settlement. Dikes over 1.5 feet in height and with an impoundment
capacity of 10 acre-feet or more fall under the jurisdiction of the NC
Dam Safety Law. The height is defined as the difference in elevation
from the constructed height to the downstream toe of the dike.
Precautions shall be taken during construction to prevent excessive
erosion and sedimentation.
LINER: THE MINIMUM REQUIRED THICKNESS SHALL BE 1.5 ft.
NOTE: LINERS (PARTIAL OR FULL) ARE REQUIRED WHEN THE ATTACHED SOILS
INVESTIGATION REPORT SO INDICATES OR WHEN UNSUITABLE MATERIAL IS
ENCOUNTERED DURING CONSTRUCTION. A TYPICAL CROSS SECTION OF THE LINER
IS INCLUDED IN THE DESIGN WHEN LINERS ARE REQUIRED BY THE SOILS REPORT.
When areas of unsuitable material are encountered, they will be over -
excavated below finish grade to the specified depth as measured
perpendicular to the finish grade. The foundation shall be backfilled
as specified to grade with a SCS approved material (ie - CL,SC,CH).
REFER TO THE SOILS INVESTIGATION INFORMATION IN THE PLANS FOR SPECIAL
CONSIDERATIONS.

SHEET 2 OF 2
Soil lamer material shall come from an approved borrow area. The
minimum water content of the liner material shall be optimum moisture
content which relates to that moisture content when the soil is kneaded
in the hand it will form a ball which does not readily separate. Water
shall be added to borrow as necessary to insure proper moisture content
during placement of the liner. The moisture content of the liner
material shall not be less than optimum water content during placement.
The maximum water content relates to the soil material being too wet
for efficient use of hauling equipment and proper compaction. Proper
compaction of the liner includes placement in 9 inch lifts and
compacted to'at least 90 percent of the maximum ASTM D698 Dry Unit
Weight of the liner material. When smooth or hard, the previous lift
shall be scarified and moistened as needed before placement of the next
lift. '
The single most important factor affecting the overall compacted perme-
ability of a clay liner, other than the type of clay used for the
liner, is the efficient construction processing of the compacted liner.
The sequence of equipment use and the routing of equipment in an estab-
lished pattern helps assure uniformity in the whole placement and
compaction process. For most clay soils, a tamping or sheepsfoot
roller is the preferable type of compaction equipment.
The soil liner shall be protected from the discharge of waste outlet
pipes. This can be done by using some type of energy dissipator(rocks)
or using flexible outlets on waste pipes.
Alternatives to soil liners are synthetic liners and bentonite sealant.
When these are specified, additional construction specifications are
included with this Construction Specification.
CUTOFF -TRENCH: _ No4 re1�u`,red lo�.s(- �'r i '��P �� �SYY,� } pre P16LCe.Yr "d
crp' et> fin 11 .
A cutoff trench shall be constructed under the embankment area when
shown on a typical cross section in the plans. The final depth of the
cutoff trench shall be determined by observation of the foundation
materials.
VEGETATION:
All exposed embankment and other bare constructed areas shall be seeded
to the planned type of vegetation as soon as possible after construc-
tion according to the seeding specifications. Topsoil should be placed
on areas of the dike and pad to be seeded. Temporary seeding or mulch
shall be used if the recommended permanent vegetation is out of season
dates for seeding. Permanent vegetation should be established as soon
as possible during the next period of approved seeding dates.
REMOVAL OF EXISTING TILE DRAINS
-------------------------------
When the drains are encountered, the tile will be removed to a minimum
of 10 feet beyond the outside toe of slope of the dike. The the
trench shall be backfilled and compacted with good.material such as
SC, CL, or CH.

SEEDING SPECIFICATIONS
----------------------
AREA TO BE SEEDED: 3.0 ACRES
USE THE SEED MIXTURE INDICATED AS FOLLOWS:
180.0 LBS. FESCUE GRASS AT 60 LBS./ACRE
(BEST SUITED ON CLAYEY OR WET SOIL CONDITIONS)
SEEDING DATES: SEPTEMBER 1 TO NOVEMBER 30
FEBRUARY 1 TO MARCH 30
90.0 LBS. RYE GRAIN AT 30 LBS./ACRE (NURSERY FOR FESCUE)
0.0 LBS. 'PENSACOLA' BAHIA GRASS AT 60 LBS./ACRE
(SEE FOOTNOTE NO. 1)
SEEDING DATES: MARCH 15 TO JUNE 15
0.0 LBS. HULLED COMMON BERMUDA GRASS AT 6 LBS./ACRE
(SUITED FOR MOST SOIL CONDITIONS)
SEEDING DATES: APRIL 1 TO JULY 31
0.0 LBS. UNHULLED COMMON BERMUDA GRASS AT 10 LBS./ACRE
SEEDING DATES: JANUARY 1 TO MARCH 30
0.0 LBS. RYE GRASS AT 40 LBS./ACRE (TEMPORARY VEGETATION)
SEEDING DATES: DECEMBER 1 TO MARCH 30
LBS.
APPLY THE FOLLOWING:
3000.0 LBS. OF 10--10-10 FERTILIZER (1000 LBS./ACRE)
6.0 TONS OF DOLOMITIC LIME (2 TONS/ACRE)
300.0 BALES OF SMALL GRAIN STRAW (100 BALES/ACRE)
ALL SURFACE DRAINS SHOULD BE INSTALLED PRIOR TO SEEDING. SHAPE
ALL DISTURBED AREA IMMEDIATELY AFTER EARTH MOVING IS COMPLETED.
APPLY LIME AND FERTILIZER THEN DISK TO PREPARE A 3 TO 4 INCH
SMOOTH SEEDBED. APPLY SEED AND FIRM SEEDBED WITH A CULTIPACKER
OR SIMILAR EQUIPMENT. APPLY MULCH AND SECURE WITH A MULCH
ANCHORING TOOL OR NETTING,
1. PENSACOLA BAHIAGRASS IS SLOWER TO ESTABLISH THAN COMMON
BERMUDA GRASS. WHEN USING BAHIA, IT IS RECOMMENDED THAT 8
LBS./ACRE OF COMMON BERMUDA BE INCLUDED TO PROVIDE COVER
UNTIL BAHIAGRASS IS ESTABLISHED.

WASTE MANAGEMENT PLAN FOR SWINE OPERATION
Producer: Goldsboro Milling Co.
Location: Off SR 1100, 2 miles south of NC 561
Address: P O Box 10009, Goldsboro NC 27532
Telephone: [phone]
Type Operation: Farrow to weanling
Number of Animal Units: 2 sites with 2000 sows and a 160 sow isloation
unit
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface and/or ground water.
. _ 5be plant nutrients-.�n' the animal waste. should be used. to:,reduce the
amount of commerdial fertilizer required for the crops on the fields
where the waste is to be, applied. ,This waste should be analyzed
before each application cycle and annual soil tests are encouraged so
that all plant nutrients can be balanced for realistic yields of -the
crops to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner. Always
apply waste based on the needs of the crop to be grown and the
nutrient content of the waste. Do not apply more nitrogen than the
crop can utilize. Soil types are important as they have different
infiltration -rates and leaching potential. Waste, shall not be applied
to land eroding at greater than 5 tons per acre per year. Do not
apply waste on saturated soils or on land when the surface is frozen.
Either of these conditions may result in runoff to surface waters.
Wind conditions should also be considered to avoid drift and downwind
odor problems. Tb- md:cU iize the 'value of nutrients for- crop' production
and to reduce the potential for pollution, the waste should be applied
to a growing crop or not more than 30 days prior to planting.
injecting the waste or disking will conserve nutrients and reduce odor
problems.
The acres needed to apply the animal waste is based on typical
nutrient content for this type ofrfacility. Acreage requirements may
be more or less based on the waste analysis report from your waste
management facility.
Amount of Nitrogen produced per_year
4000.animal units X 5.4 lbs N/animal unit/year
21,600 lbs: N/year
160 X 5.4 lbs N/animal unit/year = 864 (Isolation unit)
Total. = 22,464 lbs N/yr.

w
You should plan -time and have appropriate
equipment
.r
to apply the waste
in a timely manner.The following
acreage
will be
needed for waste
application based on the crop to
grown and
surface
application:
Table it ACRES
OWNED BY PRODUCER
Tract Field
Soil
Crop
Real.
Lbs. N
Acres
Lbs. N
Month of
##
Type
Yield
Per Ac
Utilized
Application
! �U 3
C v Q
T n 4
8er.�µd
1
13 0
a 74
Be SePf
R e 464- �e6 -
d
weh ryc
30
1
-
lY/I
Scue
C, rdzAd
0
Zo
3 D 6
�r
'
Z
e
T
BQrmGm23•
"30
a�sa
Berm. Pr;/ -'
?Tye o - 6 -��
136
oc4--Dec
I
Total Tables 17 , � Sa 975
Amount of N Produced a�4
Surplus orcQill

51
Your facility is designed for 1.80 days of temporary storage and needs
to.have the temporary storage removed every 6 months.
If you have questions, you may call the Natural Resources Conservation
Service or Soil and Water Conservation District office after you
receive the waste analysis report to obtain the amount per acre to
apply and the application rate prior to applying the waste.
-arrative- of r tion:
Most of this operation is set for fescue grazing: Field 11 is planned
for bermudagrass.• Areas of the farm that are flat or that pond water
should be -graded to remove standing water. Most of the farm has had
waterways and field borders installed, but there are some areas that
that additional drainage work.
WASTE MANAGEMENT PLAN AGREEMENT
I agree to carry out this waste management plan according to the terms
of the 'agreement .
Producer: Date:
System Designer - Date:
SWCD Representative: Date:
Design Approval: Date-

m
J*...
4V
Nk-
ril� 4

Wars•
�k sr ti'i.ta't` .y:''a1 �'r i��'t� afiy♦ ��• }' a'd :: '�}: _ !,ti' -.S 1� - �ty�J�1^::11 }I �Y:'».. .�I,':ff'M�"Y i 5 _..
w�i!i, f.'i "'Lt%i:, aY m,}' t wy:{ e�."h. h� �r��/y�] i*■ _(�/i'�y�•}//.`.l`� t y t; iL1[ •..v �lJ•'r�[ V 7.
I D. M}1{'.^.•�.w
:} J`iyiN•.1„ ..'M}�� rrw
1. The Field Office must have documentation in the design folder that the producer
either owns or has long term access to adequate land on which to properly apply
the waste. If the producer does not own adequate land to properly dispose of
waste, he shall provide SCS with a copy of a written agreement with a
landowner who is within a reasonable proximity, allowing him/her the use of the
land for waste application for the life expectancy of the production facility.
2. Waste shall be applied to meet the Nitrogen needs for realistic yields on soil type,
available moisture, historical data, climate conditions, and level of management,
unless there are regulations that restrict the rate of application of other nutrients.
3. Animal waste shall not be applied to land eroding at greater than 5 tons per acre
per year.
4. Waste shall be incorporated immediately after spreading on areas subject to
flooding. Waste is not to be applied on areas subject to flooding unless
incorporation is used.
5. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such
that runoff does not occur and in a method which does not cause drift from the
site during application.
6. Waste shall not be applied to saturated soils or on land when the surface is
frozen.
7. Apply waste to growing crops in such a manner that no more than 20 to 25
percent of the leaf area is covered.
8. Waste nutrients shall not be applied in fall or winter for spring planted crops on
soils with a high potential for leaching unless special precautions are taken to
minimize leaching and erosion. Waste nutrient loading rates on these soils should
be held to a minimum and winter cover crops planted to take up released
nutrients.
9. Waste shall not be applied closer than 25 feet to surface water. This distance
may be reduced provided adequate vegetative filter strips are present. (See
Standard 393 - Filter Strips)
10. Waste shall not be applied closer than 100 feet from water wells for human
consumption.
1 1 . Waste shall not be applied closer than 200 feet of dwellings other than those
owned, be the landuser.
12. Waste shall be applied in a manner not to reach other 'property and public right
of -ways.

North Carolina Agricultural Extension service
Agri -Waste Management
Biological and Agricultural Engineering North Carolina Universit
LIVESTOCK.WASTE SAMPLING, ANALYSIS AND CALCULATION
OF LAND APPLICATION RATES
James C. Barker
I. SAMPLE COLLECTION
A. Semi -Solid Lot Manure
i. Scraped directly from lot into spreader
a. From loaded spreader, collect about 2 lbs of
manure from different locations using nonmetallic
collectors.
ii. From storage
a. Collect about 2 lb of manure from under the surface
crust avoiding bedding materials and using nonmetallic
collectors.'
B._ Liquid Manure Slurry
i. Under -slotted -floor pit
a. Extend a 1./2" nonmetallic conduit open on both
ends into manure to pit floor.
b. Seal upper end of conduit (e.g., by placing a
thumb over end of conduit) trapping manure that
has entered lower end, remove and empty slurry
into plastic bucket or nonmetallic container.
C. Take subsamples from 5 or more locations or at
least 1 quart.
d. Mix and add about 3/4 pint to nonmetallic sample
container.
ii.., Exterior storage basin or tank
a. Make sure manure has been well mixed with a liquid
manure chopper -agitator pump or propeller agitator.
b., Take subsample from about 5 pit locations, from
agitator pump or from manure spreader and place in a
plastic bucket.
*Professor and Extension Specialist, Biological and Agricultural
Engineering Department, North Carolina state University, Raleigh; NC

F.
G.
Attachment B
Page 3-of 3
Pack sample in ice, refrigerate, freeze or transfer to lab
quickly.
Hand -delivery is the most reliable way of sample transfer.
If mailed, protect sample container with packing material such
as newspaper, box or package with wrapping paper and tape.
Commercial sample containers and mailers are also available.
Contacts:
i. A&L Eastern Agricultural Lab, Inc. ii;. Polyfoam Packers
7621 Whitepine Road 2320S. Foster Ave.
Richmond. VA 23237 Wheeling, IL 60090
Ph: [phone] Ph. U 12) 398.01 10
ii. Fisher Scientifid Co iv. NASCO
3315 Winton Road 901 Janesville Ave.
Raleigh. NC 2?604 Ft Atkinson, WI 53538
Private analytical labs are also available, but sample analysis
costly.
The NCOA provides this service for North Carolina residents.
i. Address: North Carolina Department of Agriculture
Agronomic Division
Plant/Waste/Solution Advisory Section
Blue Ridge Road Center
P. O. Box 27647
Raleigh, NC 27611 '
Ph: [phone]
Attn: Ray Campbell
ii. Forward.$4.00 along with the sample.
iii. lnclude the following identification information with
sample:
a. Livestock species (dailcy, swine, turkey, etc.)
b. Livestock usage (swine --nursery, finishing; turkey
breaders, brooderhouse, grower, number flocks grown
on liter; etc.)
C. Waste type (dairy -lot scraped manure, liquid slurry
swine -pit slurry, lagoon liquid, sludge; broiler -
house litter, stockpile)
iv. Routine analysis performed on all samples: N, P, K, Ca,
Mg, Na., S, F.
Mn, Zn, Cu, .
v. Additional analysis performed upon request: DM, Mo, Cd,
Ni,.Pb

0
Attachment B
Page 2 of 3
C. Mix and add 3/4 pint to a nonmetallic sample container.
C. Lagoon Liquid
i. Collect about 3/4 pint of recycled lagoon liquid from inflow
pipe to flush tanks in a nonmetallic sample container.
ii. From Lagoon
a. Place a small bottle (1/2 pint or less) on end of
10--15' pole.
b.- Extend bottle 10-15' away from bank edge.
C. Brush away floating scum or debris.
d. Submerge bottle with 1' of liquid surface.
e. Empty into a plastic bucket, repeat about, 5 times
'around lagoon, mix and add 3/4 pint to nometallic
sample container.
D'. Broiler or Turkey Litter
i. House Litter
a. visually inspect litter for areas of varying quality
e.g., areas around feeders and waterers, and estimate
percent of floor surface in eac� area.
b. Take about 5 litter subsamples at locations '
proportionate to item a. E.g., if 20% of litter
of similar visual quality is around feeders and
waters, take 1 subsample there and the other -4
subsamples from remainder of floor surface.
C. At each location, collect litter from a 6" by_ 6"
area down to earth floor and place in a plastic bucket.
d. After 5 subsamples have been added to the bucket, mix
and add about 2-3 lbs litter to a nonmetallic sample
container such as a-l-gallon freezer bag and seal.
ii. From Stockpile
a. Take subsamples from about 5 locations at least 18"
into pile.
b. Mix, add 2-3 lbs to nonmetallic sample container and
seal.
II. SAMPLE PREPARATION AND TRANSFER
A. Place sample into an expandable container that can be sealed.
residues from container with clean water but do not use
disinfectants, soaps or treat in any other way.

SHEET I OF 2
OPERATION AND MAINTENANCE PLAN
------------------------------
This lagoon is designed for waste treatment (permanent storage) and
180 days of,temporary storage. The time required for the planned
fluid level (permanent and temporary storage) to be reached may vary
due to site conditions, weather, flushing operations, and the amount
of fresh water added to the system.
The designed temporary storage consists of 180 days storage for:
(1) waste from animals and (2) excess rainfall after evaporation. Also
included is storage for the 25 year -- 24 hour storm for the location.
The volume of waste generated from a given number of animals will be
fairly constant throughout the year and from year to year, but excess
rainfall will vary from year to year. The 25 year rainfall will not
be.a factor to consider in an annual pumping cycle, but this storage
volume must always be available.
A maximum elevation is determined in each design to begin
pumping and this is usually the outlet invert of pipe(s) from
building(s). If the outlet pipe is not installed at the elevation to
begin pumping, a permanent marker must be installed at this elevation
to indicate when pumping should begin. An elevation must be established
to stop pumping to maintain lagoon treatment depth.
Pumping can be started or stopped at any time between these two
elevations for operating convenience as site conditions permit, such as
weather, soils, crop, and equipment in order to apply waste without
runoff or leaching.
Land application of waste water is recognized as an acceptable
method of disposal. Methods of application include solid set,
center pivot, guns, and traveling gun irrigation. Care should be
taken when applying waste to prevent damage to crops.
The following items are to be carried out:
1. It is strongly recommended that the treatment lagoon be pre --
charged to 1/2 its capacity to prevent excessive odors during
start --up. Pre -charging reduces the concentration of the initial
waste entering the lagoon thereby reducing odors. Solids should be
covered with effluent at all times. When precharging is complete,
flush buildings with recycled lagoon liquid. Fresh water should not
be used for flushing after initial filling..
2. The attached waste utilization plan shall be followed. This
plan recommends sampling and testing of waste (see attachment)
before land application.
3. Begin temporary storage pump -out of the lagoon when fluid level
reaches the elevation.. -.48.5 as marked by permanent marker. Stop pump -
out when the fluid level reaches elevation 46- . This temporary
storage, less 25 yr- 24 hr storm, contains-42-5922 cubic feet or
3186353 gallons.; zJ-a7,f,07

SHEET 2 OF 2
4. The recommended maximum amount to apply per irrigation is
one (1) inch and the recommended maximum application rate is 0.3
inch per hour. Refer to the waste utilization plan for further details.
5. Keep vegetation on the embankment and areas adjacent to the
lagoon mowed annually. Vegetation should be fertilized as needed
to maintain a vigorous stand.
5. Repair any eroded areas or areas damaged by rodents and
establish in vegetation.
7. All surface runoff is to be •diverted from the lagoon to stable
outlets.
S. Keep a minimum of 25 feet of grass vegetated buffer around
waste utilization fields adjacent to perennial streams. Waste will
not be applied in open ditches. Do not pump within 200 feet of a
residence or within 100 feet of a well. Waste shall be applied in a
manner not to reach other property and public right-of-ways.
9. 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 -Environ-
mental Management, has the 'responsibility for enforcing this law.

_1
4Operator:Goldsboro Hog FarmCounty: North iiampton
Distance to nearest residence (other than owner):
Date:' 02/26/95
1500.0 feet
1. AVERAGE LIVE WEIGHT
(ALW)
0
sows
(farrow to
finish)
x 1417
lbs. _
0
sows
(farrow to
feeder)
x 522
lbs. _
0
head
(finishing
only)
x 135
lbs. _
2000
sows
(farrow to
wean)
x 433
lbs. _
0
head
(wean to feeder)
x 30
lbs. _
Describe other
Total Average'Live Weight =
2. MINIMUM REQUIRED TREATMENT VOLUME OF LAGOON
0
lbs
0
lbs
0
lbs
866000
lbs
0
lbs
0
866000 lbs
Volume = 866000 lbs. ALW x Treatment Volume(CF)/lb. ALW
Treatment Volume(CF)/lb. ALW = 1 CF/lb. ALW
Volume = 866000 cubic feet
3. STORAGE VOLUME FOR SLUDGE ACCUMULATION
Volume = 0.0 cubic feet
4. TOTAL DESIGNED VOLUME
Inside top length ( feet) -------- ,------------
600.0
Inside top width (feet) ----------------------
325.0
Top of dike elevation (feet)-----------------
50.1
Bottom of lagoon elevation (feet)-------------
40.1
Freeboard (feet)-------------------------------
1.0
Side slopes (inside lagoon)------------------
3.0 : 1
Total design volume using prismoidal formula
SSJENDI SS/END2 SS/SIDE1 SS/SIDE2 LENGTH
WIDTH
3.0 3.0 .3.0 3.0 594.0
319.0
AREA OF TOP
LENGTH * WIDTH =
594.0 319.0 189486 (AREA OF
TOP)
AREA OF BOTTOM
LENGTH * WIDTH =
540.0 265.0 143100 (AREA OF BOTTOM)
DEPTH
9.0
AREA OF MIDSECTION
LENGTH * WIDTH * 4
567.0 292.0 662256 (AREA OF MIDSECTION * 4)
CU. FT. _ [AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM] * DEPTH;
189486.0 662256.0 1.43100.0
Total Designed Volume Available = 1492263 CU. F'.

n
TEMPORARY STORAGE REQUIRED
DRAINAGE AREA:
Lagoon (top of dike)
Length * Width
600.0 325.0 195000.0 square feet
Buildings (roof and lot water)
0.0 square feet Describe this area.
TOTAL DA 195000.0 square feet
Design temporary storage period to be 180 days.
,. Volume of waste �roduced
Feces & urine production in gal./day per 135 lb. ALW 1.37
Volume = 866000 lbs. AZW/135 lbs. ALW * 1.37 gal/day 180 days
Volume = 1581.893 gals. or 211483.1 cubic feet
. Volume of wash water
This is the amount of fresh water used for washing floors or volume
of fresh water used for a flush system. Flush systems that recircul.;
the lagoon water are accounted for in 5A.
Volume = 0.0 gallons/day * 180 days storage/7.48 gall.o-
Volume = 0.0 cubic feet
Volume of rainfall in excess cif evaporation
Use period of time when rainfall exceeds evaporation by largest amou-
180 days excess rainfall = 1,141' inches
Volume = 11 in * DA / 12 inches per foot 7 .
Volume = 214500.0 cubic feet

0
5D. Volume of 25 year - 2hour storm .
Volume = 6.4 inches j 12 inches per foot * DA
Volume = 104000.0 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
5A. 211483 cubic feet
5B. •0 cubic feet
5c. 214500 cubic feet
5D. 104000 cubic feet
TOTAL 529983 cubic feet
6. SUMMARY
Temporary stdrage period====================> 180 days
Rainfall in excess of evaporation===========> 13.r1 inches
25 year - 24 hour' rainfall,=========--===---=> 6.4 inches
Freeboard____________________ 1.0 feet
Side 3.0 : 1
Inside top length=---=----------------------=> 600.0 feet
Inside top width==========--------------=--=> 325.0 feet
Top of dike elevation =-------------__----__-=> 50.1 feet
Bottom of lagoon elevation==================> 40.1 feet
Total required volume===============---_-- ==> 1395983 cu. f t .
Actual design volume===== .------===--=----=> 1492263 cu. ft.
Seasonal high watertable elevation {SM1T}-==> 46.0 feet
Stop pumping elev _____________�______-___> 46.1 feet
Must be > or = to the SHWT elev_ ===-----=> 46.0 feet
Must be > or = to min. req. treatment el.=> 46.1 feet
Required minimum treatment volume===========> 866000 cu..ft.
Volume at stop pumping elevation============> 948132 cu. ft.
Start pumping elev.--_______________________> 48.5 feet
Must be at bottom of freeboard & 25 yr. rainfall
Actual volume less 25 yr.- 24 hr. rainfall==> 1388263 cu. £t.
Volume at start pumping elevation===========> 1379555 cu. ft.
Required volume to' be .pumped================> 425983 cu. ft..
Actual. volume planned, to be pumped,--=========> 431423 cu. ft.
Mini. thicknessD olf, soil liner when required==> 1.5 feet
7. DESIGNED BY : Aa � APPROVED BY:
DATE: a �� l DATE:
NOTE: SEE ATTACHED WASTE UTILIZATION PLAN
COMMENTS:

r- NORTHAMPTON COUNTY HEALTH DEPARTMENT
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TELEPHONE PECIFI ATI 5NS
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ITE.LOC
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1TE .ISSIJED _ �f' SANITARIAN
ITE.APPROVED SANITARIAN'

o�E
Tit h4
I- Hp.-. N -S3

REVELLE AGRI PRODUCTS, INC.
P.O. BOY 88
508 WEST BROAD STREET
n
NIURPREES$ORO. NORTH CAROUNA 27855
TELaEPHONE i919i 398.3116
March 17, 1997
Mr. Frank Seymour
Goldsboro Hog
P.O. Box 10009
Goldsboro, NC 27532
RE: Plantation Sow Farm
Dear Mr. Seymour,
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
WAS/dd
Enclosures

MON 09:49 AM MRCS JAC 5 N
UP 919 534 1806 P. 01
NATURAL RESOURCES CONSERVATION SERVICE
United States Department of Agriculture
P.O. Box 219 Jackson, N. C. 21845
Phone: [phone] FAX: [phone]
Date: December 23, 1996
Attention: George Pettus
Goldsboro Milling Co.
P 0 Box 10009
Goldsboro NC 27532
George,
Our technician, Ray Bryant and I did a construction check on
the hog lagoons for the Swamp tract on August 2, 1995.
These met standards and specifications for the designed
amount of hogs. I understand that they have been seeded.
Let me know if when we assist further.
Sincerely,
1
Tony Short
District Conservationist
OPTIONAL FORM 99 (7.90)
FAX TRANSMITTAL roipaq� r
70 Ci •� Al4?t From S
pp��
Fa"0gt177.R^S'k2-[O`x°9r9 s`rtV- ia��

UNITED STATES DEPARTMENT OF AGRICULTURE
Natural Resources Conservation Service
P.O. Box 218 Jackson N.C. 27845
Phone: [phone] Date: May 12, 1995
Bobby Parker
Goldsboro Milling Co.
P O Box 10009
Goldsboro NC 27532
:. 1 6
Enclosed for your records is a signed sheet for the design of the isolation unit lagoon
for the Bennett tract.
Sincerely,
T�
Tony Short
District Conservationist

7M
LAGOON DESIGN CHECK LIST
obtain required permits (026, 401, 404, dam safety, etc.)
Hazard Classification Sheet (NC-ENG-34) --
a. Geodetic map showing lagoon location, distance to nearest
residence, and breach route.
Soil Investigation Sheet (SCS-ENG-538) -
a. Investigation made by Soil Scientist and/or Engineer with
backhoe on Class III or IV lagoons, as well as other
questionable sites. Investigation to be coordinated with
State Engineer's office on Class-V lagoons.
b. Pits 1.0' - 2.0' below designed -bottom of lagoon
C. Seasonal and permanent high water table depths recorded
o 4.- Grid Sheet -
Ei 5.
H
10.
11.
a. Location and dimensions of lagoon and buildings
b. Location and elevation of soil pits
C. Surface water removal (diversions, pipe outlets, etc.)
d. North arrow
e. Bar scale
f. Paydirt program must have a scale of 1"=50' or less
Storage Volumes (prelude spreadsheet)
a. Designed volume exceeds needs
b. All temporary storage stored above seasonal high water table
C. Minimum 6 ft. depth and I cu. ft. per pound of steady state
live weight for treatment volume.
Excavation and Fill Calculations (include building pad fill)
Lagoon Summary Sheet & Typical Cross -Section (area form)
Construction Specifications (area form)
Waste Management Plan (area form)
a. Soil survey sheets showing all fields and suitability of
crops
b. Signatures of producer and person preparing plan
C. Agreement sheet signed by adjoining landowner (if needed)
d.' Include attachment "B" on sampling procedure
Transfer Pump and Sump Design (if needed)
Operation and Maintenance Plan (area form)
Designed by: 40& Date:
Approved by:. Date:

Producer.:
Clearing: All trees and brush shall be removed from the
impoundment area before construction is started. The foundation
of the lagoon shall be .cleared of all trees, stumps, roots,
brush, sod, organic soil, and debris. All stumps and all roots
exceeding 1 inch in diameter shall be removed to a minimum depth
of 1 foot. Satisfactory disposition will be made of all debris.
After clearing is completed the foundation area shall be loosened
thoroughly and roughly leveled, with suitable equipment, before
placement of any embankment material.
Cutoff Trench: A cutoff trench shall be excavated to a minimum
depth of inches under the embankment. The exact depth shall
be determined on site by SCS. The trench side slopes shall be
1:1 or flatter and the width will be a minimum of 6 feet, but
will depend on the equipment being used. The cutoff trench shall
be backfilled with material. The trench shall be
backfilled in 9 inch layers and compacted with a sheepsfoot
roller with a minimum of 4 passes per unit width of fill lift.
If sheepsfoot roller is not used, the trench shall be backfilled
in 4 inch layers and compaction shall be equivalent to or better
than the routing of the hauling and spreading equipment over the
fill in such a manner that every point on the surface of each
layer of fill will be traversed by not less than one tread track
of the loaded equipment traveling in a direction parallel to the
main axis of the fill. All standing water shall be removed from
the trench before backfilling is started.
Existing Tile Drains: When tile drains are encountered, the the
will be dug up and removed. The tile trench shall be backfilled
with a compacted layer of CL or. CH material.
Excavation: Topsoil shall be stocked piled separately for later
use. The bottom of the lagoon shall be excavated as shown on the
plans. Where pervious- material (SP, quartz veins, etc.). is
exposed during excavation, it shall be undercut and backfilled
with a compacted layer of highly plastic (CL, CH) material
approximately one foot in thickness. Scarify and compact the
bottom and, where practicable, the side slopes of the lagoon to
decrease the permeability of the soil in the lagoon.
Embankment Construction: The material placed in the embankment
shall be free of sod, roots, stones over six (6) inches in
diameter, and other objectionable materials.
materials shall be used in the embankment. Pervious material
shall not be used in the embankment. Construction of the
embankment shall be made in layers not to exceed 4 inches in
thickness. Compaction shall be equivalent to or better than the
routing of the hauling and' spreading equipment over the fill in
such a manner that every point on the surface of each layer of
fill will be traversed by not less than one tread track of the
01

loaded equipment traveling in a direction parallel to the main
axis of the fill. If pans are not used, construction of the
embankment shall be made in layers not to exceed 9 inches- in
thickness and compacted with a sheepsfoot roller with a minimum
of 4 passes per unit width of fill lift. At any time the
embankment surface becomes "slickened" such that the succeeding
layer will not bond to the previous layer, scarify the previous
layer sufficiently to assure bonding of the surfaces before
continuing with the'fill operation. Construction of the fill
shall be undertaken only at such times that the moisture content
of the fill material will permit a reasonable degree of
compaction. Construction of the embankment shall allow an
additional % for settlement. Stock piled topsoil shall be
spread over top of embankment and outside side slopes for the
establishment of vegetation.
Pollution Control During. Construction: Stripping of embankment
and borrow areas shall be done as they are needed in a normal
sequence of construction. Use temporary mulch protection on all
disturbed areas that are subject to .erosion and will not have
substantial additional work performed for 30 days.
Vegetation: Vegetation shall be established on the slopes,
embankment top and all other disturbed areas, except the area
that will be inundated, as specified in the plans as soon as
possible after construction. Necessary steps shall be taken to
ensure that a good stand of vegetation is established in a
reasonable amount of time.
Seeding rates are:
lb.
lb.�
lb.
lb. 10-10-10
tons lime
tons wheat straw
Permanent Stake: A permanent stake-(CCA salt treated 411x4" post
or 1 inch diameter PVC pipe with tee) marked to indicate pumping
level elevations, shall be placed in the inside slope at one end
of the lagoon.
2

LAGOON SUMMARY SHEET & 'TYPICAL CROSS-SECTION
SINGLE STAGE LAGOON
Top Width
Settled To L'
p of Dam: Construct Top of gar
Scope
Natural Ground Elev.
Cut-off Trench
Width depends on equipment
Bent
Support
Fill Yardage: ir s _
Slope
Depth determined by
SCS on site
Start land application Stop land application
elev. yob, 3 elev.�{•o
Temporary Storage Volume ---cu. ft. `
Treatment Volume
cu. ft.
3: r -Top-of-sludge-elev_-- 4- —�--
Sludge Volume
Bottom elev. 3�
Lagoon size (inside top):
Slope
.3:f
Length l6Q• igi.dth 13o' Cu., Yds. Excay. 3`J(-0y
Bench Mark Description:yP oJ. f� ti 4+03
Elevation
General Information
Engineering Job Class:
Hazard Class:
Animal Type:
Type Operation:
Number, of. Animals: _�1�e"d o z-?ois c
NOTE: If construction is not started
within one year, this plan is not valid
until a re --evaluation of the design and
flood plain safety hazards are made.
9
Lagoon' for Animal Waste
Farm
Count -
State
U. S. Department of Agriculture
Soil Conservation Service
Designed by: -
Approved by:
Title:
Date:

Operator:Swamp Isolation County: Northampton Date: 04/18/95
Distance to nearest residence (other than owner): 0.0 feet
1. AVERAGE LIVE WEIGHT (ALW)
0
sows (farrow to finish)
x
1417
lbs. =
0
lbs
0
sows (farrow to feeder)
x
522
lbs. =
0
lbs
0
head (finishing only)
x
135
lbs. =
0
lbs
0
sows (farrow to wean)
x
433
lbs. --
0
lbs
0
head (wean to feeder)
x
30
lbs. --
0
lbs
Describe other
43200
Total
Average Live Weight =
43200
lbs
2. MINIMUM -REQUIRED TREATMENT VOLUME
OF
LAGOON
Volume = 43200 lbs. ALW x
Treatment Volume(CF)/lb. ALW
Treatment Volume(CF)/lb. ALW
=
1 CF/lb. ALW
Volume = 43200 cubic feet
3. STORAGE VOLUME FOR SLUDGE ACCUMULATION
Volume = 0.0 cubic feet
4. TOTAL DESIGNED VOLUME
Inside top length (feet)--------------------- 130.0
Inside top width (feet)---------------------- 160.0
Top of dike elevation (feet)------------------ 48.5
Bottom of lagoon elevation (feet)------------ 38.0
Freeboard (feet)------------------------------ 1.0
Side slopes (inside lagoon)------------------ 3.0 : 1
Total design volume using prismoidal formula
SS/END1 SS/END2 SS/SIDEI SS/SIDE2 LENGTH WIDTH DEPTH
3.0 3.0 3.0 3.0 124.0 154.0 9.5
AREA OF TOP
LENGTH * WIDTH =
124.0 154.0
AREA OF BOTTOM
LENGTH * WIDTH =
67.0 97.0
19696 (AREA OF TOP)
6499 (AREA OF BOTTOM)
AREA OF MIDSECTION
LENGTH * WIDTH * 4
95.5 125.5 47941 (AREA OF MIDSECTION *.4)
CU. FT. = (AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM] DEPTH/(
19096.0 47941.0 6499.0 1.
Total Designed Volume Available = 116432 CU. FT.

5. TEMPORARY STORAGE REQUIRED
DRAINAGE AREA:
Lagoon (top of dike)
Length * Width =
130.0 160.0 20800.0 square feet
Buildings (roof and lot water)
0.0 square feet Describe this atba.
TOTAL DA 20800.0 square feet
Design temporary storage period to be 180 days.
5A. Volume of waste produced
Feces & urine production in gal./day per 135 lb. ALW 1.37
Volume = 43200 lbs. ALW/135 lbs. ALW * 1.37 gal/day 180 days
Volume = 78912 gals. or 10549.7 cubic feet
5B. Volume of wash water
This is the amount of fresh water used for washing floors or volume
of freshwater used for a flush system. Flush systems that recirculat
the lagoon water are accounted for in 5A.
Volume = 0.0 gallons/day * 180 days storage/7.48 gallonti
per CF
Volume = 0.0 cubic feet
5C. Volume of rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation by largest amount
180 days excess rainfall -- 13.6 inches
Volume = 13.6 in * DA / 12 inches per foot
Volume = 23573.3 cubic feet

5D. Volume of 25 year - 24 hour storm
Volume = 6.7 inches / 12 inches per foot * DA
Volume = 11613.3 cubic feet
TOTAL REQUIRED TEMPORARY. STORAGE
5A.
10550
cubic
feet
5B.
0
cubic
feet
5C.
23573
cubic
feet
5D.
11613
cubic
feet
TOTAL 45736 cubic feet
6. SUMMARY
Temporary storage period====================>
180
days
Rainfall in excess of evaporation===========>
13.6
inches
25 year - 24 hour rainfall==================>
6.7
inches
Freeboard===================================>
1.0
feet
Side slopes=====---=====W==-==______________>
3.0
: 1
Inside top length===========================>
130.0
feet
Inside top width============================>
160.0
feet
Top of dike elevation=======================>
48.5
feet
Bottom of lagoon elevation==================>
36.0
feet
Total required volume=======================>
88936
cu. ft.
Actual design volume========================>
116432
cu. ft.
Seasonal high watertable elevation (SHWT)===>
44.0
feet
Stop pumping
44.0
feet
Must be > or = to the SHWT elev.==========>
44.0
feet
Must be > or = to min. req. treatment el.=>
44.0
feet
Required minimum treatment volume===========>
43200
cu. ft.
Volume at stop pumping elevation============>
59298
cu. ft.
Start pumping
46.3
feet
Must be at bottom of freeboard & 25 yr. rainfall
Actual volume less 25 yr.- 24 hr. rainfall==>
104819
cu. ft.
Volume at start pumping elevation===========>
94697
cu. ft.
Required volume to be pumped=====,===========>
34123
cu. ft.
Actual volume planned to be pumped==========>
35399
cu. ft.
Min. thickness of soil liner when required==>
1.5
feet
7. DESIGNED BY: LbA -G j�G APPROVED BY: FA-6--�
DATE: (f ` (i -9 DATE:
NOTE: SEE ATTACHED WASTE UTILIZATION PLAN
COMMENTS:

SHEET I OF 2
SPECIFICATIONS FOR CONSTRUCTION OF WASTE TREATMENT LAGOONS
----------------------------------------------------------
FOUNDATION PREPARATION:
-----------------------
The foundation area of the lagoon embankment and building pad shall be
cleared of trees, logs, stumps, roots, brush, boulders,sod and rubbish.
Satisfactory disposition will be made of all debris. The topsoil from
the lagoon and pad area should be stripped and stockpiled for use on
the dike and pad areas. After stripping, the foundation area of the
lagoon embankment and building pad shall be thoroughly loosened prior
to placing the first lift of fill material to get a good bond.
EXCAVATION AND EARTHFILL PLACEMENT:
-----------------------------------
The completed excavation and earthfill shall conform to the lines,
grades, and elevations shown on the plans. Earthfill material shall
be free of material such as sod, roots, frozen soil, stones over
6 inches in diameter, and other objectionable material. To the extent
they are suitable, excavated materials can be used as fill. The fill
shall be brought up in approximately horizontal layers not to exceed 9
inches in thickness when loose and prior to compaction. Each layer
will be compacted by complete coverage with the hauling and spreading
equipment or standard tamping roller.or other equivalent method.
Compaction will be considered adequate when fill material is observed
to consolidate to the point that settlement is not readily detectible.
NOTE THE SPECIAL REQUIREMENTS FOR PLACEMENT OF LINERS IN THE LINER
SECTION OF THIS SPECIFICATION. The embankment of the lagoon shall be
installed using the more impervious materials from the required
excavations. Construction of fill heights shall include 5 percent for
settlement. Dikes over 15 feet in height and with an impoundment
capacity of 10 acre-feet or more fall under the jurisdiction of the NC
Dam Safety Law. The height is defined as the difference in elevation
from the constructed height to the downstream toe of the dike.
Precautions shall be taken during construction to prevent excessive
erosion and sedimentation.
LINER: THE MINIMUM REQUIRED THICKNESS SHALL BE 1.5 ft.
NOTE: LINERS (PARTIAL OR FULL) ARE REQUIRED WHEN THE ATTACHED SOILS
INVESTIGATION REPORT SO INDICATES OR WHEN UNSUITABLE MATERIAL IS
ENCOUNTERED DURING CONSTRUCTION. A TYPICAL CROSS SECTION OF THE LINER
IS INCLUDED IN THE DESIGN WHEN LINERS ARE REQUIRED BY THE SOILS REPORT.
When areas of unsuitable material are encountered, they will be over -
excavated below finish grade to the specified depth as measured
perpendicular to the finish grade. The foundation shall be backfi'lled
as specified to grade with a SCS approved material (ie -- CL,SC,CH).
REFER TO THE SOILS INVESTIGATION INFORMATION IN THE PLANS FOR SPECIAL
CONSIDERATIONS.

SHEET 2 OF 2
Soil liner material shall come from an approved borrow area. The
minimum water content of the liner material shall be optimum moisture
content which relates to that moisture content when the soil is kneaded
in the hand it will form a ball which does not readily separate. Water
shall be added to borrow as necessary to insure proper moisture content
during placement of the liner. The moisture content of the liner
material shall not be less than optimum water content during placement.
The maximum water content relates to the soil material, being too wet
for efficient use of hauling equipment and proper compaction. Proper
compaction of the liner includes placement in 9 inch lifts and
compacted to at least 90 percent of the maximum ASTM D698 Dry Unit
Weight of the liner material. When smooth or hard, the previous lift
shall be scarified and'moistened as needed before placement of the next
lift.
The single most important factor affecting the overall compacted perme-
ability.of a clay liner, other than the type of clay used for the
liner, is the efficient construction processing of the compacted liner.
The sequence of equipment use and the routing of equipment in an estab-
lished pattern helps assure uniformity in the whole placement and
compaction process. For most clay soils, a tamping or sheepsfoot
roller is the preferable type of compaction equipment.
The soil liner shall be protected from the discharge of waste outlet
pipes. This can be done by using some type of energy dissipator(rocks)
or using flexible outlets on waste pipes.
Alternatives to soil liners are synthetic liners and bentonite sealant.
When these are specified, additional construction specifications are
included with this Construction Specification.
CUTOFF TRENCH:
--------------
A cutoff trench shall be constructed under the embankment area when
shown on a typical cross section in the plans. The final depth of the
cutoff trench shall be determined by observation of the foundation
materials.
VEGETATION:
All exposed embankment and other bare constructed areas shall be seeded
to the planned type of vegetation as ,soon as possible after construc-
tion according to the seeding specifications. Topsoil should be placed
on areas of the dike and pad to be seeded. Temporary seeding or mulch
shall be used if the recommended permanent vegetation is out of season
dates for seeding. Permanent vegetation should be established as soon
as possible during the next period of approved seeding dates.
REMOVAL OF EXISTING TILE DRAINS
-------------------------------
When tile drains are encountered, the tile will be removed to a minimum
of 10 feet beyond the outside toe of slope of the dike. The the
trench shall be backfilled and compacted with good material such as
SC, CL, or CH.

SEEDING SPECIFICATIONS
----------------------
AREA TO BE SEEDED: 0.6 ACRES
USE THE SEED MIXTURE INDICATED AS FOLLOWS:
36.0 LBS. FESCUE GRASS AT 60 LBS./ACRE
(BEST SUITED ON CLAYEY OR WET SOIL CONDITIONS)
SEEDING DATES: SEPTEMBER 1 TO NOVEMBER 30
FEBRUARY 1 TO MARCH 30
0.0 LBS. RYE GRAIN AT 30 LBS./ACRE (NURSERY FOR FESCUE)
0.0 LBS. 'PENSACOLA' BAHIA GRASS AT 60 LBS./ACRE
(SEE FOOTNOTE NO. 1)
SEEDING DATES: MARCH 15 TO JUNE 15
0.0 LBS. HULLED COMMON BERMUDA GRASS AT 8 LBS./ACRE
(SUITED FOR MOST SOIL CONDITIONS)
SEEDING DATES: APRIL 1 TO JULY 31
0.0 LBS. UNHULLED COMMON BERMUDA GRASS AT.10 LBS./ACRE
SEEDING DATES: JANUA.RY'1 TO MARCH 30
24.0 LBS. RYE GRASS AT 40 LBS./ACRE (TEMPORARY VEGETATION)
SEEDING DATES: DECEMBER 1 TO MARCH 30
LBS.
APPLY THE FOLLOWING:
600.0 LBS. OF 10-10-10 FERTILIZER (1000 LBS./ACRE)
1.2 TONS OF DOLOMITIC LIME (2 TONS/ACRE)
60.0 BALES OF SMALL GRAIN STRAW (100 BALES/ACRE)
ALL SURFACE DRAINS SHOULD BE INSTALLED PRIOR TO SEEDING. SHAPE
ALL DISTURBED AREA IMMEDIATELY AFTER EARTH MOVING IS COMPLETED.
APPLY LIME AND FERTILIZER THEN DISK TO PREPARE A 3 TO 4 INCH
SMOOTH SEEDBED. APPLY SEED AND FIRM SEEDBED WITH A CULTIPACKER
OR SIMILAR EQUIPMENT. APPLY MULCH AND SECURE WITH A MULCH
ANCHORING TOOL OR NETTING.
1. PENSACOLA BAHIAGRASS IS SLOWER TO ESTABLISH THAN COMMON
BERMUDA GRASS. WHEN USING BAHIA, IT IS RECOMMENDED THAT 8
LBS./ACRE OF COMMON BERMUDA BE INCLUDED TO PROVIDE COVER
UNTIL BAHIAGRASS IS ESTABLISHED.
0

SHEET 1 OF 2
OPERATION AND MAINTENANCE PLAN
------------------------------
This lagoon is designed for waste treatment (permanent storage) and
160 days of temporary storage. The time required for the planned
fluid level (permanent and temporary storage) to be reached may vary
due to site conditions, weather, flushing operations, and the amount
of fresh water added to the system.
The designed temporary storage consists of 180 days storage for:
(1) waste from animals and (2) excess rainfall after evaporation. Also
included is storage for the 25 year - 24 hour storm for the location.
The volume of waste generated from a given number of animals will be
fairly constant throughout the year and from year to year, but excess
rainfall will vary from year to year. The 25 year rainfall will not
be a factor to consider in an annual pumping cycle, but this storage
volume must always be available.
A maximum elevation is determined in each design to begin
pumping and this is usually the outlet invert of pipe(s) from
building(s). If the outlet pipe is not installed at the elevation to
begin pumping, a permanent marker must be installed at this elevation
to indicate when pumping should begin. An elevation must be established
to stop pumping to maintain lagoon treatment depth.
Pumping can be started or stopped at any time between these two
elevations for operating convenience as site conditions permit, such as
weather, soils, crop, and equipment in order to apply waste without
runoff or leaching.
Land application of waste water is recognized as an acceptable
method of disposal. Methods of application include solid set,
center pivot, guns, and traveling gun irrigation. Care should be
taken when applying waste to prevent damage to crops.
The following items are to be carried out:
1. it is strongly recommended that the treatment lagoon be pre -
charged to 1/2 its capacity to prevent excessive odors during
start-up. Pre -charging reduces the concentration of the initial
waste entering the lagoon thereby reducing odors. Solids should be
covered with effluent at all times. When precharging is complete,
flush buildings with recycled lagoon liquid. Fresh water should not
be used for flushing after initial filling.
2. The attached waste utilization plan shall be followed. This
plan recommends sampling and testing of waste (see attachment)
before land application.
3.. Begin temporary storage pump -out of the lagoon when fluid level
reaches the elevation 46.3 as marked by permanent marker. Stop pump -
out when the fluid level reaches elevation 44.0 . This temporary
storage, less 25 yr- 24 hr storm, contains 34123 cubic feet or
255241 gallons.

0
SHEET 2 OF 2
4. The recommended maximum amount to apply per irrigation is
one (1) inch and the recommended maximum application rate is 0.3
inch per hour. Refer to the waste utilization plan for further details.
5. Keep vegetation on the embankment and areas adjacent to the
lagoon mowed annually. Vegetation should be fertilized as needed
to maintain a vigorous stand.
6. Repair any eroded areas or areas damaged by rodents and
establish in vegetation.
7. All surface runoff is to be diverted from the lagoon to stable
outlets.
8. Keep a minimum of 25 feet of grass vegetated buffer around
waste utilization fields adjacent to perennial streams. Waste will
not be. -applied in open ditches. Do not pump within 200 feet of a
residence or within 100 feet of a well. Waste shall be applied in a
manner not to reach other property and public right--of-ways.
9: 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 Environ-
mental Management, has the responsibility for enforcing this law.
I

SCS-ING-53i U. S. DEPARTMENT OF AGRICULTURE
R.. 5.70 SOIL CONSERVATION SERVICE
SOIL INVESTIGATION TO DETERMINE SUITABILITY OF PROPOSED POND SITE
CnS o na.1
use sea.�� f
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o�otrrr •fir oA f
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WATERSHED AREA MEASUREMENTS
.• .. ,
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jug
SKETCH OF PROPOSED POND SHOWING WHERE BORINCS WERE MAME (Approx. "e 111 --feet)
Locate referenct point %m center line of dom and ld-neifv an jWcA.
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TYPES OF MATERIAL ENCOUNTERED
- (Use one of systems
IN BORINUS
below). ..
UNIFIED. CLASSIFICATION
GW-Well graded gravels; gravel, ssnd mix
GP -Poorly graded gravels
GM-Silty gravels; gravel -sand -silt mix
GC -Clayey gravels; gravel -sand -clay mix
..SW -Well graded sands;,sand-gravel'mix
-SP-Poorly graded sands. .
SM-Silty sand
SC -Clayey sands; sand -clay mixtures
ML-Silts; silty, v. fine sands; sandy or clayey silt
USDA CLASSIFICATION ,
g- gravvel . ,
snsand �
vfs-very fine sand
sItsandy loam
fsh-fine sandy loam
1- am
gl- ravelly loam
Si- ilt '
sit' silt loam
.CL-Clays of low to medium plasticity
*CH-Inotganic clays of high plasticity
MH-Elastic silts
OL-Organic silts, and silty clays, low plasticity
.OH -Organic clays, medium•to high plasticity
cl- 18y loam ;
slclrsilty clay loam
scl-sandy clay loam
sic -silty clay
c-clay . .
7-.1.. Suitable• materisf for emban3®ant is available ea , O Nq. drdPcaie wAetr lo�ar.a on fhs i�efCh On -
RENURKS:
:64-r;P �� d �' SiYJ G,e PlctcrmPir� .d -
�i•rr�a�r/mac
2. Explain ba—rds requiring special attention in design tS- aoG., rp.tna-.rick •f6/
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24
25
26
27
28
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32
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49
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WASTE MANAGEMENT PLAN FOR SWINE OPERATION
Producer: Goldsboro Milling Co.
Location: Off SR 1100, 2 miles south of NC.561
Address: P O Box 10009, Goldsboro NC 27532
Telephone: [phone]
Type Operation: Farrow to weanling
Number of Animal Units: 2 sites with 2000 sows and a 160 sow isloation
unit
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 should be analyzed
before each application cycle and annual soil tests are encouraged so
that all plant nutrients can be balanced for realistic yields of the
crops to be grown. I
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner. Always
apply waste based on the needs of the crop to be grown and the
nutrient content of the waste. Do not apply more nitrogen than the
crop can utilize. Soil types are important as they have different
infiltration rates and leaching potential. Waste shall not be applied
to land eroding at greater than 5 tons per acre per year. Do not
apply waste on saturated soils or on land when the surface is frozen.
Either of these conditions may result in runoff to surface waters.
Wind conditions should also be considered to avoid drift and downwind
odor problems. To maximize the value of nutrients for crop production
and to reduce the potential for pollution, the waste should be applied
to a growing crop or not more than 30 days prior to planting.
Injecting the waste or disking will conserve nutrients and reduce odor
problems.
The acres needed to apply the animal waste is based on typical
nutrient content for this type of facility. Acreage requirements may-
be more or less based on the waste analysis report from your waste
management facility. '
Amount of Nitrogen produced per year
4000 animal units X 5.4 lbs N/animal unit/year
21,600 lbs. N/year
160 X 5.4 lbs N/animal unit/year = 864 (Isolation unit)
Total = 22,464 lbs N/yr

.tou 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 grown and surface application:
Table 1.: ACRES OWNED BY PRODUCER
Tract Field Soil Crop Real. Lbs. N Acres Lobs. N Month of
# Type Yield Per Ac Utilized Application
`�
Rye seP�
S�
Cv%�
G e e+
33 3
1797
r�
Cyr
w ryc
f r.
33 3
,r
y . g
33-
G 4-
Z4
-7
G
_
C r A
Crazed�ccE
3, L
/ 6 D
f
3.Od Q
11
C Q
��
3.z
0
Zo
,�oa
rr
2-8er
%r
G
3.
aSg'
/4�
B ap / - f m r r,
R o-
t z
Cv
"
5'. V
a� 3
14-
a
�i
1
oc4 - Dec
44a
LL
Aescae
.9
r
Total Tables1'117 r
Amount of N Produced �� 4
Surplus or fi -
0f1
7`z� r" �r�.r•/�;) C7�� �• %�L�� r �r�r /.-� �!' r7�r?".�E'�%ip, �iu snt.•�` � J .
�eb-/y"dA
1.6-% arA

Your facility is designed for 180 days of temporary storage and needs
to have the temporary storage removed every 6 months.
if you.have questions, you may call the Natural Resources Conservation
Service or Soil and Water Conservation Distract office after you
receive the waste analysis report to obtain the amount per acre to
apply and the application rate prior to applying the waste.
Narrative of 0
Most of this operation is set for fescue grazing. Field 11 is planned '
for bermudagrass. Areas of the farm that are flat or that pond water
should be graded to remove standing water. Most of the farm has had
waterways and field borders installed, but there are some areas that
that additional drainage work.
WASTE MANAGEMENT_PLAN AGREEMENT
i agree to carry out this waste management plan according to the terms
of the agreement.
Producer:
System Designer:
Date:
Date: C/S 9S�
SWCD Representative: Date:
Design Approval: Date:
I
3 a6/-gam --

7- 7
19/7
4Jh
"sit
SAM

SiteBalanceReport-
Grid cell. size: 2.03 by 2.04
Original drawing scale: 50.00 ft/in
Project: Swamp Isolation
Drawing: Farm 1
Number:
Location:
Bid -Date:
Engineer:
Owner:
Estimator:
Prepared by: GOLDSBORO HOG FARM using SITEWORK
Date: 04/16/95 Time: 16:25:01
Final surface: Proposed
Initial surface: Existing
There are no "Proposed" structures.
Fill shrink/swell percent: 25.00 Cut shrink/swell percent: 0.00
Balancing to 0.0 t/- 10.0 cubic yards
delta
Cut
Fill
Cut -- Fill
0.000
3764.27
3699.65
64.62
0.032
3744.42
3755.92
-11.50
0.027
3747.41
3747.44
-0.03
Raise "Proposed" by 0.027 feet.

.00
5.00
Report., Klan View Cross-section Locations
Project: Swamp Isolation
Drawing: Farm 1
Surface: Proposed
Prepared by: GOLDSBORO HOG FARM using SITEWORK
Date: 04/18/95 Time: 16:35:27
Scale: 40 ft�in

Cross -Section Plots
Digitized Points
ProJect: ' Swamp Isolation
Drawing: Farm I
Did Date:
Prepared by: GOLDSBORO HOG FARM using SITEWORK
Date. 04/18/95 Time: 16:38:36
A - A"
..-----.—^.^--.^�'— ^. -��'_.. ... ..—..^—_---
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ExisIting
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------- -----------------------210.8
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/ _______________~_____~__ -~'_-_-- --------
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..................................... --''`^—'-------''—'----'' ^--' ------ --------^---'
�
Existing �
.......... ......... ...... ....... .......... ........................... ............. .......... —''^—'' '-----~^—''^^--'~—' ~—~~~~----`--''
\ /
~~ . -------------------------------------

Orientation: —45.0 2 Magnification: 8.8 Inclination: 20.0
' tiltiti{ti11I�1
111111111111111`lti5SSti131S
.. j1115515S15S15t511111111111111ti1555S555S�
.. 55555111111111 I1S5515111ti 11111 515ti5155ti5
+ 111111111 51111111
� � ,111155515ti1155 IU1111111111Sti511155Sti11 '•-
• iti�1S5ti55Si lllli11155ti 55155ti51 / ,.+��� '
1 5 ,
11 5 u 5
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50.
48,
46.
44.
42.
40.
38.
36.
Lower Left A' 3D Mesh Surface
31) Mesh Surface
Proposed
Project: Swamp Isolation
Drawing: Farm 1
Number•
Location:
Hid Date:
Engineer:
Owner:
Estimator:
Prepared by: GOLDSBORO HOG FARM using SITEWORK

Total Volumes by Project
(combined volumes for each drawing)
Project: Swamp Isolation
Drawing: Farm 1
Number:
Location:
Bid Date:
Engineer:
Owner:.
Estimator:
Prepared by: GOLDSBORO HOG FARM using SITEWORK
Date: 04/18/95 Time: 16:26:13
Drawing: Farm 1
Grid cell size: 2.03 by 2.04 Original drawing scale: 50.00 ft/in
Expanded Expanded
CUT FILL I CUT I FILL
Proposedd I 3764.271 2959.721- 3764.271 ( 3699.6)
Existing( 0,00$ 25.00%
-- --- -- -- - --- - - -~ Net: 1 804.55�� 64.62�
Project: Swamp Isolation
Expanded Expanded
CUT FILL I CUT I FILL
Project Totals: 3764.271 2959.721 3764.271- 3699.6f
Average Shrink/Swell Percent I ( 0.00%) ( 25.00%)
--------------------------------------------------------------------------------
Project Net: I 804.551 1 64.621

If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal); nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current MRCS standards are met prior to restocking
of the facility.
Per 15A NCAC 2H .0225(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100 foot separation
shall be maintained between water supply wells and any lagoon or any wetted area of a spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C, the Clean Water Act and 40 CFR 122.41 including civil penalties, criminal
penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual NPDES Permit by contacting the staff member listed below for information on
this process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Water
Quality Staff may be reached at [phone]. If you need additional information concerning this COC
or the -General Permit,. please contact Michelle Barnett at [phone] ext. 544.
Sincerely,
v
for Alan W. Klimek, P.E.
Enclosures (General Permit NCA200000, Record Keeping and Reporting Pack;
cc: (Certificate of Coverage only for all cc's)
Northampton County Health Department
Raleigh Regional Office, Water Quality Section
Northampton County Soil and Water Conservation District
Permit File NCA266094
Permit File AWS660084
NDPU Files

W A
Maxwell Foods Inc
Plantation Sow Farm
PO Box 10009
Goldsboro NC 27532
Dear Maxwell Foods Inc:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural'Resources
Alan W. Klimek, P. E., Director
Division of Water Quality
April 9, 2003
Subject: Certificate of Coverage No. NCA266084
Plantation Sow Farm
Swine Waste Collection, Treatment,
Storage and Application System
Northampton County
On March 14, 2003, the North Carolina Division of Water Quality (Division) issued an NPDES General
Permit for swine facilities. The General Permit was issued to enable swine facilities in North Carolina to
obtain coverage under a single permit that addresses both State and Federal requirements.
In accordance with your application received on February 20, 2003, we are hereby forwarding to you this
Certificate of Coverage (COC) issued to Maxwell Foods Inc, authorizing the operation of the subject
animal waste collection, treatment, storage and land application system in accordance with NPDES
General Permit NCA200000. The issuance of this COC supercedes and terminates your COC Number
AWS660084 to operate under State Non -Discharge Permit AWG100000.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the Plantation Sow Farm, located in Northampton County, with an animal capacity
of no greater than an annual average of 4000 Farrow to Wean, 160 Gilts swine and the application to
land as specified in the- facility's- Certified Animal Waste Management Plan (CAWMP). If this is a
Farrow to Wean or Farrow to Feeder operation, there may also be one boar for each 15 sows. Where
boars are unneccessary, they may be replaced by an equivalent number of sows. Any of the sows may be
replaced by gilts at a rate of 4 gilts for every 3 sows
The COC shall be effective from the date of issuance until July 1, 2007. Pursuant to this COC, you are
authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any"increase in waste production greater than the certified design capacity or increase in number
of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and rust be completed prior to actual increase in either wastewater flow or number of animals.
Please carefully read this COC and the enclosed General Permit. Since this is a new joint State and
Federal general permit it contains many new requirements in addition to most of the conditions contained
in the current State general permit. Enclosed for your convenience is, a package containing the new and
revised forms used for record keeping and reporting. Please pay careful attention to the record keeping
and monitoring conditions in this permit. The Devices to Automatically Stop Irrigation Events_ Form
must be returned to the Division of Water Qualily no later than 120 days following 'recei t of the
Certificate of Coveram. The Animal Facility Annual Certification Form must be completed and returned
to the Division of Water Quality by no later than March_lst of each year.
Non -Discharge Permitting knit Internet httpJ/h2o.enr.state,nc.us/ndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper

WASTE UTILIZATION PLAN
Goldsboro Hog Farms, Inc.
Wednesday, September 09, 1998
Producer: Maxwell Foods
Farm Name: Plantation sow Farm
P.O. Sox 10009
Goldsboro,NC 27530
Telephone # : [phone]
Type of Operation : Farrow to Weanling Swine .
Number of Animals : 4160 sows design capacity
Application Method: lrrigation
The waste from your animal facility must be land applied at a specified rate to prevent
pollution of surface and/or groundwater. The plant'nutrients in the animal waste should be
used to reduce the amount of commercial fertilizer required for the crops in the fields where
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
contents 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 avaialable water holding capacities. Normally waste shall not be applied to
land.eroding at greater than 5 tons per acre per year. With special pre -cautions, -waste may
be applied to land eroding at -up to 10 tons per acre per year. Do not apply waste on
saturated soils, when it is raining, or when the surface is frozen. Either of these conditions
may result in runoff to surface waters which is not allowed under DEM regulations. Wind
conditions should also be considered to avoid drift and downwind odor problems. To
maximize the value of the 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. This plan is based on waste application through irrigation for this is
the manner in which you have chosen to apply your waste. If you choose to inject the waste
in the future, you need to revise this plan. Nutrient levels for injecting waste and irrigating
waste are not the same.
The estimated acres needed to apply the animal waste is based on typical nutrient content
for this type of facility. Acreage requirements should be based on the waste analysis report
from your waste management facility. Attached you will find information on proper sampling
techniques, preparation, and transfer of waste samples to the lab for ananlysis. This waste
utilization plan, if carried out, meets the requirements for compliance with 15A NCAC
2H.0217 adopted by the Environmental Management Commission,

AMOUNT Of WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
4160 sows X 6.1 tons wastelsowslyear = 25376 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
4160 sows X 5.4 lbs PANlsowslyear = 22464 PAiWyear
Applying the above amount of waste is a big job. You should plan time and have
appropriate equipment to apply the waste in a timely manner.
The following acreage will be needed for waste application based on the crop to be grown,
soil type and suface application.
TABLE I : ACRES OWNED BY PRODUCER
TRACT FIELD SOIL TYPE &CLASS- CROP YIELD LBS AW COMM ACRES LBS AW APPLJC.
DETERMINING PHASE CODE NIACRE WACRE USED TIME
29M
11A
LENOIR NONE,RARE
3.8
1
0
5.8
1119.1
UG WUL 31
2958
11B
CRAVEN 1-6%
3.2
1
0
1.
195.2
UG I-JUL 31
2958
118
LENOIR NONEAARE
JFC
3.8
1
2.
463.6
1-JUL 312958
11B
CAROLINE 0-2% FSL, SL, L, St
3.2
1
2.44
390A
UG 1-JUL 31
2958
11C
CRAVEN 1-6%
3.2
1
6.1
976
UG 1-JUL 31
2958
1113
CAROLINE 0-2% FSL, SL, L, SI
FC
3.2
160
0
6.1
976
UG 1-JUL 31
2958
11E
CAROLINE 0-2% FSL, SL, L, SI
FC
3.2
160
0
5.51
881.6
kLUG WUL 31
2958
11F 'CRAVEN
1-6%
FC
3.2
160
0
3.6
590.4
kUG 1-JUL 31
2958
12A
CRAVEN 1.6%
8C
4.8
240
0
6.51
1562.4
MAR-SEP
2958
- 12A
CRAVEN 1-6%
SG
1
75
0
5.511
488.25
SEP-MAR
2958
12B
CRAVEN 1-6%
BC
4.8
240
0
5.23
1256.2
MARSEP
2958
-- 129
CRAVEN 1.6%
SG
1
75
0
5.23
392.25
SEP-MAR
2958
12C
BETHERA DRAINED
BC
3.4
170
0
0.44
74.8
MAR-SEP
2958
- 12C
BETHERA DRAINED
SG
1
75
0
0.44
33
SEP-MAR
2958
12C
LENOIR NONE;RARE
BC
4.5
225
0
1.32
297
MAR-SEP
2958
- 12C
LENOIR NONEAARE
SG
1
75
0
1.32
99
SEP-MAR
2958
12C
CRAVEN 1-6%
BC
4.8
240
0
2.65
636
MAR-SEP
2958
- 12C
CRAVEN 1-6%
SG
1
75
0
2.65
198.7
SEP-MAR
2958
12D
BETHERA DRAINED
BC
3.4
170
0
0.99
168.3
MAR-SEP
2958
- 12D
BETHERA DRAINED
SG
1
75
0
0.99
74.25
SEP-MAR
2958
12D
LENOIR NONE,RARE
BC
4.5
225
0
3.97
893.25
MAR-SEP
2958
-- 12D
LENOIR NONE,RARE
SG
1
75
0
3.9
297.75
SEP-MAR
2958
12E
BETHERA DRAINED
BC
3.4
170
0
1.11
188.7
MAR-SEP
2958
- 12E
BETHERA DRAINED
SG
1
75
0
1.11
83.25
SEP-MAR
2958
12E
CRAVEN 1-6%
BC
4.8
240
0
2.2
528
MARSEP
2958
- 12E
CRAVEN 1-6%
SG
1
75
0
2.2
1651
SEP-MAR
2958
112E
CAROLINE 0-2% FSL, SL, L, SI
BC
5.1
255
0
2.2
561
MARSEP
2958
- 12E
CAROLINE G-2% FSL, SL, L, SI
SG
1
75
0
2.2
165
SEP-MAR
2958
12F
CAROLINE 0-2% FSL, SL, I, SI
BC
5.11
255
0
5.51
1405.05
MARSEP
2958
- 12F
CAROLINE 0.2% FSL, SL, L, SI
SG
11
75
0
5.51
413.2
SEP-MAR
2958
12G
CRAVEN 1-6%
SC
4.8
240
3.9
MARSEP
2958
- 12G
CRAVEN 1-69/6
SG
1
75
0
3.9
292.5
SEP-MAR
2958
3A
CRAVEN 1-6%
BC
4.8
240
0
3.68
883.2
MARSEP
2958
- 3A
CRAVEN 1.6%
SG
1
75
0
3.68
276
SEP-MAR
2958
5A
CRAVEN 1-6%
BC
4.8
240
0
3.72
892.8
MAR-SEP
2958
5A
CRAVEN 1-6%
SG
1
75
01
3.72
279
SEP-MAR
2958
5B
CRAVEN 1-6%
BC
4.8
240
0
2.48
595.2
MAR-SEP
2958
- 56
CRAVEN 1-6%
SG
1
75
0
2.48
186
SEP-MAR
2958
5C
CRAVEN 1-6%
BC
4.8
240
0
1.55
372
MAR-SEP
2958
- 5C
CRAVEN 1-6%
SG
1
75
0
1.55
116.25
SEP•MAR
2958
6A
CRAVEN 1.6%
BC
4,6
240
01
3.72
892.8
MAR-SEP
Page 2

2959
-- 6A
CRAVEN "%
SG
1
75
0
3.72
27
SEP-MAR
2958
6B
CRAVEN 1-6%
BC
4.8
240
0
3.31
794.4
MAR-SEP
295E
- 6B
CRAVEN 1-6%
SG
1
75
0
3.31
248.25
SEP-MAR
2958
OC
CRAVEN 1-6%
BC
4.8
240
0
2.34
561.
MARSEP
2958
•- 6C
CRAVEN 1-6%
so
1
75
0
2.34
175.
SEP-MAR
2958
7A
LENOIR NONE,RARE
BC
4.5
22
4-63
1041.7
MAR-SEP
2958
- 7A
LENOIR NONE,RARE
SG
1
75
C
4,631
347.2
SEP-MAR
2958
7B
CRAVEN 1-6%
BC
4.8
240
4.9q
1190.4
MAR-OCT
2958
-- 7B
CRAVEN 1-6%
SG
1
75
C
4.96
3
SEP-MAY
2958
7C
CRAVEN 1-6%
BC
4.8
240
5.58
1339.2
MARSEP
2958
- 7C
RAVEN 1-6%
SG
11
75
5.58
418.
SEP-MAR
TOTALS. 28081.4
Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow
summer annuals.
Indicates a Crop Rotation
NOTE: The applicator is cautioned that P and K may be over applied while meeting the N
requirments. Beginning in 1996 the Coastal Zone Management Act will require farmers in
some eastern counties of NC to have a nutrient management plan that addresses all
nutrients. This plan only addresses Nitrogen.
Page 3

TABLE 2 : ACRES WITH AGREEMENT OR LONG TERM LEAS
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land. See required specifications 2)
There are no Acres Leased
Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow
summer annuals.
* Indicates a Crop Rotation
* Acreage figures may exceed total acreage in field due to overseeding.
**L.bs AW N (animal waste nitrogen) equals total required nitrogen less any commercial
nitrogen (COMM N) supplied.
The following legend explains the crop codes used in.TABL.ES 1 and 2 above:
CROP CODE CROP UNITS LBS NnUNtT
BC
HYBRID BERMUDAGRASS-CONTROLLED GRAZED
TONS
50
SG
SMALL. GRAIN OVERSEEDED
AC
so
FC
TALL FESCUE CONTROLLED GRAZED -
TONS
50
FC
TALL FESCUE -CONTROLLED GRAZED
Page 4

TOTALS FROM TABLES 1 AND
ACRES LBS Aw
N USED
TABLE 1 1D5.3 28,061
TOTALS: 105.38 Z8,Q61
AMOUNT OF 111 PRODUCED. 22,464
�" BALANCE -5,697
'". This number must be less than or equal to 0 in order to fully utilize the animal waste
N produced.
Acres show in each of the preceeding tables are considered to be the usable acres
excluding required buffers, filter strips along ditches, odd areas unable to be irrigated, and
perimeter areas not receiving full application rates due to equipment limitations. Actual total
acres in the fields listed may, and most likely will be, more than the acres shown in the
tables.
NOTE: The Waste Utilization Plan must contain provisions for periodic land application of:
sludge at agronomic rates. The sludge will be nurturient rich and will require precautionary
measures to prevent over application of nutrients or other elements. Your production facility
will produce approximately 3660.8 pounds of plant available nitrogen (PAN) per year in the
sludge that will need to be removed on a periodic basis. This figure is PAN when
broadcasting the sludge. Please be aware that additional acres of land, as well special
equipment,.may be needed when you remove this sludge.
See the attached map showing the fields to be used for the util'¢ation of waste water
APPLICATION OF WASTE BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the soil at the time of
irrigation such that runoff or ponding occurs. This rate is limited by initial soil moisture
content, soil structure, soil texture, water droplet size, and organic solids. The application
amount should not exceed the available water holding capacity of the soil at the time of
irrigation nor should the plant available nitrogen applied exceed the nitrogen needs of the
crop.
Your facility is designed for 180 days of temporary storage and the temporary storage must
be removed on the average of once every 5.92 months. In no instance should the volume
of waste being stored in your structure be within 1.533 feet of the top of the dike.
If surface irrigation is the method of land application for this plan, it is the responsibility of the
producer and irrigation designer to ensure that an irrigation system is installed to properly
irrigate the acres shown in Tables 'I and 2. Failure to apply the recommended rates and
amounts of Nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application rates and amounts.
APPLICATION APPLICATION
TRACT FIELD SM TYPE CROP RATE (Whr) AMT (€nchee)
2958
-12C,-12D,-7A
LENOIR NONE,RARE
SG
0.35
'1
2958
11A, I1B
LENOIR NONEAARE
FC
0.35
'1
2958
12C,12D, 7A
LENOIR NONEAARE
BC
0.35
'1
2958
--12G,--3A,-5A,-5B,-5C,
CRAVEN 1-6%
SG
0.50
'1
2958
11B, IIC, IIF
CRAVEN 1-6%
FC
0.50
'1
2958
12E, 12G, 3A, 5A, 5B, 5C, 6A,
CRAVEN 1-6%
BC
0.50
'1
2958
-12E, -12F
CAROLINE 0-2% FSL, SL, L, SIL, VF
SG
0.35
"1
2958
1IB, I ID, HE
CAROLINE 0-2% FSL, SL, L. SIL, VF
FC
0.35
'1
2958
I2E,12F
CAROLINE 0-2% FSL, SL, I., SIL, VF
BC
0.35
'1
2958
12C,-12D,-12E
IBETHERA DRAINED
SG
0.30
'1
2958
12C, 12D, 12F.
IBETHERA DRAINED
BC
Page 5

* This is the maximum applicatiori amount allowed for the soil assuming the amount of
nitrogen allowed for the crop is not over applied. In many situations, the application
amount shown cannot be applied because the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil conditions.
Page 6

NARRATIVE OF OPERATION
This WUP has been revised to reflect wettable acres with a FSA map showing irrigation
pulls {to scale: 1"=660'}, with the pulls labeled and corresponding to the WUP_ A D-1
fumishes all required documentation. Per the Sixth Guidance Memo, Revision Two, 100 lbs
of PAN may be applied to small grain overseeded in bermuda with the following conditions:
the last waste application to bermuda must occur prior to August 31, 50 Ibs may be applied
between Sept 15 and Oct 30 and an additional 50 Ibs may be applied Feb - Mar. The small
grain must be harvested prior to heading or April 7_
Fescue Application windows have been amended to reflect August 1 - July 31 per SB 1217
Interagency Group Seventh Guidance Memo.
Page 7

PLANS & SPECIFICATIONS
1. Animal waste shall not reach surface waters of the state by runoff, drift, manmade,
conveyances, direct application, or direct discharge during. operation or land application. -Any
discharge of waste which reaches surface water is prohibited. Illegal discharges are subject
to assessment of civil penalties of $10,000 per day by the Division of Water Quality for every
day the discharge continues.
2. The Field Office must have documentation in the design folder that the producer either
owns or has long term access to adequate land. to properly dispose of waste. If the producer
does not own adequate land to properly dispose of waste, he shall provide NRCS with a copy
of a written agreement with a landowner who is within a reasonable proximity, allowing
him/her the use of the land for waste application for the life expectancy of the production
facility. 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.
4. Animal waste may be applied to land that has a Resource Management System (RMS) or.
an Alternative Conservation System (ACS). If an ACS is used the soil loss shall be no greater
than 10 tons per acre per year and appropriate filter strips will be used where runoff leaves
the field. These filter strips will be in addition to 'Buffers" required by DEM. (See FOTG
Stantard 393 - Filter Strips and Standard 390 Interim Riparian Forest Buffers).
5. Odors can be reduced by injecting the wasie or disking after waste application. Waste
should not be applied when there is danger of drift from the irrigation field.
6. When animal waste is to be. applied on acres subject to flooding, it will be soil incorporated
on conventionally tilled cropland. When applied to conservation tilled crops or grassland, the
waste may be broadcast provided the application does not occur during a season prone to
flooding. (See "Weather and Climate in North Carolina" in the NRCS Technical Reference -
Environment file for guidance.)
*7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that
runoff does not occur offsite or to surface waters and in a method which does not cause drift
from the site during application. No ponding should occur in order to control conditions
conducive to odor or flies and to provide uniformity of application.
8. Animal waste shall not be applied to saturated soils, during rainfall events, or when the
surface is frozen.
9. Animal waste shall be applied on actively growing crops in such a manner that the crop is
not covered with waste to a depth that would inhibit growth.
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 on bare soil.
11. Any new swine facility sited on or after October 1, 1995 shall comply with the following:
the outer perimeter of the land area onto which waste is applied from a lagoon that is a
component of a swine farm shall be at least 50 feet from any residential property boundary

and from any perennial stream or river (other that an irrigation ditch or canal. Animal waste
other than swine waste from facilities sited on or after October 1, 1995), shall not be applied
closer than 25 feet to perennial waters. (See Standard 393 - Filter Strips)
12. Animal waste shall not be applied closer than 100 feet to wells.
13. Animal Waste shall not be applied closer than 200 feet of dwellings other than those
owned by the landownwer.
14. Waste shall be applied in a manner not to reach other property and pLiblic right - of ways.
15. Animal waste shall not be discharged into surface waters, drainageways, or wetlands by
discharge or by over -spraying. Animal waste may be applied to prior converted croplands
provided they have been approved as a land application site by a "technical specialist".
Animal waste should not be applied on grassed waterways that discharge directly into water
courses, except when applied at'agronomic rates and the application causes no runoff or drift
from the site.
*16. Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc.,
shall not be discharged into the animal waste management system.
*17. A protective cover of appropriate vegetation will be established on all disturbed areas
(lagoon embankments,; berms, pipe runs, etc.). If needed, special vegetation shall be
provided for these areas and shall 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 suspended or terminated, the owner is
responsible for obtaining and implementing a "closure plan" which will eliminate the possibility
of an illegal discharge, pollution and erosion.
*19. Waste handling structures, piping, pumps,.reels, etc., should be inspected on a regular
basis to prevent breakdowns, leaks; and spills. A regular maintenance checklist should be
kept on site.
20. Animal waste can be used in a rotation that includes vegetables and other crops for direct
human consumption. However, if animal waste is used on crops for direct human
consumption, it should only be applied as a preemergence with no other applications of
animal waste during the crop season.
*21. Highly visible markers shall be installed to mark the top and bottom elevations of the
temporary storage (pumping volume) of all waste treatment lagoons. Pumping shall be
managed to maintain the liquid level between the markers. A marker will be required to mark
the maximum storage volume fpr waste storage ponds.
22. Waste shall be tested within 60 days of utilization and soil shall be tested at least
annually at crop sites where waste products are applied. Nitrogen shall be the rate -
determining element, Zinc and copper levels in the soils shall be monitored and alternative
crop sites shall be used when these metals approach excessive levels_ pH shall be adjusted
for optimum crop production amd maintained. Soil and waste analysis records shall be kept
for five (5) years_ Poultry dry waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be maintained for five (5) years.

23. Dead animals will be disposed of in a manner that meets North Carolina Department of
Agriculture regulations.
* Liquid Systems

NAME OF FARM: Plantation Sow Farm
OWNER ! MANAGER AGREEMENT
(we) understand and will follow and implement the specifications and the operation and
maintenance precedures estalished in the approved animal waste utilization plan for the farm
named above. 1 (we) know that any expansion to the existing design capacity of the waste
treatment and/or storage system or construction of new facilities will require a new utilization
plan and a new certification to be submitted to DEM before the new animals are stocked.
I (we) understand that I must own or have acces to equipment, primarily irrigation equipment,
to land apply the animal waste described in this waste utilization plan. This equipment must
be available at the appropriate pumping time such that no discharge occurs from the lagoon
` in a 25-year 1-day storm event. I also certify that the waste will be applied on the land
according to this plan at the appropriate times and at rates that no runoff occurs.
NAME OF FACILITY OWNER: Maxwell Foods ]
SIGNATURE: DATE.0 iD
NAME OF MANAGER (if different from owner):
please print
SIGNATURE:
DATE:
NAME OF TECHNICAL.SPECIALIST: A-J. Linton
AFFILIATION: Goldsboro Hog Farms
ADDRESS (AGENCY): P.O. Box 10009
Goldsboro, NC 27532
[phone]
SIGNATURE: Q DATE: 3'17- O 0
V

3 _ __ r
" State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Maxwell Foods Inc
Plantation Sow Farm
PO Box 10009
Goldsboro NC 27532
Farm Number: 66-84
Dear Maxwell Foods Inc:
N
4••
mom
C)EHNf-1
September 11, 1997
WATER
StiP r 41
Discham� Parm�tt'Rn ,� S199T i`
Non- �'fG,�/iy� �h'
You are hereby notified that Plantation Sow Farm, in accordance with G.S. 143-215.10C, must
apply for coverage under an Animal Waste Operation General Permit. Upon receipt of this letter, your
farm has thirty (30)—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 thirty (30) 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 reap, 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
Permits and Engineering Unit
Post Office Box 29535
Raleigh, NC 27626-0535
If you have any question concerning this letter, please call J R Joshi at [phone] extension
363 or Charles Alvarez with the Raleigh Regional Office at [phone].
Sincerely,
A. Preston Howard, Jr., P.E.
cc: Permit File (w/o encl.)
Raleigh Regional Office (w/o encl.)
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment, Health and Natural Resources
Division of Water Quality
Non -Discharge Permit Application Form / Survey
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
General Permit - Liquid Animal Waste Operations
The following questions have been completed utilizing information on file with the
Division. Please review the information for completeness and make any corrections
which are appropriate. If a question has not been completed by the Division, please
complete as best as possible. Do not leave any question unanswered.
Application Date:-- 10 66rV
I. REQUIRED ITEMS CHECKLIST
Please indicate that you have included the following required items by signing your initials in the space provided next to each
item.
Applicants Initials
1. One completed and signed original and one copy of the application for Gencral Permit - Animal
Waste Operations;
2. Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is disposed;
3. Two copies of the Certified Animal Waste Management Plan (CAWMP). If the facility does
not have a CAWMP, one must be completed prior to submittal of a general permit application
for animal waste operations.
II. GENERAL INFORMATION:
1. Farm's name: Plantation Sow
2. Print Land Owner's name: Maxwell Foods Inc
3. Land Owner's Mailing address: PO Box 10009
City: Goldsboro NC Zip:.27532
Telephone Number: 919-778-3130
4. County -where farm is located: Northampton
5. Farm Location (Directions from nearest major highway. Please include SR numbers for state roads. Please include a copy
of a county road map with the location of the farm identified): Traveling north across the Bertie/Northam i n County line,
ravel north on SR I I 00-approx.-Imiles. Farm path and sign
6. Print Farm Manager's name (if different from Land Owner):
7. Lessee's I Integrator's name (if applicable; please circle which type is listed): GoldsboroF
66 - 84
FORM: AWO-G-E 2/26/97 Page 1 of 3

III. OPERATION INFORMATION:
1. Farm No.: 66-844
2. Operation Description: Swine operation
Farrow to Wean
Gilts
4160 - Certified Design Capacity
Is the above information correct? Oyes; . 0 no. If no, correct below using the design capacity of the facility
Type of Swine No. of Animals lyne ofPoultI3, No. of Animals Lge of Cattle No. of Animals
0 Wean to Feeder
0 Feeder'to Finish
0 Farrow to Wean (# sow)
0 Farrow to Feeder (# sow)
0 Farrow to Finish (# sow)
0 Layer 0 Dairy
0 Non -Layer 0 Beef
0 Turkey
Other Type of Livestock on the farm: No. of Animals:
3. Acreage cleared and available for application: 135 ;Required Acreage (as listed in the CAWMP): 117.6
4. Number of Lagoons: 3 ; Total Capacity: 39796 6 31019R58 Cubic Feet (ft3)
Number of Storage Ponds: ; Total Capacity: Cubic Feet (ft3)
5. Is animal waste being applied on any field which has subsurface drains? YES or O (please circle one)
6. Are subsurface drains present in the vicinity of or under the lagoon? YES o NO (please circle one)
I V . APPLICANT'S CERTIFICATION:
I, MAXWEtd_ FDOpS IN C. . (Land Owner's name listed in question II2), attest that
this application for pi-44 11ON SOW FARM _ (Farm name listed in question I1.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application package
will be returned to me as incomplete.
Signature
V . MANAGER'S
M &Mlr - Date T W E a7
TIFICATION: (complete only if different from the Land Owner)
I, _ (Manager's name listed in question 1I.6), attest that this
application for (Farm name listed in question 1I,1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application package
will be returned as incomplete.
Signature
Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: [phone]
FORM: AWO-G-E 2/26/97 Page 2 of 3

Animal Waste Management Plan Certification
(Please type or print all information that does not require a signature)
lExisting or (Nem) or Expanded (>please circle one)
Name of Farm:_ ?c A N-rAr Q VN 50 W RAEro _ Facility No: bb - $4
Owner(s) Name: Phone No: 611c1-1,7„ .3130
Mailing Address: F 0. tyx 1000 R UaLDs�nRo , N t; 2-TS32 _ _
Farrar Location: County Farm is located in: - N ORTt kArytQ`rbN- COUNTY
Latitude and Longitude: 36" 14' 53" / '7-° 13' 04
Please attach a copy of a county road map with location identified and describe below (Be specific: road
names, directions, milepost, etc.): _-MAVcu11G Nmy A-CROe;,s Ti4e PV#TtsINMHAMEM cot M-Y uNE,
IUAVEL 140TCN ON N45 It00 AIVL-f 2 nntt..Cs. FA'tznt A-rt-! Ism _S frN le, DW TH15 W&0
Qperatipn Description:
Type of Sivine No. of Animals
D 'Wean to Feeder
:) Feeder to Finish
;I Farrow to Wean 4oV D
Z1 Farrow to Feeder
ZI Farrow to Finish
Type of Poultry No. of Animals Type of Cattle No. of Animals
Layer O Dairy
❑ Pullets O Beef
ISO C�QT? 0 N
Other Type of Livestock: &-i t- 5 Number of Animals, 160
Expanding Op
erafioa: Only:.
Previous Design Capacity: Additional Design Capacity.
Total Desi n Ca achy
Acreage Available for Application: Required Acreage: A17. 6 Acmes
Number of Lagoons I Storage Ponds : 3 Total Capaci 3,10 0, q 58 _ Cubic Feet (ft3)
Are subsurface drains present on the farm: YES or O (please circle one)
If YES: are subsurface drains present in the area of the LAGOON or SPRAY FIELD (please circle one)
Owner I itlanager 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 (%ve) 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.fiied at the farm and at the
office of the local Soil and Water Conservation District. 1 (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_ne". fication (if the approVed plan is changed) Within 60 days of a title transfer.
Nance of Land Ownet t�nAxwE�tir �aaps
Signatur6_1(.
1\'ame of rI Hager iV< C:r):
Signature:
'e � Date:__2z tnA'4_q7
Date:
A«'C -- January 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.'Ibe
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,1). the technical specialist should only certify parts for which they are technically
competent.
II. Certification of Design
A) !CQllection, Storage, Treatment System
Check the appropriate box
❑ Existing faci 'tv without,fetrofit (SD or VIUP)
Storage volume is adequate for operation capacity; storage capability consistent with waste utilization
requirements.
UY" 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 Oesigned to meet or exceed the minimum standards and specifications.
Name of Technical Specialist (Please Print):
Affiliation: NRCS r
Address(Agency): P. o, fel'" tit — ' phone No.: 9 i- UY - z.-
Signature:._ _._ _ Date: r — 2-J'
B) band Application Site (NNIUP)
The plan provides for minimum separations (buffers); adequate amount of land for waste utilization; chosen crop is
suitable for waste management; hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print): 76N N
Affiliation: 2-L
Address(Agency): p !S0X ' 41 �� !' I -IC 2 7LY,CPhone Na.: /�'�r�Y Z1-►/
Signature:
C) Runoff Controls from Exterior Lots
Check the appropriate box
acility without exterior is (SD or V UP or RC)
This facility does not contain any exterior lots.
ate: s = I f -9-7
ZI Facility with e •teri r lots
(RC)
Methods to minimize the run off of pollutants from lounging and heavy use areas have been designed in
accordance with technical standards developed by NRCS.
Name of Technical Specialist (Please Print): GEOR" 0 - ?'5'ngt5
Affiliation: 5NVt1-crtnnt<rtT-AL rAANA6e7fnt;Nt`; 6OLP5t�zo +4or, � s /ntiaxw�u� t-�V-r>s, ING.
Address(Agency): Pa. WX ioaoq GotO55aRC nlG 27532
SiLnaturc:
-tone No.: cl+4-77g•3130
ate: 22 Mn,4 -17
AWC -- ,lanuarN' 1J997 1 2

D). Applicatign and Handligg
Check the appropriate box
❑ Existing, or expanding facility witexisting waste appiigati t (WUP or I)
Animal waste application equipment specified. in the plan has been either field calibrated or evaluated in
accordance with existing design charts and tables and is able to apply waste as necessary to accommodate the
waste management plant: (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),
ew, expanded, or existing' facility &Aout eZgjgg waste a laR icatign equipment for sRra,y
irrigation. (1)
Animal waste application equipment specified in the plan has been designed to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the
plan at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of
applications has been established; required buffers can be maintained; calibration and adjustment guidance are
contained as part of the plan).
a New. expanded,,pLe> ,fig facibty hout existi w�plica�on equipmenl_f Jand
sp e� ading not using splay irrigation. (WUP or I)
Animal waste application equipment specified in the plan has been selected to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the
plan at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of
applications has been established; required buffers can be maintained; calibration and adjustment guidance are
contained as part of the plan).
Name of Technical Specialist (Please Print): /s
Affiliation:_ lieye dle Aw, ,pre dc�J'3
Address{Agency}: he 6ePhone No. g4-.7V 3N
Signature:
E} 4dor Control, Insect Control, Mortality Ntanagmcnt and Emer=cy Acti,Qr0'lan (SD.
Si., N1'UP. 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 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): oszC-E 14. PC-TruS
Affiliation: V-Nvi?_-MrtrtBNTAI. AAANA&VKAENT, "o& itk'.?_.ws mAY-WE<u. Foot75, iwc.
Address(Aaency): F. e . Box lo-[ Gt� co�vsl v nt c.. 27S3Z ` Phone No.: ` "1- T' 3130
Signature: _—_ o _ Date: 72 &0'4g-7
F) Written Notice bf or Expanding Swine Farm
The folio«ing signature block is only to be used for stew or expanding s► ine farms that begin construction after June
21, 1996. Ir the facility was built before June 21, 1996, when was it constructed or last expanded DUNE (2-1 t015
I (we) certify that I (we) have attempted to contact by certified mail all adjoining property owners and all property owners
%vho 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 INCGS 106-805. A copy of the notice and a list.of the property owners notified is
attached.
Name of Land 0%vner :
Signature:
Date:
Name or Nlanager(if different from owner):
Si -nature Date:
A11'C -- January 1, 1997 3

III. Certification of Installation
A) Collection. Storage. Treatment Installation
w a de or-reirofitted 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): L N
Affiliation: /V ALcS I
_
Address (Agency): a r ,y �TA_e � Xrlc 2,�kVr Phone No.: 2/1- 97K -.2111
Signature:_ ` fAAA, Date: s' 1
B),band Appliratign it (VYUP)
Check the appropriate box
;5� The cropping s stem is in place on all land as specified in the al waste management plan.
g JiaSt .lvr� SOr.� S .,�/ 4.cGo�,l.?S 7ta G,
❑ 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 (monthldaylyear); the proposed cover crop is appropriate
for compliance with the wasteutilization plan.
0 Also check this box if appropriate
if the cropping system as specified in the plan can not -be established on newly cleared land within 30 days
of this certification, the owner has committed to establish an interim crop for erosion control;
Name of Technical Specialist (Please Print). -
Affiliation: i2CS
Address(AgAe 27 ter Phone No.: C-.eY- 2J-jl
Signature: Date:—(-- 2,d'� r? )
This following signature block is only to be used when the box for conditional approval in III. B
above has been checked.
I (we) certify that 1(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 I5 calendar days following the date specified iti 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 -- January 1, 1997

• y ff��(�l
y • •�ff Exterior(RQ
EgCility 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 cerWflcadon is necessary.
Name of Technical Specialist (Please Print):
Affiliation:
Address(Agency): Phone No.:
Signature: Date:
D) ®=Jlgption and Handling Eguipment 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 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.
�d Conditional approval: Animal waste application and handling equipment specified in the plan has been
/ purchased and will be on site and installed by a 4l ?? —(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:
Address(Agency): VO &C Phone No.:�
Signature: S _ Date: 7 G
The following signature block is only to be used when the box for conditional approval in III D
above has been checked.
1 (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: <I- � 1'-'►'e--) Date: z5 aiL-Lq &17
Name of Nla er(it —^
Signature: Date:
f
E) Odor Control Insect Control and Mprtality 1%lanagement (SD, $1, NVUR RC or I)
Methods to control odors and insects as specified in the Plan have been installed and are operational. The
morality management system as specified in the Plan has also been installed and is operational.
Name of Technical Specialist (Please Pnnt):
Affiliation: �,,J. w,�,�. Go�asrs.�
Address(Agency):.,o- rx Iad09 COc-bs 3bno tic2'1537Phone No.: `t 4_'7'la 3930
Si4nature:— i
ANVC -- January L 1
S
Date: 2

WASTE MANAGEMENT PLAN FOR SWINE OPERATION
Producer: Goldsboro Milling Co.
Location: Off SR 1100, 2 miles south of NC 567.
Address: P 0 Box 10009, Goldsboro NC 27532
Telephone: [phone]
Type Operation: Farrow to weanling
Number of Animal Units: 2 sites with 2000 sows and a 160 sow isloati
unit
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 should be analyzed
before each application cycle and annual soil tests are encouraged
that all plant nutrients can be balanced for realistic yields of the
crops 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. Alway:
apply waste based on the needs of the crop to be grown and the
nutrient content o,f the waste. Do not apply more nitrogen than the
crop can utilize. Soil types are important as they have different
infiltration rates and leaching potential. Waste shall not be appl:
to land eroding at greater than 5 tons per acre per year. Do not
apply waste on saturated soils or on land when the surface is,f roze-
Either of these conditions may result in runoff to surface waters.
Wind conditions should also be considered to avoid drift and downwi
odor problems. To maximize the value of nutrients for crop product
and to reduce the potential for pollution, the waste should be appl
to a growing crop or not more than 30 days prior to planting.
injecting the waste or disking will conserve nutrients and reduce o
problems.
The acres needed to apply the animal waste is based on typical
nutrient content for this type of facility. Acreage requirements n-
be more or less based on the waste analysis report from your waste
management facility.
Amount of Nitrogen produced Tperyear
4000 animal units X 5.4 lbs N/animal unit/year =
21,600 lbs. N/year
1.60 X 5.4 lbs N/animal. unit/year = 864 (Isolation unit)
Total = 22,464 lbs N/yr

Your facility is designed for 180 days of temporary storage and need
to have the temporary storage removed every 6 months.
If you have questions, you may call the Natural Resources Conservati
Service or Soil and Water Conservation District office after you
receive the waste analysis report to obtain the amount per`bLcre to
apply and the application rate prior to applying the waste.
Narrative of Opergtion:
Most of this operation is set for fescue grazing. Field 1.1 is planr
for bermudagrass. Areas of the farm that are flat or that pond watE
should be graded to remove standing water. Most of the farm has hac
waterways and field borders installed, but there are some areas that
.that additional drainage work.
WASTE MANAGEMENT PLAN AGREEMENT
I agree to carry out this ,waste management plan according to the te:
of the agreement.
Producer: Date:
System Designer: Date:
SWCD Representative: Date:
Design Approval:�2- ab
mo� Date: aS
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,fou 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 grown and surface application:
11 ACRES OWNED BY PRODUCER
•
Tract Field Soil Crop Real. Lbs. N Acres Lbs, N Month of
# Type Yield Per Ac Utilized Application
5b 3 C ►. 6
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Total Tables
Amount of N Produced
Surplus or��
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t- r ly �/ � .� II � :( ,I• �•�•r-r`� I�• •i, �'1' .�•1 ��'t I 4 .1' •iry. �'••i1.'�F ��s�' i
7(c, SN _S ,r/ �,•' �• �y;:S. (�,.: .tl` _�, l ��- S% S•4;1J,�}'�_.fl' µ � z.
Ir

North Carolina Agricultural Extension Service
Agri' -Waste Management
iolo ical and Aaricultur l En ineerina orth Carolina University
LIVESTOCK WASTE'SAMPLING, ANALYSIS AND CALCULATION
OF LAND APPLICATION RATES
James C. Barker
I. SAMPLE COLLECTION
A. Semi -Solid Lot Manure
i. Scraped directly from lot into spreader
a. From loaded spreader, collect about 2 lbs of
manure from different locations using nonmetallic
collectors.
ii. From storage
a. Collect about 2 lbs of manure from under the surface
crust avoiding bedding materials and using nonmetallic
collectors.
B. Liquid Manure Slurry
i. Under -slotted -floor pit
a. Extend a 1/2" nonmetallic conduit open on both
ends into manure to pit floor.
b. Seal upper end of conduit (e.g.,_'by placing -'a
thumb over end of conduit)'trapping manure that
has entered lower end, remove a'nd empty slurry
into plastic bucket or nonmetallic container.
C. Take subsamples from 5 or more locations or at
least 1 quart.
d. Mix and add about 3/4 pint to nonmetallic sample
container.
ii. Exterior storage basin or tank
a. Make sure manure has been well mixed with a liquid
manure chopper --agitator pump or propeller agitator.
b.; Take subsample from about 5 pit locations, from
agitator pump or from manure spreader and place in a
j plastic bucket.
*Professor and Extension Specialist, Biological and Agricultural
Engineering Department, North'Carolina State University, Raleigh, NC

Attachment B
Page 3 of 3
B. Pack sample in ice, refrigerate, freeze or transfer to lab
quickly.
C. Hand -delivery is the most reliable way of sample transfer.
D. If mailed, protect .sample container with packing material such
as newspaper, box or package with wrapping paper and tape.
E. Commercial sample containers and mailers are also available.
Contacts:
i. AFL Eastern Agricultural Lab, Inc. iii. Polyfoam Packers
7621 Whitepine Road 2320 S. Foster Ave.
Richmond, VA 23237 Wheeling, IL 60090
Ph: (8041 743-9401 Ph: i3121 398.0110
ii. Fisher Scientific Co iv. NASCO
3315 Winton Road 901 Janesville Ave.
Raleigh, NC 27604 Ft Atkinson, WI 53538
F. Private analytical labs are also available, but sample analysis
costly.
G. The NCDA provides this service for North Carolina residents.
i. Address: North Carolina Department of Agriculture
Agronomic Division
Plant/Waste/Solution Advisory Section
Blue Ridge Road Center
P. 'O. Box 27647
Raleigh, NC 27611 '
Ph: (919) 733--2655
Attn: Ray Campbell
ii. Forward $4.00 along with the sample.
iii- Include the following identification information with
sample:
a. Livestock species (daizy, swine, turkey, etc.)
b. Livestock usage' (swine -nursery, finishing; turkey
breaders, brooderhouse, grower, number flocks grown
on litter; etc.)
C. Waste type (dairy -lot scraped manure, liquid slurry
swine --pit slurry, lagoon liquid, sludge; broiler -
house litter, stockpile)
iv. Routine analysis performed on all samples: N, P, K, Ca,
Mgr Na, S, I
t Mn, Zn, Cu,
v. Additional analysis -performed upon request: DM, Mo, Cd,
Ni, Pb

Attachment B
Page 2 of 3
c. Mix and add 3/4 pint to a nonmetallic sample container.
C. Lagoon Liquid
i. Collect about 3/4 pint of recycled lagoon liquid from infloa,
pipe to flush tanks in a nonmetallic sample container.
ii. From Lagoon
a. Place a small bottle (1/2 pint or less) on end of
10-15' pole.
b. Extend bottle 10-15' away from bank edge.
.c. Brush away floating scum or debris.
d. Submerge bottle with 11 of.liquid surface.
e. Empty into a plastic bucket, repeat about 5 times
around lagoon, .mix and add 3/4 pint to nonmetallic
sample container.
b. Broiler or Turkey Litter
i. House Litter
a. Visually inspect litter for areas of varying quality
e.g., areas around feeders and waterers, and estimate
percent of floor surface in eac� area.
b. Take about 5 litter subsamples at locations
proportionate to item a. E.g., if 20% of.litter
of similar visual quality is around feeders and
waters, "take 1 subsample there and the -other -4-
subsamples'from remainder of floor surface.
C. At each location, collect litter from a 6" by 6"
area down to earth floor and place in a plastic bucke
d. After 5 subsamples have been added to the bucket, m.i>:
and add about 2-3 lbs litter to a nonmetallic sample
container such as/a 1-gallon freezer bag and seal.
ii. From Stockpile
a. Take subsamples from about 5 locations at least 16'.'
into pile.
b. Mix, add 2-3 lbs to nonmetallic sample container anc
seal.
11. SAMPLE PREPARATION AND TRANSFER
A. Place sample into an expandable container that can be sealed.
residues from container with clean water but do not use
disinfectants, soaps or treat in any other way.

'C�/46/94
GENERAL INFORMATION
NAME o,c66&ka 11bG Fis3UitS
ADDRESS 't"'�. o . 10009
a 7sRa
TELEPHONE 1/1 - 7ZEn3/30
MfO
LOCATION Q • _-� nit,(r S . 'To Lt-m
a74 MC Sb / an SR // o
(S,..r, me Farm
TYPE OF OPERATION 4
SIZE OF OPERATION -1000 60C1-)
, 5 a/ahor,
LOCATION DATA
DISTANCE FROM NEAREST RESIDENCE NOT OWNED BY PRODUCER
>�Oy FEET.
IS SITE WITHIN 100-YEAR FLOOD PLAIN? YES NO ✓
. IF YES, SCS CANNOT PROVIDE ASSISTANCE.
IS SITE AT LEAST 100 FEET FROM A "BLUE LINE" PERENNIAL STREAM?
YES -'NO
IF NO, SITE MUST BE RELOCATED.
IS SITE WITHIN 100 FEET OF A WELL? YES NO
IF YES, SITE MUST BE RELOCATED.
IS SITE WITHIN 1 MILE ZONING JURISDICTION OF A MUNICIPALITY?
YES NO
IF YES, LANDOWNER WILL CONSULT WITH LOCAL ZONING BOARD
ABOUT REQUIRED PERMITS. PERMITS MUST BE OBTAINED PRIOR TO
DESIGN APPROVAL.
ARE UTILITIES WITHIN THE CONSTRUCTION AREA? YES NO
•IF YES, SEE PART 503 OF THE NATIONAL ENGINEERING MANUAL AND
FOLLOW POLICY.
(COPIES OF MAPS OR OTHER REFERENCE MATERIALS MAY BE
ATTACHED TO SITE EVALUATION.)
PAGE 1

Z/Z6/9a
WETLANDS
WILL SITE INVOLVE CLEARING WOODLAND OR ANY NON —CROPLAND?
YES NO
IF YES, LAND —OWNER MUST COMPLETE A FORM AD-1026.
WILL ACTION RESULT IN SWAMP —BUSTING? YES NO
IF WETLANDS ARE INVOLVED, IT IS THE RESPONSIBILITY OF THE
LANDOWNER TO CONTACT THE US ARMY CORP OF ENGINEERS AND THE
DIVISION OF ENVIRONMENTAL MANAGEMENT TO DETERMINE IF
ADDITIONAL PERMITS ARE REQUIRED. NO WETLANDS SHOULD BE
ALTERED UNTIL PRODUCER RECEIVES WRITTEN APPROVAL FROM SCS,
US ARMY CORP OF ENGINEERS AND NC DIVISION OF ENVIRONMENTAL
MANAGEMENT.
(A COPY OF AD-1026 AND CPA-026 WILL BE ATTACHED TO THIS
SITE EVALUATION.)
OTHER ENVIRONMENTAL FACTORS
IS ENDANGERED AND/OR THREATENED SPECIES HABITAT PRESENT? ✓
YES NO
IS A DESIGNATED NATURAL SCENIC AREA INCLUDED IN THE PLANNING
AREA OR WILL PLANNED ACTIONS IMPACT ON AN ADJACENT NATURAL
SCENIC AREA? YES NO
IS AN ARCHAEOLOGICAL OR HISTORICAL SITE LOCATED IN THE PLANNED
AREA? YES NO ✓
IS THERE PRIME, UNIQUE, STATE OR LOCALLY IMPORTANT FARMLANDS
IN THE OPERATING UNIT? YES NO ✓
WILL THIS ACTION RESULT IN SODBUSTING? YES NO
IF THE ANSWER TO ANY OF THESE QUESTIONS IS YES, REFER TO
FORM NC—CPA-16 FOR POLICY SOURCES.' THE FORM DOES NOT NEED
TO BE COMPLETED.
ODOR CONTROL
HAS ODOR CONTROL BEEN DISCUSSED WITH THE PRODUCER WITH
RESPECT TO ...
PREDOMINANT WIND DIRECTION? YES '/ NO
.....PRECHARGING LAGOON WITH FRESH WATER TO AT LEA7
1/2 OF THE CAPACITY? YES NO
.... USING GOOD SOUND JUDGMENT IN LAND APPLICATIO V
OF WASTE? YES NO
PAGE 2

WASTE MANAGEMENT
DOES THE PRODUCER OWN ENOUGH LAND TO PROPERLY LAND APPLY
THE WASTE? YES _ NO
IF NOi DOES THE PRODUCER HAVE ACCESS TO MORE LAND?
YES NO
IF LAND IS NOT OWNED BY THE PRODUCER, CAN THE PRODUCER GET
AN AGREEMENT ON LAND ON WHICH TO APPLY WASTE?
YES NO
ATTACH A COPY OF THE WASTE UTILIZATION PLAN TO THIS SITE
EVALUATION.
SOIL INVESTIGATION
IS SOIL SUITABLE FOR LAGOON? YES NO
IS A LINER (CLAY OR SYNTHETIC) REQUIRED? YES NO
IF YESO IS CLAY MATERIAL AVAILABLE ON —SITE? YES NO
QUESTIONABLE
IS A CORE TRENCH REQUIRED? 11oWeve�, AP /` '/
�P� YES NO
sM r�r+�s E he
(ATTACH SOIL INVESTIGATION SHEET TO SITE EVALUATION!
SITE APPROVED? YES / NO CONDITIONAL
COMMENTS
THIS SITE INVESTIGATION IS VALID FOR 180 DAYS AS LONG AS THE
PRODUCER CONTINUES TO MAKE REASONABLE EFFORTS TO OBTAIN
REQUIRED PERMITS AND PURSUES CONSTRUCTION IN A PRUDENT MANNER.
UNDUE DELAYS OR HESITANCY IN OBTAINING PERMITS OR PURSUING
CONSTRUCTION MAY REQUIRE THIS SITE EVALUATION TO BE
INVALIDATED.
LANDOWNER/PRODUCER
SCS/DISTRICT REP.
DATE
E . DATE
V
PAGE 3

i . J
Producer: 0041-3580,Q0 �VoG 1 q,,o Yy
SCS Job Class: ���
Lagoon: V7
Pond:
Other: identify:_
Hazard Classification:
Sf' A -eael s1vall orear
Housing Facility:_
Lagoon Specifics:
ofl4f spy e
Pumpincr Cycle: ./Po days
i
Land A lication of Waste acres available crops, etc.-)-:
�o aM aO-eS 07/' C'nPlor2l . 9.0 ocr-ej' 17Pc&V r apera•fy o r, J �Orto r•
4a0a sous A S4 /b A/lan;mdf�yr )/,600 !6 Ally,ci ✓a r la h / e.- .
4 -Abj -s C�Q'S nb-i ;mc/ude. i �D a furl S, kj L,),a-s/e Can he
Waste Disposal E ui ment: fL [�,��,� UDC
A 70es ca e jE�G
Permits Required:
Czar//Pd izx z .
IVOA16-
Sumnary of Soils investigation:
('ood c/a sd�%s C J. �-� �`a sl�Q�c/ Ml- poi-,rti e
heed fir.
if interested in hay: 6-62400ee Y��
Hay rower:
Hay rake:
Hay --- baler:
_
Hay -trailer:_
Hay market:
Miscellaneous Items:
PAGE 1

U. S. Department of Agriculture
Soil Conservation Service
NC-ENG-34
September 1980
HAZARD CLASSIFICATION DATA SHEET FOR DAMS "
Landowner ,es County.. /1�aR�r�flir,�n7'D�tl .
Community or Group No. Conservation Plan No.
(bZ7T:-&-'n avv YC'• 4-0 ggodarn)
Estimated Depth of Water to Top of Dam 4-3 Ft. Length of Flood Pool Ft.
Date of Field Hazard Investigation '4?/Ai,L25
Evaluation by reach of flood plain downstream to the point of estimated minor effect
from sudden dam failure.
Est. Elev.
Mt. evation
-
Kind of
:Improvements:
of Breach
Reach: Length: Width: Slope: Land Use
; Improvements
Above :Floodwater Above
Flood Plain:
Flood Plain
Ft. Ft. .. %
Ft.
Ft.
0.
czlS
SP- / / D
3
.
Describe potential for loss of life and damage to existing or probable future downstream
improvements from a sudden breach A[, deim ay -ram, C-tLc-6:e4
Hazard Classification of Dam (a, b, c) (see REM -Part 520.21)
Dam Classification (I, II, III, IV, V) 1
M.
e
ITN
Concurred 5y 1----
n me title
NOTE: 1. Instructions on reverse side.
2. Attach additional sheets as needed.
Hate
Dater --

0
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em
On y. J •�}�.' F • . 1'
Z; - a'rr : .. ',+` • .ti :Cem
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N J � ^.�' bti �� � •J
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Gagl��
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71
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a '
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„`� ' ' r� � •� - I /� N 1.
+4 l � 5� • :; Cc d
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f07 `1 ,
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rl} 4 , %, •... _ { j n ::Cem //

THIS DESIGN IS FOR A SINGLE STAGE LAGOON
CLIENTS NAME
COUNTY
TODAYS DATE
DISTANCE TO NEAREST NONFARM RESIDENCE =>
NUMBER OF PIGS WEANLING TO FEEDER----_>
NUMBER OF PIGS FEEDER TO FINISH =__====>
NUMBER OF SOWS FARROW TO WEANLING
NUMBER OF SOWS FARROW TO FEEDER
NUMBER OF SOWS FARROW TO FINISH
DEGREE OF ODOR CONTROL
(minimum 1.0 cu. ft. per lb SSLW)
(maximum 3.0 cu. ft. per lb SSLW)
NUMBER OF YEARS OF SLUDGE ACCUMULATION >
BENNETT-SWAMP TRACT
NORTHAMPTON COUNTY,
MARCH 20, 1995
1500 FEET
0
0
2000
0
0
1.0
TOP LENGTH AT NORMAL WATER LEVEL
TOP WIDTH AT NORMAL WATER LEVEL
NORMAL WATER LEVEL ELEVATION =-=--=====>
SEASONAL HIGH WATER TABLE ELEVATION =__>
LAGOON BOTTOM ELEVATION =___�--_------�>
Depth of Permanent Water 6.0
(minimum depth without sludge = 6 feet).-,
(minimum depth with sludge = 8 feet)
SIDE SLOPES
Permanent Volume Required 866000.0
Permanent Volume Provided 945106.6
ADDITIONAL DRAINAGE AREA IN SQUARE FEET>
(i.e. pumpout pond & other outside area)
LENGTH OF PUMPING CYCLE
GALLONS OF FRESH WATER ADDED DAILY ====>
EXCESS RAINFALL ABOVE EVAPORATION =====>
25YR/24HR STORM RAINFALL
FREEBOARD
ESTIMATED TOP OF DAM ELEVATION
Temporary Storage Volume 536482.1
Top of Dam Elevation =
Inside Dimensions of Lagoon at
Length = . 600.0 feet Width
50.1
Top of Dam
- / 325.0
0.0 YEARS
575.4
FEET
300.4
FEET
46.0
FEET
46.0
FEET
40.0
FEET
feet
3.0:1
cubic feet
cubic feet
FARM#1
NC
0 SQUARE FEET
180
DAYS
0
GALLONS
13.3
INCHES
6.7
INCHES
1.0
FEET
50.1
FEET
cubic feet
f eet
f eet
Begin Pumping Elevation = 48.5 feet
Stop Pumping Elevation = 46.0 feet
Volume To Be Pumped = 427607.1 cubic feet

1. STEADY STATE LIVE WEIGHT
0
head
weanling to feeder
x 30 lbs. _
., 0
lbs
0
head
feeder
to
finishing
x 135 lbs. =
0
lbs
2000
sows
farrow
to
weanling
x 433 lbs. =
866000
lbs
0
sows
farrow
to
feeder x
522 lbs. -
0
lbs '
0
sows
farrow
to
finish x
1417 lbs. -
0
lbs
TOTAL
STEADY
STATE LIVE WEIGHT (SSLW) =
866000
lbs
2. SLUDGE ACCUMULATION
Sludge accumulates at the rate of 0.080 cu. ft. per year
per pound of STEADY STATE LIVE WEIGHT in swine.
Years of sludge accumulation in design? 0.0
Sludge Volume = 0.0 cubic feet
3. REQUIRED LIQUID VOLUME OF LAGOON
Design for 1.0 cu. ft. per pound SSLW
Total Volume (SSLW * Design factor) + Sludge Volume
Total Volume 866000.0 cubic feet
4. NORMAL LAGOON LIQUID LEVEL
Maintain normal lagoon liquid level at elevation 46.0 feet
Construct lagoon bottom elevation 40.0 feet
Lagoon size for normal lagoon liquid volume using prismodial f ormu
SS/END1 SS/END2 SS/SIDE1 SS/SIDE2 DEPTH
3.0 3.0 3.0 3.0 6.0
AREA OF TOP
LENGTH *WIDTH =
575.4 300.4
AREA OF BOTTOM
Lb * Wb
539.4 264.4
AREA OF MIDSECTION
(Lin * Wm)' _
557.4 .282.4
172850.2 (AREA OF TOP)
1.4 2/617 . 4 ( AREA OF BOTTOM)
r
157409.8 (AREA OF MIDSECTION)
CU. YD. = (AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM] * DEPTH/(
172850.2 629639.0 142617.4 1.000
VOLUME OF LAGOON AT NORMAL LAGOON LIQUID LEVEL=45106.6 CU. FT.
VOLUME NEEDED = 866000.0 CU. FT.
THE SURFACE DIMENSIONS OF THE LAGOON AT NORMAL LIQUID LEVEL
ARE - 575.4 FEET LONG BY 300.4 FEET WIDE

5. DIKE
Place spoil as a continuous dike to elevation ., 50.1. feet.
6. TEMPORARY STORAGE REQUIRED
DRAINAGE AREA:
Lagoon (top of dike)
Length * Width =
600.0 325.0 195000 square feet
Additional Drainage Area
0 square feet
TOTAL DA 195000 square feet
Pumping cycle to be 180 days.
6A. Volume of waste produced
Volume = 866000 SSLW * 0.0101481 gallon/lb. SSLW/day
in the pumping cycle / 7.48 gallons per cu. ft.
Volume 211482.1 cubic feet
6B.' Volume of wash water
This is the amount of fresh water used for washing floors or
volume fresh water used for a flush system. Flush systems that
recycle the lagoon water are accounted for in 6A.
Volume = 0 gallons/day * 180 days in the pumping
cycle divided by 7.48 gallons per cu. ft.
Volume = 0.0 cubic feet
6C. Volume of rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation by largest
amount.
Excess rainfall (difference) = 13.3 inches
Volume = 13.3 inches * DA / 12 inches per foot
is
Volume = 216125.0 cubic feet
6D. Volume of 25 year - 24 hour storm
Volume = 6.7 inches * DA / 12 inches per foot
Volume = 108875.0 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
6A.
211482.1
cubic
feet
613.
0.0
cubic
feet
6C.
216125.0
cubic
feet
6D.
108875.0
cubic
feet
TOTAL TEMPORARY STORAGE 536482.1 cubic feet

7. DEPTH OF STORAGE REQUIRED (ABOVE NORMAL LIQUID ELEVATION OF LAGOON)
Depth required = Volume
of temporary storage divided by surface
area of lagoon.
Depth required =
536482
cu.ft. / 172850 sq. ft.
Depth required =
3.1
feet
Normal lagoon liquid elevation =
46.0 feet
Depth required
--
3.1 feet
Freeboard
-
1.0 feet
Top of Dam
-
5011 feet
THE DIMENSIONS OF THE INSIDE EDGE OF THE DAM AT ELEVATION 50.1
ARE 600.0
FEET BY
325.0 FEET
8. SET BEGIN PUMPING ELEVATION
PUMPED STORAGE VOLUME
6A.
211482.1
cubic feet
6B .
0.0
cubic feet
6C.
216125.0
cubic feet
TOTAL PUMPED VOLUME =
427607.1
cubic feet
Depth required = Volume
of pumped
storage divided by surface
area of lagoon
at normal
water level.
Depth required =
427607.1
cu.ft. / 172850.2 sq. ft.
Depth required =
2.5
feet
DESIGNED BY:
APPROVED BY:
DATE: DATE:

t/ f 9cs • .... a
I1/19A0
LAGOON SUMMARY SHEET & TYPICAL CROSS-SECTION
SINGLE STAGE LAGOON
Top Width "
Settled. Top of Dam: r—/ ° 50v a Construct Top of
Slope
3`1
Natural Ground Elev.
Fill Yardage: .y 3sr"
Slops
Cut-off Trench N°� �u��ed. drip/�
Width depends on equipment I_ - be -Are jelat.celrne-k;4
Start land application Stop land application
''p�C elev. yB•,( elev. b
----------------------------
Bent Temporary Storage Volume 5: t cu. ft.
Support-----_---------------------------------------------
3'1I � .Slop
Treatment Volume 44 52 b 7 cu. ft.
Top of sludge elev.
--------------------------------
Sludge Volume Not /
Bottom elev. tf�•U
Lagoon size (inside top):
/�Iopl 3 . 1
Length . 6W° Width 3 2-X' Cu. Yds. Excay. 31 a
Bench Mark Description: /tcu' f 6cti� c �•' /1i' z� f 4f , j,%Je
9+S l y o
General Information
Engineering Job Class:__
Hazard Class:
Animal Type: }}�
Type Operation:
Number of Animals: 2ou�
NOTE: If construction is -not started
within one year, this plan is not valid
until a re-evaluation of the design and
flood plain safety hazards are made.
Elevation: __LS u.
Lagoonr for Animal Waste
�rC.t� �'�V,,tt�� i,-�c.r� l •�t« } Far
Cou
nrC_ Sta
U. S. Department of AgricultuT.
Soil Conservation service
Designed by:
Approved by:
Title:
Date.

]il8124
e'Za�L ;r �A=ri••�r ��s.;z;.raa� 'S.
,1t.� t �►r�''�� w+ C"ft rC lSS 1 16 b ..rAa-rix s�Gi, �Gsri f.rr c y
.�i:,, vyh.+ 3 k ♦ $ '. l!^Y.
1 , The Field Office must have documentation in the design folder that the producer
either owns or has long term access to adequate land on which to properly apply
the waste. If the producer does. not own adequate land to properly dispose of
waste, he shall provide SCS with'a copy of a written agreement with a
landowner who is within a reasonable proximity, allowing him/her the use of the
land for waste application for the life expectancy of the production facility.
2. Waste shall be applied to meet the Nitrogen needs for realistic yields on soil type,
available moisture, historical data, climate conditions, and level of management,
unless there are regulations that restrict the rate of application of other nutrients.
3. Animal waste shall not be applied to land eroding at greater than 5 tons per acre
per year.
4. Waste shall be incorporated immediately after spreading on areas subject to
flooding. Waste is not to be applied on areas subject to flooding unless
incorporation is used.
5. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such
that runoff does not occur and in a method which does not cause drift from the
site during application.
6. Waste. shall not be applied to saturated soils or on land when the surface is
frozen.
7. Apply waste to growing crops in such a manner that no more -than 20 to. 25
percent of the leaf area is covered.
8. Waste nutrients shall not be applied in fall or winter for spring planted crops on
soils with a high potential for leaching unless special precautions are taken to
minimize leaching and erosion. Waste nutrient loading rates on these soils should
be held to a minimum and winter cover crops planted to take up released
nutrients.
9. Waste shall not be' applied closer than 25 feet to surface water. This distance
may be reduced provided adequate vegetative filter strips are present._ (See
Standard 393 - Filter Strips)
10. Waste shall not be applied closer than 100 feet from water wells for human
consumption.
1 1 . Waste shall not be applied closer than 200 feet of dwellings other than those
owned be the landuser.
12. Waste shall be applied in a manner not to reach other property and public right
of -ways.

S3g z�s�
0

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REM
WM
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�' '�.,. ,/ � V �' � M �'t .{�+ 'J � 1. •it, ..t . /'/1•.
T
into
' ••'��S is �' W 'w�': ,.a•r 1t! �'��
oil
iv
' , , � .,,�... rat•_ '.• • -;r. �
v fir•
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`•'j•���t�i• : �. r 1 f', r'A svp `'•�'1..�,'.,'y ... , •••. ♦ _• •1 T:•.IIS` , -�/yam ,, .`j Y�`• f
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J P�
rR�r.
f6 J iJr .i ��09�+ ,'fy:: f - .� �„�1j� • f�
�,k1••{t�f r w.�. �'��' "�a �` s ^' ' �•� .1'i ;to' i�'r �•- ' Q�.�, j �'' �� !�,r .
ej
17
74
maww
ii• '+.' t'..F, •.,. j?i 'S�'.'':r' J..T'}►,rr .':• :T..rLr
It
j � � .�f 1 +• �♦' .���; +.♦•�iJ�v ���alrj r � . f ��:i:•-'�'•; Cr .. r.�r,♦,,,:,,,SP+ +.�
/, �f ' `f% 't% � �r!�l � � ! �f '�. t f �•=t.4t1.�%�� P ` io• `�:Ka' "`:F' •G S
,

Operator: Goldsboro Hog FarmCounty: Nortmpton
Distance to nearest residence (other than owner):
i.
1. AVERAGE LIVE WEIGHT (ALW)
Date: 02/26/95
1500.0 feet
0
sows
(farrow to
finish)
x 1417
lbs. _
0
sows
(farrow to
feeder)
x 522
lbs. -
0
head
(finishing
only)
x 135
lbs. -
2000
sows
(farrow to
wean)
x 433
lbs. --
0
head
(wean to feeder)
x 30
lbs. -
Describe other
Total Average Live Weight
2. MINIMUM REQUIRED TREATMENT VOLUME OF LAGOON
0
lbs
0
' lbs
0
lbs
866000
lbs
0
lbs
0
866000 lbs
Volume = 866000 lbs. ALW x Treatment Volume(CF)/lb. ALW
Treatment Volume(CF)/lb.. ALW = 1 CF/lb. ALW
Volume = 866000 cubic feet
3. STORAGE VOLUME FOR SLUDGE ACCUMULATION
'Volume = 0.0 cubic feet
4. TOTAL DESIGNED VOLUME
Inside top length (feet)---------------------- 600.0
Inside top width (feet)------------------------- 325.0
Top of dike elevation (feet)------------------ 50.1
Bottom of lagoon elevation (feet)------------- 40.1
Freeboard (feet)----------------------------- 1.0
Side slopes (inside lagoon)-------------------- 3.0 . 1
Total design volume using prismoidal formula
SS/END1- SS/END2 SS/SIDE1 SS/SIDE2 LENGTH WIDTH
3.0 3.0 3.0 3.0 594.0 319.0
AREA OF TOP
LENGTH * WIDTH =
594.0 319.0 189486 (AREA OF TOP)
AREA OF BOTTOM
LENGTH * WIDTH
540.0 265.0
143100 (AREA OF BOTTOM)
DEPTH
9.0
AREAOF MIDSECTION
LENGTH * WIDTH * 4
567.0 292.0 662256 (AREA OF MIDSECTION * 4)
CU. FT. = [AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM)
1.89486.0 662256.0 143100.0
DEPTH:
Total Designed Volume Available = 1492263 CU. F

5. -TEMPORARY STORAGE REQUIRED'
DRAINAGE AREA:
Lagoon (top of dike)
Length * Width
600.0 325.0 195000.0 square feet
Buildings (roof and lot water)
0.0 square feet Describe this area.
TOTAL DA 195000.0 square feet
Design temporary storage period to be 180 days.
5A. Volume of waste produced
Feces & urine production in gal./day per 135 lb. ALW 1.37
Volume = 866000 lbs. ALW/135 lbs. ALW * 1.37 gal/day 180 days
Volume = 1581893 gals. or 211483.1 cubic feet
5B. Volume of wash water
This is the amount of fresh water used for washing floors or volume
of fresh water used for a flush system. Flush systems that recircul
the lagoon water are accounted for in 5A.
Volume = 0.0 gallons/day * 180 days storage/7.48 gallc
per C
Volume = 0.0 cubic feet
5C. Volume of rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation by largest amoL•
180 days excess rainfall = 13.� inches.
Volume'= 13.� in * DA/ 12 inches per foot
Volume = 214500.0 cubic feet

5D. Volume of 25 year - 24 hour storm
,
Volume = 6.4 inches / 12 inches per foot *
DA
Volume = 104000.0 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
5A. 211483 cubic feet
5B. 0 cubic feet
5C. 214500 cubic feet
5D. 104000 cubic feet
TOTAL 529983 cubic feet
6. SUMMARY
Temporary storage period=====-----==-==_____>
18
days
y3.3
Rainfall in excess of evaporation=====__====>
131
inches
25 year - 24 hour rainfall===______________=>
6.4,
inches
t�
1.0
feet
Side stapes=====____________________________>
3.0
. 1
Inside top length==_________________________>
600.0
feet
Inside top width=====_____-_____=________-=_>
325.0
feet
Top of dike elevation_______________________>
50.1
feet
Bottom of lagoon elevation=====-----------==>
40.1
feet
Total required volume______________________=>
1395983
cu. ft.
Actual design volume________________________>
1492263
cu. ft.
Seasonal high watertable elevation (SHWT)===>
46.0•feet
Stop pumping elev.=-----------------_-__--------=>
46.1
feet
Must be > or = to the SHWT elev. =========>
46.0
feet
Must be > or = to min. req. treatment el.=>
46.1,feet
Required minimum treatment volume=====______>
866000•cu.
ft.
Volume at stop pumping elevation======______>
948132
cu. ft.
Start pumping
48.5
feet
Must be at bottom of freeboard & 25 yr. rainfall
Actual volume less 25 yr.- 24 hr. rainfall==>
1388263
cu. ft.
Volume at start pumping elevation=====_____=>
1379555
cu. ft.
Required volume to be pumped=====-==-=======>
425983
cu. ft.
Actual volume planned to be pumped==========>
431423
cu. ft.
Min. thickness of soil liner when required==>
1.5
feet
Poll
7. DESIGNED BY:1��� APPROVED BY:
DATE: �� ? 1 �' DATE*
NOTE: SEE ATTACHED WASTE UTILIZATION PLAN
COMMENTS:

Orientation: 45.0
Z Magnification: 24.3 Inclination: 28.8
\\
5.5, Ciefli;�iui�ll 1m,. _ ► ff�liFTtri+.
4 . C, C,
5G.@G
48.00
46.00
44.00
42.00
40.00
38.88
Lower Right
xv
,a•a.r''�",.a*.:�,..t5} 4ell�wi�'�' '=r'
� ..N a•�' ♦ V+`are`y��"'fie=•�y�_�^ r P +` �1 O • ��.
�awia:+""a•a�tiiab�•,�Oi�':r
♦ ��ii+��:.a*♦♦*ayR�M �'a.:-•::;�#-i::
a`�u� a��a � � a'•a4 �'�.`a`,,.aj La��.�;n�„`ar� aar i� �+.�`•� °'fit\ a :: w
� fL •► a♦W � +icu�•�... a�.��! Via• .w��+•�Is• .♦.a �''
• ��" •1'aa� ..ate a• R o.. • ♦ r ,� :. - -
3D Mesh Surface
Proposed 3
Project: Swamp Tract
Drawing: Farm 1
Number: Gene Bennett Farm
Location: North Hampton Co
Bid Date:
Engineer:
Owner:
Estimator:
it
3D Mesh Surface

-30
60
Report: Plan View Crops -section Locations
Project: Swamp Tract
Drawing: Farm 1
Surface: Proposed 3
Prepared by: GOLDSBORO HOG FARM using SITEWORK

Cross -Section Plots
Digitized Points
Project: Swamp Tract
Drawing: Farm I
Number'. Gene Bennett Farm I
Location: North Hampton Co
Bid Date:
Prepared by: GOLDSBORO HOG FARM using SITEWORK
Date: 02/26/95 Time: 12:05:37
-------------------------------
.................................
------------------
--------------r—'r---'—.................... .................... _......... ........................... ........................................
___�
�
� ._
--~-----------..�----~-----~—..—~~...—.---~.. .-----+..~—..~~—~—.~---.--..
| /
.`—_-----------------_----'�_---'�_---------/ �

Z-
- *X,7
CrA,
v Le
11
Le DO
10
5000 -1000 J0D0 7Gi,.
Ilud IIV the L1 S 17e;),IrkI,cW 01 Af.:(iCUItUfp.

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
Maxwell Foods Inc
Plantation Sow Farm
PO Box 10009
Goldsboro NC 27532
Dear Maxwell Foods Inc:
O
NCDENR.,
NORTH CAROLINA DEPARTMEN�TrOF -
ENVIRONMENT AND NATURAL RESOURCESI
December 30, 1999 1
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 66_84,
CNoith`ampton�Co� unty1
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, DRY1, DRY2, DRY3, SLUR1, SLUR2,
SLD1, and SLD2) and maintained in the facility records for review. The Division of Water Quality (DWQ)
compliance inspectors and Division of Soil and Water operation reviewers will review all recordkeeping during
routine inspections. Facilities not documenting all sources of nitrogen application will be subject to an
appropriate enforcement action.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Ms. Sonya Avant of the
DWQ staff at [phone] ext. 571.
Sincerely,
Kerr T. Stevens, Director
Division of Water Quality
cc: Raleigh Regional Office
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 pest -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary.
Kerr T. Stevens, Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Maxwell Foods Inc
Plantation Sow Farm
PO Box 10009
Goldsboro NC 27532
Dear Maxwell Foods Inc:
4IT
•
NCDENR'
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RF_5oURGE5
December 8, 1999
Subject: Conditional Approval
Animal Waste Management System
Facility Number`,�66=84�
Northamp not County
Our records indicate that your facility was conditionally certified in order to fulfill the requirements of
completion of your Certified Animal Waste Management Plan Certification. This letter is to inform you of your
unresolved conditional approval status. Any facility receiving a conditional approval must notify Division of Water
Quality (DWQ) in writing within 15 days after the date that the work needed to resolve the conditional certification
has been completed. Any failure to notify DWQ as required, subjects the owner to an enforcement action. As of
December 7, 1999, we have no record of any information from you, advising us of the status of your conditional
approval. Therefore, please fill out the attached form and have your technical specialist and landowner sign the form
in the appropriate areas.
The completed form must be submitted to this office on or before 45 days of receipt of this letter. Please be
advised that nothing in this letter should be taken as removing from you the responsibility or liability for failure to
provide DWQ with proper notification of your conditional certification status or possible failure to comply with the
requirement to develop and implement a certified animal waste management plan by December 31, 1997.
If you have any questions regarding this letter, please do not hesitate to contact me at [phone]
extension 571.
Sincerely,
Sonya L. Avant
Environmental Engineer
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% post -consumer paper

Routine Q Com Iaiiit�,X Q Firlloiv=u 'of DW ins ei•tiir6-t Q Follort-t of DSWC"review,` Q Other. "_ F'
Fdcihty Number` °l _ EI)a :f��
SPel Gun nSperhnr# 24 hr. (hh:tnm) .
_3tphi �:
[� Reg. Ks�terrtifed] 4d© Permitt6& [] C?�r[-3Not O'ratni-ona,..l� l
Date
rOp_e.
rated`:
Pk�
I�,�y,,,,�.... i 1 i7 /�/� T�1 E�1
PwOniiiNNr „
Faciilty_Contact....... ..... Title. t Phone. Na '
~'Tailing �Cddi=css t' s r
Onsite Representative ..�,�v►�K ��j... InteKr �itorlJ }-��r-lj
Certified Oper rtor ':`.... ...:.... ........ Operator.( ertilication Number:,,,;,,,,,,_
Location'of Farm:..
.. _ i
................................... ..................... .... .. ..... .. ......... ............... ...... .. .................. ..... ................... T
Latitude. Longitude •� �"
Design, " Current
`V Design• Current-, ..-Capacity, Design Current
CattCaacePoaoCaciPoulaton Po Population nSwin
❑ Wean to Feeder JE1 Layer I JE1 Dairy
❑ Feeder to Finish ❑ Non -Layer I I JE]Non-Dairy
ZrFarroW to Wean
❑ Farrow to Feeder ❑ Other I t a
❑ Farrow to Finish _ Total Destgn Capacitys
❑ Gilts
❑ Boars : - Total SSLW:.
Discharges & Stream Imtiacts
1. Is any discharge observed from any part of the operation?. - _ — _ ❑ Yes No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'? ❑ Yes Xfo
b. If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ) ❑ Yes No
c. If discharge is observed, what is the estimated flow in gal/min`?
d. Does discharge bypass.a lagoon system'? (If ycs, notify DWQ) . ❑ Yes 16 No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes] No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes o
StructureTI Structure ? , Structure 3 Structure 4w : Structure 5 Struculrc
1:Identifier rd (inhes)Freebot dd .. }i 15a
::.............:...:........:. ... .. ...
5. Are there any immediate threats to the integrity of any of the structures. observed? (le/ trees, severe erosion, [] Yes, p
,• seepage, etc.)-`_ :vd�
3/23/99 A Continue on = W
,b

Fc_ijf_jN6mTIAber: ItE I1t lfl5 t3k i't lfln' f r
�6: Xie there: strti lures on site,whic:h iir&.'riai'�ro e-rly"addre cdInd/6Kina a ed lhroi ghlawaste Tnana e ent.Zr , : ,•
„n+P t p u y��yy
r closure plan?'7� t,`�'T#, +,.• ." { Fs ❑ YCS�IVO
(If any oFqueshoiis 4 6:was answered yes; and the situation poses, an
" t �;k _
rz m e'dl� ate�publicihe 1 h"'or environmental thr t; otify DWQ}
. 1:w.r a Yr �- >i ` ,+a ..�•
7 Do`any of the structure~ need mmatenancehmproveme»t > Y� ' } ❑ Yes PNo
�'r }I�•r t F>eR''�4..:•if'i �✓ �' a + �� - ',�Y' �N's `�' Y� ii� 'tr" �a. r Y
R Does any p of theswaste managemeni`system othe q than waste' structures (require maintenance/improvement'' ❑ Yes No
r f fir ry
9 Do any stucturesrlack adequate gauged:marl,ers'with �equlred rna mum and mitnimum liquid+level , E
_elevation imarkings� i ❑ Yes No
-�;� �a � s , .' ,•sy, y, -y ..�
14 dhte e1pplicition� r7 v >� k s iL f""'} x s e i
xr . . ,;� ..• •'"•'- L1.- ". � t r-'' �' .y :':c�..e .&•, t .w#._ ��_ = ,rti. t "ti + - - O:.' •" .-
- s
14 Are there any;buffers [fiat need maintenancehmprovement'` r '': ' z Yes tom] No
1 1 1s there"evidence ofov6t,appltcn(ion.,Z= `❑ Exccssi�c Ponding i�❑aPAN w ❑ Yes .')Z No
12 Crop17
a z
C
k aria., 3L:�'F �,.:3� ny t �w.,rryCw4 ry j
t 3- Do the receiving crops differ with thase'desi�natcd in the Certified Animal Waste Management Plan'(CAWIv[PP # `❑ Yes No'
14:i a} Does the facility lack'adequite ac.reageyfor land 4i lica ton!.+ 3 � _ ❑Yes ❑ No
b) Does the facility need a wettable acre determin Ruin? r , v5? ❑Yes (❑ No
c) This facility is perided for a wettableacre dctci mitiannn ❑ Yes ❑ No
_ • .
15. Does the receiving crop need improvement? ❑ Yes ;RrNo
16. Is there a lack of adequate waste application equipment?. ❑ Yes No
Required Records & Documents
17. Fail to have Certificate of Coveral;e & General Permit readily available? ❑ Yes FerNo
18, Does thelfacilit fail to have all components of the Certified Animal Waste Managetitent Plan readily available? �!
(iel WUP, checklists, des'Ign, ni�, etc.) ❑ Yes �'N0
19. Does record keeping need improvement? (ic/ irrigation, freeboard, wastk<nalysis & sot l4af6ple reports) ❑ Yes VNo
20. Is facility not in compliance with any applicable setback ci-iicria in effect at. the time of design? ❑ Yes ANo
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ;eNo
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 ONO
24. Does facility require a follow-up visit by same agency? ❑ Yes ❑ No
25: W( se any additional -problems niited-which cause noncfimpli incc of the Certified AWMP?-- _ "� "" ❑ Yes �' o
0: Rio-QAati6fis:or dei'iciendes •were noted• du-eifig 4his;visiC- :Y:o4 wiil•recoVCe fio; fufthgr
:cor.resporidence'.A'Out.tK visit..-•-:':•:':-.'.':':':'.'..... .... .. .
Comments (refer, to question tf}: Explain any YES answers and/or any recomiii& dations or any, other comments.°
Use deawings of facility to better explain situations. (use additional pages as necessary)
a :'
'Y•.-' .r�a n':t: �"';•'W-¢•'/tom^y; 1 �ywypry�� r tt .n. C� �- e a �• a. �i .,fr + ^V Y* #'�' f, �♦�V /'— `r ..nri., .I t, } h-f� r•� � L-:A;M� �4rty (.Fw iy lk 7`y. it 'Ki K"i+ 1 .1. 1 .. '1 Y
Reviewer/Inspector.,,.-
-' {., ."3 ;r4 t
�`
Date:[ 1
_
�l
•. _. .- . _
3/

M
r
em
26 Does the -discharge pope fr3o'm t econ iinemej
s liquid level of lagoon or storage pond with 6
:
27 'Are there any dead anirnals nod disposed of p
2$ ' Is there any evidence of wind drift during Ian
goads; building structure; and/or public grope
29 Is the land appliic- bong spray system intak"i
30 Were any males maintenance problems with
or broken fan blade(s), inoperable shutter/sf{e
3I � Do the ammaIs,fe.,ed sto�age bins fa2I to have
32" Do the flush.[ nks lack a subm'e"rged fill"pipe
spect�onr; �
' f Lpp 7 f. fi r Fr
S i
:,�.ttis7,r�
,
ter I
nr� re,�}3 51
a.
l.�.r�,�a n:S• �' J.� 1'i, � r l.-�' y .r
building to the storage pond'or lagoon fail to discharge auo—r below ,
❑ Yes No
igitat�on.�`� J a �Ai 1:
perly within 24 hours.?�'�
❑ Yes, No
r
application (i a resjdiie onrneighboring vegetation, asphalt, r
❑Yes ' Q� No
A
located near the liquid surface the lagoon?, 6 Y
-
❑ Yes: No
yo_f
e_ventilattoni fans) noted r(i a broken 4fan belts; missing or G_�
`� - *a �, - -.
❑ Yes A No
_
y} y'ttMt W`ia` 1f_ ' 1 i� L �1 "hlF 41 W '� SL,.� I Y^
kW 'S F 6 L� - �Ei SS ♦ i
4
,. .• L i
)propnate cover. is L' t ;.
❑ Yes'. r2,No
r,apennanenth_emporary cover?
El
?9

Revised Januan, 22, 1999
aUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number- a�
Farm Name: �� S�.•r-�e�
On -Site Representative: V*v, -L w41K+''c--
Inspector/Reviewer's Name: �►t��—��
Date of site visit:_/LC�%9p _
Date of most recent WUP: q-1-1 ?
Operation is*flagged for a wettable
acre determination due to failure of
�Partllgibility item(s) F1 F2 F3 F4
Operation not required to secure WA
determination at this time based on
exemption E1 E2 E3 E4
Annual farm PAN deficit: 1�/ o3 / pounds
Irrigation System(s) - circle #: 1. hard -hose traveler; 2. center -pivot system; 3, linear -move system;
4. stationary sprinkler system wlpermanent pipe; 5. stationary sprinkler system w/portable pipe;
6. stationary gun system wlpermanent pipe; 7. stationary gun system wlportable pipe
PART I. WA Determination Exemptions (Eligibility failure, Part ll, overrides Part l exemption.)
E1 Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I or PE.
E2 Adequate D, and D2/D3 irrigation operating parameter sheets, including maps
depicting wettable acres, is complete and signed by an I or PE.
E3 Adequate D, irrigation operating parameter sheet, including map depicting
wettable acres, is complete and signed by a WUP.
E4 75% rule exemption as verified in Part Ill. (NOTE: 75 % exemption cannot be
applied to farms that fail the eliaibiiity checklist in Part 11. Complete eiigibility
checklist, Part 11 - F1 F2 F3, before completing computational table in Part 111).
PART 11. 75% Rule Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required because operation fails one of the eligibility
requirements listed below:
F1 Lack of acreage which resulted in over application of wastewater (PAN) on spray
field(s) according to farm's last two years of irrigation records.
F2 Unclear, illegible, or lack of information/map.
F3 Obvious field limitations (numerous ditches; failure to deduct required
buffer/setback acreage; or 25% of total acreage identified in CAWMP includes
small, irregularly shaped fields - fields less than 5 acres for travelers or less than
2 acres for stationary sprinklers).
F4 WA determination required because CAWMP credits field(s)'s acreage in excess
of 75% of the respective field's total acreage as noted in table in Part M.

Revised Januan- 22, 1999
-I' - - 'pity Number .
art III. Field by Field Determination of 75% Exemption Rule for WA Determination
TRACT FIELD TYPE OF
TOTAL
CAWMP
FIELD
COMMENTS3
NUMBER NUMBER' Z IRRIGATION
ACRES
ACRES
%
SYSTEM
1
I i
I
4 1
I
4 I 1
1
}
FiEL❑ NUMBER' - hydrant, pull, zone, or point numbers may be used in place of field numbers depending on CAWtv1P
and type of irrioation system. if pulls, etc. cross more than one field, inspector/reviewer will have to combine fields to
caicufate 75% field by field determination for exemption if possibie; otherwise operation will be subject to WA
determination.
FIELD NUMBER` - must be clearly delineated on map.
COMMENTS= - back-up fields with CAWMP acreage exceediro 75% of its total, acres and having received less than -50%
of its annual PAN as documented in the farm's previous two years' (1997 & 1998) of irritation records, cannot serge as the
sole basis for requiring a WA Determination. Each-uo fields must be noted in the comment section and must be accessible
by irrigation system.

�4 t wi.i"'k' i i'tE tat^ i �� - ��.. �� _. n a:: i, a is �-',i a'IPj
�'DiviSlon Of 5011 and �� PCOntiervatif]n-�Operatlon REVIeWh a {i (! ;Z �.� Wate
0 Wate aiion�- Compliance Inspection
ivision of Water Quality=lCompliance Inspection
0 Other,Akency -.Operation Review'
outine O Complaint O Follow-un of DWO inspection O Follow-up of DSWC review O Other
Facility Number Dace of Inspection
"Finie of Inspection 24 hr. (hh:rn
Permitted © Certified ❑ Conditionally Certified © Registered JE3 Not Operaational Date bast Operated:
Farm Name: ff1�!1 I.wT� r� Count I✓11.rf......................................
...................................................`Ir.!L....................................... J ..Q... q
Owner Name: .. fid.G`1.. � ......7, j. Phone No:.•�i..C....`.....77 .. ..b.........................
Facility Contact: ^Nr .. G.k/1....'+.. Title: , Phone No:
Mailing Address: r ....................... .........,............................... ..........................
n/ 3 �...�.�..4.............��llrb.. 'i' �'/7+s3 Lz
Onsite Representative:....4L1.1�1 ...7....4.Pd4eA.'....1...... .......... ......'......................... Integrator: „(q .!p(,r . p % G i4lr.....................
Certified Operator:.....s `!'`�T....S........................................................................ Operator Certification Number...........................................
Location of Farm:
.................................................................................................................................................................... ..... . T i
Latitude Longitude �• �� ���
�winc
Wean to Fccder
5y,ed6r to Finish
Farrow.to Wean
Farrow to Feeder
Farrow to Finish
Kilts
Boars
Poultry Capacity Population Cattle Capacity Population
❑ Layer_.,,.,._,.,. ❑ Dairy
❑ Non -Layer JE3 Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present 110 Lagoon Area 10 Spray field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)?
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 Waters ❑ Waters of the State
c, if discharge is observed. what is the estimated flow in gal/min`?
d. Does discharge hypass a lagoon system?
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts to the waters or the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
f Sti'UGtUre I Structure 2 Structw•cr3
Identifier: ri -4f0
Freeboard (inches): .'��
........�... ...........................................................
❑ Yes �No
❑ Yes No
❑ Yes o i
❑ Yes ®'IN
❑Yes YNo
Np
❑ Yes
❑ Yes ,ZNo
Structure 4 Structure 5 Structure 6
1 /6*
Continued on back

Fadlity4NZber: — Date of Inspection
5. Are there any immediate t rears to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-5 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvenent?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required top.of dike, maximum and minimum
liquid level elevation markings'?
Waste Application
10. Are there any buffers that need rnaiittenance/improvement?
11. Is there evidence of over application? ❑ Ponding ❑ Nitrogen
12. Croptype r'...t.8.?, ......FCSu:C..�}`4...8° �1.. ram:!..^ ..................
yp I
13. Do the receiving crops differ with those designates! in the Certified Animal Waste Management Plan (CAWMP)?
14. Does the facility lack wettable acreage for land application? (footprint)
15. Does the receiving crop need improvement'?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement'? (ic/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21, Did the facility fail to have a certified operator in responsible charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit`?
(ie/ discharge, freeboard problems, over application)
23. Did Rev' er/lnspector fail to discuss review/inspection with on -site representative?
24. 139d, facility require a follow-up visit by same agency?
No.vialations or. deficiencies .were noted daring issY'oil
e.thviit:. u vn.retceive nor further . .
orres'Dbgidehee' about: this visit.. .. .. ..... .. .. .. .
z� 99
❑ Yes .b O
❑ Yes No
❑ Yes �..] N
❑ Yes. No
❑ Yes No
❑ Yes No
❑ Yes o
ElYes No
❑ Yes � LV O
❑ Yes
❑ Yes Rio
❑ Yes o
❑ Yes dNo
❑ Yes Ta
❑ Yes io
❑ Yes No
❑ Yes FNN
❑ Yes
❑ Yes
Comments {refer tb question #): Explain any YES answers arid/or any.recottmmenda6ons or an* other comments
Use drawings of facility toybetter explain situations. (use'additiopal pages as necessary):
<< t
., . — — . its ,
i
T
Reviewer/Inspector Name r •� `
Reviewer/inspector Signature: Date: ZI'v .
1 /6/99

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
September 11, 1997
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Maxwell Foods Inc
Plantation Sow Farm
PO Box 10009
Goldsboro NC 27532
Farm Number: 66-84
Dear Maxwell Foods Inc:
ffl�WA I
00
[DEHNR
You are hereby notified that Plantation Sow Farm, in accordance with G.S. 143-215. IOC, must
apply for coverage under an Animal Waste Operation General Permit. Upon receipt of this letter, your
farm has thirty (30) 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 thirty (30) 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
Permits and Engineering Unit
Post Office Box 29535
Raleigh, NC 27626-0535
If you have any question concerning this letter, please call J R Joshi at [phone] extension
363 or Charles Alvarez with the Raleigh Regional Office at [phone].
Sincerely,
A. Preston Howard, Jr., P.E.
cc: Permit File (w/o encl.)
Raleigh Regional Office (w/o encl.)
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]a3 FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Facility Number
Date of Inspection /2Y—z7
(o
Time of Inspection 24 hr. (hh:mm)
Farm Status: ❑ RWstered ❑ Applied for Permit
0Certified ❑ Permitted
❑ Not Operational Date Last Operated:
Total Time (in fraction of hours
(ex:1.25 for 1 hr 15 min)) Spent on Review
and
Farm Name: .... Plil . f iL h/....�:Yhl.....
//�9. E��t1—.�........... _................_...... County: !./.(%,LJ1i 9±-e. ._.... _....... __..........
Land Owner Name:6oA/f 4' /Tt7 ��q/a^--S 9// ` �7% ? — 513,0
_...........1..._.................%....... __................................._...... Phone No:..........._ ...... _.1....._....._.......
_.....__..............._...........
Facility Conctact: i7...eV..f_' ���/ • r Grs �fryrtwr Title:._ ................. _.......................... Phone No: ..... ..... _............... _...... ..............
Mailing Address:....:....o...l vaq.....................................a 7,573 z
....................... ....... __....._...............................—.................. ............... _.... _.................
OnsiteRepresentative: T_! '0�'!„;,,'
..........._....................................._......._......
Integrator:..�7p �c�Sp((PO
Certified Operator:......... / // ........... Operator Certification Number:
Location of Farm: <9 f'/= S iL o D
............................................................................................................................................................................................_.............................I................ 4
... .
Latitude =• 0` 0" Longitude =• =1 =N
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
. Does any part of the waste management system (other than lagoons/holding ponds) require
4/30/97 maintenance/improvement?
❑ Yes [.)'No
❑ Yes ETNo
❑ Yes No
El Yes
No
❑ Yes No
❑ Yes ONo
❑ Yes /to
❑ Yes T
Continued on back

}
Facil4 Number: ... (�.�...— .............
Y
6.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
&'No
7.
8.
Did the facility fail to have a certified operator in responsible charge?
Are lagoons be
❑ Yes
❑Yes
a` O
there or storage ponds on site which need to properly closed?
l�No
Structures
(Lagoons and/or Holding Pon"
9.
Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes
Id'No
Freeboard (ft): Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
ss'
.. ............................ .. Z7...... .-isot--14' , ....... _..... ....... ..... _....... .....
.....................
10.
Is seepage observed from any of the structures?
❑ Yes
IS No
11.
Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
01,10 •-
12.
Do any of the structures need maintenance/improvement?
❑ Yes
No
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack,adequate minimum or maximum liquid level markers? ❑ Yes o f
Waste APPlifatiop,
14. Is there physical evidence of over application? ❑ Yes o
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type Fe.f'C '
16. Do the receiving crops differ with those designated in the Anima] Waste Management Plan (AWMP)? Yes ❑ No
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes No
18. Does the receiving crop need improvement? ❑ Yes 0No
19. Is there a lack of available waste application equipment? ❑ Yes Co
20. Does facility require a follow-up visit by same agency? ❑ Yes 01 o
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ YesQ
For Certified Facilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑ Yes QIKIO
23. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes �N0
24. Does record keeping need improvement? ❑Yes
Comments (refer to gaestion #) Ezplam any YES answers and/or. any- recommendapons or any other comments n
Use drawjngs of facyEt O better explain situations (use addit�onalTp ges as necessary)
5 . �.
hrz►".J F►ac�1-1,,-/. so--e- lj-,ae
s be- � , sp���_ 4- L­-11 ,6x, io wtit) a.
rye lam. < 4p p L' cut -f , 2�- vim• 11 v aGs� K "
Reviewer/Inspector Namet,
Reviewer/Inspector Signature: / y
%
Date:
G/ 1
cc. Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

J
ODSWC'Animal Feedlot Operation Review
0 DWQ Animal Feedlot Operation Site Inspection
Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DS«'C review 0 Other
Date of Inspection
Facility Number
Time of Inspection 24 hr. (hh:mm)
Total Time (in fraction ol'hours
Farm Status: 13 Registered [] Applied for Permit (ex:1..35 for 1. hr 15 min)) Spent on Review
❑ Certified Q Permitted or Inspection (includes travel and processing)
13 Not Operational I Date Last Operated:............................................................./..�.......... ,� 1
Farm Name: f'.1 �% }. /1r!........ .......... G',�1......... I ........................ County:..l..())MW............... .......................
Owner Name: ................................................... . Phone No: •
Facility Contact: ............. ................ .......... Title:..................... .. Phone No:
MailingAddress:...................................................................................................................... .........................
Onsite Representative ................ Integratnr, :......................................................
Certified Operator: ..................................... Operator Certification Number:................
Location of Farm:
Mic
Latitude 9 :9 Longitude a ° .4
Type of Operation `Design Currennt ` Design Current `` f' S Design',' "Curr
swine: :. . ..Capactty,Population,• Poultry ., , Capacity Population Cattle "Capacity -Popul
❑ Wean to Feeder
❑ Feeder to Finish
barrow to Wea
fiYJ
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Other
:]Subsurface Drains Present ❑ Lagoon Area JE1 Spray Field Area
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 inan-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/nun?
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. hoes any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
4/30/97
, Yes ❑ No
❑ Yes XNo
❑ Yes VNo
❑ Yes Zti10
❑ Yes
0No
❑ Yes
U(No
❑ Yes
�No
❑ Yes
�No
Continued on back

Facility Number: — Z
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures t Lagoons and/or Holding Ponds)
9. Is storage capacity (freeboard plus stoma storage) less than adequate?
Freeboard (ft): Structure I Structure 2 Stntctur 3 Structure 4
� r^
y,...................... ........ .....y..........................: �........................................................
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 DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Annlication
Cl Yes No
❑ Yes //11 No
❑ Yes] No
❑ Yes I;a(No
Structure 5 Structure 6
❑ Yes ,�j No
❑ Yes �'j No
Z Yes ❑ No
❑ Yes R1 No
14. Is there physical evidence of over application? ❑ Yes 9No
(If in excess of WMP, or runoff6ggev
entering waters of the State, notify DWQ)
15. Crop type �T1. ......... .fly:' ....... .. S .U..L .............................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? jo Yes raly
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes 7VNNo
18. Does the receiving crop need improvement?
❑ Yes
[ No
19. Is there a lack of available waste application equipment?
❑ Yes
AO
20. Does facility require a follow-up visit by same agency?
❑ Yes
VNo
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
J2 No
For Certified Facilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
PNo
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
24. Does record keeping need improvement?
❑ Yes
VNo
Comments {refer to queshaii # !Exptannany "S aitswersanUor any retmrendah,t}s tir trip ttlier eomt7ts,
Use drawings fa illt}+Ito'better.ezpasituations(use itionapages'as�nt '
o� wry) „ �
�- �tN -V e 57796f-lsfi LIL3-e-L 'rij _r1441 67W6 i eO,1 7 417-1
�s
�► J- j-. rr E /7
7104, 1-5 T75iX5 6#(,v G,e� s t�v,� ,ve It r
� 2
TD s �- c s 1! V &—'i �1aA J�'/GGU.vj2 6 L-3
�.v r✓
ea'U h5 TPU r t&-O r. r' N l s o-00
Reviewer/Inspector Name RAM
�'`,
Reviewer/Inspector Signature- Gv/ Date:
it
cc: Division of Water Quality. Water Nu N Section. Facility Assessment Unit
4/30/97

FacilityNumber' Date of Inspection Z —9
tto
Time of Inspection /' j a 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: ❑ Re�tstered ❑ Applied for Permit (ex:l 25 for 1 hr 15 min)) Spent on Review
L ff erti�ied ❑ Permitted or Inspection (includes travel and processing)
❑ Not Operational Date'' Last Operated: ....»...................... _..... _............. _..y..�............................. ..... ......... ......... ....... ..................
Farm Name:.... 1. n_IgT!o}' SEW . P..-K...................................... County::./.d .�� 'T�.
Land Owner NameeL:�d��(/wrp..Z�c� »�S�Z�- 5.............. _........ Phone No: _.! /. .......(....7..F... ..............................................................
Facility FacilityConctact:l�_?N.f_Lf.¢;far LrsniGseY?'Title: ................................................ Phone No: ..... ...... ... ........................ ......
».
Mailing Address:.,.... ._.......v1-0 w, L -Z 73 2
_G�o.S.............................................................................................................................
OnsiteRepresentative: �_!_e?!!'� �t /asp YO /� �...'
_..............................._.......»........................»....... Integrator:».........._..:....i!....__....»...�............:::.. ........ ».
Certified Operator:........../ l` / I .................................................... Operator Certification Number:.........................................,
Location of Farm: �2 rt= S t2.
..........................................................................I...........
............................................................................ _ .......
Latitude =•='=11
Longitude 0• =, =«
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gaUmin?
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 lagoonsiholding ponds) require
4/30/97
maintenance/improvement?
❑ Yes 0<0
❑ Yes 0 No
❑ Yes ❑ N�
❑ Yes Q'No
❑ Yes © No
❑ Yes i IN( ,
❑ Yes ❑'No/
❑ Yes T
Continued on back

Number:'::G
t , facili�; not` n cornpliance with any applicable setback criteria in effect at the time of design?
/Did the fac lity fail to'have"a certified�operator in responsible charge?
_ Mom; :_•-=� -
_ ., .� •.: -- .. .M.
/j 8.;Are there lagoons or storage ponds on site which need to be properly closed? _
�..
,�t;t�tnres aeoon�a_ E�49L1F1 • .. _., -. ��:.-..�.., ... :.�..:
".^......�S:F+i►. �"tGYit•�aer'.a...r,.+..c. - - . - ��:xr..-r,� - - •.. +. ,
9' Is'storage capacity (freeboard plus storm storage) less than adequate?
��.. Freeboard (ft): Structure 1 Structure 2 Structure 3 Structure 4
p_`..5.. •�• .�ScfiL,� �l�tq. .........
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 airy of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat,, n otify'DWQ)
13. Do any of the structures iack,adequate minimum or maximum liquid level markers?
Waste Appikeation
14. Is there physical evidence of over application?
Of in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ns � i Feft�
❑ Yes 0<0 -
❑ Yes-
. ❑ Yes
❑ Yes 2
Structure 5 Structure h
I6. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the. receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does the facility fail to have a copy of the Animal Waste Management PIan readily available?
23. Were any additional problcros noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
❑ Yes Q'No
❑ Yes Li'l"o
❑ Yes No
❑ Yes �'No
❑ Yes o
es ❑ No
❑ Yes No
❑ Yes 0No
❑ Yes Co
❑ Yes 9<0
❑ Yes
❑ Yes W o
❑ Yes No
[E]Yes No
;arawings of raciitty to better:expiam;situattons (use aaamonai pages as necessary
ro�-:.,F ` s,.e-�: �„ : - �;� , ry,:xa::..,.��:`� ';tYr'.x:: ,. :�..s�.. 9or: k �`?: •
Y( 1oLn a,b c w. Sir Sic J_ w ti 1 r.
PA,�— • _ 4p p L It 0 rc s. r "
—•"a .��` .ss±"°`a,�x''"'""' ;�@',�n"""",5,,%S �N�'ye�• � ^SK 2 "`��".�""0J1 '-' tz f'"�>'�.
Reviewer/Inspector Name5 l.0
Reviewer/Inspector Signature: Date:
cc: Division of Water Quality, Wafer Quality Section, Facility Assessment Unit 4/30/97

A
4
t, -`. s t- _- ': r:a-. SA�RSx,.4..s�` NIM
`�DSWC Animal Feedlot Operation Review
�u❑ DWQ Animal Feedlot Operation Site Inspection P
r.
Routine 0 Complaint O Follow-up of DWQ inspection O Follow-up of DSIVC review O Other
Date of Inspection
Facility Number
Time of Inspection 24 hr. (hh:mm)
Total Time (in fraction ot'hours
Farm Status: []Registered ❑ Applied for Permit (ex :1.25 for 1 hr 15 min;i) Spent on Review 0
❑ Certified ❑ Permitted or Inspection (includes travel and processing)
10 Not O terational I Date Last Operated: ...........................................................
Farm Naive „ N' County: tI�T.4il `.7. xvw....................................
OwnerName:........................................................................................................................... Phone No:.....,..............,.,.......................::::::...................................
FacilityContact:.............................................................................. Title:.,.............................................................. Phone No:...................................................
;Wailing Address;
r.....................,..................,..............................................................,.............................................................. ..........................
Onsite Representative:..&.V4... 4 t,Jt1C4��r�I Integrutor��. `a.. f..q 5.
Certified Operator: ........................................ Operator Certification Number:....... .......................
Location of Farm:
Latitude • 9 :9 Longitude • 9 :4
Type of Operation Destgn Current Design Current Design ,'. Current
Swine.- ._ , - Capacity •. Population � .x, Poultry, Capacity Population Cattle ; Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
Farrow to Wean-.,fiY1(J
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Other
Number of Lagoons I Holdtng Ponds ° s ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
General
1. Are there any buffers that need maintenance/improvement?
Z. Is any discharge observed from any part of the operation''
Di.:charge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
h. If discharge is observed, slid it reach Stirface Water? (If yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in gal/nun'?
d. Does discharge bypass a lagoon system? (If ves, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge'?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
4/30/97 maintenance/improvement?
Yes ❑ No
❑ Yes )YNo
❑ Yes V/N+ o
El Yes JCI No
❑ Yes
O/No
❑ Yes
VNo
❑ Yes
VNo
❑ Yes
;4No
Continued on back

W,
•
Facility Number: —
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons and/or Holding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft): Structure 1 Structure 2 Stnrctur 3 Structure 4
�1
............................. :..<y............... ...............................................................
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 DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes No
❑ Yes /10 No
ElYes No
❑ Yes
['No
5
Structure 6
:Structure
...................................
❑ Yes]
.....................
No
❑ Yes
No
Z Yes
❑ No
❑ Yes
0 No
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type tE ........<!7.1�1� '�.............. .. .U..L�...... .................................................... .
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?
19. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
For Certified Facilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
I I-- - V r~ 5T7961.1s,i tA��L Te 7`/,�r a,)G l;
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e'e'V S7�p UG
TD E 6 77M/,cs 4 TvA
ea,ty h TluGite-J 8 F11V161f -fj
❑ Yes 7 No
JO Yes
❑ Yes P(No
❑ Yes [�No
❑ Yes AO
❑ Yes P(No
❑ Yes ,Q No
❑ Yes J'No
❑ Yes C
❑ Yes Fe(No
/5
'OA (' r
Reviewer/Inspector Name
Reviewer/Inspector Sign
Date:
cc: Division of Wafer Oualifv. Water OuAty Section, Facility Assessment Unit 4/30/97

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
Maxwell Foods, Inc.
Plantation Sow Farm
PO Box 10009
Goldsboro NC 27532
Attn.: George Pettus
Dear George Pettus:
±LJ
�ENf=Pt
December 2, 1997
Subject: Certificate of Coverage No. AWS660084
Plantation Sow Farm
Swine Waste Collection, Treatment, Storage
and Application System
Northampton County
In accordance with your application received on September 23, 1997, we are forwarding this
Certificate of Coverage (COC) to Farm No. 66-84, authorizing the operation of an animal waste
collection, treatment, storage and land application system in accordance with the State's General Permit
(attached'). This approval shall consist of the operation of this system including, but not limited to, the
management of animal waste from the Plantation Sow Farm, located in Northampton County, with an
animal capacity of no greater than 4000 Farrow to Wean and 160 Isolation Gilts and the application to a
minimum of 117.6 acres of land as specified in the Certified Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until December 31, 2001. 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 COG 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.
In accordance with General Statue 143-215.10C, Animal Waste Management Plans shall include
the following components:
- A checklist of odor sources and best management practices to minimize these sources.
- A checklist of insect sources and best management practices to minimize these sources.
- Provisions set forth for acceptable methods of disposing of mortalities.
- Provisions regarding emergency action plans.
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

Your existing Certified Animal Waste Management Plan must include the above elements, by
December 31, 1998. Documentation of the certification must be available to inspectors onsite. Submittal
of the amended certification statement shall be required upon renewal of your permit coverage in 2001.
Please be advised that any violation of the terms and conditions specified in this COC, the General
Permit or the CAWMP may result in the revocation of this COC.
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This
request shall be made within 30 days of notification by the Division.
This COC is not automatically transferable. A name/ownership change application must be
submitted to the DWQ prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the
right to apply for an individual non -discharge permit by contacting the engineer listed below for
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 Katharine Keaton at [phone] ext. 533.
Sincerely, ,
,3ZA. Preston Howard, Jr., P.E.
cc: (Certificate of Coverage only for all cc's)
Northampton County Health Department
Raleigh Regional Office, Water Quality Section
Northampton County Soil and Water Conservation District
Permit File

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Steve W. Tedder, Chairman
Maxwell Foods Inc
Plantation Sow Farm
PO Box 10009
Goldsboro NC 27532
Dear Farm Owner:
ALT.KMAI
1�j
E:ENf=1
Subject: Classification of Animal Waste Management Systems
Facility: Plantation Sow Farm
Facility ID #: 66-84
County: Northampton
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study Commission on
Agricultural Waste, was enacted by the North Carolina General Assembly on June 21, 1996. This bill
requires that a certified operator be designated as the Operator in Charge (OIC) by January 1, 1997, for each
animal waste management system that serves 250 or more swine, 100 or more confined cattle, 75 or more
horses, 1,000 or more sheep, or 30,000 or more confined poultry with a liquid animal waste management
system. Our records indicate that your facility is registered with the Division of Water Quality and meets
the requirements for designating an OIC.
A training and certification program is available for animal waste management system operators. For
information on the training programs please contact your local Cooperative Extension Agent. Operator
certifications are issued by the Water Pollution Control Systems Operators Certification Commission
(WPCSOCC). For information on the certification process, please contact the Technical Assistance and
Certification Unit at [phone]. The type of training and certification required for the operator of each
system is based on the nature of the wastes to be treated and the treatment process(es) primarily used to treat...
the animal waste. There are two types of animal waste management systems, type A and type B. Type A
animal waste management systems are generally used to treat waste generated by monogastric animals
which produce a low -fiber waste. Type B animal waste management systems are generally used to treat
waste generated by ruminants and other animals which produce a high -fiber waste. The type of training and
certification an operator receives should correspond with the type of system(s) they intend to operate. For
more information on the classification of your system please contact the Technical Assistance and
Certification Unit.
As the owner of an animal operation with an animal waste management system, you must designate -an
Operator in Charge and must submit the enclosed designation form to the WPCSOCC. If you do not
intend to operate your animal waste management system yourself, you must designate an employee or
engage a contract operator to be the Operator in Charge. The person designated as the Operator in Charge,
whether yourself or another person, must possess a currently valid certificate of the appropriate type.
Sincerely,
Joseph B. McMinn, Supervisor
Technical Assistance and Certification Unit
cd/AW OIC Designation
Enclosure
cc: Raleigh Regional Office
Water Quality Files
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

r ,,, � r� fip"a6��'. R�a�:t�vi'�i5�lasiit'r W.'iyFi�^�`:���`S.•b;vmAd�'iY5t3'idF'ib'n'+�4"brr3C'�''vas.�a"�"'r"S kii!'�ti& �:�d4,��+1m6k�.ri q�
DAn imalSFeedlot:Operation Reviews'`
DWQ'AnimalTe'edlot•Operatlon"-Site Inspection"
Routine Q'ComplMnt' .O.FolloN -up of DWQ inspection;'!
77
Facility Number;,
Farm Sterns: El Registered ` 0 Applied for Permit
` D:Ce0ifiea ..—[3 Pe'rmitte'd- `
t
A '
O�Uther- �., ItTollori�-up of I)SWC•.review' °13^
'
Date of Inspectioti
Time of inspection �,24 hr. (hh:mm)
Total Time (in traction of hours
(ex:1.251`4 11hr 15 min)) Spnt on Review
or Inspection (includes travel And processing)
1 r
E3 Not bU erational ' .: Date Last Operated: ........................................... ' ........................
!u.. �� . ........ !�....... R7GW? Count d r�
.Farm Name:.:.../--.�. T County: T �tY!/�%Z .....................:......
OwnerName:.....:.................:.................................................................................................. Phone No:.....................................................................................
FacilityContact: ............................... .......................... — .... Title:...... ..... ................. Phone No: ......................................
MailingAddress:•......................................................................................................................................................................................................... ............................
Onsite Representative:...... -1/�. {TCl r1 .%.... Integrator:.........1n ...�' ................0......................
Certified Operator: .................................................. .............................................................. Operator Certification Number:............................
Location of Farm:
Latitude Longitude
r r wet .> : '', "von i t ;�, a
Number'It '16400ns'�l,Holding'.�Ponds Subsurface Drains Present Lagoon Area Spray Field Area LL
General
i. 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 dischim,e 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/nun?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
4/30197 maintenance/improvement?
❑ Yes VNo
❑ Yes No
❑ Yes P(No
❑ Yes (fNo
❑ Yes
UNo
❑ Yes
[XN0
❑ Yes
(� No
❑ Yes
[1No
Conrittued opt back

rciiity{Number'
v L
871
"Are there;lagoons or storage ponds on site which need to be properly,closed� ❑,Yes
- �,. ..� A'�'t-4 N.� �ify.- vn.�. �'".ri f i4 �' �✓ ,ti '�, ris - A >�ti. ;l!' ' 4, V , �. 'i:'
Structures'(i,agoons:Holdint'Ponds Flitsh Pits: etc,) .f:
9' Is storage capacity,(freeboatd:plus storm nitorage) less,than adequate [� Yes . ❑�Qo
h. x /
y' . 6;, Strucfure 1 :* ; `•Structure• 2 �� Structure 3 N Structure 4 Structure 5 Structure 6' !
Identifier , ...
Freeoar .{ ,) ..F ; r ...f �. ................. ........................................................................................
F r•
10 Ise'seepage observed from anyiofIthe structures? �.r -� ❑ Yes'LJA No -
11. Is erosion, or any other ihieats to"the'integnty of any of the structures observed? ❑ Yes No
r. .. ,
" 12 Do any'of the, structures need mamtenaricelimprovement?] Yes ❑ No
(If any ;of questions 9-12 was answered yes, and the situation poses
an hnme.dialW tiblic-health;or envirommentai!threat, notify DWQ)
.E1.. u_
13:" Do any;of the structures lackadequate'minimum or maximum liquid level markers? ❑ Yes No
-Waste Application
14. ` Is there physical evidence of,over application? ❑ Yes PNo
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type....................................................................................................................................................................................................................'-----......---
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes QrNo
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were'any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
No.violkiohs-vt; &ficiencies.were,noted-6 irig this'v1s1t.-You'4i11 irecflirtlier,::
:. comes'p ridence fi oilt this:vas #::::.. ; . ..
❑ Yes VNo
❑ Yes ;A No
❑ Yes - ja No
❑ Yes �fNo
❑ Yes V1 No
❑ Yes 0 No
❑Yes •O.No
❑ Yes 0 No
❑ Yes d No
.XCl�tlP11 t0 1i oll Ki 7�p Ck '. ��Ye S fn1.( y{4�Iy' Briny CpII}iylilfki��(4�$ti�El3 r0 8A R 1 tS j
1C)se'�� '
r
� �'l�f.Ifi# ttr?,t�t�r.. plain ttabonsY p � �
,i ..
a. 6ACwk,- s�,, c� LF.�y l'2� 5 .r�r C��J - o„US S id C
t3 i�l`j26". -i2 S Ati p1¢ C_4U6J GhFrlti�ll�YS
�ft5 CrLC,.J a,tJ I7"��/ 5 f}4)0 %Z f5t 110
IN /� o p s hOT �XN ' 1°Uh7/1 Paw I�)9
1 E 1 G 7/25197
LF
Reviewer/Inspector NameF"AR�" ,a
Reviewer/Inspector Signature Date:

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
June 26, 1998
Maxwell Foods Inc
Plantation Sow Farm
PO Box 1.0009
Goldsboro NC 27532
A4 qf 02
ammww�t�
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissuance of Certificate of Coverage
No.AWS660084
Plantation Sow Farm
Swine Waste Collection, Treatment, Storage and
Application System
Northampton County
Dear Maxwell Foods Inc:
The Division of Water Quality modified the Swine Waste Operation General Permit originally issued to
this facility on December 2, 1997. In accordance with the issuance of the revised General Permit, we are
forwarding this Certificate of Coverage (COC) to Maxwell Foods Inc, 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 Plantation Sow Farm, located in Northampton
County, with an animal capacity of no greater than 4000 Farrow to Wean and 160 Gilts 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, and shall Hereby void
COC No AWS660084 dated December 2, 1997. The COC shall hereby incorporate by reference any
specific conditions of the previous COC issued to this facility. The purpose of this COC is to allow
coverage under.the revised General Permit. Please review the revised General Permit (enclosed) and pay
particular attention to Condition II.10 regarding tree removal from lagoon embankments, Condition III.1
regarding inspection frequency of the waste treatment, storage and collection system and Condition III.6
regarding notification requirements for system failures, spills and emergencies. Pursuant to this COC,
you are authorized and required to operate the system in conformity with the conditions and limitations
as specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of wastes to
surface waters. An adequate system for collecting and maintaining the required monitoring data and
operational information must be established for this farm. Any increase in waste production greater than
the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the CAWMP and this COC and shall be completed prior to
actual increase in either wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the
General Permit or the CAWMP may result in the revocation of this COC, or penalties in accordance
with NCGS 143-215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive
relief.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Certificate of Coverage AWS660084
Plantation Sow Farm
Page 2
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This
request shall be made within 30 days of notification by the Division.
This COC is not automatically transferable. A name/ownership change application must be
submitted to the DWQ prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the
right to apply for an individual non -discharge permit by contacting the engineer listed below for
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 Mike Lewandowski at [phone] ext. 362.
Sincerely,
R
for A. Preston Howard, Jr., P.E.
cc: (Certificate of Coverage only for all cc's)
Northampton County Health Department
Raleigh Regional Office, Water Quality Section
Northampton County Soil and Water Conservation District
Permit File

7I23
0 Div' ' n of Soil and Water Conservation ❑ Other Agency
ivision of Water Quality
I0rRoutine O Complaint O Follow-up of DWO inspection O FoHow-up of DSWC review O Other I
Date of Inspection
Facility Number b6
Time of Inspection 24 hr. (hh:mm)
0 Registered 13 Certified [3 Applied for Permit �e�rmitted JE3 Not O eratinnal Date Last Operated:
Farm Name. p �s a ... qCounty:L. ./.. ....�T. ......... ..................................:..
Owner Name:..�,.±.i✓ � ....�`�."P .45......: ''............................................. Phone No: ..,v,` 2...— 7.7�.....3..,/3....6...........................
Facili#y Contact: ,. G.-,. �'� �1...'* -r Title .. Phone No: ...................................................
............ ..........................
Mailing Address: D x �. �. .L.. ...( ..I?..,('-? . v. .�..�....... *.........k � 7 1-3,-2 .................................... ..........................
Onsite Representative:....... .t9. ..� .. .!'.1. .�. .. .... Integrator:.9n l Js" prL .../,Ak �:.......
Certified Operator,,• .... Q. E''. /......... ...1........................ .. Operator Certification Number:.................... .............
Location of Farm: 'Ce 11C,6
..... .....
Latitude �'����� Longitude o• ��
M,Dest rrrent Design Current
Capacity 4Population
Poultry' '' Capacity Vopuration
❑ Wean to Feeder
❑ Layer
Feeder to Finish
❑ Non -Layer
'%❑
3-11arrow to Wean
U
'
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Di si
❑ Gilts
❑&-
Boars
IF]Non-
fw.
Total SSM
a ��k
ONtttitber f Lag Molding Ponds �tij
bd '-�°°`.2
IRON �� n
U Subsurface Drains Present
j[1 Lagoon Area
ILI Spray Field Area
........
❑ No Liquid Waste Management System
J
General
1. Are there any buffers that need maintenance/improvement?
❑ Yes 0
2. Is any discharge observed from any part of the operation?
❑ Yes LV O
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes o
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
❑ Yes
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes o
3. Is there evidence of past discharge from any part of the operation?
❑ Yes o
a. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes o
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes No
7/25/97

FatQitypNumber: —
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (LagoonsMolding Ponds plush Pits etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure/2 Structure r3 Structure 4
Identifier:. t°�!':.r2�. .Z ....� . 1... ...' ...............................
Freeboard(t't): '7 ............ . li f 1.................................................. ................ I...........
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 DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Cl Yes o
❑ Yes o
Structure. 5 - Structure 6
............................. ...................................
.........................................................
❑ Yes o
❑ Yes ld'l O
❑ Yes o
❑ Yes . o
Waste Application _ ,
14. Is there physical evidence of over application? El Yes ld'iQo
(if in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type Qr.✓..l!^ +��:! . .......... ......................................................................................... I.......................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ YesENoZ"'
o
17. Does the facility have a lack of adequate acreage for land application? ❑ Yeso
18. Does the receiving crop need improvement? El Yes
19. Is there a lack of available waste application equipment? ❑ Yes ,2�No
20. Does facility require a follow-up visit by same agency? El Yes�No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes
22. Does record keeping need improvement? ❑ Yes o
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. ;re
e a additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes
25. any additional problems noted which cause noncompliance of the Permit? ❑ Yes No
No.violations°or d'rciencies.rvere'noted-dut:ing' this" visit.- You.will receive no,ftirrliei- . -
. • cot'respQitde[tce a15.out this; visit:- ; ; - : :: � .: . . : . :. . . .: : : : : :.:

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