010002_INSPECTIONS_20171231

Division of Water_Resources
Facility Number _ - �Pj Division of Soil and Water C ervation .:
O'Other Agency
Type of Visit: Compliance 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 0 Denied Access
Date of Visit: I Q, Q 1 Arrival Time: Departure Time: County: r C&gion:
}
Farm Name: Q I V p�� tit Ve-5-�CIL Owner Email:
Owner Name: p Phone: (p - 5 $ q— 36 7 (e
Mailing Address: 17 A 1-6 yo aq q t� �[� 2 7 Z Q
Q 0
Physical Address: QQ��r j R JQ.5th I`e�r�L Pj [�d' 11'? 4' N� 2-] d-4 -]
Facility Contact: l _ Title: Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity 'Pop.
Wean to Finish Layer DairyCow
Wean to Feeder Non-La on-Layer DairyCalf
Feeder to Finish Dairy Heifer
Fat-row to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Puults
Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ZrNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (if yes, notify DWR) ❑ YesVNo ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system? (If yes,notify DWR) ❑ Yes NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? E YesrNoo
NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

lFacility Number: - d Date of Inspection: s
Waste Collection& Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes �NoD
NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 1�--
Spillway9:
Designed Freeboard(in):
Observed Freeboard(in):
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(i.e., large trees, severe erosion,seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a [—] Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environments reat,notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes N ❑ NA ❑ NE
S. Do any of the structures lack adequate markers as required by the permit? El Yes No A ❑ NE
(not applicable to roofed pits,dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers,setbacks,or compliance alternatives that need ❑ 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,et
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes N ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement'? ❑ Yes No NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No 15a<14A ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes ,PK'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 ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ YesjNo�jEj 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 d ❑Waste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
❑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 No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ;R<A ❑ NE
Page 2 of 3 21412015 Continued

F'acili number: - �. • Date of Ins ection-
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 '�jr'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 [ o NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes ❑ No ❑ NA ❑ NE
If yes,contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes ❑ No ❑ NA ❑ NE
permit?(i.e.,discharge, freeboard problems, over-application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes [�1Qo ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other: TT''
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes ❑ No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes ❑ No ❑ NA ❑ NE
Comments(refer to question#): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
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Reviewer/Inspector Name: Phone: E 2—
Reviewer/Inspector Signature: C.0 S � J 2�!r Date: 5 V l ' r /
Page 3 of 3 21412015

Division of Water Resour
Facility Number - 0 Division of Soil and Water",Z onservation
0 Other Agency
Type of Visit: 15 Compliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: {Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: ,C Region: Ull5R0
Farm Name: L VES rCK Owner Email:
Owner Name: d E )0 oe S Phone: S 8 4 —30 6
Mailing Address: p6 Fox Q ? PLTk"t%-0_, 0 C
Physical Address: 2-4-7 ` (1�\l OZEK (Zip t Lt1\j6"�U• �f �7 _ -
Facility Contact: MIKE CGpC Title: Phone: V ` 4 60 4
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish La er Dairy Cow
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current DryCow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy d WIS
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets 113eef Brood Cow
Turkeys
Other Turkey Poults
Other Other
Discharus and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes W 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 DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system?(If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes tK No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes EErNo ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facility Number: 01 CJ jDate of Inspection: (,
Waste Collection & Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑ No NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ��� S1nek
Spillway?: u
Designed Freeboard (in):
Observed Freeboard(in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ❑ No gNA ❑ 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 M 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 'g 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): N �Pr I N o AOL_kcp�-') to))
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes M No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes EfNo [] 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
LAJ
18. Is there a lack of properly operating waste application equipment'? ❑ Yes RX 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 ❑ NA ❑ NE
pp tca Freeb rd sis s ❑Waste Transfers ier ode
am a —G- vi ing nt h mute nsp ' ns s ey
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 K NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: C) - Date of Inspection: 6
24. Did the facility fail to calibrate waste app cation equipment as required by the permit? ❑ Yes g No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes F] No t 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 No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes t`4 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 tg 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 [!I 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 9No ❑ NA ❑ NE
Comments(refer to question##): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
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Reviewer/Inspector Name: mr,oz Phone: 33 A-M L °,q k S
Reviewer/Inspector Signature: Date:
Page 3 of 3 21412015

ddkh
Division of Water Resoure
Facility Number - 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: Compliance 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 0 Denied Access
Date of Visit: I Arrival Time: , Departure Time: 3: I O County: C_ C*gion:
Farm Name P l M pn IJ V+°5--oc lz— Owner Email:
Owner Name: Toe. To n P__5 Phone: S 'E Ll' 36 76 K VJ
Mailing Address: ?O NC 21 70 A TI t}'1G �rl R w -2 7 0 a--
Physical Address: a 7 1 n re-e.1L- 5 y r i n\4 � 1. a 7 --L f 7
Facility Contact: 7 Cp K Title: Phone:
Onsite Representative: C Q Integrator:
Certified Operator: 1 V_ L.0 Certification Number:
Back-up Operator: Certification Number: p
Location of Farm: Latitude: alp ! U ;L 7 Longitude: l 5�
to N P f 4� mca_h a.u) P-d . f '0 ,ea s i q Gr e ee k ,
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish L
ayer DairyCow
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean 3 CO Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. X Non-Dairy
Farrow to Finish Layers I Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Poutts
Other I Other
Dischar es and Stream Impacts
1. Is any discharge observed from any part of the operation? [:] Yes WNo ❑ 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 DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes [�fNo ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes 't�'No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412014 Continued

Facility Number: - Date of Inspection: -7 OLD
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 7❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in):
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [�No jXNAA ❑ 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? 7�
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): A AL�j
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 4
No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ N ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ElNo NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes W'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. es record keeping need improvement? steel ❑ Yes ❑ No ❑ NA ❑ NE
Waste Appli tion Waste Analysis Soil Analysis ❑Weather Code
Rainfall Stocking Crap Yield 120 Minute Inspections Monthly and I" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes P No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ,4'1gA ❑ NE
Page 2 of 3 21412014 Continued

Facility Number: 61 - • jDate of Inspection: S
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes M/No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No ,j!jNA ❑ 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 010 ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes WNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes dNo ❑ 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. 4
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 YNo ❑ 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 1�No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ NA ❑ NE
Comments(refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
Soe_'s L OIL-"d — 3 �s l 1 Pk'
r3
W&Ate AAtz�—� 7 1 fa s. rL�To nr . 7 6
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Reviewer/Inspector Name: Phone: —]-7 ! 17
Reviewer/Inspector Signature: Date: 0
Page 3 of 3 21412014

a -
Division of Water uah ,
Facility Number­.- O Division o£Sotl ari`4iife`r tuonservation
s .
- Q;Other Agency
V
Type of Visit: jni Co ante Inspection 0 Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: Routine Q Complaint Q Follow-up Q Referral Q Emergency Q Other Q Denied Access
Date of Visit: Arrival Time: /�� Departure Time: County: Region:
Farm Name: ��Q q'e CP1 ti VU �^p�Lf� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facilitv Contact: Title: Phone:
Onsite Representative: C.z) Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish La er Dairy Cow
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish Layers I Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Poults
Other I 10ther =�
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ YesrN
❑ 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 the discharge bypass the waste management system? (If yes,notify DWQ) ❑ Yes rNo [o:]
NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ YesNA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ YesNA ❑ NE
of the State other than from a discharge? (�
Page l of 3 i1 `r 21412011 Continued

" r
Facility Number: - Date of Inspection: Mew I
Waste Collection & Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes Vo
NZoo NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(i.e.,large trees,severe erosion,seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental/ ❑threat,notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes I]`NO ❑ NA NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes TTTen o ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks,and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes o ❑ NA ❑ NE
maintenance or improvement?
_Waste Application
10.Are there any required buffers,setbacks, or compliance alternatives that need ❑ Yes No -NA ❑ NE
maintenance or improvement?
11. is there evidence of incorrect land application? If yes,check the appropriate box below. ❑ Yes o ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop 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 ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes VN ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes jNVNo
❑ NA ❑ NE
Required Records& Documents
19. Did the facility fail to have the Certificate of Coverage& Permit readily available? ❑ Yes ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes 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 0 No A ❑ NE
❑Waste Application ❑Weekly Freeboard ❑Waste Analysis ❑Soil Analysis ❑Waste Transf s Weather Code
❑Rainfall ❑Stocking ❑Crop Yield ❑120 Minute Inspections ❑Monthly and I" Rainfall Inspection Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes o ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA [:IN E
Page 2 of 3 21412011 Continued

Facility Number: - Q L Dteinspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes rNo
❑ NA ❑ NE
:�
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ NA ❑ NE
the appropriate box(es)below.
❑Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑Non-compliant sludge levels in any lagoon
List structure(s)and date of first survey indicating non-compliance:
i
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 o ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes ❑ No ❑ NA ❑ NE
If yes,contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes ❑ No ❑ NA ❑ NE
permit?(i.e.,discharge, freeboard problems,over-application)
3 I. Do subsurface the drains exist at the facility? If yes,check the appropriate box below. ❑ Yes ❑ No [] NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes ❑ No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes ❑ No ❑ NA ❑ NE
Comments(refer to question#): Explain any YES answers and/or any additional recommendations or any outer comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
� r
CI��C Gin ��Gee P4 ,1 1 (Z0Ss 14 )yjw4 'q JJ 4 vw ��= KTo e S��dUb
LA)t,4, P
Reviewer/Inspector Name: Phone: q t '7q I "I Z-o o
Reviewer/Ins ector Signature: �— -
P g 5 ---���2_ Date:
Page 3 of 3 21412011

-" A Division of Water Quality {
Facility Number �f--' - E A-J 0 Division of Soil and Water-Conservation { pm
0 Other Agency
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visi : dRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: a Arrival Time:�Aeparture Time: pp,p County:Al 03wCtry,6Region: .�
Farm Name:„- �P6�-f` �,I}jQ,$"�`oC�� Owner Email:
Owner Name: O Ton e�5 Phone: S T j 1,76 W
Mailing Address: X 201 A ["-�'a/}7"aQ_,A_)L a 7 a a 2
Physical Address: T -7 64,i r1 Crew _�d� _L19U r ri Q I) ;Z 7 A 7
Facility Contact: m► Title: Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number: �y
Location of Farm: Latitude:3( ib Longitude: 9 dZ 5 a
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean '36 Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-DairyO
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Poults
Other Other
Discharges and Stream Impacts �/
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: //��4J
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes, notify DWQ) [] Yes [] No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system?(if yes,notify DWQ) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes /No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes &No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Facili Number: 421 jDate of Inspection: I MEW
3
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 [A NA ❑ NE
the appropriate box(es)below.
❑Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑Non-compliant sludge levels in any lagoon
List structure(s)and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to property dispose of dead animals with 24 hours and/or document ❑ Yes <0 ❑ 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 CSKio ❑ 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 �Vo ❑ 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 FANo ❑ NA ❑ NE
Comments(refer to question#): Explain any YES answers and/or any additional recommendations or any other comments.
Used wings of facility to better explain situations(use additional pages as necessary).
LAD 57— 3 6 A) ,
ci
NCB I
70
s
u
r
Re r/ nspe�t N �' A hone:
Reviewer/Inspector Sigttlire. Date: 3 J�
Page 3 of 3 C-Q�2/�4./20I1

Facili Number: J3 Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ hes ❑ No 0NA ❑ 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 0 No 0 NA ❑ NE
(i.e.,large trees,severe erosion, seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes 06 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 WNo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ No WNA ❑ 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 0Yes ❑ No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks,or compliance alternatives that need ❑ Yes �>r`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 lNo ❑ 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 CS�No ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available? If yes,check [] Yes FZN o ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? w. la'Ifes ❑ No ❑ NA ❑ NE
❑Waste Application ❑Waste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
❑Rainfall ❑Stocking []Crop Yield ❑120 Minute Inspections ❑Monthly and 1"Rainfall Inspections E]&idd9"U;41
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 [A NA ❑ NE
Page 2 of 3 21412011 Continued

)
Division o ater Quality
Facility Number - Division of Soil and Water G Pservation P'
0 Other Agency
Type of Visit: Compliance 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 0 Denied Access
Date of Visit: rrival Time:r�= Departure Time: County:�e Region: Q
P l�one �.i St C L u CO CA' i ye d
Farm Name: 1I e O Owner Email: o
Owner Name: e, T©j) Phone: g 3(p 7(p
Mailing Address: Boy L-� 1-7 a [hL m o-&g w �,..N�- X7 2-a ';1-- _
Physical Address: q W Bou5in Cree.iL- P-d 'j 80ir 011 C� a -7 a 1
Facility Contact: �e CQ)� Title: Phone d 4(p Qrj
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: 10 6 Longitude: -7 q 02
Z ` qo e r o ��F �Xr+ 4o I��ro55 uS t4w4 ?4 h+o y loaf
d-4- is,, f i + s w C ►e-cE . o �9 7 N I f. ctk
as tl)e ign rtA_u_err t a Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish La er Dairy Cow
Wean to Feeder Non-Layer —.Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. �Lon-Dairy WV)
Farrow to Finish ILayers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Poults
Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes XNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWQ) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system?(If yes,notify DWQ) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 2/4/20II Continued

r�
Facili Number: Q - • Date of Inspection:
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes ❑ No Cd 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 PNo ❑ NA D NE
waste management or closure plan?
If any of questions 4-6 were answered yes,and the situation poses an immediate public health or environmental threat,notify DWQ
7.Do any of the structures need maintenance or improvement? ❑ Yes ❑ No t5rNA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ No 19NA ❑ 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 �dNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application WNo
10.Are there any required buffers, setbacks,or compliance alternatives that need ❑ Yes ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ YesXNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn, et
❑ 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): e_&Guepn�sf­ov­e-
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 1 ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ No ❑ NA 23"NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No 1XNA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes 1XNo ❑ 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 o ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements ❑Other:
21, Do record keeping need improvement? Ff yva, eckt is a bex-below Yes o ❑ NA ❑ NE
'is
Applic ion rd Waste Analysis Soil Analysisaste Transfers Bather Code
Rainfalt Stocking 7rop Yield C 120 Minute Inspections Ekonthly and V Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes 'Wo [DNA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? [—] Yes [:] No 9NA ❑ NE
Page 2 of 3 21412011 Continued

Facili Number: - Q Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? [:] Yes ❑ No V�fNA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check [:] Yes ❑ No gNA ❑ 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 XNo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes 1%No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes [�t`No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
24.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes rNo ❑ 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 [�fo ❑ 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 O No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes N ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ NA ❑ NE
Comments(refer to question#): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
9 • U)-B &*7 e4
Cv�Qs ,e cc�-h on Avg . a o04 z N y rt'
A - A
e
P_QU,,�k -�-111414 &0_� 7�,Z Y-
azs 17 s
l f. Goad a
Reviewer/Inspector Name: Phone: `
}
Reviewer/Inspector Signature: E-11Date: &1 l d r �
Page 3 of 3 21412011

°F 01 �Q`ODther�A enc rConse r`aactlr 7Numbe Type of Visit Compliance 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: AF Arrival Time: Departure Time: Z� M County: ANMAn1-e- Region: WSR�
Farm Name: f '[—d M0'j-�� ��� i���G� Owner Email: ,f
Owner Name: ,Joe- ud�1� r� I '1 Phone: Cw) 5y7 " 3 4.7 6
Mailing Address: F0. DbX � ! &RA M611 as j r 0 -G 27L0 7—
Physical Address: �y��t71 IUD ^ � !`i• ! _r I�d -4, , � C z•7 2-1 7 \ �L
Facility Contact: M� ct �X Title: Phone No:Cc)
Onsite Representative: I Integrator:
Certified Operator: Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: 7 .10
0 ® Longitude: M o2
T_-tf d F.-t - a e.<,'44,hf l rrcro rj l�Hw� 7pl Q n-�o �� too/
Design Current Design Current �.Desjigp Gurr4ent-,
Swine Capacity Population Vet Poultry Capacity' Population Cattle Capacity P�opulathon
❑ Wean to Finish I 1 ❑ Layer (;E] Daia Cow
El Wean to Feeder Non-Layer I ❑ Dairy Calf
❑ Feeder to Finish ❑ Dairy Heifer
Farrow to Wean 30 D 3 Dry Poultry El Dry Cow
;; ❑ Farrow to Feeder Non-Dairy 3b� Z70
❑ Farrow to Finish ❑ Layers Beef Stocker
❑ Gilts ❑Non-La ers
El Pullets El Beef Feeder
El Boars ❑ Beet Brood Cow
❑Turkeys
OtherR ❑Turke Poults
❑ Other ❑Other fVumber,of Structures Q�r `
.�
Discharges& Stream impacts
1. Is any discharge observed from any part of the operation? ❑ Yes *No ❑ NA ❑NE
Discharge originated at: ❑ Structure ❑ Application Field ❑Other
a. Was the conveyance man-made? ❑ Yes ❑ No ❑NA ❑NE
b. Did the discharge reach waters of the State?(If yes, notify DWQ) ❑ Yes ❑No ❑NA ❑NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does discharge bypass the waste management system?(Ifyes,notify DWQ) ❑ Yes ❑No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes XNo ❑NA ❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ❑Yes A
No ❑NA ElNE
other than from a discharge?
Page 1 of 3 12128104 Continued

d3 oz I!
Facility Number: y Date of Inspection •
Waste Collection & Treatment 4No
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ElNA ElNE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑No ❑NA ❑NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: N y-k
Spillway?:
Designed Freeboard(in): T
Observed Freeboard (in): L.oak! SP nV A 41
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ONO XNA ❑NE
(ie/large trees,severe erosion, seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed ElYes ElNo AT 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 threat, notify DWQ
7. Do any of the structures need maintenance or improvement'? ❑ Yes ❑ No 9NA ❑NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes [--] No XNA ❑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 1��
10. Are there any required buffers,setbacks, or compliance alternatives that need ❑YesJ No ❑NA ❑NE
maintenance/improvement? ' `
11. Is there evidence of incorrect application? if yes, check the appropriate box below. ❑Yes XNo ❑NA El NE
El Excessive Ponding [I Hydraulic Overload El Frozen Ground El 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) Pi4^1c_
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 ,TKNo ❑NA ❑NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑Yes No ❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application? ❑Yes No ❑NA [-I 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):
rj, a J'A ojel 4,r per , r 4� ��� lq p pl cws -{� ire- n 4
'J\jjjZ9 (14AZ 04�_ i 6,J 7D 'Ak 6VA,/1 Ct,-,k fte'X� VV_S
Reviewer/Inspector Name i ,� j Phone: (331)7 i
Reviewer/Inspector Signature: Date:
Page 2 of 3 12/28/04 Continued

Facility Number: f Inspection 0
Required Records& Documents
19. Did the facility fail to have Certificate of Coverage& Permit readily available? ❑ Yes No ❑NA ❑NE
20. Does the facility fail to have all components of the CAWMP readily available? if yes, check ❑ Yes No ❑NA ❑NE
the appropriate box. ❑WUP ❑Checklists ❑ Design El maps El Other
21. Does record keeping need improvement? ❑ Yes '' ``No El NA ❑NE
`El-waste Application -Waste Analysis -Soil Analysis - Waste Transfers
Rainfall Stocking S Monthly and V Rain Inspections -Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes )!�No ❑NA ❑NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑Yes ❑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 ❑No XNA ❑NE
26. Did the facility fail to have an actively certified operator in charge? ❑Yes �o ❑NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment(PLAT)certification? ❑Yes XNo ❑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 gN o ❑ 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 XNo ElNA ❑NE
General Permit? (iel discharge, freeboard problems, over application) X
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? El No ❑ NA El NE
33. Does facility require a follow-up visit by same agency? El Yes No ❑NA ❑ NE
Additional Comments and/or Drawings:
is �
, Lll�4j 'zL- "'ex4- t45e,
291 rr'r, J
y� S� fay/ q��l `4 n.�
2 �a y
Page 3 of 3 12128104

1
Division of Water Quality_
Facility Number Q Division of Soil and Water Conservation
Q Other Agency
Type of Visit Compliance 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: L119 110 Arrival Time:IM] Departure Time: � County: Region:
Farm Name: Owner Email:
Owner Name: ot�' � ��5- Phone: 5 3vlu
Mailing Address: P An r:R 17 Q✓h a.1, N a a0�
Physical Address: G d c;? / .2-
Facility Contact: �T� �} Title: Phone No: J
Onsite Representative: lU f` ILA Integrator:
Certified Operator:mil* Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: L- Latitude: �t o M Longitude: ° ®
�r -";�7 �3 e `lt- 4Ui'�Vl 1�'Y1` tom+ (J S5 V�✓ �1 6. �J O h'� 1
06
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑ Wean to Finish ❑ Layer ❑ Dairy Cow
❑Wean to Feeder ❑ Non-Laver I ❑ Dairy Calf
❑Feeder to Finish ❑ Dairy Heifer
Farrow to Wean 300 1 Dry Poultry ❑ QryCow
El Farrow to Feeder on-Dairy
El Farrow to Finish ❑ La ers Beef Stocker
❑Gilts ❑ Non-La ers
El Pullets ❑Beef Feeder
El Boars ❑Beef Brood Co
ElTurkeys
-
Other ❑Turkey Pouets
❑Other JE]Other Number of Structures:
Dischar1jes& Stream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes 0 No ❑ NA ElNE
Discharge originated at: ElStructure ElApplication Field ElOther
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 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 *o ❑NA ❑NE
3. Were there any adverse impacts or potenti l adverse impacts to the Waters of the State Yes ❑No ❑ NA ❑NE
other than from a discharge?
12128104 Continued

Facility Dumber: (� —Q • Date of Inspection 0
/ Waste Collection & Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑Yes XNo ❑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
(ie/large trees,severe erosion, seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed ❑Yes ❑No NA ElNE
through a waste management or closure plan? X
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 stuctures lack adequate markers as required by the permit? ❑Yes ❑No �1A ❑NE
(Not applicable to roofed pits,dry stacks and/or wet stacks) /'
9. Does any part of the waste management system other than the waste structures require Yes ❑No ❑NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers,setbacks,or compliance alternatives that need ❑Yes �No ❑NA ❑NE
maintenance/improvement?
11. Is there evidence of incorrect application? if yes, check the appropriate box below. ❑Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn, etc.)
❑ PAN ❑PAN> 10%or 10 lbs ❑Total Phosphorus ❑Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of 4Acceptable Crop Wind w El Evidence of Wind Drifl El Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No ❑NA ElNE
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 ANo ❑NA ❑ NE
IT 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 o ❑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):
Lots + 7
n) 6 J,5
Reviewer/Inspector Name Phone: �SvZ
Reviewer/Inspector Signature. Date: 0
12128104 Continued

Facility Number: —0 0 of Inspection $ �
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage& Permit readily available? ❑ Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available?if yes,check ❑ Yes No ❑NA ❑NE
the appropriate box. ❑ WUP ❑Checklists ❑ Design El Maps El Other
21. Does record keeping need improvement? v. ❑ Yes K No ❑NA ❑ NE
Waste Application eei ea .Waste Analysis ,(Soil Analysis Waste Transfers "�- -' ' -' re-`on
Rainfall Stocking Crop Yield * 120 Minute Inspections Monthly and 1" Rain InspectionsCR eather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes )<No
❑NA ❑NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? [:] Yes ,,,,,[--] No NA El NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes)No El NA El NE
25. Did the facility fail to conduct a sludge survey as required by the permit? El Yes//❑No �NA ❑NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes No ❑NA ❑NE
27. Did the facility fail to secure a phosphorus loss assessment(PLAT)certification? ❑ Yes No ❑ NA ❑NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes No ❑NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes No ❑NA ❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes No ❑NA ❑ NE
If yes,contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by ❑ Yes eNo ❑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:
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Page 3 of 3 12128104

I
Division of Water Quality
Facility Number Division of Soil and Water Conservation
Other Agency
Type of Visit 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
�
Date of Visit: Arrival Time:Llr `! Departure'I'ime: County: C Region: -�J2CJ
Farm Name: OptOwner Email`:
Owner Name: ole- Phone: �� - T �✓�L0 7(n
Mailing Address: � �"I � d Wf� I� � PC
a 4 71 �3 asin Crep—L ��lTl- u r i lq 6 ��- a �al 7
Physical Address:Facility Contact: if -Tit le: Phone No: b! W
Onsite Representative: �1--t (Le- CX. Integrator:
Certified Operator: � f t✓ Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: 14 °Longitude:
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑Wean to Finish 1EE31 Laye I 1 ❑Dairy Cow
❑Wean to Feeder JE1 Non-La et I ❑Dairy Calf
Feeder to Finish ❑ Dairy Heifej
Farrow to Wean A Dry Poultry ❑ Dry Cow
Farrow to Feeder Non-Dairy
El Farrow to Finish ❑N erson-La on-Layers El Beef Stockez
❑ Gilts ❑
❑ Pullets ❑Beef Feeder
❑ Boars ❑Turkeys ❑Beef Brood Cowl
Other 1E] urkey Poults
❑Other ❑Other EEA Number of Structures: �--�
Discharges& Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 0 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 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 ( No ❑ NA ❑NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ❑ Yes ,P&No ❑ NA ❑NE
other than from a discharge?
12128104 Continued

Facility Number: 0 — Q Date of Inspection •
Waste Collection & Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑No XNA ❑NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑No ❑NA ❑NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ❑ No �NA ❑NE
(ie/large trees,severe erosion,seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed ❑ Yes XNo ❑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 threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑No NA ❑NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑Yes ❑No NA ❑ NE
(Not applicable to roofed pits,dry stacks and/or wet stacks)
4. Does any part of the waste management system other than the waste structures require Yes El No [I NA [I NE
maintenance or improvement?
Waste Application
10. Are there any required buffers,setbacks,or compliance alternatives that need ❑Yes [yNo ❑NA ❑NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes,check the appropriate box below. ❑ Yes XNo ❑ NA ❑NE
❑ Excessive Ponding ❑Hydraulic Overload ❑Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs ❑Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑Yes No ❑NA ❑NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes WNo ❑NA ❑NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes ❑ No 06A ❑NE
17. Does the facility lack adequate acreage for land application? ❑Yes V.
El NA El 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):
o
Reviewer/Inspector Name ]Phone:
Reviewer/Inspector Signature: Date:
12128104 CoGtinued

9
Facility Number: •
— Date of Inspection
Required Records& Documents
19. Did the facility fail to have Certificate of Coverage& Permit readily available? ❑ Yes ICJ No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ElYes ]No El NA El NE
the appropriate box. El Does
Design El El
WUP Checklists 1`21. Doe record keeping need improvement? I ❑ Yes No ❑ NA ❑ NE
aste Appli LionWaste Analysis pd Soil alysis Vaste Transfers �a} 1."if catien-
Rainfall StockingZU
ro Yield onthl and I" Rain Inspections�Weather Code
Y
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes 0No ❑ NA ❑NE
23. If selected,did the facility fail to instail and maintain rainbreakers on irrigation equipment? ❑ Yes ❑No OdNA ❑NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 0 No ❑ NA ❑NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ❑No 0 NA ❑NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes 0No ❑ NA ❑NE
27. Did the facility fail to secure a phosphorus loss assessment(PLAT)certification? ❑ Yes No ❑ NA ❑NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes J No ❑NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes X.
ElNA [-I NE
and report the mortality rates that were higher than normal? /��, `"`
30. At the time of the inspection did the facility pose an odor or air quality concern? El Yes VNo ❑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? (iel discharge,freeboard problems,over application)
32. Did Reviewer/inspector fail to discuss review/inspection with an on-site representative? ❑ Yes t/No ❑NA ❑ NE
33. Does facility require a follow-up visit by same agency? ❑ Yes No ❑ NA ❑NE
Additional Comments and/or Drawings:
o �
r
C1
Page 3 of 3 12128104

Ad I'40
Division of Water Qualit
Facility.Number Q7 �" (� O Division of Soil and Water Conservation
O Other Agency
Type of Visit Q Compliance Inspection O Operation Review O Structure Evaluation 0 Technical Assistance
Reason for Visit O Routine () Complaint O Follow up O Referral O Emergency O'Other ❑ Denied Access
Date of Visit: 111167
Arrival Time: Departure Time: County: _ Region:
Farm Name: _ !� IeJ no 6tf Li ���I-btct��L�"—( 4 • E,A r to Owner Email:
Owner Name: Me= ZT-010 P S Phone: CW) Sg q_`" 3 6 7
Mailing Address: [D eo4 °2 1_7 A 1 f a m a h W_ a 7 2O a--
Physical Address: oZ ` ?1 zc sc C:rP_A ���Tv, 2 7.2 17
Facility Contact: COX Title: phone No:L .36
Onsite Representative: _ V=e 00 0 Integrator:
Certified Operator: I_P co c Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: ®o ® Longitude:
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑ Wean to Finish ❑ Layer I ❑ Dairy Cow
❑ Wean to Feeder ill Non-La et I ❑ Dairy Calf
❑ Feeder to Finish ❑ Dairy Heifej
Farrow to Wean 306.1Dry Poultry Dry Cow
Farrow,to Feeder 9
Non-Dairy
❑ Farrow to Finish ❑ Layers Beef Stocker
❑Gilts ❑Non-La Non-Layers
� ❑ Pullets ❑ Beef Feeder
❑ Boars ❑ Beef Brood Cow
❑Turkeys
Other ❑ Turkey Poults
❑ Other ther Number of Structures: �—
Discharges& Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes �No ❑NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made? ❑ Yes ❑No ❑ NA ❑NE
b. Did the discharge reach waters of the State?(If yes, notify DWQ) ❑ Yes ❑No ❑ NA ❑NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does discharge bvp ass 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 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`?
12128104 Continued

Facility Number: — . Date of Inspection !�
Waste Collection & Treatment XNA
4. Is storage capacity(structural plus stormstorage plus heavy rainfall)less than adequate? ElYes ElNo [INE
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 [DNA ❑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 threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑No 5�NA ❑NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑Yes ❑No WNA ❑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 XNo ❑NA ❑NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes,check the appropriate box below. ❑Yes o ❑NA ❑NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs ❑ Total Phosphorus ❑Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑Yes kNqo ❑NA ❑NE
15. Does the receiving crop and/or land application site need improvement? ❑Yes ��N/o ❑NA ❑NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination'[:]Yes ❑ No PdNA ❑NE
17. Does the facility lack adequate acreage for land application? ❑Yes o ❑NA ❑NE
18. Is there a lack of properly operating waste application equipment? ❑Yes No ❑NA ❑NE
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):
fdIAen+ r un oi�� it, -Froal F
q, Is"-d" vim- l�uotSfer a
l.re.fnent i s
OqLi��'
�
Reviewer/Inspector Name 1 Phone: I—S 028
Reviewer/inspector Signature. Date:
72/28/04 Continued

Facility Number: Q — (� !te of Inspection
Required Records& Documents �f
19. Did the facility fail to have Certificate of Coverage& Permit readily available? ❑Yes Q(J No ❑NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes XNo ❑NA ❑ NE
the appropirate box, ❑ WUP [:1 Checklists ❑ Design ❑ Maps El Other ,�.�f
21. Does recordd keeping need improve]] nt? eop ' ❑ Yes L]9 No ❑NA ❑ NE
❑ asttfApplicatio ❑ Wq�[lcI reeboard ❑ W ste Analysis �El Analyst ❑waste Transfers T' n
L�J Rainfall Cocking ❑Yield nsp c ❑ NVthly and l" Rain Inspections ❑weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes PNo ❑NA ❑NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑Yes ❑No P(NA ❑NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes XNo ❑ NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes [❑N 6A El
26. Did the facility fail to have an actively certified operator in charge? El Yes No ❑NA ❑NE
27. Did the facility fail to secure a phosphorus loss assessment(PLAT)certification? ❑ Yes 9No ❑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 j(No ❑NA ❑NE
and report the mortality rates that were higher than nonnal?
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)
31 Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes ANo ❑ NA ❑ NE
33. Does facility require a follow-up visit by same agency? ❑ Yes o ❑ NA ❑NE
Additional Comments and/or Drawings:
r $rrc�d i00 Co le tech - a 016'
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a - ab0c6 5ai ] -�es� res� rfs ? r.�r ( c z�oa
b-)
7i
nl 12128104

XDivision of Water Qualit3
Facility Number Q O 2 0 Division of Soil and Water Conservation 1
Other Agency /
E
f Visit ,Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
n for Visit X Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: �] Q Arrival Time:��] Departure Time: ' County: �
Region: P-0
Farm Name: eigi.ry-lnn i [A V h or-lL CD . Ea cm Owner E a'1 g1
Z
Owner Name: LAP- �r5 ir1P_5 Phon � 3 7
Mailing Address: 20 1B o) a � A_I �a g)aL h 4 l NG _ a -7 a o a-
Physical Address: °� r ��
Facility Contact: Title: Phone No:(A ao q to 5
Onsite Representative: M % //J�4L e D 1( Integrator:
Certified Operator: 1 e— OTC Operator Certification Number: 02 -1 6-3
r
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: Leo �id Longitude: ° `�
turn eS4 . Cross us -7o �2i�h+ artf `
160 Mej tcu4 e. !e, '+ 4 cu " 5+ I hf" [low-For-A Ch,
f
b Desig 1,7' P1 to n Q Design Current l}es n S 1 arrent
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑ Wean to Finish ID Laver I I ❑ Dairy Cow
❑Wean to Feeder ❑Non-La ei I I ❑ Dairy Calf
❑ Feeder to Finish ❑ Dairy Heifer
Farrow to Wean 3 Q o q 4 1 Dry Poultry ❑ Dry Cow
El Farrow to Feeder Non-Dai 3 b
❑ Farrow to Finish ❑Layers Beef Stocker
❑Gilts ❑ Non-Layers
El Pullets
L_
❑Turke s El Feeder
❑ Boars ❑ Beef Brood Cow
Other ❑Turke Poults
❑ Other JEJ Other Number of Structures:
Discharges& Stream Impacts OK
1. Is any discharge observed from any part of the operation`? El Yes iK 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 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 NrNo ❑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?
12128104 Continued

Facility Number: �— • Date of Inspection 1-71 )Q 10 „•
Waste Collection & Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑Yes ❑No VNA ❑NE
a. If yes, is waste level into the structural freeboard? ❑Yes ❑No ❑NA ❑NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: Ll in
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 ElNE
(ie/large trees,severe erosion,seepage,etc.) 9
6. Are there structures on-site which are not properly addressed and/or managed ❑Yes ❑No kA ❑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 threat,notify DWQ
7. Do any of the structures need maintenance or improvement? ❑Yes ❑No [(NA ❑NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑Yes ❑No , NA ❑NE
(Not applicable to roofed pits,dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes �rNo ❑NA ❑NE
maintenance or improvement?
Waste Application
10. Are there any required buffers,setbacks, or compliance alternatives that need ❑Yes L_31vo ❑NA ❑NE
maintenance/improvement? �
11. Is there evidence of incorrect application? If yes,check the appropriate box below. ❑Yes M 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) V 10 Le- s >re--
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑Yes .id r o ❑NA ❑NE
15. Does the receiving crop and/or land application site need improvement? ❑Yes ''rlo ❑NA ❑NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑Yes ❑No [y"NA ❑NE
17. Does the facility lack adequate acreage for land application? ❑ Yes Wo ❑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 ravings of facility to better explain situations. (use additional pages as necessary):
� � � i
o Ilr1�asf. , S�� �-
I ttA
Reviewer/lnsp er ame r Phone: ��Sa$�
Reviewer/Inspector Signatu 4 A li Date: J
I12128104 Continuer)

Facility Number: 6 — Q 4alte of Inspection —7
Required,Records & Documents /
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 ❑Yeswo-,
❑NA ❑NE
the appropirate box. ❑ WDP ❑Checklists ❑ Design El Maps El Other
21. Does r ord keeping need improvement: a-apprw ' ❑Yes ❑NA ❑NE
�tc Application [�-�pE
ante Analysis oil ysis s
Z?Rainfall �ockingMonthly and 1" Rain Inspections Bather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ONo ❑NA ❑NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ es ❑No �NA El 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 ❑No YNA ❑NE
26. Did the facility fail to have an actively certified operator in charge? ❑Yes ,NrNo ❑NA ❑NE
27. Did the facility fail to secure a phosphorus loss assessment(PLAT)certification? ❑Yes ❑No C%NA ❑NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes 9 No ❑NA ❑NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑Yes LJ 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 IoNo ❑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 bro ❑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 ONo ❑NA ❑NE
33. Does facility require a follow-up visit by same agency? ❑Yes 4Ko ❑NA ❑NE
Additional Comments and/or Drawings:
AI
3 v P S+Yew pH ems'. b 0 Z�7.,0 �U mj 1'3
alb �6
C,7e5 7 3 3 c o n a�.
09�y
D � � �, b r � 5eol � rkc�
�° — ? � oo �- (,? Oa�
� Q'
a 1 UJ a54 e �- S o c S�u�J l eS '.e_+ o �` �'. �e s u . 1+
acre- y e n Ur S ]+
tno qR i ca+z ores c� u_� ocs t e S ( Vi c4�f -To t aOa(oA
Z-. _17 S f ,., y`. O_G, 047� [ 1 2zed a.O M OL" u Y-e 5 in c e 1;L/Q061 .
D1- Vitro V A aes co�� d WQS�2 4 fe-W'�Jet'
a is S � e o - Z1 o ToNs
12128104

Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 010002 Facility Status: Active Permit: AWC015002 ❑ Denied Access
Inspection Type: Compliance Inspection _ Inactive or Closed Date:
Reason for Visit: Routine County: Alamance _ Region: Winston-Salem
Date of Visit: 01/26/2006 Entry Time:09:35 AM Exit Time:11:00 AM Incident#:
Farm Name: Piedmont US-Co Farm Owner Email:
Owner: Joe Jones Phone: [phone]
Mailing Address: PO Box 217 Altamahaw NC 27202
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 36°10'27" Longitude: 79°29'58"
1-40 east to Eton College exit. Follow to town of Eton College.Turn right onto NC 100187 to Glen Raven.Turn left onto Hwy 87 north.
Right onto Hub Mill Rd. Right onto Altamahaw Rd. Right onto Basin Creek Rd. Farm Location:2471 Basin Creek Rd., Burlington, N.C.
Question Areas:
Discharges&Stream Impacts Waste Collection&Treatment Waste Application
Records and Documents Other Issues
Certified Operator:Michael Lane Cox Operator Certification Number: 23753
Secondary OIC(s):
On-Site Representative(s): Name Title Phone
On-site representative Mike Cox Phone: [phone]
24 hour contact name Mike Cox Phone: [phone]
Primary Inspector: Melissa Rosebrock Phone: [phone]
Ext.383
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
9.Waste and sediment is no longer washing off lot. Boards seem to have helped.
15. Suggest mowing broadleaves in pasture early in the season this year.
18, Spreader is currently in Virginia. Is shared between owners farms in Virginia, Siler City, and this farm.
21, No waste applied since July 2005. Need to scrape lots this Spring.
Page: 1

Permit:AWC015002 Owner-Facility: Joe Jones Facility Number:010002
Inspection Date: 01/26/2006 Inspection Type:Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Cattle
Q Cattle-Beef Feeder 300 306
Swine
Swine-Farrow to Wean 300 6
Total Design Capacity: 600
Total SSLW: 369,900
Page: 2

- s
•
Permit:AWC015002 Owner-Facility:Joe Jones Facility Number:010002
Inspection Date: 01/26/2006 Inspection Type:Compliance Inspection Reason for Vislt:Routine
Discharges&Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at:
Structure ❑
Application Field ❑
Other ❑
a.Was conveyance man-made? ❑ ■ ❑ Cl
b. Did discharge reach Waters of the State?(if yes, notify DWQ) ❑ ■ ❑ ❑
c. Estimated volume reaching surface waters?
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 Waters of the State other than from a ❑ ■ ❑ ❑
discharge?
Waste Collection, Storage & Treatment Yes No NA NE
4. Is storage capacity less than adequate? ❑ ❑ ■ ❑
If yes, is waste level into structural freeboard? ❑
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 that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement? ❑ ❑ ■ ❑
8. Do any of the structures lack adequate markers as required by the permit?(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 maintenance or ❑ ■ ❑ ❑
improvement?
Waste Ap licp ation Yes No NA NE
10.Are there any required buffers,setbacks,or compliance alternatives that need maintenance or ❑ ■ ❑ ❑
improvement?
11, Is there evidence of incorrect application? ❑ ■ Cl ❑
If yes, check the appropriate box below.
Excessive Ponding? ❑
Hydraulic Overload? ❑
Frozen Ground? ❑
Heavy metals(Cu,Zn,etc)? ❑
Page: 3

Permit:AWC015002 Owner-Facility: Joe Jones Facility Number:010002
Inspection Data: 01/26/2006 Inspection Type:Compliance Inspection Reason for Vlsit:Routine
Waste Ap licp_ ation Yes No NA NE
PAN? ❑
Is PAN> 10%/10 lbs.? ❑
Total P205? ❑
Failure to incorporate manure/sludge into bare sail? ❑
Outside of acceptable crop window? Cl
Evidence of wind drift? ❑
Application outside of application area? ❑
Crop Type 1 Food Crop(Fruits&
Vegetables)
Crop Type 2 Fescue(Hay,Pasture)
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management ❑ ■ ❑ ❑
Plan(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 acre determination? ❑ ❑ ■ ❑
17. Does the facility lack adequate acreage for land application? ❑ ■ Cl ❑
18. Is there a lack of properly operating waste application equipment? ❑ ■ ❑ Cl
Records and Documents Yes No NA NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available? ❑ ■ ❑ ❑
20. Does the facility fail to have all components of the CAWMP readily available? ❑ ■ ❑ ❑
If yes, check the appropriate box below,
WU P? ❑
Page: 4

Permit:AWC015002 Owner-Facility:Joe Jones Facility Number:010002
inspection Date: 01/26/2006 Inspection Type:Compliance Inspection Reason for Visit:Routne
Records and Documents Yes No NA Nrz
Checklists? ❑
Design? ❑
Maps? ❑
Other? ❑
21. Does record keeping need improvement? ❑ MOD
If yes, check the appropriate box below.
Waste Application? ❑
120 Minute inspections? ❑
Weather code? ❑
Weekly Freeboard? ❑
Transfers? ❑
Rainfall? ❑
Inspections after> 1 inch rainfall&monthly? ❑
Waste Analysis? ❑
Annual soil analysis? ❑
Crop yields? ❑
Stocking? ❑
Annual Certification Form(NPDES only)? ❑
22. Did the facility fail to install and maintain a rain gauge? ❑ ■ ❑ ❑
23. If selected,did the facility fail to install and maintain a rainbreaker on irrigation equipment(NPDES only)? Cl ❑ ■ ❑
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 phosphorous loss assessment(PLAT)certification? ❑ ❑ ■ ❑
Other Issues Yes No NA NE
28.Were any additional problems noted which cause non-compliance of the Permit or CAWMP? ❑ ■ ❑ ❑
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
30.At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ Cl ❑
Quality representative immediately.
Page: 5

Permit:AWC015002 Owner-Facility: Joe Jones Facility Number:010002
Inspection Date: 01/26/2006 Inspection Type:Compliance Inspection Reason for visit: Routine
Other Issues Yes No NA NE
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? ❑ ■ ❑ ❑
32. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑ ■ 0 ❑
33. Does facility require a follow-up visit by same agency? ❑ ■ ❑ Cl
Page: 6

ap
Division of Water.Quality
Facility Number Division of SoiLand Water Co�rvation
i
0 Other Agenev
Type of Visit Compliance Inspection O Operation Review O Structure Evaluation Q Technical Assistance
Reason for Visit VRoutine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: (rival Time: Departure Time: County: A jaMaMe Region: W 61W
Farm Name: I'I OQ(Q-� !.I V_ S T_p�— �� Owner Email:
Owner Name: _ SD J_D In 0,5 Phone: 5 ✓ 7 f!p
Mailing Address: � /N� a 7 �Q �
a y ! P)asi h t' r�e lL P d NC� a ��
Physical Address: `
Facility Contact: _ 11� co Y Title:
Onsite Representative: n l �P Co Integrator:
Certified Operator: . r ham I L. CoX Operator Certification Number: 2 33 S
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: ®e TO I Loll
Longitude: ©o
T p xI�- t � �- m Ie_-f � r-o,5 78� r+. o �n.i-o g (04l
i mm-ejla--e 1JA_ e_�4-a+ I s+ No C51-all6u3 0 d Ch- P 40
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑ Wean to Finish ID Layer I 1 11 ❑ Dairy Cow
❑ Wean to Feeder JEJ Non-Layer I ❑ Dairy Calf
❑ Feeder to Finish ❑ Dairy Heifer
52tarrow to Wean Dry Poultry ❑ Dry Cow
Farrow to Feeder Non-Dairy (p
ElFarrow to Finish ❑ Layers Beef Stocker
El Gilts ❑Non-La Non-Layers
El Pullets ❑ Beef Feeder
El Boars ❑ Beef Brood Cow
❑Turkeys
Other LaTurkey Poults
❑ Other 10 Other Number of Structures: ®�
Discharges& Stream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes ���,vvvv�No ❑NA [IN E
Discharge originated at: El Structure El 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 discharge bypass the waste management system?(If yes, notify DWQ) ❑ Yes ❑No ❑NA ElNE
2, Is there evidence of a past discharge from any part of the operation? ❑Yes )(No ❑ NA ❑NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ❑Yes L No ❑ NA ❑ NE
other than from a discharge? /
12128104 Continued

Facility Number: 491 — (7 pL • Date of Inspection oZ
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 I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑Yes ❑ No [ NA ❑NE
(ie/large trees,severe erosion, seepage,etc.) I
6. Are there structures on-site which are not properly addressed and/or managed ❑ Yes �k o .❑NA ❑NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes,and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑No VNA
❑NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes [:]No A ❑NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes Wlo ❑NA ❑NE
maintenance or improvement?
Waste Application
10. Are there any required buffers,setbacks,or compliance alternatives that need El Yes No ❑NA ❑NE
maintenance/improvement?
IL Is there evidence of incorrect application? If yes,check the appropriate box below. ❑Yes No ❑NA ❑NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑Heavy Metals(Cu,Zn,etc.)
[:] PAN ❑ PAN> 10%or l0 lbs ❑Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑Outside of Acceptable Crop Window ❑ Evidence of Wind Drifil ❑Application Outside of Area
12. Crop type(s) V I e' rl. � TU VT_ ei-5 dl)e_ it La_k4--
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes OdNo ❑NA ❑NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑NA ❑NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination%❑ Yes ❑No VNA ❑NE
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
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):
o Si V)c.e-. � t'� ooSo
In VA S- lex- e:1 1�s 'S�"
ReviewerlInspector Name Phone:
Reviewer/Inspector Signatur Date:aj QQ
12128104 Continued

Facility Number: — ARY17 Inspection Is
Required Records&_Documents
19. Did the facility fail to have Certificate of Coverage& Permit readily available? ❑ Yes 06No ❑NA ❑NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes LXNo ❑NA ❑NE
the appropirate box. ❑WUP ❑Checklists ❑ Maps II
❑ Design p El ,�
21. Does cord keeping need improvement? If yes,check the appropriate boa low. ❑ Yes CVNo ❑NA ❑NE
Waste Ap7stocking
ione� ❑ Waste Analysis Soil Analysis
Rainfall 'rop Yield _ y an '4Veather Code
22. Did the facility fail to install and maintain a rain gauge? ❑Yes �No ❑NA ❑NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑Yes ❑No LWNA ❑NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?(Xk\0( 0 Yes O(No ❑NA ❑NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ❑No (NIA ❑NE
26. Did the facility fail to have an actively certified operator in charge? ❑Yes No ❑NA ❑NE
27. Did the facility fail to secure a phosphorus loss assessment(PLAT)certification? El Yes T❑No VNA ❑NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes YNo ❑ 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 duality concern? ❑ Yes [ 10 ❑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 to ❑NA ❑NE
General Permit? (iel discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative`? ❑ Yes 9No ❑NA ❑NE
33. Does facility require a follow-up visit by same agency`? ❑ Yes KNo ❑NA ❑NE
Additional Comments and/or Drawings:
as ( �Y\ ?
Mau
0
L64
+°NJ
43 .
12128104

Division of Water Quality
Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 010002 Facility Status: 6ctivp, Permit: AWC015002 ❑ Denied Access
Inspection Type: Compliance Inspection ti Inactive or Closed Date:
Reason for Visit: Routine County: Alamance _ Region: Winston-Salem
Date of Visit: 08/18/2005 Entry Time:08:45 AM Exit Time: 10:00 AM Incident#:
Farm Name: Piedmont US Co Farm Owner Email:
Owner: Joe Jones Phone: [phone]
Mailing Address: PO BgX 217 Aftamahaw NC 27202
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 36'10'27" _ Longitude: 79°29'58"
1-40 east to Elon College exit. Follow to town of Elon College. Turn right onto NC 100187 to Glen Raven. Turn left onto Hwy 87 north.
Right onto Hub Mill Rd. Right onto Altamahaw Rd. Right onto Basin Creek Rd. Farm Location: 2471 Basin Creek Rd.,Burlington,
Question Areas:
0 Discharges&stream Impacts Waste Collection&Treatment 0 Waste Application
0 Records and Documents 0 Other Issues
Certified Operator:Michael Lane Cox Operator Certification Number: 23753
Secondary OIC(s):
On-Site Representative(s): Name Title Phone
24 hour contact name Michael Cox Phone: [phone]
On-site representative Michael Cox Phone: [phone]
Primary Inspector: jMea' Rogebrock Phone: [phone]fi00
Ext.383S,Inspector Signature: Date:
Secondary Inspector(s):
Phone:
Phone:
Inspection Summary:
9.Just need to work on one low area in a pen to contain soilds. Other pens looked ok.
21.Went over new permit requirements with operator.
21. 2005 soil test results ok.
21. No waste was applied since April 2004.
21. Jane lsley picks up soild barn waste for her vegetable farm. Records regarding name/address,amount,dates,and waste
analysis are kept by Mr.Cox.This arrangement is written into the WUP.7120/05 waste analysis=12.8 lbs. N?ton
21. Mr. Cox takes a composite sample of the waste for his anlysis. Result dated 3131105=5.0 lbs. Nlton.
22. Must install rain gauge within 10 days.
Page: 1

Permit: AWC015002 Owner-Facility: Joe Jones Facility Number: 010002
Inspection Date: 06/18/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Cattle
IN Cattle-Beef Feeder 300 129
Swine
Swine-Farrow to Wean 300 45
Total Design Capacity: 600
Total SSLW: 369,900
Page: 2

• •
Permit: AWC015002 Owner-Facility: Joe Jones Facility Number: 610002
Inspection Date: 0811812005 Inspection Type: Compliance Inspection Reason for Vlsit: Routine
Discharaes_&Streamlmra� cts Yes No NA N
1.Is any discharge observed from any part of the operation? OBEID
Discharge originated at:
Structure ❑
Application Field ❑
Other ❑
a.Was conveyance man-made? ❑ ■ ❑ ❑
b.Did discharge reach Waters of the State?(if yes,notify DWQ) ❑ ■ ❑ ❑
c.Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system?(if yes,notify DW0) ❑ ■ ❑ ❑
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 Waters of the State other than from a discharge? ❑ ■ ❑ ❑
Waste Collection.Storage&Treatment Yes No NA NE
4.Is storage capacity less than adequate? ❑ ■ ❑ ❑
If yes,is waste level into structural freeboard? ❑
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 that are not properly addressed and/or managed through a waste management or ❑ ■ ❑ ❑
closure plan?
7.Do any of the structures need maintenance or improvement? ❑ ■ ❑ ❑
8.Do any of the structures lack adequate markers as required by the permit?(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 maintenance or ❑ ■ ❑ ❑
improvement?
Wastes l'cation Yes No NA NE
10.Are there any required buffers,setbacks,or compliance alternatives that need maintenance or improvement? ❑ ■ ❑ ❑
11.Is there evidence of incorrect application? ❑ ■ ❑ ❑
If yes,check the appropriate box below.
Excessive Ponding? ❑
Hydraulic Overload? ❑
Frozen Ground? ❑
Heavy metals(Cu,Zn,etc)? ❑
PAN? ❑
Is PAN> 10%110 lbs.? ❑
Total P2O5? ❑
Failure to incorporate manure/sludge into bare soil? ❑
Outside of acceptable crop window? ❑
Evidence of wind drift? ❑
Application outside of application area? ❑
Crop Type 1 Fescue(Hay,Pasture)
Crop Type 2
Crop Type 3
Crop Type 4
Crop Type 5
Page: 3

Permit: AWC015002 Owner-Facility: Joe Jones Facility Number: 010002
Inspection Date: O8/1812005 Inspection Type: Compliance Inspection Reason for Visit: Routine
wastp AwLaatron Yes_Na_NA NF
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14,Do the receiving crops differ from those designated in the Certified Animal Waste Management Plan(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 acre determination? ❑ 0 ❑ ❑
17.Does the facility lack adequate acreage for land application? ❑ ■ ❑ ❑
18.Is there a lack of properly operating waste application equipment? ❑ ■ ❑ ❑
RPrnrds and Documents Yes No N6 Nf_
19.Did the facility fail to have Certificate of Coverage and Permit readily available? ❑ n ❑ ❑
20.Does the facility fail to have all components of the CAWMP readily available? ❑ ■ ❑ ❑
If yes,check the appropriate box below.
WUP? ❑
Checklists? ❑
Design? ❑
Maps? ❑
Other? ❑
21.Does record keeping need improvement? ❑ ❑ ❑
If yes,check the appropriate box below,
Waste Application? ❑
120 Minute inspections? ❑
Weather code? ❑
Weekly Freeboard? ❑
Transfers? ❑
Rainfall? ❑
Inspections after> 1 inch rainfall&monthly? ❑
Waste Analysis? ❑
Annual soil analysis? ❑
Crop yields? ❑
Stocking? ❑
Annual Certification Form(NPDES only)? ❑
22.Did the facility fail to install and maintain a rain gauge? ■ ❑ ❑ ❑
23.If selected,did the facility fail to install and maintain a rainbreaker on irrigation equipment(NPDES only)? ❑ ❑ E ❑
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ 0 ❑ ❑
25.Did the facility fail to conduct a sludge survey as required by the permit? ❑ ❑ E ❑
26.Did the facility fail to have an actively certified operator in charge? ❑ 0 ❑ ❑
27.Did the facility fail to secure a phosphorous loss assessment(PLAT)certification? ❑ Cl E ❑
Page: 4

Permit: AWC015002 Owner-Facility: Joe Jones Facility Number: 010002
Inspection Date: 08/18/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Other Issues Yes No NA NE
28.Were any additional problems noted which cause non-compliance,of the Permit or CAWMP? ❑ ■ ❑ ❑
29.Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those mortality ❑ ■ ❑ ❑
rates that exceed normal rates?
30.At the time of the inspection did the facility pose an air quality concern? If yes,contact a regional Air Quality ❑ ■ ❑ ❑
representative immediately.
31.Did the facility fail to notify regional DWQ of emergency situations as required by Permit? ❑ ■ ❑ ❑
32.Did Reviewer/Inspector fail to discuss reviewMspection with on-site representative? ❑ ■ ❑ ❑
33.Does facility require a follow-up visit by same agency? ❑ ■ ❑ ❑
Page: 5

Division of Water Quality (�
Facility Number 0 1 Division of Soil and Water Conservation F i
J 0 Other Agency
Type of Visit Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Tiime: County: Region:
Farm Name: ` ±G QLn W• Owner Email:
Owner Name: ff Phone: �� C1?
Mailing Address: QC) &Y= a I] t l Ql_rY1 _hl? [�7 1 v G °� a-O
Physical Address: c1 1 Q J F L .eup,L= K4�-
a
Facility Contact: «A. 0s)�. Title: one No: a L)
Onsite Representative: iVt�l �P C Integrator:fl�l �j
Certified Operator: n'1,L�hQ C�6f Operator Certification Number: "���
//��
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: [Mo ©I a 7 Longitude:
-7 .
d i b
4,j\,n Mill 1 A. oOAo +&"hao �A• �4. on , sin c -e.ev—,
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑ Wean to Finish ❑ Layer ❑ Dairy Cow
❑Wean to Feeder ❑Non-La et 17777� ❑ Dairy Calf
❑ Feeder to Finish ❑ Dairy Heifer
Farrow to Wean 00 ❑ D Cow
Dry Poultry O
El Farrow to Feeder Non-Dai
❑ Lavers
❑ Farrow to Finish Beef Stocket
❑ Gilts ❑Non-Layers
El Pullets ❑ Beef Feeder
❑ Boars ❑ Beef Brood Co
❑Turkeys
Other ❑Turkey Poults
❑ Other ❑Other Number of Structures:
Discharges& Stream lmpacts X(No
1. is any discharge observed from any part of the operation? ElYes ❑NA ❑NE
Discharge originated at: ElStructure ElApplication Field ElOther
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-(gal Ions)?
d. Does discharge bypass the waste management system`?(If yes, notify DWQ) ❑ Yes ❑No ❑NA ❑NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes 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?
12128104 Continued

Facility Number: () —0 2— . Date of Inspection
Waste Collection & Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? El Yes El No
El 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 )dNA ❑NE
(ie/large trees,severe erosion,seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed ❑ Yes lXl 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 threat,notify DWQ
7. Do any of the structures need maintenance or improvement? ❑Yes ❑No NA ❑NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes ❑No NA ❑NE
(Not applicable to roofed pits,dry stacks and/or wet stacks) ,�,/
9. Does any part of the waste management system other than the waste structures require El Yes L No ❑NA ❑NE
maintenance or improvement? ' `
Waste Application
10. Are there any required buffers, setbacks,or compliance alternatives that need ❑Yes VNo ❑NA ❑NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. [] Yes No ❑NA El NE
El Excessive Ponding El Hydraulic Overload El Frozen Ground El Heavy Metals(Cu,Zn,etc.) 111111 ��-��-
[] 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) 61
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes jNo ❑NA ❑NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes X No ❑NA ❑NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination:❑ Yes ❑No NNA ❑NE
17. Does the facility lack adequate acreage for land application? ❑ Yes X No ❑NA ❑NE
18. is there a lack of properly operating waste application equipment? ❑ Yes No El NA El NE
Comments(refer to question#): Explain any YES answers and/or any recommendations or any other comments..
Use drawings of facility to better explain situations.(use additional pages as necessary):
Reviewer/Inspector Name to Phone:
Reviewer/inspector Signat Date:
12128104 Continued

Facility Number: O — 0 DjeT Inspection
Required Records& Documents /
19. Did the facility fail to have Certificate of Coverage& Permit readily available? El Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes I V0 El NA ❑NE
ElEl ❑ Design El El the appropirate box. WUP Checklists ✓✓✓��,21. Des record keeping need improvement? If yes, chec the appropriate box elow. es ❑ No ❑NA ❑ NE
Waste Applicat�o Waste Analysis Soil Analysis Xy
Rainfa Stocking Crop Yield Mont t y and 1" Rain Inspection Weather Code
22. Did the facility fail to install and maintain a rain gauge? Yes ❑No ❑NA ❑NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑No I%NA ❑ NE
l
24. Did the facility fail to calibrate waste application equipment as required by the permit? T N6 [--] Yes �4]Nlo ElNA ElNE
25. Did the facility fail to conduct a sludge survey as required by the permit? ElYes ❑No ((NA ❑NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment(PLAT)certification? ❑ Yes No NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes No ❑ NA ❑NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document El 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 �Nlo ❑NA ❑NE
If yes, contact a regional Air Quality representative immediately XN
31. Did the facility fail to notify the regional office of emergency situations as required by ❑ Yes o ❑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 5(No ❑ NA ❑NE
Additionnpall_Comments and/or Drawings:
h OLtlraO
I aoaS7
up °
-7 aV C6_ = 1 S r v —b N 12128104

vision of Water Quality
vision of Soil and Water Conservation
0 Other Agency
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Date al'Visit: 3/4/2004 Time: t195U
Facility Number O1 5002
Not O)erational O Belo-w Threshold
Permitted N Certified 0 Conditionally Certified [3 Registered Date Last Operated or Aboye'I'hreshold:
Farm ,Name: .............. .... ...... County: A.lta=jUpt...............................jy5kQ......
Owner Name: 'l4f---- - --- ----- --- - '14Qg�--- - - - ----- ----- ----- - Phone No: -
MailingAddress: J?S).BQj.2.1.7............................................................................................. ................................................... ZU02..............
Facility Contact: MifhaC1.0 X......................................'I-itle. ............................................... Phone No: G.z�14.�G9.4.i e-�.........
Onsite Representative: Mizgae�CQx Integrator: (1��
Certified Operator:lYL'chael..[ aile..................... Cox..................................................... Operator Certification Number:23.7.S.3.............................
Location of Farm:
I40 east to Elon College exit. Follow to town of Elon College. Turn right onto NC 100/87 to Glen Raven. Turn left onto
Hwy 87 north. Right onto Hub Mill Rd. Right onto Altamahaw Rd. Right onto Basin Creek Rd. Farm Location: 2471 Basin
®Swine ❑Poultry ®Cattle ❑Horse Latitude 1 36 • 10 27 Longitude 79 • 29 58
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Cai)acitv Po ulation
❑ Wean to Feeder JCI Layer I I ❑ Dairy
❑ Feeder to Finish JEI Non-Layer I I Non-Dairy 300 1 27T:d
® Farrow to Wean 300 2
❑ Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity 600
❑Gilts
❑Boars Total SSLW 369,900
Number of Lagoons 0
H Solid Trans 0 No Liquid Waste Management System
Discharges& Stream Impacts
1. Is any discharge observed from any part of the operation? [] Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State'?(If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, ,+,hat is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon system'?(If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? [:] Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ® Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: NIA. -•--•-----•----- -•-----------•--•-----•--•- ---•-----------•--•--•----- ---------------------------
Freeboard (inches):
12112103 %�J 9 Continued

Facility Number: DI-5002 41 Date of Inspection 3/4/2004
r
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 ❑ Yes ® No
closure plan?
(if any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ® No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ® Yes ❑ No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level ❑ Yes ® No
elevation markings?
Waste Application
10_ Are there any buffers that need maintenance/improvement? ❑ Yes ® No
1 l. 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 Fescue(Graze) Fescue(Hay)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan(CAWMP)? ❑ Yes ® No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ® No
b)Does the facility need a wettable acre determination? ❑ Yes ® No
c)This facility is pended for a wettable acre determination? ❑ Yes ® No
15. Does the receiving crop need improvement? ❑ Yes ® No
16. Is there a lack of adequate waste application equipment'? ❑ Yes ® No
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
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.
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): ❑Field Copy ® Final Notes
3. and 8. Still evidence of sediment channeling off pen#14. Operator is to try a series of rip-rap check dams about twenty feet apart
through the pens to slowdown the runoff. Suggest silt fencing outside of the lower fence. Check next visit. Other pens look ok.
15. Check application fields next year.
23. operator did not apply any waste in 2003. Plans to scrape lots and apply this year,though.
Suggest fencing off the corner of the lot near Mrs. Huskey s property and establishing vegetation to filter any potential run-off of
sediment or waste during rain events. No WQ problems noted today.
2/9/04 Waste analysis: 8.1 lbs. N/ton
Reviewer/Inspector Name Melis a Rosebrock
Reviewer/lnspector Signature: Date: Q
12112103 Continued

Facility Number 01-5002 1*A Inspection 3/4/2004
Reauired Records& Documents
21. Fail to have Certificate of Coverage&General Permit or other Permit readily available? [] Yes ® No
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP, checklists,design,maps,etc.) ❑ Yes ® No
23. Does record keeping need improvement? If yes,check the appropriate box below. ❑ Yes ® No
❑Waste Application ❑Freeboard ❑Waste Analysis ❑Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ® No
25. Did the facility fail to have a actively certified operator in charge'? ❑ Yes ® No
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems,over application) ❑ Yes ® No
27, Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑ Yes ® No
28. Does facility require a follow-up visit by same agency? ❑ Yes ® No
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ® No
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 ❑ No
32. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes ❑ No
34. Did the facility fail to calibrate waste application equipment? ❑ Yes ❑ No
35. Does record keeping for NPDES required forms need improvement? If yes,check the appropriate box below. ❑ Yes ❑ No
❑Stocking Form ❑Crop Yield Forth ❑Rainfall ❑ Inspection After i" Rain
❑ 120 Minute Inspections ❑Annual Certification Form
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Ad'diiio al[Comments and'/_or,�Drawings:
12112103

"sion of Water Quality ©Q
�O -� vision of Soil and�Water Conservation ' {
0`Other Ageincyear
_ V Q
Type of Visit Compliance Inspection Q Operation Review O Lagoon Evaluation
Reason for Visit Routine O Complaint O Follow up Q Emergency Notification O Other ❑ Denied Access
Facility?Number [)ate of Visit: Time: J
0 Not Operational O Below Threshold
Permitted [3 Certified ©Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: e�..m�n. .. �c. � b.� �C. �o�lrp� County- ... .kl.lYax .............. .
.... ... ..... ..... ............................ ....
C
Owner Name: _.,)O �' -` f*3n.1 1...................................... Phone No: ...... rr,^.
g ��1�..... 1.].-----. .. _ _1Y_ a �..! .. .._......... z o
Mailing Address: ,..... ,,,,.,..., °2
Facility Contact: ..._. ..#._ Q 4e1.........5..:0. ... ...........Title: .................... . Phone No: 3� • �(Od o ... .... 7
_. .........................................
Onsite Representative: ••,,, ••� `� Integrator:... ,
................._...... ..�.......................................... ................................................................................
--7
Certified Operator:.... . .1 t. .. L........�•.,• e &-� Operator Certification Number:
Location of Farm:
T
Swine ❑ Poultry Cattle ❑Horse Latitude Longitude ®• �� ���
a Design: ,.Current Design Current - Design ',,...Current-
CaaciPoulaon;S an' Poultry
Cattle Ca aciPo elation
❑Wean to Feeder ❑Layer 10,Dairy
❑Feeder to Finish - ❑Non-Layer Non-Dairy Q
Farrow to Wean 00
Farrow to Feeder ❑Other
❑Farrow to Finish - Total Design'Capacity T Q
❑Gilts "t
❑Boars _ Tota1SSLW '369Q
_-Number of.Lagoons _ -
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes �No
Discharge originated at: ElLagoon [ISpray Field ❑Other
a. If discharge is observed,was the conveyance than-made? ❑Yes ❑No
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 galhnin?
d. Does discharge bypass a lagoon system?(If yes,notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes )(No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Yes ❑No
Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage)less than adequate? ❑Spillway ❑Yes No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ....... ................................... .................................... .................... ................................... ...................................
Freeboard(inches):
12112103 Continued

Facility Number: — Date of Inspection Jn3t 0
I 4q
5. Are there any immediate threats to the integrity of any of the structures observed?(ie/trees, severe erosion, ❑Yes YNo
seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or (]Yes
No
closure plan?
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑Yes / 0
8. Does any part of the waste management system other than waste structures require maintenance/improvement? XYes ❑No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level N/P4 -f3
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes >No
I I- Is there evidence of over application? If yes,check the appropriate box below. ❑Yes No
❑Excessive Pondi g ❑PAN Hydraul' Overload ❑Frozen Ground [ICopper and/or Zinc
I2. Crop type
13. Do the receiving Aps differ with those cgs4nded in the Certified Animal Waste Management Plan(CAWMP)? ❑Yes o
14. a)Does the facility lack adequate acreage for land application? ElYes No
b)Does the facility need a wettable acre determination? El Yes No
c)This facility is pended for a wettable acre determination? ❑Yes No
15. Does the receiving crop need improvement? ❑Yes + KO
16. Is there a lack of adequate waste application equipment? ❑Yes o
Odor Issues / ,
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑Yes tNo
o
19. Is there any evidence of wind drift during land application? (i.e.residue on neighboring vegetation,asphalt, ❑Yes
roads,building structure, and/or public property)
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.
Comineats(i-efer'to question'#)"Explain any YES answers andfor any recomirnendations`or.any-other comments: .
Use•drawtngs,of facility to.better.'explatn situations.(use addatioiital pages as'necessary} Field Copy [-]Final Notes
1 CA -
k
wpm"ej
V - ,
• T
Reviewer/Inspector Nance ` `
Reviewer/Inspector Signature: h Date:
12112103 Continued

Facility Number: —ij(� l f Inspection
Required Records &Documents
21. Fail to have Certificate of Coverage&General Permit or other Permit readily available? ❑Yes )(No
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP,checklists,design,maps,etc.) ❑Yes Aio
23. Does record keeping need improvement?If yes,check the appropriate box below. ❑Yes XNO
❑Waste Application ❑Feebeard-•❑Waste Analysis ❑Soil Sampling 2 d 3
act.
24. Is facility not in compliance with any applicable setback criteria in effect at the tim n e of design? ❑Yes 'No
25, Did the facility fail to have a actively certified operator in charge? ❑Yes No
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge,freeboard problems,over application) ❑Yes No
27. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes o
28. Does facility require a follow-up visit by same agency? ❑Yes No
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑No
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit?(If no,skip questions 31-35) ❑Yes XN 0
3I. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑Yes ❑No
32. Did the facility fail to install and maintain a rain gauge? ❑Yes ❑No
33. Did the facility fail to conduct an annual sludge survey? ❑Yes ❑No
34. Did the facility fail to calibrate waste application equipment? ❑Yes ❑No
35. Does record keeping for NPDES required forms need improvement? If yes,check the appropriate box below. ❑Yes ❑No
❑Stocking Form ❑Crop Yield Form ❑Rainfall ❑Inspection After 1"Rain
❑ 120 Minute Inspections ❑Annual Certification Form
© No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
dditional Cornments.5nd/or Drawings -
�b3 50! fs a� . �3 � 1�aoa�• `
70r7 �
4&J }
tit-
L 1/11
12112103 `

Aftchnical Assistance Site Visit Repo
Di on of Soil and Water Conservation
O Natural Resources Conservation Service
O Soil and Water Conservation District
O Other...
Facility Number 01 - 5002 Date: 129103 Time: 9:00 Time On Farm: 90 WSRO
Farm Name Piedmont US Co Farm County Alamance Phone: [phone]
Mailing Address PO Box 217 Altamahaw, NC 27202
Onsite
Representative Mike Cox Integrator
Type Of Visit Purpose Of Visit
®Operation Review OQ Routine
❑Compliance Inspection (pilot only) p Response to DWQ/DENR referral
❑Technical Assistance Q Response to DSWC/SWCD referral
❑Confirmation for Removal Q Response to complaint/local referral
❑ No Animals-Date Last Operated: O Requested by producer/integrator
❑Operating below threshold O Follow-up
Q Emergency
®Swine ❑ Poultry ®Cattle ❑Norse O Other...
Design Current Design Current
Capacity Population Capacity Population
El Wean to Feeder ❑ Layer
❑ Feeder to Finish ❑ Non-Layer
® Farrow to Wean 300 3
❑ Farrow to Feeder ❑ Dairy
❑ Farrow to Finish ® Non-Dairy 300 2so
El Gilts
❑ Boars ❑Other
GENERAL QUESTIONS:
1. Is waste discharging from any part of the operation and reaching surface waters or wetlands? ❑yes ® no
2. Is there evidence of a past waste discharge from any part of the operation that waste reached ❑yes ® no
surface waters or wetlands?
3. Does any problem pose an immediate threat to the integrity of the waste structure (large trees, ❑yes ® no
seepage, severe erosion, etc.)?
4. Is there evidence of nitrogen over application, hydraulic overloading or excessive ponding ❑yes ®no
requiring DWQ notification?
5. Is there evidence of improper dead animal disposal that poses a threat to the environment ❑yes ®no
and/or public health?
6. Is the waste level within the structural freeboard elevation range for any waste structure? ❑yes ❑no
Structure) Structure 2 Structure 3 Structure 4 Structure 5
Identifier NIA
Level (inches)
CROP TYPES
SPRAYFIELD
SOIL TYPES
7. What type of technical assistance does the onsite representative feel is needed? (list in comment section)
1 03/10/03

9 •
Facility Number 01 - 5002 Date: 8/29/03
PARAMETER 0 No assistance provided/requested
❑8. Waste spill leaving site TECHNICAL ASSISTANCE Needed Provided
❑9. Waste spill contained on site
El El
10. Level in structural freeboard 25.Waste Plan Revision or Amendment
❑ 11. Level in storm storage 26.Waste Plan Conditional Amendment ❑ ❑
27. Review or Evaluate Waste Plan wlproducer ❑ ❑
❑ 12. Waste structure integrity compromised
❑ 13. Waste structure needs maintenance 28. Farms Need (list in comment section) El El
29. Missing Components (list in comments) ❑ ❑
[114. Over application >= 10% & 10 lbs.
0 30. 2H.0200 re-certification El ElEl 15. Over application � 10/o or� 10 lbs.
❑ 16. Hydraulic overloading 31. Five&Thirty day Plans of Action (PoA) ❑ ❑
❑ 17. Deficient irrigation records 32. Irrigation record keeping assistance ❑ ❑
❑ 18. Late/missing waste analysis 33. Organ izelcomputerization of records ❑ ❑
❑ 19. Latelmissing lagoon level records
❑20. Late/missing soils analysis 34. Sludge Evaluation ❑ ❑
❑21. Crop needs improvement 35. Sludge or Closure Plan ❑ ❑
❑22. Crop inconsistent with waste plan 36. Sludge removallclosure procedures ❑ ❑
❑23. Irrigation maintenance deficiency 37.Waste Structure Evaluation ❑ ❑
❑24. Deficient sprayfield conditions 38. Structure Needs Improvement ❑ ❑
39. Operation& Maintenance Improvements ® ❑
40. Marker checkicalibration ❑ ❑
Regulatory Referrals 41. Site evaluation ❑ ❑
❑ Referred to DWQ Date: 42. Irrigation Calibration ❑ ❑
❑ Referred to NCDA Date:
El Other... 43. Irrigation system designlinstallation El El
Date: 44. Secure irrigation information (maps, etc.) ❑ ❑
LIST IMPROVEMENTS 45. Operating improvements (pull signs, etc.) ❑ ❑
MADE BY OPERATION 46.Wettable Acre Determination11. ❑ ❑
47. Evaluate WAD certificationlrechecks ❑ ❑
48. Crop evaluation/recommendations ❑ ❑
2_ 49. Drainage work/evaluation ❑ ❑
50. Land shaping, subsoiling, aeration, etc. ❑ ❑
51. Runoff control, stormwater diversion, etc. ❑ ❑
3 52. Buffer improvements ❑ ❑
53. Field measurements(GPS, surveying, etc.) ❑ ❑
4.
54. Mortality BMPs ❑ ❑
55. Waste operator education (NPDES) ❑ ❑
5. 56. Operation& maintenance education ❑ ❑
57. Record keeping education ❑ ❑
6 58. Croplforage management education ❑ ❑
59. Soil and/or waste sampling education ❑ ❑
2 03/10/03

s •
Facility Number 01 - 5002 Date: 1 81291Q3
COMMENTS:
Waste analysis: 5-14-03 SSB 6.1 Ibs.Nlton B
Soil analysis dated 5-16-03
The facility has not applied waste this year to date.
Need to continue maintenance of buffer area below the lots and scrape lots.
TECHNICAL SPECIALIST Rocky Durham
SIGNATURE
Date Entered: 912103 Entered By: lRocky Durham
3 03/10/03

�ivision of Water Quality
ivision of Soil and Water Conservation i
'Q Other Agency
Type of Visit O Compliances spection Operation Review Q Lagoon Evaluation
Reason for Visit O Routines a Complaint: O Follow up O Emergency Notification O Other ❑Denied Access
Faculty Number O1 5002 Uutc nl'Visit: 06/]?J2003 'I-ime:
FO Not O erational 6 Rciow Threshold
® Permitted ®Certified © Conditionally Certified ❑ Registered pate Last Operated or Above Threshold: ...•..•..•..•.•
Farm Name: Pj.Wunont.[ S..CAFArm...................... County: Alawmuc......................................... W.SRQ........
OwnerName- Jot~............................................ JoiLles............................................................ Phone No: (3 ........................... .........................
Nailing Address: 1'Q.0pX.217............................. .. Altamaham.NC........................... ... 2.7.202..............
.............................................................. �.�.....................
Facility Contact: ..............................................................................Title: .................. Phone No:
..................................
OnsiteRepresentative:........................................................................................................... Integrator:......................................................................................
Certified Operator:J,!'Iidwel..Latte..................... UN.................................................... Operator Certification Number-2.3.7.53.............................
Location of Farm:
I-40 east to Elon College exit. Follow to town of Elon College. Turn right onto NC 100/87 to Glen Raven. Turn left onto
Hwy 87 north. Right onto Hub Mill Rd. Right onto Altamahaw Rd. Right onto Basin Creek Rd. Farm Location: 2471 Basin
®Swine ❑ Poultry ®Cattle ❑Horse Latitude Longitude 79 • 29 58
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder ❑Layer ❑ Dairy I - I :d
❑Feeder to Finish ❑Non-Layer ® Non-Dairy 300
®Farrow to Wean 300
❑Farrow to Feeder Other
❑Farrow to Finish _ _ . Total Design Capacity 600
❑Gilts _
❑ Boars - Total SSLW 369,900
Number of Lagoons 0 ID Subsurface Drains Present ❑ Lagoon Area ❑Spray Field Area
Holding Ponds/Solid Traps ®No Liquid Waste Management System
Discharges R Stream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes ❑No
Discharge originated at: []Lagoon ❑Spray Field [-]Other
a. If discharge is observed. was the conveyance man-made? ❑Yes ❑No
b. If discharge is observed. did it reach Water of the Statc?(If yes. notify DWQ) ❑Yes ❑No
c. If discharge is observed. what is the estimated Ilow in gal/min?
d. Does discharge by a lagoon system''(if yes. notify DWQ) ❑ Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes ❑No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes ❑No
Waste Collection K Treatment
4. Is storage capacity(freeboard plus storm storage)less than adequate? ❑Spillway ❑Yes ❑No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ................ ................................... ................................... ...................................
Freeboard (inches):
05103101 // Continued

■
Facility Number: 01-5002 Date of Inspection 106/12/2003 •
5. Are there any immediate threats to the integrity of any of the structures observed?(ie/trees,severe erosion, ❑Yes ❑No
seepage,etc.) ,
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes El No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑Yes ❑No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑Yes ❑No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ❑No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes ❑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)? ❑Yes ❑No
14, a}Does the facility lack adequate acreage for land application? ❑Yes ❑No
b)Does the facility need a wettable acre determination? ❑Yes ❑No
c)This facility is pended for a wettable acre determination? ❑ Yes ❑No
15. Does the receiving crop need improvement? ❑ Yes ❑No
16. Is there a lack of adequate waste application equipment? ❑ Yes ❑No
Required Records& Documents
17. Fail to have Certificate of Coverage&General Permit or other Permit readily available? ❑Yes ❑No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP,checklists,design,maps,etc.) ❑Yes ❑No
19. Does record keeping need improvement?(ie/irrigation,freeboard,waste analysis&soil sample reports) ❑Yes ❑No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes ❑No
21. Did the facility fail to have a actively certified operator in charge? ❑Yes ❑No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge,freeboard problems, over application) ❑Yes ❑No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes ❑No
24. Does facility require a follow-up visit by same agency? ❑Yes ❑No
25, Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes ❑No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
fiComments(refer toYqueshon#): Explain any YES answers and/or any recommendations.or�anyother common'<�
Use d�rawi�ngs of fa dity o better explain situations.(use additiana!pages as necessary}{ ❑Field Copy ®Final Notes
-
Did not visit site. This form is to document a complaint received from Mrs. Bonnie Huskey on 6/12/03 alleging that problems with the _ ~'
surface water were caused by the cattle from Piedmont Livestock. She later said that the problem was run-off from the stockyard onto he
property.
Upon further discussions with Mrs. Huskey on 6/12/03 and 6/13/03, it seems that she has had to have her septic tank pumped four times
already this year and that she has had to buy water since it was determined by the health dept. that her well was contaminated. She said it
was due to the cattle. The real issue seems to be that excessive surface water is settling onto her property,and is not really related to
Piedmont Livestock. According to Mrs. Huskey and Piedmont Livestock, there has not been a problem previous to this year.
Reviewer/Inspector Name 'Melissa osebrock
`
Reviewer/Inspector Signature: IZ Date: 02
05103101 Continued

Facility Number: 01-5002 *of
Inspection 06/12/2003
Odnr Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑Yes ❑No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes ❑No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation,asphalt, ❑Yes ❑No
roads,building structure,and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑Yes ❑No
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.e.broken fan belts, missing or
or broken fan blade(s), inoperable shutters,etc.) ❑Yes ❑No
31. Do the animals feed storage bins fail to have appropriate cover? ❑Yes ❑No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑Yes ❑No
Additional Comments and/orDrawings:
I called Mike Cox at Piedmont Livestock on 6/12/03 and he visited Mr. Huskey that day. Mrs.Huskey called 6/13/03 to report that
Mike was taking care of it and she seemed satisfied. She thanked the DWQ for"getting on it so fast and getting something done."
I spoke with Mike Cox again on 6/16/03 and he said that there was absolutely no animal waste running onto her property. He said
that there was some sediment washing off,and that he planned to move Piedmont Livestock's fence back a few feet and sow some
grass to help retain the sediment from leaving the livestock lot in the future.
05103101

ision of Water Quality
' �ision of Soil and Water Conservation i
1, a Other Agency `
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
FFacility Number Ol 5002 Date of Visits' 03/26/2003 rime: 0920
0 Not operational O Below Threshold
® Permitted ®Certified [3 Conditionally Certified []Registered Date Last Operated or Above'Threshold: ............ ..
Farm Name: 1'ied�niont.l�S.Ca. a��m..................... ..... ... County: Alan fwv......................................... NY$R.Q........
Owner Name: do0............................................ J.QmCi............................................................ Phone No:
Mailing Address: 1'Q. QX..21.7............................................................................................. AllitfxlahusJNK.................................................... Z.U.02..............
Facility Contact: M.lire..Cux..........................................................Title: ................................................................ Phone No: 33,6A2.1.,1790........................
Onsite Representative:M kvj,'OX................................ .. Integrator:..... ......
Certified Operator:MkctwC AAA...................... C.QX.................................................... Operator Certification Nuntber:2.375
Location of Farm:
-40 east to Elon College exit. Follow to town of Elon College. Turn right onto NC 100I87 to Glen Raven. Turn left onto
wy 87 north. Right onto Hub Mill Rd. Right onto Altamahaw Rd. Right outp Basin Creek Rd.Farm Location: 2471 Basin
®Swine ❑Poultry ® Cattle ❑Horse Latitude 36 ' 10 27 Longitude 1 79 Is 29F 58
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder I I[]Layer ❑Dairy
❑Feeder to Finish I JE1 Non-Layer ®Non-Dairy 300 210
®Farrow to Wean 300 1 30
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity 600
❑Gilts
❑Boars Total SSLW 369,900
Number of Lagoons 0 ❑Subsurface Drains Present ❑ Lagoon Area JEI Spray Field Area
Holding Ponds 1 Solid Traps ®No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation'? ❑Yes ®No
Discharge originated at: ❑Lagoon ❑ Spray Field ❑Other
a. If discharge is observed, was the conveyance man-made? ❑Yes ❑No
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 yes, notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ®Yes ❑No
Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage) less than adequate? ❑Spillway ❑Yes ❑No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ................................... ................................... .................... ............
Freeboard(inches):
` 05103101 �/ � Continued

Facility Number: 01-5002 Date of Inspection fl312612003 ,
5. Are there any immediate threats to the in ty of any of the structures observed? (ie/treAere 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? El Yes ®Na
(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 ❑No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes ❑No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes N No
11. Is there evidence of over application? ❑Excessive Ponding ❑PAN ❑Hydraulic Overload ❑Yes N No
12. Crop type Fescue (Graze) Fescue(Hay)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan(CAWMP)? ❑Yes N No
14. a) Does the facility lack adequate acreage for land application? ❑Yes ®No
b)Does the facility need a wettable acre determination? ❑Yes N No
c)This facility is pended for a wettable acre determination? ❑Yes N No
15. Does the receiving crop need improvement? ❑Yes N No
16. Is there a lack of adequate waste application equipment? ❑Yes N No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑Yes N 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 N No
19. Does record keeping need improvement?(ie/irrigation, freeboard,waste analysis&soil sample reports) N Yes ❑No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes N No
21. Did the facility fail to have a actively certified operator in charge? ❑Yes N No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems, over application) ❑Yes ®No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes N No
24. Does facility require a follow-up visit by same agency? ❑Yes N No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes N No
r] No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
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): ®Field Copy ❑Final Notes
3. and 8. Need to re-establish vegetation in pens below lot#16 and#17 prior to putting any cattle back in the pens. Two low places in +
the lots are allowing run-off of waste and soil during rain events. Need to build up these low spots and seed with permanent vegetation.
Will check next visit. Check next visit.
19. No soil analysis results for 2002. Operator was reminded of this during three inspections/reviews in 2002. See also 2001 NOV and
2002 NOV. Will have to send NOV/NOI now.
21. DWQ to check on card for Mike.
ReviewerlInspector Name Me 'ssa Rosebrock
Reviewer/Inspector Signatu to Date:Al
3
05103101 Continued

Facility Number: 01_5002 ll � f Inspection 03126I2p03
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑Yes [:)No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes ®No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑Yes ®No
roads,building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑Yes ❑No
34. Were any major maintenance problems with the ventilation fan(s) noted? (i.e.broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑Yes ❑No
31. Do the animals feed storage bins fail to have appropriate cover? ❑Yes ❑No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑Yes ❑No
Additional omments and/orDrawings:
#4, 5, 9, 26, and 29-32 are not applicable to this facility at this time.
tir
0510310I

Division of Water,Quslity
Division of SoMand Water Conservation
0 Other Agency
Type of Visit Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑Denied Access
Facility_ Dumber Date of Visit: `i-f-=�Time: a�d
10 Not Operational 0 Below Threshold
Permitted [Certified Conditionally Certified 0 Registered Date Last Operated) or Above Threshold:
Farm Name: IP�Imnn�' L.I yp'ske1L County: hletmanc-e
Owner Name: Joe- FA W Phone No: •336 3 6 7
Mailing Address: ►v --��// f .�
Facility Contact: L Title: Piton o. �!A ' V 3106
OnsitevRepresentative: - - Integrator, �� a(D�� (o
Certified Operator: I fQ E 'er U/� Operator Certification Number:
Location of Farm: �G Ion Co f le + o p �r,b [[� c
i eas.f n� - _ dP
Y
❑Swine ❑ Poultry [:]Cattle ❑Horse Latitu e ' u Longitude
Design Current Design Current Design Current
Swine ..Ca achy Po ulation . Poultry Ca acity Population Cattle Capacity Po ulation
❑Wean to Feeder 10 Laver WQjDairvFeeder to Finish ❑Non-Laver n-Dairy IbC
Farrow to Wean _ 00 30
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacit-°
❑Gilts
❑Boars Total SSLW
Number of Lagoons ❑Subsurface Drains Present ❑Lagoon Area JE1 S rav 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? ❑Yes XNo
Discharge originated at: ❑Lagoon ❑ Spray Field ❑Other
a. If discharge is observed,was the conveyance man-made? ❑Yes ❑No
b. If discharge is observed,did it reach Water of the State?(If yes.notify DWQ) ❑Yes ❑No
c. 1f discharge is obsened,what is the estimated flow in galimin?
d. Does discharge bypass a lagoon system?(if yes, notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? El Yes No
3. Were there any adverse impacts or oten ' adverse impacts to the Waters of the State other than from a discharge? )es ❑No
Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage)less than adequate? ❑Spillway n ter_,, n,,.,,_—
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(inches):
05103101 Continued

Facility Number: — Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed?(ie/trees, severe erosion. E3- -- ED
seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes )rNo
(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? :a
8. Does any part of the waste management system other than waste structures require maintenance/improvement? >Yes ❑No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement? El Yes XNo
11. Is there evidence of over application? ❑Excessive Ponding ❑PAN ❑Hydraulic Overload ❑Yes Rio
12. Crop type
13. Do the receiving cro differ with those esignated in the ertified An l Waste Management Plan(CAWMP)? ❑Yes No
14. a)Does the facility lack adequate acreage for land application? ❑Yes XNo
b)Does the facility need a wettable acre determination? ❑Yes No
c)This facility is pended for a wettable acre determination? ❑Yes No
15. Does the receiving crop need improvement? ❑Yes 1
16. Is there a lack of adequate waste application equipment? ❑Yes XNo
Reouired Records&Documents A
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 Cert' ed Animal Waste anagement Plan readily available?
(ie/WUP,checklists,design,maps,etc.) 7 ❑Yes >�No
19. Does record keeping need improvement?(ielwle _-,; bazrd. astettee analysis soil ample reports) Yes ❑No
20. is facilitynot in compliance with an applicable setback criteria in effect at the time�rfdesi ? Yes No
P Y PP i ❑
21. Did the facility fail to have a actively certified operator in charge? ❑Yes VNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems.over application) ❑Yes XNo
23. Did Reviewer/Inspectar fail to discuss review/inspection with on-site representative? ❑Yes %No
24. Does facility require a follow-up visit by same agency? ❑Yes XNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes o
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments(refer to;question Explain any YES-aasv'ers-andlor an recommendattons or sny er cautments
Use drawings of facility to better explain 6tuattons:(use adaittonaf,pages as necessary) Field Canv ❑Final Note.,
1-7 PUd 4AVe
Y
tXolglv-�aa
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:
ri
O5.103 1 Continued ,
t,)
C _

• • Soot
Facility Number: — �te of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond Nvith no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes do
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation,asphalt. ❑Yes 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? ` s
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 s�v
Additional Cam Tnt. d/or Drawings:
s, 9n,
Clq A o2oaa P lit, a,00 i. N o V
2t0a NO J If
' C �
/U6
4
05103101

O of Water QualityS46sion
sion of Soil and Water Conservation t
O'Other Agency
4
Type of Visit O Compliance Inspection Q Operation Review O Lagoon Evaluation
O Routine O Cem laint O Follow u Emergency Notification Other Denied Access
Reason far Vrsit p p 0 g y O ❑
Facility Number 41 5002 Pate of Visit: 7/11/2002 Time: 10:00
O Not Operational O Below Threshold
® Permitted ®Certified ❑Conditionally Certified 0 Registered Date Last Operated or Above Threshold: ........••••..
Farm Name: Eiedxnant. 1 .Ga. axxn........................ ......... County: Alaxpauv......................................... � R.0........
OwnerName: doe............................................ Jaoes............................................................ Phone No: (3.3.61.5.84.: .6.1. ..........._............................................
rVlailing Address: P.Q..R N.137.9........................ ...................................................... 1:.I.o.IIt.G.Q1J�gt'.lY. .................................................. V244..............
Facility Contact: ........Title:...................................................................... .............................. Phone No:
Onsite Representative: MjR.q_CgN........................ ........ ................. Integrator:....
Certified Operator:M.b.uJ,.J,me...................... Qog,.................................................... Operator Certification Number:2.375
.............................
Location of Farm:
Farm Location: 2471 Basin Creek Rd.,Burlington,N.C. +
® Swine ❑ Poultry ®Cattle ❑Horse Latitude 3G ' 10 27 Longitude 79 • 29 58
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder JE1 Layer ❑Dairy
❑Feeder to Finish JC1 Non-Layer ®Non-Dairy 300 225
®Farrow to Wean 300 E
❑Farrow to Feeder q JE1Other
❑Farrow to Finish Total Design Capacity 600
❑Gilts
❑Boars Total SSLW 369,900
Number of Lagoons 4 ❑Subsurface Drains Present ❑ Lagoon Area I0 Spray- Field Area
Holding Ponds/Solid Traps 0 ®No Liquid Waste Management System
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation? ❑ yes M No
Discharge originated at: ❑La;;-)on ❑ Spray Field ❑Other
a. If discharge is observed, .vas the conveyance man-made? ❑Yes ❑No
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 yes, notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ®No
Waste Collection S 'rreatmeni
4. Is storage capacity(freeboard plus storm storage) less than adequate? ❑Spillway ❑Yes ❑No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
identifier: ................................... ................................... .................................... ................................... ................................... ...................................
Freeboard(inches): _
05103101 Continued

Facility Number: 01-5002 Date of Inspection 711 1 12 0 0 2 r
5. Are there any immediate threats to the i0rity of any of the structures observed?(iel tre , esvere erosion, El Yes ®Na
seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes N No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑Yes ®No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑Yes ®No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ❑No
Waste Au dication
10. Are there any buffers that need maintenance/improvement? ❑Yes N No
11. Is there evidence of over application? []Excessive Ponding []PAN ❑Hydraulic Overload ❑Yes N No
12. Crop type Fescue(Hay)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan(CAWMP)? ❑Yes N No
14. a) Does the facility lack adequate acreage for land application? ❑Yes N No
b) Does the facility need a wettable acre determination? ❑Yes N No
c)This facility is pended for a wettable acre determination? ❑Yes N No
15. Does the receiving crop need improvement? ❑Yes N No
16. Is there a lack of adequate waste application equipment? ❑Yes N No
Required Records&Documents
17. Fail to have Certificate of Coverage&General Permit or other Permit readily available? ❑Yes N 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 N No
19. Does record keeping need improvement?(ie/irrigation, freeboard, waste analysis& soil sample reports) ❑Yes N No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes N No
21. Did the facility fail to have a actively certified operator in charge? ❑Yes N No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems, over application) ❑Yes N No
23. Did Reviewer/Inspector fail to discuss reviewlinspection with on-site representative? ❑Yes N No
24. Does facility require a follow-up visit by same agency? ❑Yes N No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes N No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
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): ❑Field Copy N Final Notes
# 19. Still need to get a 2002 soil analysis. May have to resample. Sample may have been misplaced by the extension office. Mr. Cox +
'tated that he had taken the soil sample and delivered them to extension to transport to the State Lab.
Facility does not have a waste storage structure. Mr. Cox has been working with the local soil and water conservation district to
construct a dry-stack type storage structure.
Reviewer/Inspector Name Rocky Durham
Reviewer/Inspector Signature: Date:
05103101 Continued

Facility Number: 01-5002 Da f Inspection 74I/2002 .
Odor Issues `
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑Yes ❑No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ® No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation,asphalt, ❑ Yes ®No
roads,building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑Yes ❑No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e.broken fan belts, missing or
or broken fan blade(s), inoperable shutters,etc.) ❑Yes ®No
31. Do the animals feed storage bins fail to have appropriate cover? ❑Yes ®No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑No
Additional omments and/orDrawings:
Waste analysis: 4-11-02 SSB 8.0 Ibs.N/ton B +
05103101

'Ivor
NORTH CAROLINA
DEPARTMENT OF 4 •V
ENVIRONMENT ANDNATURAL RESOURCESEN F=1
FAX TRANSMITTAL
Water Quality Section
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, N.C. 27107
Phone: [phone] Fax: [phone]
TO:
FAX NUMBER: -� 3 � S g3� a .33 �p . ;227 . 2YFE
FROM:
DATE: IC> Z
Number of pages (including cover page): Z/
COMMENTS:

sion of Water Quality
ision of Soil and Water Conservation
(� Other Agency y
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number O1 5002 Date of Visit: 4 /2002 Time: 1130
O Not Operational O Below Threshold
®Permitted M Certified [3 Conditionally Certified [3 Registered Date Last Operated or Above Threshold: ...................
FarmName: ............................................................................ County: PUMA11C.Q......................................... �MS,RQ........
OwnerName: J14e............................................ jQjaf,5............................................................ Phone No: 03.61 .84:-36.76........................................................
Mailing Address: 1'Q. 9%13.7.9......................................................................................... Matz.C.al1Rg:V. C.................................................. 2.72.4.4..............
FacilityContact: Nhke.Ux.........................................................Title: ................................................................ Phone No: ...................................................
Onsite Representative: jj e,.COx..itlaSlj.Q.ejRAes....................................................... integrator:........
........... ................. .............................................:................................
Certified Operator:l!' kV.t.2te1..L=e..................... G.V. .................................................... Operator Certification Number:2. .7.5 .............................
Location of Farm:
Farm Location: 2471 Bason Creek Rd.,Burlington,N.C.
®Swine ❑Poultry ®Cattle ❑Horse Latitude 36 • 10 27 Longitude 79 • 29 58 ��
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder JE1 Layer ❑Dairy
❑Feeder to Finish ❑Non-Layer ®Non-Dairy 300 300
M Farrow to.Wean 300 60
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity 600
❑Gilts
❑Boars Total SSLW 369,900
Number of Lagoons 0 ❑Subsurface Drains Present ❑Lagoon Area ❑Spray Field Area
Holding Ponds 1 Solid Traps 0 I FM—No Liquid Waste Management System
Discharges& Stream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes ®No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. If discharge is observed, was the conveyance man-made? ❑Yes ❑No
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 yes, notify DWQ) ❑Yes ❑No
there evidence of past discharge from any part of the operation? ❑Yes 0 No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes M No
'Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage)less than adequate? ❑ Spillway ❑Yes' ❑No
StruCttlre I Structure 2 Structure 3 Structure 4 Structure S Structure 6
Identifier: ................................... ...............................
Freeboard(inches):
l 05103101 3 % Continued

Facility Number: Ot-5002 (late of inspection 4 2002
5. Are there any immediate threats to the ioty of any of the structures observed? (ie/trelOvere erosion, ❑Yes ❑No
seepage, etc.) s
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes El No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑Yes ❑No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ®Yes ❑No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes ❑No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes ❑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)? ❑Yes ❑No
14. a)Does the facility lack adequate acreage for land application? ❑Yes ❑No
b)Does the facility need a wettable acre determination? ❑Yes ❑No
c)This facility is pended for a wettable acre determination? ❑Yes ❑No
15. Does the receiving crop need improvement? ❑Yes ❑No
16. Is there a lack of adequate waste application equipment? ®Yes ❑No
Rc uired Records& Documents
17. FaiI to have Certificate of Coverage &General Permit or other Permit readily available? ❑Yes ❑No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP, checklists, design, maps, etc.) ❑Yes ❑No
19. Does record keeping need improvement?(ie/irrigation, freeboard, waste analysis&soil sample reports) ❑Yes ®No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes ❑No
21. Did the facility fail to have a actively certified operator in charge? ❑Yes ❑No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems, over application) ❑Yes ❑No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes ®No
24. Does facility require a follow-up visit by same agency? ❑Yes ®No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes ❑No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
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): a�FField Copy ®Final Notes
S. Waste and sediment is starting to wash downhill from lots 7 and 14. Suggest installing 2x8 boards at the bottom of the fence to help
contain solids. May want to contact Alamance Co. SWCD for suggestions also.
8. Stockpiled waste to be spread by April 15, 2002 and lots to be scraped by next Operational Review.
16. Per operator, he is waiting on tractor and loader to be repaired to be able to spread waste this weekend.
19. Operator says that 2002 soil analysis samples have been sent in for all fields expected to receive animal waste in 2002.DWQ to
provide web addressfor checking samples: http:MVU4v.a or,state.nc.it lagronomilindEx.htm Click on "Find Your Report"
in column to the left. Then click on "Grower"and type in name that sample is under. Operator to send results to DWQ when received.
Reviewer/Inspector Name imeliss osebrock
Reviewer/Inspector Signature: Date: Z23 0 Z
05103101 Continued

Facility Number: 01-5002 D F f Inspection 1 4/it/2002 S
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑Yes []NO
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes ®No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑Yes ❑No
roads,building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑Yes ❑No
30. Were any[major maintenance problems with the ventilation fan(s)noted? (i.e.broken fan belts, mussing or
or broken fan blade(s), inoperable shutters, etc.) ❑Yes ❑No
31. Do the animals feed storage bins fail to have appropriate cover? ❑Yes ❑No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? E1 Yes ❑No
Additional omments and/orDrawings:
27. One mortality noted during inspection. To be picked-up today.
Questions that were left blank do not pertain to this facility and/or to today's inspection.
05103101

i
+' °�9 i 5qa try. vts><anpf;W8tterQpB�tyL
.7 .
�:���'`�"�k',de+r�::".Y i1,+n,��';`P::.„,�'..��u�,�c+,.- 'xt}zn.-- '� � •.''`.�.._�...�:n...ti_v:..3kr i�i .�'t.S+ter:...�.�� �`- �.i,..�.._a -� s.F,.a,s1t.,*';1;,,�-.4 '.i
Type of Visit Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit O Routine O Complaint .follow up O Emergency Notification O Other ❑Denied Access
Date of Visit: Time: 5
Facility Number a~�v- r�}- t�}'
Q Not Operational Q Below Threshold
Permitted �e ..........rtified © Conditionally Certified © Registered Date Last Operated or Above Threshold: ..............
` 11 0 1/
Farm Name: ...........EAM- D. �r�� i .4.�1�-! ... County:
OwnerName: ................................................... ........................................................................ Phone No: .......................................................................................
Facility Contact: .........Title Phone No.
MailingAddress: ............................................................................::....................
OnsiteRepresentative: ........................................................................................................... Integrator:..........................................................
CertifiedOperator:................................................... ............................................................. Operator Certification Number:................................
Location-of Farm: _
A:
❑Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �`�° �•� Longitude
Design Current 'Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder' JE3 Layer ❑ Dairy
Feeder to Finish ❑Non-Layer on-Dairy
❑ Farrow to Wean
Farrow to Feeder Qy -b ❑Other
❑Farrow to Finish Total Design Capacity
❑ Gilts
❑Boars Total SSLW
:Number of Lagoons ❑Subsurface Drains Present 10Lagoon Area ❑Spray Field Area
Holding Ponds/Solid Trapso Liquid Waste Management System
Discharlies & Stream Impact~
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 ❑No
b. if discharge is observed.did it reach W.ILEr ref tllc State? (if yes, nolify llWQ) ❑Yes ❑No
c. If discharge is observed, what is the estimated fleet' in gal/min?
d. Dees discharge bypass a lagoon systcm?{Yves, notiCv DWQ) ❑ Yes ❑ No
2. is there evidence of past discharge from any part of the operation`' ❑ Yes
❑No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes ❑No
Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage) less than adequate" ❑ Spiilwat• ❑ Yes t.�_ No
Structure I Slruczunr ? Structure 3 4 Structure ? Struu�ure 6
Identifier: .................................... ...............................
Freeboard (inches):
5100 C-onrinuel= of bac1'

Facility Number: -- Date of Inspection Printed on. 1/9/2001 -
5. Are there any immediate threats to the ity of any of the structures observed? (ie/tr severe erosion, ❑yes [:]'Noslge,etc.) y
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes ❑No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑Yes ❑No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? [-IYes ❑No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes ❑No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes ❑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)? ❑Yes ❑No
14. a)Does the facility lack adequate acreage for land application? ❑Yes ❑No
b)Does the facility need a wettable acre determination? ❑Yes ❑No
c)This facility is pended for a wettable acre determination? ❑Yes ❑No
15. Does the receiving crop need improvement" ElYes ElNo
16. Is there a lack of adequate waste application equipment? ❑Yes ❑No
Required Records & Documents
17. Fail to have Certificate of Coverage& General Permit readily available? ❑Yes ❑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
19. Does record keeping need improvement?(ie/irrigation, freeboard, waste analysis&soil sample reports) ❑Yes ❑No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes ❑No
21_ Did the facility fail to have a actively certified operator in charge? ❑ Yes ❑No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems, over application) ❑Yes ❑No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes ❑No
.24. Does facility require a follow-up visit by same agency? ❑Yes ❑No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes ❑No
N,6M6latitoris'or•di ieie-ndes•were noted•d�r"ilrig•this"visit: Y'oir<wiil•re HVi Rio fprthe-
Torres• ondence.ahouf this.visit. . .
J. • .. 4 5f - S -•y!S— K' 'C. i - .,w.lYc`- ^ht,'.:._"'v�v
Comments(refer to guestton#) �Explaen any YES answers and/arrar�y reeommendations,oc any ather eommemtW
Use drawYngs`of facility,to better explain situaho s {use addtbonal}ages as nftessary)`
a
T
Reviewerf nspector Name _ .. :?
Reviewerrnspector Signature: Date: 5100

Facility Number: — Date of Inspection C� Printed on: 1/9/2001
Odor Issues
2' . Does the discharge pipe from the conPinement building to the storage pond or lagoon to discharge at/or below ❑Yes ❑No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes ❑No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation,asphalt, ❑Yes ❑No
roads,building structure,and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? [IYes ❑No
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.e.broken fan belts, missing or
or broken fan blade(s), inoperable shutters,etc.) ❑Yes ❑No
31. Do the animals feed storage bins fail to have appropriate cover? ❑Yes ❑No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑Yes ❑No
bo omments an or wtngs: -- ar:
A6
Ll
L�
.tee
9 S/
5100

NORTH CAROLINA
DEPARTMENT OF 1 • •
ENVIRONMENT AND
NATURAL RESOURCES ® FE N �
FAX TRANSMITTAL
Water Quality Section
Winston-Salem Regional Office
5SS Waughtown Street
Winston-Salem, N.C. 27107
Phone: [phone] Fax: [phone]
TO: I 12oSS
FAX NUMBER: .3 3 a s �' a g f D
FROM: r tG L I S5� 72D
DATE: 1 j -7 10
Number of pages (including cover pace):
COMMENTS:

+ vision of Water Quality
vision of Soil and Water Conservation
O Other Agency `
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 01 5002 Date of Visit: 2/6J2002 Time: 0830
O Not Operational O Below Threshold
® Permitted ® Certified 0 Conditionally Certified [3 Registered Date Last Operated or Above Threshold: .................
Farm Name: hgdimorxt.US..CAF..arm............................................................................. County: Mama=......................................... W.SRQ........
OwnerName: Im............................................ joiar.5........................................................... Phone No: 03.61581-3.676........................................................
MailingAddress: 1 13.9&.t37.9.......................................................................................... Elo.x.C.0cge..N.C.............................. ................ 272.44.............
Facility Contact: IYI.c.Cox.........................................................Title: ................................................................ Phone No: cell..36.2.61 4604...............
Onsite Representative: J.Yi kr.C9.X................. .... Integrator:N.9,11V...........................................................................
Certified Operator:MldWgl, 0AC..................... C.Qx.................................... ........... Operator Certification Number:,23.7.53................................... ................
Location of Farm:
Farm Location: 2471 Bason Creek Rd.,Burlington,N.C.
®Swine ❑Poultry ®Cattle ❑Horse Latitude Longitude 79 • 29 58
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacitv Population Cattle Capacity Population
❑Wean to Feeder 65 ❑Layer ❑ Dairy
❑Feeder to Finish ❑Non-Layer 110 Non-Dairy 300 292
®Farrow to Wean 300
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity 600
❑Gilts IEEEd
❑Boars Total SSLW 369,900
Number of Lagoons 0 ❑Subsurface Drains Present I0 Lagoon Area ID Spray Field Area
Holding Ponds/Solid Traps 0 ®No Liquid Waste Management System
Discharges Stream Impacts
i. Is any discharge observed from any part of the operation? [] Yes ® No
Discharge originated at: ❑Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed,was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed,did it reach Water of the State?(If yes. notify DWQ) El Yes ❑ No
c. If discharge is observed,what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'?(If yes, notify DWQ) ❑ Yes ❑ 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 ® No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ..Nrak.appli.cable... ................ .................................... ................................... .............. ........I....................
Freeboard-(inches):
05103101 Continued

Facility Number: 01-5002 • Date of Inspection 1 2/6/2002 •
5. Are there any immediate threats to the integrity of any of the structures observed?(ie/trees,severe erosion, [] Yes ❑ No
seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes ® No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ®Yes ❑No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ❑No
Wastc Application
10. Are there any buffers that need maintenancelimprovement? ❑ Yes ® No
11. Is there evidence of over application? ❑Excessive Ponding ❑PAN ❑Hydraulic Overload ❑ Yes ® No
12. Crop type Fescue(Graze)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14. a)Does the facility lack adequate acreage for land application? ❑ Yes ® No
b)Does the facility need a wettable acre determination? ❑Yes ® No
c)This facility is pended for a wettable acre determination? ❑Yes ®No
15. Does the receiving crop need improvement? ❑ Yes ®No
16. Is there a lack of adequate waste application equipment? ❑ Yes ®No
Required Records& Documents
17. Fail to have Certificate of Coverage&General Permit or other Permit readily available? ❑ Yes ®No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP,checklists,design, maps,etc.) ❑ Yes ®No
19. Does record keeping need improvement?(ie/irrigation,freeboard, waste analysis&soil sample reports) ® Yes ❑No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ❑No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ®No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems,over application) ❑ Yes ®No
23. Did Reviewer/Inspector fail to discuss reviewlinspection with on-site representative? ❑ Yes ®No
24. Does facility require a follow-up visit by same agency? ❑ Yes ®No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ®No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
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): ❑ Field Copy ®Final Notes
8. Some of the lower lots have begun to show some run-off of soil and waste leaving the site (about 4 feet). Several stockpiles of
bedding waste needs to be spread. Per operator,to be completed by April I,2002.
19. Facility has not spread waste since May 2001. No application records required since that time. Will need to keep application
records and take waste sample for stockpiled waste to be spread by April I,2002.
19. No soil analyses were obtained for fields receiving waste in 2001. NOV to be issued.
Reviewer/Inspector Name lMeliwk Ros0rock n
Reviewer/Inspector Signature: Date: 4
05103101 Continued .

Facility Number: 01-5002 l of Inspection 2/6/2002 0
Odor Issue
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ® No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation,asphalt, ❑ Yes ® No
roads,building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ❑ No
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.e.broken fan belts,missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ® No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ® No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
Additional Comments an or rawmgs:
-5.,7.,9., 20., 26., 29., 32. Not applicable to this facility_ •
Swine facility is currently numbered 01-2-2. Facility is permitted for 300 farrow to wean. Per operator, they are running a variety
of sizes through the operation(wean to feeder, gilts,or boars,etc.).
05103101

Division of Water Qdiility
q Division of Soil and:Water Conservation
T-L `�]—, O Other Agency
Type of Visit Compliance Inspection Q Operation Review O Lagoon Evaluation
Reason for Visit X Routine O Complaint O Follow up O Emergency Notitication O Other ❑Denied Access
Facility Number Date of Visit: ime:
10 Not O erational 0 Below Threshold
Permitted Certified O Conde itiionally Certified [3 Registered Date Last Operate o Above Threshold:
Farm Name: I L'Q �r�U 5 ��'_�C��! 1� County:Owner Name: 'n P 7, Phone No: -336 5DQ� '_�eo
Mailing Address: O •
Facility Contact: _i"�1 Elio fa)� Title: Phone No: (t.P_11
Onsite Representative: M Integrator:
Certified Operator: — _ ( CEF 1a-0— 7 Operator Certification Number: 3 I
Location of Farm:
f
❑Swine ❑Poultry 0 Cattle ❑Horse Latitude �6�� u Longitude
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Po ulation Cattle capacity Population
Ej Wean to Feeder ❑La er I Dairy
❑Feeder to Finish ❑Nan-La er I I Nan-Dai QQ 1 7TH
R'Farrow to Wean !5 C' "3LIC
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity d
Gilts
❑Boars Total SSLW Q
Number of Lagoons 10 Subsurface Drains Present ❑ Lagoon Area JE1 Spray Field Area
Holding Ponds 1 Solid Traps No Liquid Waste Management System
Discharges & Stream lmoacts
1. Is any discharge observed from any part of the operation? ❑Yes X(No
Discharge originated at: ❑Lucion ❑Spray Field ❑Other
a. If discharge is observed,was the conveyance man-made? ❑Yes ❑No
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 flaw in gal/min?
d. Does discharge bypass a lagoon system?(If yes,notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes �No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes XNo
Waste ollection & Treatment
4. Is storage capacity(freeboard plus storm storage)less than adequate? ❑Spillway
Structure 1 Struicture 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: C
Freeboard(inches):
05103101 Continued

Facility Number: — 02— Date of inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below EJ'its E9 No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes No
28. Is there any evidence of wind drift during land application? (i.e.residue on neighboring vegetation,asphalt, ❑Yes 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? atilea�n-r':n-
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.e.broken fan belts,missing or
or broken fan blade(s),inoperable shutters,etc.) ❑Yes No
31. Do the animals feed storage bins fail to have appropriate cover? ❑Yes ,P No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
Additional Comments and/or Drawings:
OJ` ;? -a AL
F �2COI
r - PAN)
9•,*boo
p b
1q.
Oeu I
ww Z�k zco-��
i�
1 4
MQV/
05103101

eA rLE
Facility Number: Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed?(ie/trees,severe erosion,
seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? Yes '
(If any of questions 4-6 was answered yes,and the situation poses an KNo
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? Yes ❑No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? 4-9 e-9 -E3-do
Waste Aoulication
10. Are there any buffers that need maintenance/improvement? ❑Yes No
11. is there evidence of over applic ion? El Excessive Ponding El PAN El Hydraulic Overload El Yes No
12. Crop type r 2 CIE,
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan(CAWMP)? ❑Yes No
14. a)Does the facility lack adequate acreage for land application? ❑Yes No
b)Does the facility need a wettable acre determination? ❑Yes [ No
c)This facility is pended for a wettable acre determination? ❑Yes No
15. Does the receiving crop need improvement? ❑Yes o
16. Is there a lack of adequate waste application equipment? ❑Yes No
Re uired 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? I
(ie/WUP,checklists,design,maps,etc.) ❑Yes No
19. Does record keeping need improvement?{ie/�,freebeaf-d waste analysis&soil sample reports) JYes ❑No
20. is facility not in compliance with any applicable setback criteria in effect at the time of design? o
i
21. Did the facility fail to have a actively certified operator in charge? ❑Yes XNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems,over application) ❑Yes No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes No
24. Does facility require a follow-up visit by same agency? ❑ Yes XNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments(refer to question##): Explain any YES answers and/or any recommendations or anp other comments.
Use drawings of facility to better explain situations.(use additional pages as necessary): I Field Copy El Final Notes
'_zz '�Vu" " a
OL
H.
Reviewer/Inspector Name
Reviewer/Inspector Signatur Date: �—�
05103101 Continued

vtsion-ofMater Quality
vision of Soil and Water Conservation
(� Other Agency ` r¢
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑Denied Access
Facility Number 01 2-1 Uate or Viso: t3f23/2001 Tiniv. Ot330 .Printed nn: 8/23/2001
Q Not Operational 0 Below Threshold
Permitted ®Certified 0 Conditionally Certified [3 Registered Date Last Operated or Above Threshold: .......••••....
Farm Name: PUdm.Q. t.J.J.S..C.9 ,alum......................................................... ......... !'... ........ County: Alamalm......................................... SRO........
.
3.Owner Name: Joe............................................ JQIu!<s............................................................ Phone No: Q. 61:. $4- 6.7.6........................................................
MailingAddress: PQR02i.13.79......................................................................................... ................................................. 27244.............
FacilityContact: Mike COY..........................................................Title: ................................................................ Phone No: ...................................................
OnsiteRepresentative:Mike..Cox...................................................................................... Integrator:,.....................................................................................
Certified Operator:Micbul................................. Cox.................................... . Operator Certification Number:ZJ753_.............
............... ...............
Location of Farm:
Farm Location: 2471 Bason Creek Rd.,Burlington,N.C. -&
w
❑Swine ❑ Poultry ®Cattle ❑Horse Latitude 36 • 10 27 Longitude 79 • 29 58 ��
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder ❑Layer ❑Dairy
❑Feeder to Finish ❑Non-Layer ®Non-Dairy 300 350
❑Farrow to Wean
❑Farrow to Feeder Other
❑Farrow to Finish Total Design Capacity 300
❑Gilts
❑Boars I EO Total SSLW 240,000
Number of Lagoons 0 ❑Subsurface Drains Present ❑Lagoon Area ❑Spray Field Area
Holding Ponds/'Solid Traps 0 ®No Liquid Waste Management System
Discharges R Stream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes ®No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. If discharge is observed, was the conveyance man-made? ❑Yes ❑No
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 yes, notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes ®No
Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage)less than adequate? ❑Spillway ❑Yes ❑No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ..Nol.Applicable.. ................. . ............ .................................... ................................... ................................... ...................................
Freeboard(inches):
05103101 !� �� Continued

Facility Number: 01-2-1 Date of Inspection $/23/2001 Printed on: 8/23/2001 '
5. Are there any immediate threats to the integrity of any of the structures observed?(ie/trees,severe erosion, Yes No
seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes [:] No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ❑No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ® Yes ❑No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ❑No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes ®No
11. Is there evidence of over application? ❑Excessive Ponding ❑PAN ❑Hydraulic Overload ❑Yes ®No
12. Crop type Fescue(Graze) Fescue(Hay)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ®No
14. a)Does the facility lack adequate acreage for land application? ❑ Yes ®No
b)Does the facility need a wettable acre determination? ❑ Yes ®No
c)This facility is pended for a wettable acre determination? ❑ Yes ®No
15. Does the receiving crop need improvement? ❑ Yes ®No
16. Is there a lack of adequate waste application equipment? ❑ Yes ®No
Re<luired Records& Documents
17. Fail to have Certificate of Coverage&General Permit or other Permit readily available? ❑Yes ❑No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP,checklists,design,maps,etc.) ❑Yes ®No
19. Does record keeping need improvement?(ie/irrigation, freeboard,waste analysis&soil sample reports) ®Yes ❑No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes ❑No
21. Did the facility fail to have a actively certified operator in charge? ❑Yes ®No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge,freeboard problems, over application) ❑Yes ®No
23. Did Reviewer/lnspector fail to discuss review/inspection with on-site representative? ❑Yes ®No
24. Does facility require a follow-up visit by same agency'? ❑Yes ®No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ®Yes ❑No
E3 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
. e:� _�1 fi
Comments(refer, question#�)A..LExplain any YES answers and/or any�recornmend`5ttons or,any other comments "
Use1'de} cgs ot,facility to better�explamtsrtuahons (use�add�t�o�allpages+as necessary) Field Copy ® Final Notes
8. Need to apply stockpiled cattle waste from barns and a couple of the cattle paddocks to pasture fields. AL
_
15. Pasture fields look good.
19. Nitrogen balance calculations were based on the original waste analysis performed for writing the CAWMP_ This analysis reported
2.4 lbs. of nitrogen per ton on 5/13/99, Now that facility has enough waste to begin spreading,a waste sample needs to be taken within
60 days of application. Other records(PAN calulations)look good. Still need to obtain soil samples on fields that have/will receive
animal waste this year.
25. At the time of inspection there were 350 confined cattle in the paddocks and in the barn. A load of cattle are being shipped out late
this morning reducing numbers to 150. Suggest talking with SWCD about raising cattle number to 500 r operator).
Reviewer/Inspector Name 'Melissa Rosebrock
Reviewer/Inspector Signature Date:
05103101 ontinued

Facility Number: l)1-2-1 D9f Inspection $/23/Z(1Q1 Printed on: 8/23/2001
Odor aI iq s
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑Yes ❑No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ®No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation,asphalt, ❑ Yes ®No
roads, building structure,and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ❑No
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.e. broken fan belts,missing or
or broken fan blade(s), inoperable shutters,etc.) ❑Yes ®No
31. Do the animals feed storage bins fail to have appropriate cover? ❑Yes ®No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑Yes ❑No
Additional Comments and/orDrawings:
25. Continued-
CAWMP lists application months as Feb.-May and Sept.-Nov. May want to check on possibility of extending application window.
Facility number 01-2-1 is for cattle and 01-2-2 is for the swine operation. There were no swine onsite today. Operator says that
they only house about 100 per week(usually boars or finishing hogs)and try to ship them out within 24 hours of receiving a
shipment. No swine waste has been applied yet. Facility is certified for 300 farrow to wean.
05103101

: 30 Am
': Wision
ision of Water Quality:' ,
of Soil and Water Conservation '� y' W•.
4 O Other Agency
Type of Visit Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit 4 Routine O Complaint. O Follow up O Emergency Notification O Other ❑Denied Access
0-1 Date of Visit: Q Time:
Facility Number a-I L
O Not Operational O Below Threshold
0 Permitted Certified [3 Conditionally Certified [3 Registered Date Last Operated or Above Threshold:
Farm Name: .....LI Vasf ........................................I...... County: ....A.I.o.I:Y..an-e e.....Co__ .......................
Owner Name: ... �? ... tan.4.�,5.... ............. . Phone No: 3676. ..................
Facility Contact: ...a.'.1. ..4L ..... ? ....................................Title: ....................... Phone No• 'rjOO
LQ� II l!..,,...II..'' // .......f. ................ .
Mailing Address: . . ..... .J............... .... �.1 I .Q �..N�..............................� `f La. ,[... I n -[...e .
�X 3 f
.... ................
Onsite Representative: 91!„1 CoX Integrator:
Certified Operator:. .�. Y.Ii P ..,,. Land...��K ..... Operator Certification Number:....2.7.513_.
Location of Farm:
Take awl $-7 No(% rim or t +6n A Turn nt f 4 I eaS f o n A I fa Inc U •.
hko �l �d . 1 mid #a ds� C . F ' ' 7 7
[Swine ❑Poultry Cattle ❑Horse Latitude Longitude • «
Design Current Design Current Design Cu`rrenf
Swine Capacity Population Poultry Capacity, Population
Cattle Ca aci �Po ulation:
❑Wean to Feeder ❑Layer ❑Dairy
❑Feeder to Finish ❑Non-Layer I I Non-Dairy
Farrow to Wean
Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity cz1 �(
Gilts
❑Boars Total SSLW a b 0@ra 1dq
Number of Lagoons ❑Subsurface Drains Present ❑Lagoon Area ❑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? ❑Yes ]No
Discharge originated at: ❑Lagoon ❑Spray Field [I Other r
a. If discharge is observed, was the conveyance man-made? ❑Yes ❑No
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/ruin?
d. .Does discharge bypass a lagoon system'?(if yes, notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes o
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes KNo
Waste Collection &Treatment
4. Is storage capacity(freeboard plus storm storage)less than adequate. 9:48 o
Struclu^re 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ........W.f/................... ....................... ........ .........I..........................
Freeboard (inches):
5100 Continued on hack

Facility Number: 0 — Date of Inspection a Q
5. Are there any immediat rests to the int rity 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? ems--❑-Ne
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ;,Yes ❑No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? -94es—B No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes XNo
0No
11. Is there evidence of over application? ❑Excessive Ponding ❑PAN ❑Hydraulic Overload ElYes
12. Crop type U _
I3. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan(CAWMP)? ❑Yes XNo
14. a)Does the facility lack adequate acreage for land application? ❑Yes 0.No
b)Does the facility need a wettable acre determination? ❑Yes MNo
c)This facility is pended for a wettable acre determination? ❑Yes O'No
15. Does the receiving crop need improvement? ❑Yes No
16. Is there a lack of adequate waste application equipment? ❑Yes No
Required Records&Documents
17. Fail to have Certificate of Coverage& General Permit readily available? *es Nff
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 No
19. Does record keeping need improvement?(' , ast analysis 8<9 ample reports) Yes ❑No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? -B-Ye —ET-No
21. Did the facility fail to have a actively certified operator in charge? ❑Yes �No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems, over application) ❑Yes VNo
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes VNo
24. Does facility require a follow-up visit by same agency? ❑Yes J No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? Yes ❑No
. • . . yiola>�iQnjs:o#'d�fcienc�es Ti re ho(e$•iltix ing this:visit'•y0j)v�;iii•tooive o ueth�r .
cories oricieRce:about:this:visit:
Comments(refer to question#): Explain any YES-answers and/or any recommendations or any other comments.-;-
Use"drawings of#acility to better'expWn situations.(use additional.pages as necessary):
l� N ` a
14
Reviewer/Inspector Name ffltoif r(L 1tC__—
Reviewer/Inspector Signature. Date: a 5100

Facility Number: of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge actor below n v r,No
liquid level of lagoon or storage pond with no agitation? XNo
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 *0
roads,building structure,and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? o
30. Were any major maintenance problems with the ventilation.fan(s)noted? (i.e.broken fan belts, missing or
or broken fan blade(s), inoperable shutters,etc.) ❑Yes No
31. Do the animals feed storage bins fail to have appropriate cover? ❑Yes No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? -0 Yes-$No
Additional omments and/or rawings:
.tom l�o Qa ca.
64
�.� Sc)P'N � om;o
5100

Re:Piedmont Livestock#01-2-1 and 2-2
Subject: Re: Piedmont Livestock #01- 2-1 and 2-2
Date: Mon, 27 Aug 2001 13:09:39 -0400
From: Sue Homewood <[e-mail]>
Organization: DWQ
To: Melissa Rosebrock <Melissa.Rosebrock Ca)ncmail.net>
oops, you are right. i used the same letter for 3 different livestock markets and forgot to change that part of
it. basically we've processed his application as a spray permit application because we couldn't as an animal
permit before. i will just need something in writing that he wants to be processed as an animal permit or
spray permit.
for your knowledge, currently going to an animal permit means less monitoring, less of an annual fee.
however, we aren't sure what it means as far as being considered an animal operation in the future if some
animal regs change. they might get looped into something they will seriously regret, and there's no going
back to a spray permit. they should maybe talk to a consultant and/or lawyer. i don't think we are allowed
to advise them??
Sue
Melissa Rosebrock wrote:
Hey Sue,
We just received a copy of the letter that went to Joe Jones regarding permitting. In reviewing the letter,
the first paragraph states that he had "previously submitted a Spray Irrigation Permit Application." To
my knowledge and that of the SWCD, they have not submitted a Spray Irrigation Permit Application.
However, it's our understanding that they have already submitted a completed Animal Waste
Management Permit. Could you clarify this for me? I'm sure that the owner or operator will be calling
me or Phil soon. Thanks.
Melissa
Melissa Rosebrock
NC DENR Winston-Salem Regional Office
Division of Water Quality, Water Quality Section
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone] ext 265
FAX: [phone]
1 of 1 8/27/2001 3:16 PM

33(a- 2a7- a g
►- . State of North Carole
Department of Enviroent ` •
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary NCDENR
Gregory J. Thorn , Ph.D. Actin Director NORTH CAROLINA DEPARTMENT OF
9 rY Ye ENVIRONMENT AND NATURAL RESOURCES 0
August 24. gaol N.C. Dee. of EH NIR
Joe Jones AUG Z 7 2001
Piedmont Livestock Company
PO Box 1379 WiRstf)n-,Salem
Elon College; NC 27244 Regio ai Office
Subject: Permit Application Number WQ0018963
Animal Waste Management System
Piedmont Livestock Market
Alamance Count-
Dear Mr_ Jones:
On Julv 31. 2001,the North Carolina General Assembly ratified Senate Bill 848. This bill modified the
definition of animal waste management systems to include public livestock markets for the purpose of
permitting by the Division of Water Quality. You have previously submitted a Spray Irrigation Permit
Application, Application Number WQ0018963 for the Piedmont Livestock Market. With the ratification
of Senate Bi11 848, you have the opportunity to Nvithdraw your current permit application and instead
submit an Animal Waste Management System permit application.
In order to help you determine which permit application you should choose, it is recommended that you
seek assistance from an Environmental Consultant knowledgeable in the regulations of both Animal
- aste Managenient Systems as well as Spray Irrigation Systems. If you have additional questions after
seeking counsel. you may contact me at 919-733-5083 »02.
If you choose to continue to see a Spray Irrigation Permit. please advise the Division of that decision by
Submitting a response to this letter to my attention. If you choose to %vithdraw your current permit
application and submit an Animal Waste Management System permit application, please submit the
enclosed form to my attention. You do not have to submit the items requested in the form.. they have
been submitted"with your previous application.
Sincerely.
Sue Homewood
Non-Discharge Permitting Unit
CC: Melissa Rosebrock. Winston-Salem Regional Office. Water Quality Section
Permit File WQ0018963
1617 Mail Service Center, Raleigh.North Carolina 27699-1617 Telephone [phone] Fax 919-71;-6048
An Equal Opportunity Affirmative Action Emplover 50%recycled/]0%post-consumer paper

NORTH CAROLINA
DEPARTMENT OF 4•
ENVIRONMENT AND
NATURAL RESOURCES
E> �NF�
FAX TRANSMITTAL
Water Quality Section
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, N.C. 27107
Phone: [phone] Fax: [phone]
TO:
FAX NUMBER: 336 . Y
FROM:
DATE:
Number of pages (including cover page):
COMMENTS:
z rjj'60--"Z

ision of Water Quality
✓ision of Soil and Water Conservation �n
0 Other Agency
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
[late of Visit: 3/6/2t]O1 l'nm: 9:15 Printed ton- 8/21/2001
Facility Number Ol 2-1
0 Not O erationa) 0 Below Threshold
0 Permitted ® Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: ...............
Farm Name: NgdA[1lDltt.US.G9.Farjn.............................................. .......... County: Alammcc......................................... WSRQ........
OwnerName: dot:............................................ J.9jus............................................................ Phone No: ( 6).. 4- 6ICt........................................................
MailingAddress: 1'Q.Rox..13.7.9......................................................................................... Elmix-Callimc.N.0.................................................. Z7.2.44.............
FacilityContact: ..............................................................................Title: ................................................................ Phone No: ...................................................
OnsiteRepresentative:Miltg..Co.x................... ........................................... Integrator:......................................................................................
Certified Operator:Mj,dwel................................. Ctlx..................................................... Operator Certification Number:Za,7.5,3.............................
Location of Farm:
Farm Location: 2471 Bason Creek Rd.,Burlington,N.C.
❑Swine ❑ Poultry ®Cattle ❑Horse Latitude 36 ° Longitude 79 ° 29 58
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder ❑Layer I JE1 Dairy
❑Feeder to Finish ❑Non-Layer I I IN Non-Dairy 300 300
❑Farrow to Wean 55
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity 300
❑Gilts EE1
❑Boars Total SSLW 240,000
Number of Lagoons 10 ❑Subsurface Drains Present ❑t.aguon Arcs 10 Spray Field Area
Holding Ponds/Solid Traps 0 ❑No Liquid Waste Management System
Discharges_&Stream Impacts
1. is any discharge observed from any part of the operation? ❑Yes 0 No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. If discharge is observed, was the conveyance man-made? ❑Yes ❑No
b. If discharge is observed, did it reach Water of the State`?(If yes. notify DWQ) [I Yes ❑No
c. Ifi discharge is observed. what is the estimated flow in gal/nlm?
d. Does discharge bypass a lagoon system?(If yes, notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes ®No
Waste Collection R Treatment
4. Is storage capacity(freeboard plus storm storage) less than adequate? ❑Spillway ❑Yes ❑No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ................................... ................................... ............................. ........
Freeboard(inches):
05103101 Continued

Facility Number: 01-2-1 Date of Inspection 3/6/2001 Printed on: 8/21/2001
5. Are there any immediate threats to the integrity of any of the structures observed'?(ie/trees, severe erosion, ❑Yes ®No
seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes ®No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7_ Do any of the structures need maintenance/improvement? ®Yes ❑No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑Yes ®No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes ❑No
Waste Application
10. Are there any buffers that need maintenance/improvement?. ❑Yes ®No
11. is there evidence of over application? ❑Excessive Ponding ❑PAN ❑Hydraulic Overload ❑Yes ®No
12. Crop type Fescue(Graze) Fescue(Hay)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑Yes ®No
14. a) Does the facility lack adequate acreage for land application? ❑Yes ®No
b)Does the facility need a wettable acre determination'? ❑Yes ®No
c)This facility is pended for a wettable acre determination? ❑Yes ®No
15. Does the receiving crop need improvement? ❑Yes ®No
16. Is there a lack of adequate waste application equipment? ❑Yes ®No
Required Records& Documents
17. Fail to have Certificate of Coverage&General Permit or other Permit readily available? ❑Yes ❑No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP,checklists,design, maps,etc.) ❑Yes ®No
19. Does record keeping need improvement?(ie/irrigation,freeboard,waste analysis& soil sample reports) ®Yes ❑No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes ®No
21. Did the facility fail to have a actively certified operator in charge? ❑Yes ®No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems, over application) ❑Yes ®No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes ®No
24. Does facility require a follow-up visit by same agency? ❑Yes ®No
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 to question#,): Explain any YES answers and/or any recommendations or any other�coments `Y
..<
s ❑Field Copy ®Final Notes ^'
;Use drawings of facility to better explain situations (use add�ttonal pages as necessary) } r
his report is for 01-2-2&01-2-1
19. No application records available. Mr.Cox still has waste stockpiled in the lots and is waiting for better weather to apply.No soil
ample analysis available. Mr. Cox says he has not applied waste since his last inspection. Need to take soil samples as soon as possible
on waste application fields.
7.Need to scrape lots and apply stockpiled waste. Take waste sample just prior to spreading.
27. There were a couple of dead calves and one pig that died overnight and the rendering plant had been called to pick up.
r. Cox expressed interest in constructing possible a dry stack/stockpile area behind the main barn if cost share would be available.
Reviewer/Inspector Name !Rocky Durham
Reviewer/Inspector Signature: Date:
05103101 Continued

a
ision of Water Quality
ision of Soil and Water Conservation •
QOther Agency
P
of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
for Visit to Routine Q Complaint O Follow up O Emergency Notification O.Other (a Denied Access
Date of Visit: 3/6/2001 'Time; 9:15 Printed on: 8/17/2001
Facility Number 01 2-1
Not-Operational Q Below Threshold
Permitted ®Certified © Conditionally Certifies ©Registered Date Last Operated or Above Threshold: ...................
Farm Name: P dtmonit.JU5.Ga.FArm...................................... ............... County: Alamauc......................................... 1'!',SRQ........
............. ...........
OwnerName:Jvc...................... . ............. .>m .... ........................:.................... _. P6aoe Nw: ..�.67.6...................................................
MatingAddress: F Q..B9x..137.9....................._.... .................................................. 1~Lont.G.R11� N. .................................................. ZZZ.41.........
_
TJrns�TC==sM '3=7 FZ:�c
025ita Mac2m �JYlilc9x-- _--- ktawri= _ ..........
Certified Operator: i j:l................................. CQx.................. . Operator Certification,Number:2.3.7.53.............................
Location of Farm:
Farm Location: 2471 Bason Creek Rd.,Burlington,N.C. A,
❑Swine Q Poultry 1K Cattle Q Hots Latitude 58
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
Wean to Feeder Layer Dairy
Feeder to Finish Non-Layer Non-Dairy 300 300
❑Farrow to Wean
❑Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity 300
Gilts
Boars Mital SSLW 240,2L_jl
Number of Lagoons 0 10 Subsurface Drains Present 1p t.agoon area 10 Spray Field Area
Holding Ponds/Solid Traps 0 No Liquid Waste Management System
Dischartes & Stream Impacts
I. Is any discharge observed from any part of the operation? ClYes JgNo,
Discharge originated at: QLagoon 12Spray Field [30ther
a. If discharge is observed, was the conveyance man-made? ❑Yes ❑No
b. If dischari-Te is observed.did it reach Water of the State?(If yes,notify DWQ) 0Yes, 0No
c. II'discharge is observed.what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'?(If yes.notify DWQ) QYes LLNo
2. Is there evidence of past discharge from any part of the operation? ❑Yes CR 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 ❑No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .................................... ................................... .................................... ................................... .................................. ...................................
Freeboard(inches):
05103101 Continued

.y
i
Facility Number: 01-2-1 Date of Inspection 1 3/6/2001 � Printed on: 8/17/2041
5. Are there any immediate threats to the integrity of any of the structures observed'?(ie/trees,severe erosion, a Yes &No
seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes ®No
(if any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement? QYes QNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑Yes ®No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? Q Yes Q No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes ®No
I I. Is there evidence of over application? f3 Excessive Ponding ❑PAN []Hydraulic Overload ❑Yes CK No
12. Crop type Fescue(Graze) Fescue(Hay)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan(CAWMP)? QYes JeNo
14. a)Does the facility lack adequate acreage for land application? ❑Yes ®No
b)Does the facility need a wettable acre determination? ❑Yes ®No
c)This facility is pended for a wettable acre determination? ❑Yes ®No
15. Does the receiving crop need improvement? ❑Yes O No
16. Is there a lack of adequate waste application equipment? 13Yes 91No
H�gKi�Bd�
17. Fail to have Certificate of Coverage&General Permit or other Permit readily available? CrYes CTNo
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP,checklists,design, maps,etc.) Q Yes ff No
19. Does record keeping need improvement?(iel irrigation, freeboard,waste analysis&soil sample reports) &Yes [TNo
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? (3 Yes CffNo
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) a Yes 01 No
23. Did Reviewer/Inspector fail to discuss reviewrinspection with on-site representative? [7Yes ORNo
24. Does facility require a follow-up visit by same agency? ❑Yes ®No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? QYes WNo
Q No violations or deficiencies were noted duringthis visit. You will receive no further correspondence about this visit.
'comments(refer to question#): Explain any I'ES answers andlor any recommendations ME other comments
Use drawings o 40cdity�to betterFexplam srtuat ors (u a additional pages as nece ) ❑Field Copy ❑Final Notes
27.There were a couple of dead calves and one pig that died overnight and the rendering plant had been called to pick up. _
r. Cox expressed interest in constructing possible a drystack/stockpile area behind the main barn if cost share would be available.
21.There were no application records available to review nor were there any soil samples.Mr.Cox says he has not applied any waste
ince his last inspection-
Reviewer/Inspector Name iRocky Durham#
Reviewer/Inspector Signature: Date:
05/03/01 Continued

Facility Number: lit-2-1 D f Inspection 3/6/2001 • Printed on: 8/17/2001
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge actor below ❑Yes ❑No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours'? ❑Yes ®No
28_ Is there any evidence of wind drift during laud application? (i.e.residue on neighboring vegetation,asphalt; 0 Yes ONo
roads, building structure,and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑Yes ❑No
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.e. broken fan belts,missing or
or broken fan blade(s), inoperable shutters,etc.) ❑Yes ®No
31. Do the animals feed storage bins fail to have appropriate cover.) EJ Yes eio
32_ Do the flush tanks lack a submerged fill pipe or a pennanenthemporary cover? Q Yes Q No
05103101

r
f r� on'of Water Quality, �
tston ofuSoilnand Water Conservation
Q:O�ther Agency
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denie=Access
Facility Number
pate of Visit: 1fll3/2t?tlll 'rime: 1304 Prinivil on: 10/9/2000
O1 02-1
0 Not Operational O Below Threshold
0 Permitted ®Certified 0 Conditionally Certified 13 Registered Date Last Operated or Above Threshold: .........................
FarmName: ............................................................................ County: Alumauc......................................... W. SRO.........
OwnerName: .Ioc............................................ joincs............................................................ Phone No: (,3 (.7.G.............................. ....... ...................
FacilityContact: lY&C.C.07x...:.....................................................Title: ................................................................ Phone No: ...................................................
MailingAddress: M.O.Q.&13.7.4......................................................................................... E1.Qjj.Qo1k&t.N.0.................................................. 27.2.44..............
OnsiteRepresentative: I e..Cox...................................................................................... Integrator:.....................................................................I................
Certified Operator:MiCbafl..Lawi ..................... CO.&.................................................... Operator Certification Number:Z3.7.53.............................
Location of Farm:
Farm Location: 2471 Bason Creek Rd.,Burlington,N.C.
❑Swine ❑ Poultry IN Cattle ❑ Horse Latitude Longitude 79 ' 29 ' 58
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Ca acit Po ulation
❑Wean to Feeder ❑ Layer ❑Dairy
❑Feeder to Finish JE3 Non-Layer ®Non-Dairy 300
❑Farrow to Wean
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity 300
❑Gilts
❑Boars Total SSLW 240,000
Number of Lagoons 0 ❑Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
Holding Ponds/Solid Traps 0 ❑No Liquid Waste Management System
Dischar e• & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes ®No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. If discharge is observed. was the conveyance man-made? ❑Yes ❑No
b. If discharge is observed.did it reach Water of the Slate?(If yes. notify DWQ) ❑Yes ❑No
c. If discharge is observed. what is the estimated Flow in gal/min?
d. Does discharge bypass a lagoon system?(If yes. notify DWQ) ❑Yes ❑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 R Treatment
4. Is storage capacity(freeboard plus storm storage)less than adequate? ❑ Spillway ❑Yes ❑No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .................................... .................................... ..........
Freeboard(inches):
5100 Continued on back

Facilit Number: 01-02-1 Date of Ins pection 10/3/2000 10/9/2000 Y 1 Printed on:
5. Are there any immediate threats to the ,-griiy of any of the structures observed?(ie/tr evere erosion, ❑ Yes ®No
seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ®No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement? ® Yes ❑No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?- ❑Yes ®No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes ❑No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ®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)? ❑Yes ❑No
14. a)Does the facility lack adequate acreage for land application? ❑Yes ®No
b)Does the facility need a wettable acre determination? ❑ Yes ®No
c)This facility is pended for a wettable acre determination? ❑ Yes ®No
15. Does the receiving crop need improvement? ❑Yes ❑No
16. Is there a lack of adequate waste application equipment? ❑Yes ®No
Required Records& Documents
17. Fail to have Certificate of Coverage&General Permit readily available? ❑Yes ❑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
19. Does record keeping need improvement?(ie/irrigation, freeboard,waste analysis&soil sample reports) ❑Yes ❑No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes ®No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ®No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems,over application) ❑Yes ❑No
23, Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes ®No
24, Does facility require a follow-up visit by same agency? ❑ Yes ®No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ®No
0:N4) violations;off defidcencies•were;noted during•this:visit.-.YQ1i;Will "receive•no•ft rther•:•;
cor:res orideilke:about this:visit....... .
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):
This was a follow-up inspection to the August 2000 compliance inspection. Only those questions with responses were considered during +
this visit.
7. Paddocks/pens have been scraped. Stockpiled material needs to be spread.
Cows have been moved out of creek and buffer area. Stream, streambank, and buffer look much better. Vegetation is coming back
well. Creek looks clear.
Reviewer/Inspector Name IMelissy Rosebrock / 1 l
Reviewer/Inspector Signature:V�� Date: 5100
U

Re:What's wrong with the database?
Subject: Re: What's wrong with the database?
Date: Wed, 04 Oct 2000 10:27:14 -0400
From: Susan Cauley <[e-mail]>
To: Melissa Rosebrock <Melissa.Rosebrock @nc mail.net>
As an animal facility yes. . . .but it would still need to be inspected as
a WQ facility.
Melissa Rosebrock wrote:
> Does that mean it comes off the inspection list??
>
> Susan Cauley wrote:
>> I had Sue take it out of the animal database since it is no longer
>> considered an animal facility. It has been logged into to the IMS
>> database for WQ permits.
>> Melissa Rosebrock wrote:
>> > or is it me????? Just tried to enter a follow-up inspection and
>> when
>> > I entered # 01-02 for Piedmont Livestock it came up with a blank
>> > inspection form. . . . .no address, etc. showed up. . . . . ???? Please
>> help.
>> > Melissa
>> > Melissa Rosebrock
>> > NC DENR Winston-Salem Regional Office
>> > Division of Water Quality, Water Quality Section
>> > 585 Waughtown Street
>> > Winston-Salem, NC 27107
>> > Voice: (336) 771-4608 ext 265
>> > FAX: (336) 771-4630
»
>> Susan Cauley
>> Environmental Engineer
>> N.C. DENR - Division of Water Quality
>> Non-Discharge Permitting Unit
>> 1617 Mail Service Center
>> Raleigh, NC 27699-1617
>> 919-733-5083 extension 546
>> fax: [phone]
>
> Melissa Rosebrock
> NC DENR Winston-Salem Regional Office
> Division of Water Quality, Water Quality Section
> 585 Waughtown Street
> Winston-Salem, NC 27107
> Voice: (336) 771-4608 ext 265
> FAX: (336) 771-4630
Susan Cauley
Environmental Engineer
N.C. DENR - Division of Water Quality
Non-Discharge Permitting Unit
1 of 2 10/4/2000 1 1:30 AM

ivWon of Water Qua lit}
( it4io.. w
n of SoilYatsid Water Conservation
- W - Cher Agency - -
Type of Visit 0• Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit 0' Routine Q Complaint O Follow up Q Emergency Notification O Other ❑Denied Access
0 t t�Q t�if Of Visit: t3l17/201f4 Time: 1434 Printed on: 10/62000
Facility Number 01 02—
a < nt✓ Q Not Operational Q Below Threshold
❑Permitted ®Certified E3 Conditionally Certified ❑ Registered pate Last Operated or Above Threshold: .........................
Farm Name: Pi>rdt ojU.JUS..Cut.Farm............................................ ......... Count•: Ajattn,attCc......................................... . .SRO........
Owner Name: Slott............................................ .Iftjaej........................... Phone No: L33ba.S.S-k:36.7.5......
..................................................
Facility-Contact: Mike-has..........................................................Title: ................................................................ Phone No: 336.42137Q0........................
MailingAddress: P.CD.BAx..U.79.............................-1................................I........................ E1an.C.Q1kge..N.0.................................................. ZU4-4.............
Onsite Representative: Mike-Cox................. . Integrator:......................................................................................
Certified Operator:Michwe1.Lang................. Cox.................... ..... Operator Certification Number: 23.753.............................
Location of Farm:
i
�.
❑Swine ❑Poultry ®Cattle ❑ Horse Latitude Longitude �• �� �«
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder ❑Laver ❑llairy
❑Feeder to Finish JE3 Non-Layer ®Non-Dairy 1700 300
❑Farrow to Wean
El Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity 1,700
❑Gilts 300 boars
❑Boars and sows Total SSLW 1,360,000
ENumber of Lagoons 0 ❑Subsurface Drains Present ❑ Lagoon Area ❑Spray'Field Area
olding Ponds/Solid Traps 0 10 No Liquid Waste Management System
Discharge
s& Stream Impacts
1. is any discharge observed from any part of the operation? ❑Yes ®No
Discharge originated at: [:]Lagoon ❑ Sprav i-ield ❑Other
a, ifdischarge is observed.was the conveyance man-made? ❑Yes ❑No
b. 1f discharge is observed..did it reach Water of the State?(lf'ves,notih'DWQ) ❑yes ❑No
c. II•discharge is observed.what is the estimated flow in gal/ruin?
d. Does discharge bypass a lagoon systeni?(if yes.notih•DWQ) ❑Yes ❑No
2- is there evidence of past discharge from any part of the operation? ❑Yes ®No
3. Were there anv 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? ❑ Spiflwav ❑Yes ❑No
Structure I Structure 2 Stricture 3 Stnucture 4 Structure 5 Structure 6
Identifier: ........,S kaaW ika........ .............
Freeboard(inches): .................................... ............................... ... .................................... ....................................

i r"5100 Continued on back
. Facility Number: 01-02 Date of Inspection 811712QQQ printed on: 10/6/2000
5. Are there any immediate threats to the ini�grity of any of the structures observed?(ie/trees,severe erosion. ❑Yes ®No
seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes ®No
(if any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑Yes ®No
8. Does any part of the waste management system other than waste structures require maintenance/improventeut? ®Yes ❑No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes ❑No
Waste Application
W. Are there any buffers that need maintenance/improvement? ❑Yes ®No
IL Is there evideuee of over application? ❑Excessive Ponding ❑PAN ❑Hydraulic Overload ❑Yes ❑No
12. Crop type Fescue(Graze)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan(CAWMP)? ❑Yes ®No
14. a)Does the facility lack adequate acreage for land application? ❑Yes ®No
b)Does the facility need a wettable acre determination? ❑Yes ®No
c)This facility is pended for a«'enable acre determination? ❑Yes ®No
t 5. Does the receiving crop need improvement? ❑Yes ®No
16. Is there a lack-of adequate waste application equipment? ❑Yes ®No
Required Records&Documents
17. Fail to have Certificate of Coverage&General Permit readily available? ❑Yes ❑No
18. Does the facility fail to have all components of the Certified Anunal Waste Management Plan readily available?
(ie/WUP,checklists,design,maps,etc.) ❑Yes ® No
19. Does record keeping need improvement?(ie/irrigation..freeboard,waste analysis&soil sample reports) ❑Yes ®No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes ®No
21. Did the facility fail to have a actively certified operator in charge'? ❑Yes ®No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems,over application) ❑Yes ® No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes ®No
24. Does facility require a follow-up visit by same agency? ❑Yes ®No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes ®No
0.•N6,violations:or:d'eficiencies•were:rioted:during tliis*visit:: You will:receive'no ltirttier:
• cor-res ondence about this•visit. . . . . . . . : . : . . . . . . . . . . . . . . . . . . .'. . .
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):
3. Stream and streambanl:eroded and badly denuded due to brood cows in creek at back boundary. A�
8. Back boundary gulley-Mike to put straw in gullet'to prevent further runoff. Cattle to be excluded from creek at back boundar. Cows
are not being excluded from creek or 100 foot buffer below feedlots now. Lois need to be scraped. Lots to be scraped in next 30-60 days.
Should have soil and waste records next visit.
17. Joe to sign application and then submit documents.
19. No application records in 1999 or 2000 to date. Has been stockpiling in center of feedlots.
21. No operator card for 2000. is certified- Requested replacement card for Mike from Beth Buffington.
if stock trail is added across creek,then the low spot across creek needs to be fenced out.
Reviewer/Inspector Name

&e ,iewer/lnspector Signature: Date: 5/00
Faci[itv Number: Ot9- of Intipection 8/17/2000 Printed on: 10/6/2000
--o2
Odor issues
26. Does the discharge pipe from the confmcmenl building to the storage pond or lagoon fail to discharge at/or below ❑Yes ❑No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes ®No
28. is there anv evidence of wind drift during land application? (i.e,residue on neighboring vegetation_asphalt_ ❑Yes ®No
roads..building structure,and/or public property)
24. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑Yes ®No
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.c_broken fan belts,missing or
or broken fan blade(s), inoperable shutters,cic.) ❑Yes ®No
31. Do the animals feed storage bins fail to have appropriate cover? ❑Yes ❑No
32. Do the flush tanks lack a submerged till pipe or a permanent/temporary cover? ❑ Yes ❑No
Additional Comments and/or Drawings:

t vision 6f'.Water Quality
vision of Soil and Water Conservation
0 Other Agency
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Futility Number
Date ot•Visit: 8/17/2000 •Title: 1030 Printed nn: 8/17/2000
01 02
Q Not Operational 0 5elow Threshold
�] Permitted ® Certified 0 Conditionally Certified ❑ Registered Date Last Operated or Above Threshold: ............
Farm Name: Mdaw tit.JUS..CR.Farm............................................................................ County: A►bi mice......................................... 1?1'SRQ........
OwnerName: J4t<............................................ .IAIa ............................................................ Phone No: ..................:.......................
.............
Facility Contact: MtKu.........................................................Title: ................................................................ Phone No: 33.6.424,3799.......................
MailingAddress: >' ?.fox..13.7.9............................ ..... .I........ ................................... ................................................. 27.244.............
Onsite Representative: j,!'lilac..Co,X..................... Integrator:
Certified Operator: jq,.)}t,ap],1,a g....,•,,,,,,,,,,,,,,, Cpg................... ..... „ Operator Certification Number:,Z3? 3„
..................... ...........................
Location of Farm:
Farm Location: 2471 Bason Creek Rd.,Burlington,N.C. A,
❑Swine ❑ Poultry ®Cattle ❑Horse Latitude 36 • 10 27 •4 Longitude 79 • 29 58
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Ca acit Population
❑Wean to Feeder ❑Layer ❑ Dairy
❑Feeder to Finish 1E]Non-Layer IN Non-Dairy 1700 300 7]
❑Farrow to Wean
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity ' 1,700
❑Gilts I 300 boars
❑Boars and sows Total SSLW 1,360,000
Number of Lagoons -' 0 ❑Subsurface Drains Present ❑Lagoon Area ❑Spray Field Area .
'Hooldink Po,onnds 1 Solid Traps 0 ❑No Liquid Waste Management System
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes ®No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. If discharge is observed, was the conveyance man-made*? ❑Yes ❑No
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 yes, notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ®Yes ❑No
Waste Collection R Treatment
4. Is storage capacity(freeboard plus storm storage)less than adequate? ❑Spillway ❑Yes ❑No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure b
Identifier: ........Stockpile......... ....................:............... ................................... .................................... .................................... ....................................
Freeboard(inches):
5100 f14 Continued on back

Facility Number: 01-02 Date of Inspection 8/17/2000 Printed on: 8/17/2000 '
5. Are there any immediate threats to the Ority of any of the structures observed'?(ie/tre0evere erosion, ❑Yes ® No
seepage, etc.)
6.. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ®No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7_ Do any of the structures need maintenance/improvement? ❑ Yes ®No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ® Yes ❑No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes ❑No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes ®No
11. Is there evidence of over application? ❑Excessive Ponding ❑PAN ❑ Hydraulic Overload ❑Yes ❑No
12. Crop type Fescue(Graze)
t3. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑Yes ®No
14. a)Does the facility lack adequate acreage for land application? ❑Yes ® No
b)Does the facility need a wettable acre determination? ❑Yes ®No
c)This facility is pended for a wettable acre determination? ❑Yes ®No
15. Does the receiving crop need improvement? ❑Yes ®No
16. Is there a lack of adequate waste application equipment? ❑Yes ®No
Rgq.uird &SordL&Dpcumcnts
IT Fail to have Certificate of Coverage& General Permit readily available? ❑Yes ❑No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP,checklists,design,maps,etc.) ❑Yes ®No
19. Does record keeping need improvement?(ie/irrigation,freeboard,waste analysis&soil sample reports) ❑Yes ®No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ®No
21. Did the facility fail to have a actively certified operator in charge? ❑Yes ®No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems,over application) ❑Yes ®No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes ®No
24. Does facility require a follow-up visit by same agency? ❑Yes ®No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes ®No
0:.NO-violatioas:ordeficiencies-were:noted:during.this:visit.-:You will receive-no-further
: cories ondence.abouE this:visit:
Comments{refer to question#): Explain any YES answers and/or any recommendations or any other comments.
IUse drawin-s oftfacility t-o better explain situations.(use additional pages as necessary,)_:
3. Stream and streambank eroded and badly denuded due to brood cows in creek at back boundary.
8. Back boundary gulley-Mike to put straw in gulley to prevent further runoff. Cattle to be excluded from creek at back boundary.
Cows are not being excluded from creek or 100 foot buffer below feedlots now. Lots need to be scraped. Lots to be scraped in next
30-60 days. Should have soil and waste records next visit.
17. Joe to sign application and then submit documents.
19, No application records in 1999 or 2000 to date. Has been stockpiling in center of feedlots. a
21. No operator card for 2000. Is certified. Requested replacement card for Mike from Beth Buffington.
If stock trail is added across creek, then the low spot across creek needs to be fenced out.
Reviewer/Inspector Name Melissa Rosebrock
Reviewer/inspector Signature: Date: 5100

Facility Number: 01-02 1 A Inspection 8/17/2000 Printed on: 8/17/2000
Odor Issues 0
46
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes ®No
28. Is there any evidence of wind drift during land application? (i.e.residue on neighboring vegetation,asphalt, ❑Yes ® No
roads,building structure,and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑Yes ® No
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters,etc.) ❑Yes ® No
31. Do the animals feed storage bins fail to have appropriate cover? ❑Yes ❑No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑Yes ❑No
Additional Comments and/orDrawings:
5100

ivision of Water Quality
ivision of Soil and Water Conservation
O Other Agency
Type of Visit A,
Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit yRoutine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Date of Visit: °Mime: � Printed on: 7/21/2000
FFacility Number
O Not O erational O Below Threshold
© Permitted Certified 13 Conditionally Certified ❑ Registered Date Last Operated or Above Threshold
Farm Name: /... .A-man ��5 eQ FQrI�. County .9.1.Q.M�.n��................. .......................
............. ............................................... ........... 7
Owner Name: ... �. ... 0l� Phone No: --3 ..'...........................aa............ //.........................
SS V 7W
Facility Contact: ...1.:.!.�..�L ..........- ..... ...........................Title: ................................................................ Phone No: ..`�. ........................................
` ` '
Mailing Address: F•0..8.��-..13..7 ......................................�1 n CO Y� .......................
F. .... ........�........... ..................................................................................... ...
Onsite Representative: ... 1- e O .................................................... integrator: ...............................
Certified Operator:.M.f..dh. .Qe-.1........W .I.. e0).� Operator Certification Number:..................... .
Location of Farm:
a -71 bajofl Cre I
o- rlitl f6r1 NC .
❑Swine ❑ Poultry ❑Cattle ❑ Horse Latitude 'Elm, 1:27`: Longitude Ejv• ' 6.,
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle CaDacitv Population
❑Wean to Feeder JE1 Layer I I Dairy
❑Feeder to Finish ❑ Non-Layer I I Non-Dairy �Q
❑ Farrow to Wean
❑Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity Q d
❑Gilts
❑Boars Total SSLW
Number of Lagoons ❑Subsurface Drains Present ❑ Lag—n Area ❑Spray Field Area
Holding Ponds/Solid Traps ❑No Liquid Waste Management System
Discharges & Stream impact~
I. Is any discharge observed from any part of the operation? ❑Yes XNo
Discharge originated at: []Lagoon ❑Spray Field [-]Other
a. if discharge is observed, was the convevanue man-made? ❑Yes ❑No
h. If discharge is observed.did it reach Water of the State'? (If yes, notify DWQ) El Yes ❑No
c. If dischar«c is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑No
2. is there evidence of past discharge from any part of the operation? ❑ Yes o
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 ❑ No
Struc;turc�l Structure _ Structure ; Structure 4 Structure S Structure 6
Identifier: ................................... ......................
Freeboard(inches):
5100 Continued on back

Facility Number: — Q Date of Inspection n Printed on 7/21/2000
5. Are there any immediate threats to the0.1rily of any of the structures observed"? ((�iee//t1LS•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? � Cl Yes �No
(If any of questions 4-6 was answered yes,and the situation poses an ,`
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement'? (-] Yes .�fo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? 'Yes ❑No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level ^-
elevation markings? N 'F� ❑ Yes ❑No
_Waste Application
10, Are there any buffers that need maintenance/improvement? El Yes .N[No
? ❑ ❑ ❑ I
11. Is there evidence of over application Excessive Ponding PAN Hydraulic Overload, uJOr 41, R'rn 1❑No
12. Crop type r V ' I ki pc CO© ye,*
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes4�0
o
47
14. a) Does the facility lack adequate acreage for land application? El Yes
b) Does the facility need a wettable acre determination'? ❑ Yes [XNo
c)This facility is pended for a wettable acre determination? ❑Yes KNo
15. Does the receiving crop need improvement'? ❑Yes to
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 ❑No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan rea ily available?
(ie/WUP,checklists, design, maps, etc.) ❑ Yes No
19. Does record keeping need improvement'?(ie/ u,• -waste analysis& soil sample reports) ❑Yes o
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design'? ElYes to
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?
Oc/discharge. freeboard problems, over application) ❑ Yes bsKo
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑ Yes ko
24. Does facility require a follow-up visit by same agency'? ❑ Yes'Vo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ENO
0:N6•yiolatioris:o:r-deficiencies•mere noted•dining 3:his:visit.•."if will•i ecaoy fiti further:-: : 1
cories ondeRce:about.this.visit..'. : : . . . : : : : : : : : : : : : : : : : : : : . . .
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):
4,7� OL+ bae�sL 0VAAa4
EReAewwer/Inspector
er/Inspector Name I
Signature. Date: fill 60 5100

Facility Number: Q j — D of Itrspection `�`�/ Printed on: 7/21/2000
Odor lssttes
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below -2 No.
liquid level of lagoon or storage pond with no agitation? Q m I T
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes `o
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation,asphalt, ❑Yes �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—1�-Ko
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 o
31. Do the animals feed storage bins fail to have appropriate cover? om r 7— `�V�M
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? � �Y.esio
Addifional Comments andor rawings:
j1f ode 5 : !6o /3 o-f ere -
g,r-14 fled Mo co-rJ
P fro
!GYM` bu
6tp o J u e- v2-000 . loe k�L,
"rneol VWJS SF
b46 3e ra.pec 2 4P/ r, f-O-ord5 r]one qqq or 4 �000
OP,era4&F- I fl C ho�n e- e? &V &A-&� eA t'
k 1)&d
3.
�eV1 v" ue� rood c0a-i's
bo-eAz- boundary . ,
02 No ®Ptr a-fo tr �-d (��UL�.,�� a-b le- g r- c�Xa & GA
o
�i J .
L V�W 4 0�
ndo 7 C asll �a r
S
5100

'r ivision of Water Quality
ivision of Soil and Water Conservation
other Agency
Type of Visit O Compliance Inspection O+ Operation Review O Lagoon Evaluation
Reason for Visit © Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number
Dale of Visit: 4/G/2000 "Thou: � Printed on: 8/16/2000
01 2
Q Not operational 0 Below Threshold
E3 Permitted ® Certified © Conditionally Certified [3 Registered Date Last Operated or Ahovc Threshold: .........................
Farm Name: ............................................................................ County: Alawalkcc......................................... W,SR.0........
OwnerName: .I9tY............................................ .IR1Rf&............................................................ Phone No: 03.61 M-3676........................................................
FacilityContact: ..............................................................................Title: ................................................................ Phone No: ...................................................
MailingAddress: FO fox..t3.7.9......................................................................................... .................................................. Z.7.2.44.............
Onsite Representative: Mijke..C9x...................................................................................... Integrator:......................................................................................
Certified Operator:................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
Farm Location: 2471 Bason Creek Rd.,Burlington,N.C.
❑Swine ❑ Poultry ®Cattle ❑Horse Latitude 36 • 10 27 Longitude 79 • 29 S$ •�
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder ❑Layer ❑ Dairy
❑Feeder to Finish ❑Non-Layer IN Non-Dairy 1700 350
❑Farrow to Wean
❑Farrow to Feeder Other
❑Farrow to Finish Total Design Capacity 1,700
❑Gilts
❑Boars Total SSLW 1,360,000
Number of Lagoons 0 ❑Subsurface Drains Present 110 Lagoon Area 10 Spray Field Area
Holding Ponds/Solid Traps ❑No Liquid Waste Management System
Discharttes & Stream Impact
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 ❑No
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 yes, notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes ® No
Waste Collection R Treatment
4. Is storage capacity (freeboard plus storm storage)less than adequate? ❑Spillway ❑Yes ❑No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .................................... .................................... ................................... .................................... .................................... ....................................
Freeboard(inches):
5100 Continued on back

_ l
Facility Number: 01-2 Date.of Inspection 4/6/2000 Printed un; 8/16/2000 A.
5. Are there any immediate threats to the i0ity of any of the structures observed?(ie/trelevere erosion, ❑ Yes ® No
seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ®No
(if any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement? ®Yes ❑No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑Yes ®No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes ❑No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes ®No
L L. 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)? ❑Yes '❑No
14. a)Does the facility lack adequate acreage for land application? ❑Yes ®No
b) Does the facility need a wettable acre determination? ❑Yes ®No
c)This facility is pended for a wettable acre determination? ❑ Yes ®No
15. Does the receiving crop need improvement? ❑Yes ®No
16. Is there a lack of adequate waste application equipment? ❑Yes ®No
Required Records & Documents
17. Fail to have Certificate of Coverage&General Permit readily available? ❑Yes ❑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
19. Does record keeping need improvement?(ie/irrigation,freeboard, waste analysis&soil sample reports) ❑Yes ❑No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes ®No
21. Did the facility fail to have a actively certified operator in charge? ®Yes ❑No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems,over application) ❑Yes ®No
23. Did Reviewer/lnspector fail to discuss review/inspection with on-site representative? ❑Yes ®No
24. Does facility require a follow-up visit by same agency? ❑Yes ®No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ®No
0; No•yioiations:or:deficiencies were;noted:du>ring this . . . . . . .:: u receive no further
: corres ondence about this:visit. : : : : : : : : : : . : : : :
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):
Operation was certified Jan. 2000. Certification is for.300 cattle and 300 swine. Cattle are held on open lots until they are shipped. A�
Swine are held in pens until they are shipped. Open lots are scraped and stockpiled on the lot until waste can be applied. Pens are
scraped and stockpiled until waste can be applied.
7 Lots need to be scraped and waste spread.
19 No application records have been done.
21 No operator in charge designated for the facility. Had operator fill out designation form. Didn't have 2000 operators card.Need to
check on.
Reviewer/Inspector Name Rocky Durham
Reviewer/Inspector Signature: Date: S/QQ

rri !r
Facility Number: 01-2 I)of Inspection 4/6/20d0 Printed on: 8/16/2000
Odor Issues .0
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes ®No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation,asphalt, ❑ Yes ®No
roads,building structure,and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ❑No
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters,etc.) ❑Yes ®No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ®No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑Yes ❑No
Additional Comments and/orDrawings:
5100

©Division o�and Water Conservation-Operation Re
D Division o and`Water Conservation-Compliance 1 tion
E�Division of Water Quality-Compliance Inspection
O Other Agency-Operation Review
LO Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Facility Number O1 2 Date of Inspection 8-31-99
Time of Inspection 1200 24 hr.(hh:mm)
0 Permitted 0 Certified E3 Conditionally Certified [] Registered JE3 Not Opera Date Last Operated:
Farm Name: FiWmotxt.US.Ca.Earm............................................................................ County: Alamalirm......................................... W.SRQ........
OwnerName: Joe............................................ hjaes............................................................ Phone No: 5$4-3.f 2.C....................................................................
Facility Contact: I?1AIItr.0 X.........................................................Title: ORC.................................................... Phone No: Saw........................................
Mailing Address: 1'Q.11ox.l3.7.9......................................................................................... E alp.C.QU=v,.NC.................................................. 27244..............
OnsiteRepresentative: >.! Mji ..Cox...................................................................................... Integrator:.... ..................................... .............................................
Certified Operator:l!'ljh r........................................ Cox..................................................... Operator Certification Number:�3,7.5,3........
.....................
Location of Farm:
.........................................................................................................................................................................................................................................................
k:a .......................I.........
Latitude 36 •=11 27 41 Longitude =1• =11
58 {1
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder ❑ Layer I I ❑Dairy
❑Feeder to Finish JE1 Non-Layer I I IN Non-Dairy 1700 1 600
❑Farrow to Wean
❑Farrow to Feeder JE1 Other
❑Farrow to Finish Total Design Capacity 1,700
❑Gilts 300
❑ Boars Total SSLW 1,360,000
Number of Lagoons 1 0 ID Subsurface Drains Present ❑Lagoon Area ❑Spray Field Area
Holding Ponds/Solid Traps 1 0 ❑No Liquid Waste Management System
Dischar>?es R Stream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes ®No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. If discharge is observed. was the conveyance man-made? ❑Yes ❑No
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 yes, notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage) less than adequate? ❑Spillway ❑Yes ®No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(inches): .................................... .................................... ................................... .................................... .................................... ....................................
5. Are there any immediate threats to the integrity of any of the structures observed?(ie/trees, severe erosion, ❑Yes ®No
seepage, etc.)
3/23/99 Continued on back
vw�_

Facility Number: 01-2 a of Inspection 8-31-99
6. Are there structures on-site which are oproperly addressed and/or managed through aOste management or
closure plan? ❑ Yes IN No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ®No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ®No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ®No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes ®No
l l. Is there evidence of over application? ❑Excessive Ponding ❑ PAN ❑Yes ®No
12. Crop type No Application
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan(CAWMP)? ❑Yes ®No
14. a) Does the facility lack adequate acreage for land application? ❑Yes ®No
b)Does the facility need a wettable acre determination? ❑Yes ❑No
c)This facility is pended for a wettable acre determination? ❑Yes ❑No
15. Does the receiving crop need improvement? ❑Yes ®No
16. Is there a lack of adequate waste application equipment? ❑Yes ®No
Required Records& Documents
17. Fail to have Certificate of Coverage& General Permit readily available? ❑ Yes ❑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
19. Does record keeping need improvement?(ie/irrigation, freeboard, waste analysis&soil sample reports) ❑ Yes ® No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ® No
21. Did the facility fail to have a actively certified operator in charge? ❑Yes ®No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge,freeboard problems,over application) ❑Yes ®No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes ®No
24. Does facility require a follow-up visit by same agency? ❑Yes ®No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ®No
®;ivo yiol'atiotis:or de#iciencie5 were. .. during this;visif::You:will receive no ftir. . . . .
.•corresp ondence.about this.visit. '. . .
Co mionsmsroen YS dayr t n mments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
18. At the time of inspection operator did not have the waste utilization plan. He has submitted the waste utilization plan to
Alamance county soil and water conservation division for reevaluation of their WUP.
Operator has a new certification number
Reviewer/Inspector Name 111amid Rafee 8-31-99
Reviewer/Inspector Signature: Date:

Facility Number: 01-2 of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below [] Yes []No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes ®No
28. Is there any evidence of wind drift during land application? (i.e.residue on neighboring vegetation,asphalt, ❑ Yes ❑No
roads, building structure,and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? Cl Yes ❑No
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.e.broken fan belts,missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ❑No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑No
rttona ° otrtmetits an or' raw!ngs:
w

f
❑DSWCrnaI Feedlot Operation RevLe ` h
®DWQAnimal Feedtot Operation Safe Inspection
Routine 0 Complaint Q Follow-up of DWQ inspection 0 Follow-up of DSWC review O Other
Facility Number
Date of Inspection -I2-
�
Time of Inspection C7 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: Registered ❑Applied for Permit (ex:1.25 for 1 hr 15 min)) Spent on Review .5�
❑Certified ❑Permitted or Inspection includes travel and processing)
❑Not Operational Date Last Operated: ........................_...........................—................................................
Al
Farm Name: J...!�G C!3�.TT..L l..�' .?Sa—az.1s t County' ....I..........IIE_................
Land Owner Name: .........JJ P....._ .N... ' ......................................................... Phone No:...( .........._ .......
Facili ty Conctact• •---•-----•-Q-. .............. ......4................. Title: Q../................ P/hone�10: g!�... y.�6... . ...
Mailing Address.......... .... r� ...../`3. .1.................................................... .LL?!!!... / ..lP.... ...-.22 ................
Onsite Representative:
p ...----,�'l..r.. P.......-----. ..................-........................... integrator:
.......................................................................................
Certified Operator: ....... !t.... ......... 1 . ................ Operator Certification Number:
Location of Farm:
............. ......
••..._W...-...:n"..... .........................................................................................
Latitude �• p� Longitude ®� ®�•
Type of Operation and Design Capacity
a «wx u r
Design Current; Design �CuFrent � Design Current
ulation F Poulhy Ca acitv: :P6` ulatton'�= <Cattle MM.Ca act Po ulatton
❑Wean to Feeder ❑ Layer ❑Dairy
❑Feeder to Finish ❑Non-Layer 10 Non-Dairy Qo
Farrow to Wean E '• {„
Farrow to FeederTotal Design Capacity / C1 #
Farrow to Finish
❑O D a
rya
a .
� er�v��Gl,a 2�.,
Nutnber of Lagoons%Ho1di g Ponds /Vo w­t_ ❑Subsurface Drains Present
lagoon Area " Spray Field Area
❑ ❑
...'m':.=i ��'.!' :,�,�».�-.;?Wy__ ;:,£;3 4'a`i: >`uriv �; ,xiE k. 'F „ l'"'Q`�,. ::` .. ... ...... t'r:.�'3•'
General /
1. Are there any buffers that need maintenance/improvement? / Yes ❑No
2. Is any discharge observed from any part of the operation? ((( ❑Yes ®4�6,
Discharge originated at: ❑Lagoon ❑Spray field ❑Other ,�
a. If discharge is observed,was the conveyance man-made? ❑ Yes Er oo
b. If discharge is observed,did it reach Surface Water?(If yes,notify DWQ) ❑ Yes G�-iQo
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 DIMo
3. Is there evidence of past discharge from any part of the operation? ❑Yes Ug-<o
4. Were there any adverse impacts to the waters of the State other than from a discharge? ElYes Q- o'
5. Does any part of the waste management system(other than lagoons/holding ponds)require ❑Yes Leo
4/30/97 maintenance/improvement? Continued on back

Facility Numbcr: .
J 6- Is facility not in compliance with anyWicable setback criteria in effect at the time ologn? ❑Yes MN-O
7. Did the facility fail to have a certified operator in responsible charge? ❑Yes ONo
S. Are there lagoons or storage ponds on site which need to be properly closed? ❑Yes L,Y'No
Structures f[Ja}oous_and/or Holding Ponds)
9. Is storage capacity(freeboard plus storm storage)less than adequate? ❑Yes ❑No
Freeboard(ft): Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
............................ ............................ ............................ ............................ ............................ ............................
10. Is seepage observed from any of the structures? ❑Yes ❑No
11, Is erosion, or any other threats to the integrity of any of the structures observed? ❑Yes ❑No
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 ❑No
Waste Application
14. Is there physical evidence of over application? ❑Yes 6d'No
(If in excess of WMP,or runoff entering waters of the State,notify DWQ)
15. Crop type .1 .. .-.. ,�.t: t. .. ........................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan(AWMP)? ❑Yes 21 o
17. Does the facility have a lack of adequate acreage for land application? s 9-1�o
18. Does the receiving crop need improvement? s ❑wo
19. Is there a lack of available waste application equipment? DOW 9 No
20. Does facility require a follow-up visit by same agency? ❑Yes O-Na
�'
21. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes
For-Certified Facilities Only A/A#
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑Yes ❑No
23. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑No
24. Does record keeping need improvement? ❑ Yes ❑No
Comments„(refer to'quesrion'#) Explatn`any YES answers and/or any recommeitdatioris or any.other comments' —
Use-drawings of facility to be'.tter explain situations:_(use additional pages as necessary):. •. ;,;
,
a
Reviewer/Inspector Name
Reviewer/Inspector Signature: r Date:
cc: Division of Water Quality, kker Quali Section, Facility Assessment Unit 4/30/97

� 'ratio"
... ...
❑DSWC A ial Feedlot Operation Review
- (� DWQ Animal Feedlot Operation Site Inspection �.` t
r
outine 0 Complaint 0 Follm:'-u of DNVQ inspection 0 Follow-up of DS%VC review
��Q. Othe-r—r
Date of Inspection ��J
[:�Facilih' lumber EJ [ O Time of Inspection . a 24 hr.(hh:mm)
registered ertified ©Applied for Permit 0 Permitted 113 Not Operational I Date Last Operated:
Farm Name: -- .... .t?c�P e.✓T...l�-. ca....... County: �................... ............. . .......................
()«<ner Name: �„Lo..L......... C ..f ...................................... Phone No: ...... ....*.��........3.4-Zr........................................
Facility Contact: ............. .........� oiv.? . ...................Title:........�1. .e.! .....................•. Phone No:
I lailing Address: ..... Q.... t:... 1-7.?. ................k lv.N.......r^.K,.(...I..a o........./VC.. ,�..�.., .y.r ................ ..........................
Onsite Representative:............... A<f. U ...................... Integrator:.................... ...........................................
Certified Operator;.---...... .............. .... ?.......................................... Operator Certification Number;...2--12-1..,.?..............
Location of Farm.
{..,���.c,_... e�+-L'........... .. f.7.! ` + -..... ..L.....................................................................................................
............................................................................................................................................................ ..................... r
1 Latitude Longitude �• �� ���
Ik Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder ❑Layer I I ❑ Dairy
❑Feeder to Finish ❑Non-Layer M4 on-Dairy /oo o I x m
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity ?O
❑Gilts Q Q
❑ soars Total SSLW
Number of Lagoons/Holding Ponds oiv-e— ❑Subsurface Drains Present ❑Lagoon Area 10 Spray Field Area
❑ No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement? es ❑No
2. Is any discharge observed from any part of the operation'? ❑Yes 09-?,ro
Dischar ye oriirinmcd at: ❑ Lagoon ❑Spray Field ❑Other
a. If discharge is observed. was the conveyance man-made? ❑Yes ❑ No
b. li-discharge is obwrved,dill it reach Surface Water? (II'yes, notify DWQ) ❑ Yes ❑No
c. If discharge is observed, what is the estimated flow in al/min?
d. Does discharge bypass a lagoon systeiv?(If yes, notify DWQ) ❑Yes ❑No
3. Is there evidence of past discharge from any part of the operation'? ❑Yes Q-N�
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes
5. Does any part of the waste management system (other than lagoons/holding ponds)require Yes bIJ+'No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of'design'? ❑ Yes �M, 00
4 7. Did the facility fail to have a certified operator in responsible charge? ❑Yes ►L t
7/25/97
Continued on back

Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed'? ❑Yes o
Structures fl.agoons,liolding! Ponds,Flush Pits,etc.) A`4
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑Yes M_K
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (tt): .................................... . ...................... ....
10. Is seepage observed from any of the structures? ❑ Yes ET<o
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes [No
12. Do any of the structures need maintenance/improvement? ❑ Yes e, 'a
(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 Q'1`o
Waste Application
14. Is there physical evidence of over application? ❑Yes Q.?ttf
(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
17. Does the facility have a lack of adequate acreage for land application? ❑Yes UNo
18. Does the receiving crop need improvement? ❑Yes o
19. Is there a lack of available waste application equipment? ❑Yes , o
20. Does facility require a follow-up visit by same agency? ❑Yes o
21. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes <O
22. Does record keeping need improvement'? ❑Yes o
For Certified or Permitted Facilities Oniv
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? Cl Yes Oi<
24. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ,[Q�Ie--
25. Were any additional problems noted which cause noncompliance of the Permit? ❑Yes L _?1-o
1[] No.violatians or. deficiencies.were.note#dtiring this.visit...You.will receive-no' further
-carrespondence about this:visit:,.
Comments'(refento question#):.Explain any YES answers and/or any recorntnendations or any other comments KK} ti
Use drawings of facility to 6ctter explain situations, (use aildittt►nal pages asiece`ssary}
e
AL
.v _ems dr
T .
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: �j-/�—

E,Division;o 401;and Water Conservation-Operation Rei,
D Divisional and Water Conservation- Compliance'I1ction
' 13 Div.i ion of Water Quality-Compliance Inspection
O'Other Agency- Operation Review
141 Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other
Facility Number O1 2 Date of Inspection 2/15/99
Time of Inspection 13:00 24 hr.(hh:mm)
0 Permitted 0 Certified 0 Conditionally Certified ® Registered 0 Not O erational Date Last Operated:
Farm Name: Piedm.Q.ixt.JJ.S..CAFAtrm............................................................................. County: Alam aarm......................................... WSRQ........
OwnerName: 30q�............................................ . uwi............................................................ Phone No: MA 3.6Z.C....................................................................
FacilityContact: ..............................................................................Title: .................. ...... Phone No: ........................................................ ...................................
MailingAddress: EQ.tlox..13.7.9......................................................................................... E1.Qi1..C.Q11=.N.0.................................................. 2.7.2.44..............
OnsiteRepresentative:Mikcg.CQ.x...................................................................................... Integrator:......................................................................................
Certified Operator:llxikkg........................................ C.P.x.................................................... Operator Certification Number:Zj�.13.............................
Location of Farm:
............................................................................................................................................................................................................................................................
I:.axant.t.ocatialn�...2�Z)1.�.asnai..Ctr.€�I�.tid,a.�u�rtiut tA.n..N�Cn...............................................................................................................................................
:�
Latitude Longitude 79 • 29 58 ��
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder ❑Layer ❑Dairy
❑Feeder to Finish ❑Non-Layer IN Non-Dairy 1700 350
❑Farrow to Wean
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity 1,700
❑Gilts
❑Boars Total SSLW 1,360,000
Number of Lagoons ❑Subsurface Drains Present I❑ Lagoon Area ❑Spray Field Area
Holding Ponds/Solid Traps 0 ❑No Liquid Waste Management System
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation? ❑Yes ®No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. If discharge is observed. was the conveyance man-made? ❑Yes ❑No
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 yes, notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes ®No
Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage) less than adequate? ❑Spillway ❑Yes ❑No
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(inches): ................................... ................................... ...................................
5. Are there any immediate threats to the integrity of any of the structures observed?(ie/trees,severe erosion, ❑Yes ❑No
seepage,etc.)
3/23/99 Continued on back

Facility Number: 01-2 Atof Inspection Z/15/99
6. Are there structures on-site which are 10roperly addressed and/or managed through management or
closure plan? ❑ Yes ®No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑Yes ®No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ®Yes ❑No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes ❑No
Waste lication
10. Are there any buffers that need maintenance/improvement? ®Yes ❑No
11. Is there evidence of over application? ❑ Excessive Ponding ❑PAN ❑Yes ®No
12. Crop type No Application
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑Yes ®No
14. a) Does the facility lack adequate acreage for land application? ❑Yes ®No
b)Does the facility need a wettable acre determination? ❑Yes ❑No
c)This facility is pended for a wettable acre determination? ❑Yes ❑No
15. Does the receiving crop need improvement? ❑Yes ❑No
16. Is there a lack of adequate waste application equipment? ❑Yes ❑No
Required Records & Documents
17. Fail to have Certificate of Coverage&General Permit readily available? ❑Yes ❑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
19. Does record keeping need improvement?(ie/irrigation,freeboard, waste analysis&soil sample reports) ❑Yes ❑No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes ®No
21. Did the facility fail to have a actively certified operator in charge? ®Yes ❑No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems,over application) ❑Yes ®No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes ®No
24. Does facility require a follow-up visit by same agency? ❑Yes ®No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ®No
0:No•yibl"atioris:or deficiencies-Weee:noted:diiting•this:visit.•:You:Will ir&c i've-itb-ftl:rther.
correspondence about this.visit. . . . . . . . . . . . . . . . . . . . . . .
Comments(refer to question;#): Explain any YES answ4ers and/or any recommendations or any other comments.
Use drawings of facility t6,better,explain situations (used ditional pages as necessa
8 Needs to finish fencing 100' buffer area at creek. +
10 When weather permits establish vegetative buffer around creek.
18 Operation is not certified yet and the OIC said they have not applied any waste this year.
21 Operator in Charge has let his certification expire.
Reviewer/Inspector Name ;Rocky Durham
Reviewer/Inspector Signature: Date:
3/23/99
1

` .11 i 0 Division o �l and Water Conservation-Operation Re
r } 0 Division al and Water Conservation-Compliance Ition
Qom , ; Division of Water Quality- Compliance Inspection ;;'r �
0 Other Agency-Operation Review '`
Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other
Facility Number Q1 2 Date of Inspection 8-31-99
Time of Inspection 1200 24 hr.(hh:mm)
Permitted 0 Certified [3 Conditionally Certified [a Registered JE3 Not O eratianal Date Last Operated:
Farm Name: Pixdmorxt.. S.Ca.F.aim............................................................................ County: Alamallef......................................... WSRQ........
OwnerName: doe.................................. Jolms.................. ... Phone No: S$4- C7(....................... ....................................... ...................................................
Facility Contact: lY e..GQx.........................................................Title: ORC..................................................... Phone No: Safflt.......................................
Mailing Address: FQ.dos..13.7.9......................................................................................... E1QP C.QUge..N.C.................................................. 27244..............
OnsiteRepresentative:I.Y Mr..Cox................. .......................................................... Integrator:......................................................................................
Certified Operator: llcg........................................ G.ox..................................................... Operator Certification Number;23.7.53.............................
Location of Farm:
........................................................................................................................................................................................................................................................
I.airrrx.i,ot;at�ar�....24?.1.11asnn. xe�>t;.lida. .�r�rtt�a tAr# HnGn................................................................................................................................................
Latitude 36 • 10 27 Longitude 79 • 29 58
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder ❑Layer ❑Dairy
❑Feeder to Finish ❑Non-Layer ®Non-Dairy 1700 1600
❑Farrow to Wean —71
❑Farrow to Feeder JE1 Other
❑Farrow to Finish Total Design Capacity 1,700
❑Gilts 300
❑ Boars Total SSLW 1,360,000
Number of Lagoons ® ❑Subsurface Drains Present I❑ _agoon Area ❑Spray,Field—A r:-,:
Holding Ponds/Solid Traps ® ❑No Liquid Waste Management System
Discharges S Stream Impacts
I. Is any discharge observed from any part of the operation? ❑Yes ®No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. If discharge is observed, was the conveyance man-made'? ❑Yes ❑No
b. If discharge is observed,did it reach Water of the State'?(if yes, notify DWQ) ❑Yes ❑No
c. If discharge is observed, what is the estimated flow in gallmin?
d. Does discharge bypass a lagoon system?(If yes, notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ®No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage)less than adequate? ❑Spillway ❑Yes ®No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(inches): ....................................
5. Are there any immediate threats to the integrity of any of the structures observed?(ie/trees, severe erosion, ❑Yes ®No
seepage,etc.)
3/23/99 Continued on back

t
;+ l!acility Number: of-2 of Inspection 8-31-99
6. Are there structures on-site which are 10properly addressed and/or managed through a ante management or
closure plan? ❑Yes ®No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑Yes ®No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑Yes ®No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes ®No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes ® No
11. Is there evidence of over application? ❑Excessive Ponding ❑ PAN ❑Yes ® No
12. Crop type No Application
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑Yes ®No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ®No
b)Does the facility need a wettable acre determination? ❑Yes ❑No
c)This facility is pended for a wettable acre determination? ❑ Yes ❑No
15. Does the receiving crop need improvement? ❑ Yes ®No
16. Is there a lack of adequate waste application equipment? ❑ Yes ®No
Required Records& Documents
17. Fail to have Certificate of Coverage& General Permit readily available? ❑ Yes ❑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
19. Does record keeping need improvement?(ie/irrigation, freeboard,waste analysis& soil sample reports) ❑ Yes ®No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes ®No
21. Did the facility fail to have a actively certified operator in charge? ❑Yes ®No
22. Fail to notify regional DWQ of emergency situations as required by General Permit'?
(ie/discharge, freeboard problems, over application) ❑Yes ®No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes ®No
24. Does facility require a follow-up visit by same agency? ❑Yes ®No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ®No
®;Nd-yiolati6ns;or deficiencies mere:noted:durirtgJhis;Visit..NO*will receive...n6...fUrt6i-'
: corres ondence:about•this:visit:
Comments(refer to question#)Explain any YES answer and/or any recommenda€ions of any other comments
t
Use;drawings of facility to-better explain situations (use_:addrtioiial pages as necessaryt) t -k
18. At the time of inspection operator did not have the waste utilization plan. He has submitted the waste utilization plan to +
Alamance county soil and water conservation division for reevaluation of their WUP.
Operator has a new certification number
L
Reviewer/Inspector Name !Hamid Rafiee 8-31-99
Reviewer/Inspector Signature: Date:

fit..[3 Division l and•Water Conservation-OperatioA R
. El Division o tl and, aterConse&ation .,Compliance .. ,ection
13 Division of Water Quality-:Compliance Inspection
t3 Other Agency.-7 Operation Review.
0 Routine O Complaint Q Follow-ue of DWQ inspection 0 Follow-tip of DSWC review O Other
Facility Number p Z Date of Inspection 11513119q
Time of Inspection I iZoo 24 hr. (hh:mm)
0 Permitted 0 Certified © Conditionally Certified [3 Registered [3 Not O erational Date Last Operated:
Farm Name: ....`���..�diYin�.....k(..5 .Co T4.�►'.'r!....................................... County: .........A16'-ny'4-n(L°
Owner Name: .........To e T ov)-e 5 ..................................... Phone No: .....�33�.,��. S r `36.7(o
................................. .......... .........................................................
Facility Contact: .t!.!... e....C: �........................................Title: ................................................................ Phone No: .........S.....ry. .....................
Flailing Address: D a
Onsite Representative: ...... . ,V e t—,o-)( .... Integrator: ...............................................................................
.�......................... ....................................................... .......
Certified Operator:....M.}Xf.........C. ?` Operator Certification Number:....?.3..� .r.............
Location of Farm:
w
Latitude 1 �)t<o 0° Longitude
Design Current s Design Current Design Current
Swine Ca acity Population Poultry Ca acity Population Cattle Capacity Population
❑Wean to Feeder JE1 Layer I Dairy
❑Feeder to Finish ❑Non-Layer I (O Non-Dairy p
❑Farrow to Wean
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity
© Gilts �hQ
Boars = Total SSLW
Number-of.Lagoons JE1 Subsurface Drains Present ❑ Lagoon Area JE3 Spray Fieid Area
Holding'Ponds I Solid Traps ❑No Liquid Waste Management System
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation? ❑ Yes Z No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. If discharge is observed, was the conveyance man-made'? ❑Yes ❑No
b. If discharge is observed,did it reach Water of the State'? (If yes, notify DWQ) ❑Yes ❑No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Docs discharge bypass a lagoon s stem'? If yes, notify DW ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes ©No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes ❑x No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑Spillway ❑Yes ❑No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(inches): ................................... ................................... .................................... ................................... ................................... ...................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/trees, severe erosion, ❑ Yes 0 No
seepage, etc.)
3/23/99 Continued on back

Facility ]Number: O - 2 to of Inspection
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or I
closure plan'? ❑ Yes ❑x No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes 2] No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? [I Yes x❑ No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes R]No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
11, Is there evidence of over application? {{ ❑Excessive Ponding ❑PAN ❑ Yes ® No
12. Crop type al() Ap. 12/! Cc-
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan(CAWMP)? ❑Yes KI No
14. a)Does the facility lack adequate acreage for land application? ❑ Yes ❑No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c)This facility is pended for a wettable acre determination? ❑ Yes ❑No
15_ Does the receiving crop need improvement? ❑Yes © No
16. Is there a lack of adequate waste application equipment? ❑ Yes © No
Required Records & Documents
17. Fail to have Certificate of Coverage&General Permit readily available? ❑ Yes ❑ 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.) ID Yes ❑ No
19. Does record keeping need improvement?(ie/irrigation, freeboard, waste analysis &soil sample reports) ❑ Yes Fg] No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes FZ] No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ® No
22. Fail to notify regional DWQ of emergency situations as required by General Permit'?
(ie/discharge, freeboard problems, over application) ElYes ElNo
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑ Yes ©No
24. Does facility require a follow-up visit by same agency? ❑Yes ® No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes ❑X No
0; Vo violatioris:oi-deficiencies were n6'fe'd•during4his;visit:-Yoix' i]l•receiye iio;#u'kh f ;
corres onc�ence.about this visit : : : : : : : : : : : : : : : : : : . . . . . . . . . . . . . . .
Comments (refer-to question4): Explain,any YES answers and/or any recommendations or any other comments
Clse drawin s of facilit 'to better ex`lain'situationsjuse additional pagesas necessa --
rg • �} -f''h� trri� o� 101 >pGLion 6104?Ka4r (VI rla7�
�� � G�f►'o- dr ) s Sv rnr r� _�Ae JJU To '4I4mnnct Coun 0/-
aAd 00,4K Can seri/G Iron pfrV15/on r i'eC 1/A/1.1aTr0�1
�t91��61 4dS r nerJ r��r�t der
Reviewer/Inspector Name ,
Reviewer/Inspector Signature: �1��u.r1� ��,t �1 Date:
3/23/99

Facility Number: vt - Z71 of Inspection $ q Q •
Odor Issues 6,
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes d No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ❑ No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑Yes ❑ No
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters,etc.) ❑Yes ❑ No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑No
Additional Comments and/orDrawings:
J
T
3/23/99

i�islbaf Sail atetr �n�aser�t�oa-Operatxon)R�yisw� "�
iDrvi n'tofg5a�as, a�Con�se�aEEcntE C�lEarr ee�iasp c�
�it]the � y Oper8t1d11 Review �s � ,i
Routine O'Com laint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Facility Number Date of Inspection S 5
Time of Inspection 24 hr.(hh:mm)
Registered 0 Certified ©Applied for Permit 13 Permitted 10 Not Operational Date Last Operated•
Farm Name: 1... h'�.r! .......... -s !-,s....... �`�. County: ... .. .�7Y tI[.: ".0 r:0{p....... i.- R
..... ........... l t.. .._
............................................ ...........................--....._............. ..............__.................
Owner Name:...............-......................:............. ..............�.....---.... Phone No: � 1�
Facility Contact: ........Title: ...... Phone No: VV
UrjIC@
MailingAddress: ..........................._. ............................. ................................................................ .................. ..........................
...................../..�........................./..'.. ....
Onsite Representative:......r`.-:�,�.t�.��...�..........1.&...y..................................................... Integrator--------------------
Certified Operator:.................................................. ............................................................. Operator Certification Number......................
Location of Farm:
............... ........... .. .. ....................... ......................... ........................................................
Latitude Longitude 0• �' 0«
" I Desna*`Current DeSE nix CUrrentt's gn
c` ,.., 'Ew, :'r"°' t �CZ. 1CFQnt� ter:
Somme 3 „Capacity'Population .Poultry Capacity r Pnpulatian Cattle Capacity Pogulation ,K
❑Wean to Feeder ❑Layer ❑Dairy ir..
❑Feeder to Finish ❑Non-Layer -an-Dairy -740
❑Farrow to Wean
❑'Farrow to Feeder Other
s r:
❑ Farrow to Finish _ Total Design Capac�t'y,
'..
�_❑Gilts
Boars
Number of>Lagpo[ts/Holding Po ds ❑Subsurface Drains PresentjjEl Lagoon Area ID Spray Field Area
❑No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement? LdYes ❑ No
2. Is any discharge observed from any part of the operation? T❑Yes 'No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. If discharge is observed, was the conveyance man-made? ❑Yes VNo
b. If discharge is observed,did it reach Surface Water?(If yes, notify DWQ) ❑Yes VNo
c. If discharge is observed, what is the estimated flow in gaUmin?
_. d. Does discharge bypass a lagoon system?Of yes, notify DWQ) ❑Yes V(No
3. Is there evidence of past discharge from any part of the operation? ❑Yes ZNo
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑Yes dN0
5. Does any part of the waste management system(other than lagoons/holding ponds)require 91/yes ❑No
maintenance/improvement?
b. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes IgNo
7. Did the facility fail to have a certified operator in responsible charge? ❑Yes o
7/25/97
Continue n.r back

Facility Number: —
8. Are there lagoons or storage ponds 16te which need to be properly closed? ❑Yes No
Structures(LaQoons.Haldina Ponds,Flush Pits,etc.) f
9. Is storage capacity(freeboard plus storm storage)less than adequate? �/ f ❑Yes 9<
Structure I Structure 2 Structure 3 Struc ut re 4 Structure 5 Structure 6
Identifier: ................................... ................................... ................................. ...................................
Freeboard(ft): .................................... .................................... ................................... .................................... .................................... ....................................
10. Is seepage observed from any of the structures? ❑Yes No
11. Is erosion,or any other threats to the integrity of any of the structures observed? ❑Yes O No
12. Do any of the structures need maintenancelimprovement? ❑Yes PNo
(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 Cy<o
Waste Application __//
14. Is there physical evidence of over application? ❑Yes 9No
(If in excess ofP,or runoff entering waters of the State, notify DWQ)
15. Crop type �fl Jz71 t...E............. --------...---......------------------------------ .•-----....----...-----------------------------...........
16. Do the receiving crops differ with those designated in the Anima] W�to Management Plan(AWMP)? ❑Yes LI No
�AILt~J7)1-- wup �ty141 r1/U� Oru g- - l�.�tM)IMO
17. Does the facility have a lack of adequate acreage for land application? ❑Yes ?YNo
18. Does the receiving crop need improvement? ❑Yes V 40
19. Is there a lack of available waste application equipment? ❑Yes 9 No
20. Does facility require a follow-up visit by same agency? ❑Yes VNo
21. Did Reviewer/Inspector fail to discuss reviewlinspection with on-site representative? ❑Yes CYNo
22. Does record keeping need improvement? Off es ( 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. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
25. Were any additional problems noted which cause noncompliance of the Permit? ❑ Yes ❑ No
[] No.viol itions or deficiencies.werenoted during this:visit.- V.ou4i11 receive�no,ftirther- :-
corresporidehO about this�visit'.
9Y G .F J 4^,¢j,
CAmm�€ts�(refer tin question#)��E.gp1°!u any�.�Y1S answ andfo�r,anyxr�m�n�atieins•�r any`"otlEer cE►mmerits �' °`
�T3sedrawistgsafjfacrtity W beEter eplau s,tuanns;(use addittvzl{pages as teecessa>ry}:; ��
.��'-.,
-,1'jW 1: ►9 QA! 77U n/7� 7Z)
lvv -V 0-6- L— �/ Ly Li/ii, �'� G 6-r4 T�- AFJ-� l'S�r��sX
�S�IbL/S�f Lam,
_a'i _t? )7- C t/_ 7fAF-4 /t/a j
�)-. s TfiT­L P Ala S p2L VirG 1�{ y
" pe)to V 1-E}rtc.v V A-rt IGT=, ���'!�T`L`{ �V� ?a 6v'(�ti' ESS � 7/25/97
Reviewer/Inspector Name x . NO
Reviewer/Inspector Signature: Date: 2s

W a ivi§ion of Soil'a ater Conservation-Operatioti.Review
0 Division of Soil'a ater,Consery
. �ation-Comphimce linspectio -
0 Division of Water Quality=Compliance Inspection
p Other Agency-Operation°Review
Routine a Complaint p -o ow-up oI IAVQ inspection O Follow-up ol DSWC review p Other
Facility Nunhher Date of Inslleclion
I'ihrht• of hhi'lseclinn ® 24 hr. (hh:mm)
E Registered o Certified p Applied for Permit a Permitted JC3 Not peration;h 1)a1c Last Oper•atecI:
Farm Name: .P..iedmo.uUJS,.Cn.F.arM............................................................................. Counts: Alamance WSRO
Owner-Name .tot........................................... Jorms........................................................... Phone No: 584-36.76...................................................................
:hcility cont, l't: ............................................................................... I lle: ............................................................... Phone No: ....................................................
Mailing Address: P..O..13ox.137.Q.......................................................................................... Von.Ca.Ilege.INC.................................................. 2724.4..............
OnsiteRepresentative .......................................................................................................... Integrator:.......................................................................................
Certified Operator:Mike....................................... Cox..................................................... Operotor Certification 1Number:2.13.1.3.............................
Location of Farm:
:arm. atat.......n •r.:...ur 1tIgLQA,:..:.t
:€
Latitude ®�® © Longitude ®•
esign Uurrent Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Weanto Feeder JE3 Layer ❑ Dairy
❑Feeder to Finish JE3 Non-Layer IS Non-Dairy I luo _
❑Farrow to Wean
❑ arrow to Feeder
❑ ter
❑ Farrow to Finish Total Design Capacity 1,700
❑Gilts
❑ Soars Total SSLW 1,360,900
—tE7 I
Number of Lagoons/ Holding Ponds none p SUBSUrface rains Present ❑ agoon Aren ❑ Spray Hc t rea
❑ No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement? ® Yes ❑No
2. Is any discharge observed from any part of the operation? ❑ Yes ®No
Discharge originated at: ❑ Lagoon ❑Spray Field ❑Other
,I. Ildischarue is observed, was the convevanee roan-made`' p Yes ❑No
b. II'discharae is observed. did it reach SUITICC W,-Iter7 ([fycs, notify D\VQ) [] Yes p No
c. [I•discharee is observed, what is the cslirnatcd I)ow in ual/lniI)
d. Does discharge bypass a lagoon systctn?(If yes, notit-y DWQ) ❑ Yes p No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes ® No
5. Does any part of the waste management system (other than lagoons/liolding ponds)require 11 Yes ❑ No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ig No
7. Did the facility fail to have a certified operator in responsible charge? p Yes IN No
7/25/97

acility Number. Ol_02 Dat+ 'n,pertton
8. Are there lagoons or storage ponds on slwhich need to be properly closed? p Yes ®No
titructures(i.a��nnns,llnldin� Ponds. Flush Pits. ctr.1
9. Is storage capacity(freeboard plus storm storage) less than adequate? p Yes ®No
titrucltsre 1 Structure ? Structure_i Slructtr1-e Z1 Slrucnrre Srructurc n
Idcntilicr:
Freeboard (I)): ................................... ................................... ................................
.... ................................... ................................... ...................................
10. Is seepage observed frorn any of the structures? ❑ Yes ®No
11. Is erosion,or any other threats to the integrity of any of the structures observed? Yes ®No
12. Do any of the structures need maintenance/improvement? p Yes M 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? p Yes M No
Watsle Apiflication
14. Is there physical evidence of over application? p Yes N No
(If in excess of WMP,or runoff entering waters of the State, notify DWQ)
15. Crop type .......................Eesctw..............................................N,anf..........................................................................................................................
.....................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (A WMP)? p Yes ® No
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes ®No
18. Does the receiving crop need improvement? p Yes ®No
19. Is there a lack of available waste application equipment? p Yes ®No
20. Does facility require a follow-up visit by same agency? p Yes ®No
21. Did Reviewer/inspector fail to discuss review/inspection with on-site representative? p Yes M No
22. Does record keeping need improvement? p Yes ®No
For Certified or Pernrirled I-;tcilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? p Yes ®No
24. Were any additional problems noted which cause noncompliance of the Certified AWMP? p Yes p No
25. Were any additional problems noted which cause noncompliance of the Permit? p Yes ®No
Q. ..o.via tios.or a crenei6- ere.note uring this visit:.You.wi .receive no urt erw .:.
•.•.�o!'reSihnitfl�i>Ie�p�QRt.t�liS•yiSi�:.•.•.•.•.•_•.•.•.•,•,•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•.•. .•.•.•
.Comments(refer'toquestion #}:. Explain any YES answers and/or any recommendations or any:other comments.
Use drawings of facility4o.better explain situations. (use additional pages as necessary):-
1/5 --Need to move fence back from creek. Vegetation needs to be planted between fence& Creek.
Have only a draft waste management plan.
Reviewer/Inspector Name JiinJohnston -
Reviewer/lns Peet or Signature: Date:

�. sue- M,3.tsR"«` ;eas
� � `UISW 1ina1� lae>rahoru ev1 i
- �: 7d0 z� `j'.i"'K.+ Y" Jb�. iH •YF KX
®DWQ An><mal Feedlo Qperahon Site nspectlon 4
t,
a .''xR�d.,.a��.a-. 5�,�.t:e'�.,�f:u �� 't;• ,��^ sC:^.�rczt.'aa
Routine -O Complaint O Follow-up of DWQ inspection 0 Follow-up of DSWC review O Other
V _- .•� Date of Inspection
Facility Number,
Time of Inspection 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: Registered El Applied for Permit (ex:l 25 for 1 hr 15 min)) Spent on Review .5�
❑Certified ❑Permitted or Inspection includes travel and processing)
❑Not Operational Date Last Operated: ............-_...__ ..... _.... _..__ ..... ....__ .�.. _._.... ......._ .
,,pp�
Farm Name: _..... _....1....� C'il.� 1 .... .... �4.Ci. ._ County: ......... ......_�.� .... ....... . ...:
Land Owner Name: t1 D e ✓NR ._-................................... _...... Phone No:-.(9r!?,)1.�. V .6.24...................
r�
Facility Title: Q� N .Q ...._ .... Phone No;
Mailing Address:......... -... ......0x _. ! .......-7....................... ..... ......... .... f-/�?C'_ .�� �c�•• P. ... .7 .....
Onsite Representative: �Z. `.... .,.. .Q —•- --... ,...... Integrator:....................... ......_...................
Certified Operator: -.-.� -. �----- .. r1. ......................................... ... Operator Certification Number:
Location of Farm:
Gc.� d,. R�.....:s...... ...... J? ° a
Latitude Longitude
Type of Operation and Design Capacity
s - - - �;. ig N -""'s�vS•
a` Desigr� Gtirrent a Design � Current� � �: � , Design Current
Swine r ,. .� .. Cattle . t
�� Ca 2`VIOM ul'ati`on ��1'aultry" actty--I'o ulatzon. ; .Ca achy Po ula#ion N
❑Wean to Feeder �❑La er ❑Dairy
El Feeder to Finish ❑Non-Layer 411❑Non Da doQ 3 D p
Farrow to Wean x � � r z a �W
r �
n
Farrow to Feeder .` TotalDestgnCapaCtty�3 CJ �i
�::r Farrow to Finish ;' � f
c$ ...
❑0ther& O D 3 d
Eill
❑Subsurface Drains Present�" ayµ � � . ❑Lagoon Area Y MRSpray Field Area
General
1. Are there any buffers that need maintenance/improvement? Yes ❑No
2. Is any discharge observed from any part of the operation? ll ❑Yes [
Discharge originated at: ❑Lagoon. ❑Spray field ❑Other
a. If discharge is observed,was the conveyance man-made? ❑ Yes D, o
b. If discharge is observed,did it reach Surface Water? (If yes,notify DWQ) ❑ Yes LsJ�o
c. If discharge is observed, what is the estimated flow in gal/inin?
d. Does discharge bypass a lagoon system?(If yes, notify DWQ) ❑Yes MN
3. Is there evidence of past discharge from any part of the operation? ❑Yes ,.©._,-<
4. Were there any adverse impacts to the waters of the State other than from a discharge? El Yes ,U o/
5. Does any part of the waste management system(other than lagoons/holding ponds)require ❑Yes Leo
4/30/97 maintenance/improvement? Cont.inued on back

Facility Number:
ti. Is facility not.in compliance with a licable setback criteria in effect at the time sign? ❑Yes rt�'Na
7.•Did the facility fail to have a certified operator in responsible charge? ❑Yeso
8.-Are'there Iagoons or storage ponds on site which need to be properly closed? ❑Yes �-Nq
' fitCllCtl! e as orr �8nd or ioldin p nds /1/��r
9. Is storage capacity(freeboard plus storm storage) less than adequate? ❑Yes ❑No
Freeboard(ft). Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
10. Is seepage observed from any of the structures? ❑Yes ❑No
11. Is erosion,or any other threats to the integrity of any of the structures observed? ❑ Yes ❑No'
12. Do any of the structures need maintenance/improvement? ❑Yes [:]No
(I€any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers? ❑Yes ❑No
Waste Application
14- Is there physical evidence of over application? ❑Yes 0-<O
(If in excess of WMP,or runoff entering waters of the State,notify DWQ)
r
15, Crop type .........�.5 �1„E/1?..�_r.... -� tl.. .......................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan(AWMP)? ❑Yes Id� No
17, Does the facility have a lack of adequate acreage for land application? �s Ly'IV0
18. Does the receiving crop need improvement? "s ❑wo
19. Is there a lack of available waste application equipment? O-No
20. Does facility require a follow-up visit by same agency? ❑Yes a�
21. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes Qo
For Certified Eacilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑Yes ❑No
23, Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑No
24. Does record keeping need improvement? ❑Yes ❑No
Yx --- ry --- ) .2A�
Comments{refer to question{ -Explain'YES answers and/or�gny recommendations or any other comments
fir. - .ram--. - --:
;Use drawings of facility to better explain srtuattons (use add�twnalpages as necessary} Y x .>
a
� LL
Reviewer/Inspector Name 01 �.: ���
Reviewer/Inspector Signature: Date:
cc: Division of Water Quality, ter Quali Section, Facility Assessment Unit 4/30/97