290013_INSPECTIONS_20171231

Division of Water Resource -
Facility Number - Division of Soil and Water.servation
A0 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: Arrival Time: .op departure Time: 0 ounty: , QU l j5Gr7 Region: �S Q
Farm Name: a-t- M Owner Email: aS� Cell r5'a�'l�y4oD.,env
Owner Name: C e Sn p -- -- Phone: r33& 1 � 5a _ 3(� 13 Bc;iry�
Mailing Address: � an IA e�f P=s,aj , Lr' n vyoo6 i 1�1L a 7 2 9q9
Physical Address: !—;2111(II &604
aF Cell/ 36);-46 -] 9
Facilih� Contact: S�,')0. i'1 � S n id err- O r Title: 3 l�j'� Phone:
lr nie ce) A LISon 3 `50 a y o --09 II a
Onsite Representative: Integrator:
Certified Operator: M ,r C_ s ka fo S n ,0—r Certification Number:
Back-up Operator:
Location of Farm:
Design Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Certification Number:
Latitude: 3 S Q L1 S' 36 r Longitude:
Design Current
Wet Poultry Capacity Pop.
Layer
Non -La er
Design Current
Dry Poultry Capacity Pot).
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
LJ
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters ofthe State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ,
2. Is there evidence of a past discharge from any part of the operation'?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Design Current
Cattle Capacity Pop.
Dairy Cow
DQ
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
[:]Yes ® No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA [] NE
❑ Yes ❑ No
❑ Yes CRNo
❑ Yes WNo
[] NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page 1 of F%--t"t-t.l 21412015 Continued

Facili r Number: - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 'M No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure l Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
Identifier: �,�Q�j�E? Por)a br'
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 D( 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 JZLNo
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? O r1M l �%✓r
❑ 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 VLNo
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes C, No
❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes 'K No
❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals
(Cu, Zn, etc.)
❑ PAN ❑ PAN > W% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into
Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop TYPe(s): c.t--
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
S[ No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
�No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑ No
[A NA
❑ NE
acres determination?
7�
17. Does the facility lack adequate acreage for land application?
❑ Yes
t6 No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment`?
❑ Yes
�No
❑ NA
❑ NE
Renuired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
KNo
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
54,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
J& No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather
Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I " Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
t4_No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
CS,jVo
_JWNA
❑ NE
Page 2 of 3
21412015 Continued

dp y�i�Q,v jc ,e �r- I� �v b e �a �oA
S
agaiiit3 coo
ecrP,+ti� - 0 P .[ � ��-a k
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Facility Number: jDate of Inspection:
24. Did the facility fail to calibrate was appleion equipment as required by the permit'? ❑ Yes TK No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No A ❑ 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?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes DkNo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes RNo ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? [:)Yes XNo ❑ 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).
. Kourlz-� S +ro1-1 q k+ t-n e0 ? CS z f_ t 1A i A 5 PLo- i o vas)
d2j _ S6) e- - L04Ie✓J-e In 9c)19— Cod #`(fit' M,r P_e, \y►- Ue-(L Q_I,rA
In
a q .
LA e-e-lz-1. rl a o 17,
❑ Yes L No
❑ Yes Dj-�o
❑ NA ❑ NE
❑ NA ❑ NE
-.0A
l%bva:n0i,,J �reC,AS CMnApklet`Oe�j•
h e %r-f- t(*"na e_ tg��' e d.
❑ Yes ,LNo ❑ NA ❑ NE
❑ Yes &LNo ❑ NA ❑ NE
❑ Yes C4 No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
\oe, -�>,Ce -6 ak 0- 8
< i c& Vb in
C01(1:1 —11y0- \�`t(1
2` f2a-q-
Phone: �21- 2!r 1.0 + q[e 1
Date: E ( q �{
21412015

Adlk
Division of Water, Resourc
Facility Number ®- 0 Division of Soil and Water Conservation - 36116 ' o6
0 Other Agency
Type of visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: (Routine OComplaint • 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 1 Arrival Time: s Departure Time: County: _SOtj Region:
Farm Name: LIDn &d o o -Foxwi Owner Email:
Owner Name: V e, SIO t A QX:: Phone: �33�0 J �$~ a — rZ/0
Mailing Address: v't y l A) } l 1 5 n id Qar j t i n wood', a 7,2 -I 9
Physical Address: 3 1d sr)1d erv- Rd I✓ i n I_ jo6d I (Q C- t3 7 a q 9
-1SZ` to
Facility Contact: Sh12ur�P_ Sb P jC Title: GCl1 Phone: �r�lj - q I Cell
4D
Onsite Representative:A Integrator:
Certified Operator: ip) :5n-1 jP'e- Certification Number:
_ n _ _
Back-up Operator:
Certification Number:
i
Location of Farm: Latitude: _ S_ �5 .364 Longitude: ��b o2 J
U S Hwy 5;2 5 fv T- Bs� SoL
Sig 1i f 0'�o " • � nt, So c,ors "1-) i I1 .Sr, "Ao .r ►Pal
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layer
Non -La er
Design Current
Dry Poultry Capacity Pon.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable'adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Design Current
Cattle Capacity Pop.
RaiCow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
[:]Yes �6o ❑ NA ❑ NE
[]Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes ❑ No
[:]Yes [�rNo
[:]Yes Wo
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page I of 3
21412014 Continued

Facility Number: I jDate of Inspection: oZ O
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ;ja'*No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? [:]Yes [:]No ❑ NA ❑ NE
b Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
01Identifier: 1n 46fe- Pond ; rit
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): g
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes Oj�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 NNo ❑ 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 gNo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? 11Yes ❑ 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 KNo ❑ 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 WNo ❑ 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
DKNo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
9 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
jgfNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
gNo
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
[KNo
0 NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
,< No
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If
❑Yes
`T
�No
❑ NA
❑ NE
❑ Waste Application El� Soil Analysis
Rainfall Crop eekly Freeboard Waste Analysis]Montlhly
❑-We
['Weather Code
Q �tocking Yield ❑ 120 Minute inspections and 1" Rainfall
Inspections
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
XNo
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
15;rA
❑ NE
Page 2 of 3
21412014 Continued

Facility Number: - Date of Inspection: a
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 19 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 �TA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes [�(No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes [)J�No
❑ Yes [( No
❑ Yes QSJ No
❑ Yes jK No
❑ Yes [XI No
❑ Yes 7MNo
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
U drawings of facility to better explain situations (use additional pages as necessary).
0-0 — S �:t Q ,,)zed-5
. ►i -t`e5- 5 U �D1* v r iz
ti Inkened
a � ��i b,�a��--io r� d u e ao j � .
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Ir P w P t+ o­ o.R.2a-wa-Qs4e PAN.
Phone: —1—1/j ��p 4
Date: L a Q
21412014

Dwtsion of Water'Resourc .P ,
Facility Number ®- O Division of..Soiland Water Conservation
p Other,Ageocy_ -
Type of Visit: `Compliance Inspection Operation Review Q Structure Evaluation O Technical Assistance
Reason for Visit: `Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access ,K a
Date of Visit: ?-2Z- Arrival Time: j )po Departure Time: 2pO County:404A Region: ✓�1 l/
Farm Name: 407 i �/Z✓ AfM Owner Email:
Owner Name:
Mailing Address:
Ph sical Address
Phone: `33` 75Z- ;a73_ 4J
�-XV Z;l 27V99
Facility Contact: Sna/lt 501'.� Title: Phone: e*11
Onsite Representative: Integrator:
Certified Operator: �l�� �h/, ('� Certification Number:
Back-up Operator:
Location of Farm:
Certification Number: Cj G�
Latitude: 3 s YS 3 Longitude: O 41
4o V Y #tJ i / 5 0 ;F_ L JJ 4 4• 1-ea I� �, SD L✓�is
Design Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current
Wet Poultry Capacity Pop.
Laver
Non -Layer
Design Current
Nan -La
Pullets
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Design Current
Cattle Capacity Pop.
Dairy Cow
f'75
192-
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes IM No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
[:]No
❑ NA
❑ NE
[:]Yes
[:]No
❑ NA
❑ NE
❑ Yes
.® No
0 NA
❑ NE
❑ Yes
1�3 No
❑ NA
❑ NE
Page 1 of 3 21412014 Continued

Facili Number: jDate of Inspection: 7-Z r5
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
Structu e I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: of
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 DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes 0 No ❑ NA ❑ NE
S. Do any of the structures lack adequate markers as required by the permit? ❑ Yes O 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 allo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ®No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): 4:��n _ ref&A-
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:
gLNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑ No
JXNA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
® No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes 0 No
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ,,No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes rNo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No KNA ❑ NE
Page 2 of 3 21412014 Continued

Facility Number: - Date of inspection: r2 15
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes EINo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No 5� 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 0 No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ® No [DNA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes f No ❑ NA ❑ NE
❑ Yes � No ❑ NA ❑ NE
❑ Yes ELNo ❑ NA [] NE
❑ Yes ® No ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes 5�rNo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? [:]Yes gNo ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes El No ❑ NA ❑ NE
Comments (refer to question ft Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
?e- S�ay+o lol�,c " a� X C7 /7^n ? S 1%ll J14't ¢ I - 4+I e- t 3\-.- t w-p �`(— 1`t,t-Y �_ �; 0%C,
/.,t C44.6 z odd.
W*5S t -An.4l, SI? LJ1!'f+"I
Sir
N-S.S 5
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
jadays? e4
Phone: 33v 71r
ql
Date: 7��z Za! - _
21412014

Division of Water Resourc
Facility Number ®- Q Division of Soil and Water Conservation )/�
Facility
Other Agency ! i'J
Type of Visit: ompliance Inspection Q Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: Afoutine Q Complaint Q Follow-up Q Referral Q Emergency Q Other Q Denied Access
Date of Visit: Arrival Timer Departure Time: County: YRegion: NV J��
Farm Name: MeAhowFarm Owner Email:
Owner Name: Lycle, Phone: v j -7 5 - ;7_6 73
Mailing Address: pCw'lit 56A42,rL'wocd N C, x7 ;t_j
Physical Address: 3 S P.r t/I n WQQJ ! a
�s G
Facility Contact: Pi S �� Title: Phone: f7� N
Onsite Representative: AAAL JLf Shan2� � e,.+r Integrator: �~
N & rs
Certified Operator: Certification Number:
Back-up Operator
tSonC� Y&-k00•COrr' Certification Number:
Location of Farm: Latitude: 35og 5' L30,/Longitude: Q
U 5 vuy ,5"a _S , M--$ S S o S f C'e r ISo E� L
SL) b 1 eve- 12 d., n 5D to e-4'S .Sr)� r (]
Design Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current
Wet Poultry Capacity Pop.
La er
Non -Layer
I
Pullets
Poults
Design Current
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes 9 No ❑ NA ❑ NE
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
XNo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
jjrN o
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412014 Continued

Facili Number: - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes [yNo
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No
❑ NA
❑ NE
I Structure I Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
Identifier: 5`P
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):�
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes01(No
D NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes [(No
[DNA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify 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 Annlicatinn
10. Are there any required buffers, setbacks, or compliance alternatives that need [:]Yes 0jrNo ❑ NA ❑ NE
maintenance or improvement?
I. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes [MO'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): _ V
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes XNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 19 No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No 0 NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
0 No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
XNo
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
C5No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
WNo
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists [:]Design ❑ Maps ❑ Lease Agreements ❑Other:
21 oes record keeping need i rovement?4,€3ie , �013 P Yes ❑ No ❑ NA ❑ NE
Raste Applicat Weekly Freeboard Waste Analys' Soil Analysis �eather Code
ainfall Stocking [L]�Crop Yield ❑ 120 Minu a nspections Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes k No [DNA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ;4 NA ❑ NE
Page 2 of 3 21412014 Continued

Facili Number: R9 - 13
® Date of Inspection:
24. Did the facility fail to calibrate waste appRLation equipment as required by the permit? ❑ Yes O(No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No XNA ❑ 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 ONo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes jN'iVo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes ONo ❑ NA ❑ NE
❑ Yes p<No ❑ NA ❑ NE
❑ Yes XNo
❑ Yes A No
❑ NA ❑ NE
❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes XNo ❑ NA ❑ NE
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative? ❑ Yes VNo ❑ 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 anf other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
40
�2 01,3 —Gee i,A.� aO t -7. ..�1
N a�-u�
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
w- Fes ve- cAx)l
C&tA�J "
6 0 dA.4-p s
wasfe-
to irk
Phone: 771a — 96'39
Date: I !
21412014

Division of Water Quality `
Facility Number a - 1 - O Division of Soil and water Co rvation I P m
O Other Agency
Type of Visit: Compliance Inspection 0 Operation Review p Structure Evaluation O Technical Assistance
Reason for Visit: dRoutine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: S q R Arrival Time: �VJ Departure Time: County: r\Region:
Farm Name:1. Owner Email:
Owner Name: U, ^�p� �� a , r- Phone: W %s a — a 6 13
Mailing Address: �j L �. f . S R i c eA_- L f r1 it, d - -7 ;Uq
Physical Address: 30 VW `L L l S h I Ctie Ct1.I
Facility Contact:
S _ti p_ 5 h lC[p?.U" Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
aya -MiSc
Phone: 7 S" 7-
Integrator: ------
Certification Number: Ne-e.-Certification Number:
Location of Farm: Latitude: Longitude:
1 %S qw� tea- � � 16 S 5 � o s c�p�n C��r � K � � q $ � W 16-0 6
(�i ors J`v b i ��� UP_ an . & 1�-a 1 G S'rz 1c er
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
La er
Non -La er
liry rounry
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Design Current
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Cattle
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
]Beef Brood Cow
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
[:]No
❑ Yes
2(No
❑ Yes
Ct No
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
Page I of 3
21412011 Continuer!

Facili Number: - • Date of Inspection: S
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes IgNo ❑ 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): 9 [rr
Q_
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 XNo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes XNo ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks) �%No
9. Does any part of the waste management system other than the waste structures require ❑ Yes ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 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 No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No riUNA ❑ NE
acres determination? TA
17. Does the facility lack adequate acreage for land application? ❑ Yes CR' Io ❑ 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 YNo ❑ 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 nee�'provement? �' ❑ Yes No ❑ A ❑ NE
aste Applicationeekly Freebo d Waste Analysis Soil Analysis �� Weather Code
Rainfall Stocking Wclop'ield 9120 Minute Inspections Monthly and I" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes DNo 0 NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No 14 NA ❑ NE
Page 2 of 3 21412011 Continued

Facility Number: - 9Date of inspection: 5-
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No [N?NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey O 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 do ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes 0 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 P(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
V 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
eNo
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
KNo
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
Y 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).
51991A013 l.5D = SG. 3a alas . �l �000
@ RD13 664
I s8 vJ i iL Q- of
Reviewer/Inspector Name:
Reviewer/Inspector Signature
Page 3 of 3
N
Phone: " j -7 1 — Sa S {
Date: o�
21412011

1 ern ©
Division of Water Quality ryRoervation
Facility Number - Division of Soil and WaterLY !3 Q f-W
0 Other Agency
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: dRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: nArrival Time: Departure Time: County: Y on Region:Q
Farm Name: L C� E 4 e-&d O aU n Owner Email: 1
Owner Name: � u U-e 5h Phone:
Mailing Address: ` �- t I 6n ! U ex- L r h u_)QQd MC, , 7 2,9
�
Physical Address: d 1 51� n `l (� tAr
Facility Contact: I A e�r Title:
Onsite Representative: Integrator:
a40 - tq is C.
Phone: 7,S a —a
Certified Operator: QL-r �� S � ba nP. i 5 n }d Certification Number:
Back-up Operator:
Location of Farm:
to S t-+ w
Certification Number:
Latitude: 3S 4 5 3 o Longitude: Ll S�
a+ t®
S41 is Ed. v 0-,v LEO tnonl l eye P� ,
©n S OLO ex sigq C```i
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
6n Lot 1( tai aDent
Wet Poultry Capacity Pop.
Layer
Non -La er
Design Current
Dry Poultry Canacitv Pon.
Layers
Non -Layers
Pullets
Turkeys
Tur ey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
Design Current
Cattle Capacity Pop. i.
■
- -
❑ Yes R No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
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 K
No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes LXNo ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3
21412011 Continued

Facili Number: jDate of Inspection: q
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: 0.5 {'-P— P r GLC
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Q
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
( Wo ❑ NA ❑ NE
❑ No ❑ NA ❑ NE
Structure 6
❑ Yes No ❑ NA ❑ NE
❑ Yes _tZNo ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environment l threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes io ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes t'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 tp No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ YesNo ❑ NA ❑ NE
maintenance or improvement? 9
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes KNo ❑ 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 Vq No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes 9No A ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes ENo ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE
Required Records & Documents r
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:
oes record keeping need i provement? I hF�ete h ❑ Yes No ❑ NA ❑ NE
Ela
ste Application [Weekly Freeboard . Waste Analysis Soil Analysis dWaste Transfers &4eather Code
Rainfall ErStocking [Crop Yield 5/20 Minute Inspections ;Monthly and 1" Rainfall Inspections El"*"wpo y
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 h No eNA ❑ NE
Page 2 of 3 21412011 Continued

Facili Number: aq- Date of Ins ection: 6
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 ❑ NoNA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of First survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes 4No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes [�, No ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes X
No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes 4No ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use awings of facility to better explain situations (use additional pages as necessary).
C-7 Cax*j e 5 J-1 ( ( an 0.l" 0-n kL M W t ?
a bXa bm-k-�On doe ao ta.
4
c) of a o 5cA C 4-e ? jo c �-
.
Reviewer/Inspector Name: Al PI 1.. Kn5e b rd 0 —
Reviewer/Inspector Signature:
Page 3 of 3
Phone:aZ g I
Date:
214/2011

Facility Number
�_2
Division of Water Quality
Division of Soil and Water Conservation 1
0 Other Agency ! `ter
Type of Visit �C./ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit (ip Routine O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: i r u
Arrival Time: Departure Time,
3 : ounty:
0 Region: tLx r
Farm Name:
O r
Owner Email:
m i, a t ?3 �/ ",00• C oq
Owner Name:
P tr
Phone:
4
Mailing Address: i�
l
� li 1,�� t U 5h I Q e L F-f!I j
L.I t�. ton A , (�
L °� 7 � 51
Physical Address: 3
1 b to; II � � , �� ��
2+�b— !S c
Facility Contact: ��
Cxx e V� t �PA— Title:
Phone No: •7 �2 ' 241(p H
Onsite Representative:
S had 1-) v �� 0 � A e-r
Integrator:
Certified Operator: V-- ho-V*-� 1, h IAP-r Operator Certification Number:
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude:ET �51 e ��� Longitude: ®° � EO"
u s s a- 5. +6 r- gs 5. -t� C� ax- 6L QA � -Q-Xi +-. e 0�- in-p 4
r ` ,wp • i on+o 614 Sa [ cs�b ur V � •. � op, -/&,, 1 SC) %L1 0" Su6't` Ie.P
Se) Deesign' �urrent ��� 0I� w t �esigd l� t`Cu t Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑ La er I I :A
❑ Non -Layer
J
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
Dry Poultry
❑ Layers
❑ Non-L a ers
❑ Pullets
❑ Turkeys
❑ Turke Poults
❑ Other
Discharges &Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: El Structure ❑Application Field El Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
[]jDairy
Cow
EQ
OLD
Dairy Calf
❑ Dairy !-Leifer
❑ Dry Cow
,aZ 0
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
c. What is the estimated volume that reached waters of the State (galleons)?
Number of Structures:
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation'?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes �No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes 0 �No ❑ NA ❑ NE
Yes ❑ No ❑ NA ❑ NE
Page 1 of 3 I2/28/04 Continued

Facility Number: a — 0 Date of Inspection a 7 t •
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 06o ❑ 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: r
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): O 4N
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes O(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 WNo ❑ 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? 0Yes ❑ 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 Oyes ❑ No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes *No ElNA ElNE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes * No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outs of Area
l �
F RUW-10i9w. -nit. �►i rail .���
13. Soil tvpe(s)
14. Do the receiving crops differ from those designated in the CAWMP?
Cl Yes
No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
❑ No
'�KNA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
o
`No
El NA
El NE
18. Is there a lack of properly operating waste application equipment?
El Yes
❑ 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):
9 I l re - s&-edeA ?
ve-.,5 , l W
i
Reviewer/Inspector Name
l r ( Phone:
Rey°iewer/Inspector Signature:
Date: i a
Page 2 of 3 � �'���-{� f� ✓ " /28/04 Continued

Facility Number: — 3 *of Inspection 1 7
Required
Records & Documents
19.
Did the facility fail to have Certificate of Coverage & Permit readily available?
es
❑ 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 El Maps El Other
21.
Des record keeping need improvement?
El Yes
qNo
❑ NA
❑ NE
Waste Application Weekly Freeboard Waste Analysis )] Soil Analysis
X
Rainfall IStocking P(Crop Yield 120 Minute Inspections onthly and I" Rain Inspections
Weather
Code
22.
14M
Did the facility fail to install and maintain a rain gauge?
❑ Yes
JtSNo
❑ NA
❑ NE
23.
if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
9dNA
❑ 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
0 NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
PfNo
❑ 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
XNo
❑ NA
❑ NE
29.
Did the facility fail to property dispose of dead animals within 24 hours and/or document
❑ Yes
No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
rr
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
[�No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
!!!
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
�dNo
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
No
❑ NA
❑ NE
Add' ' nal Comments and/or
1Drawings: �1
7 N}Qt �'� • L.C'�-x-�
Q e
ac�io? V�5 ue
v&J
1
5oi {-es C as o? C. -
s?
a{
e_ a.jAo-� 5 s
�. t w~re. p r d? a 13
--�-
a�
� r
2616,
Page 3 of 3 12128104

S�uc az%7�i0 / �r
�FactlttyNum6er
Type of Visit ACompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit WRoutine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: MlIrI101 Arrivat Time: 34 Departure Time: Q: County: YaV'Gt3a►' Region: WYK a
Farm Name: 6 4J f�A-M Owner Email: 604198 2-1 7 3O►Lq,60, Cerv�
Owner Name: Phone: Z `_2-4 73 p
Mailing Address: 2-` ,l�f S� �Cie� Loop 1�rrn'jCzc � N G Z 7Z 19
Physical Address: _31 0 �' r r �'� `'�'� o acl f• r n► J D 0 0 G Z9 1
Facility Contact: S11 q e �� jet
Title: Phone No: C —17
Onsite Representative: s�1c�^t dG� Integrator:
Certified Operator: Mask ���Rne Operator Certification Number:
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude: ©o � t 3a « Longitude: ®Q o �' ®i�
t�wr 5-Z1 S, -f„ —$r S, 4_0 G14rk 90QJ iCf14 7S o� f•�i+t�� U4
r �' i /{ t�s y 1 �Q� O •1 H �pi i e� �r� � �a 4J�ir`S 1` . � " � I � " � ` ��'� b� 4- / 7
Swine
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
.Other.
Design Current Design Current
Capacity Population Wet Poultry 'Capacity..Population-
❑ La er
❑ Non -Layer
Dry. Pot lt;y _
❑ Layers
Type of Visit ACompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit WRoutine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: MlIrI101 Arrivat Time: 34 Departure Time: Q: County: YaV'Gt3a►' Region: WYK a
Farm Name: 6 4J f�A-M Owner Email: 604198 2-1 7 3O►Lq,60, Cerv�
Owner Name: Phone: Z `_2-4 73 p
Mailing Address: 2-` ,l�f S� �Cie� Loop 1�rrn'jCzc � N G Z 7Z 19
Physical Address: _31 0 �' r r �'� `'�'� o acl f• r n► J D 0 0 G Z9 1
Facility Contact: S11 q e �� jet
Title: Phone No: C —17
Onsite Representative: s�1c�^t dG� Integrator:
Certified Operator: Mask ���Rne Operator Certification Number:
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude: ©o � t 3a « Longitude: ®Q o �' ®i�
t�wr 5-Z1 S, -f„ —$r S, 4_0 G14rk 90QJ iCf14 7S o� f•�i+t�� U4
r �' i /{ t�s y 1 �Q� O •1 H �pi i e� �r� � �a 4J�ir`S 1` . � " � I � " � ` ��'� b� 4- / 7
Swine
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
.Other.
Design Current Design Current
Capacity Population Wet Poultry 'Capacity..Population-
❑ La er
❑ Non -Layer
Dry. Pot lt;y _
❑ Layers
❑ Non -La ers
❑ Pullets
❑ Turkeys
❑ Turkey Pouets
❑ Other
Y ,
3Desigi
r he
Cattle Capaci
Dai Cow
2 CJS
El
Dairy Calf
❑
Dairy Heifer
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocker
❑
Beef Feeder
❑
Beef Brood Cow
Number;ofStruc
r
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
l
1. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
`1 of 3
h
❑ YesXo ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
[:]No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ NA
ElNE
❑ Yes
�No
ANo
❑ NA
❑ NE
12128104
Continued

Facility Number: Z — f3 4D Date of Inspection 07 1(� •
Waste Collection & Treatment **No
4. Is storage capacity (structural plus stone storage plus heavy rainfall) less than adequate? ❑ Yes ElNA [-INE
a. If yes, is waste level into the structural freeboard? ElYes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: Wl� t sSY� c'1
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 97"
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes WNo ElNA ElNE
(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 p� No ❑ NA El NE
8. Do any of the stuctures lack adequate markers as required by the permit? El Yes lXNo ❑ 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 XNo ElNA ElNE
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 XNo ❑ NA ❑ NE
ElExcessive Ponding ElHydraulic Overload ElFrozen Ground El Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs [I 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) 61.r, l 6T A,,,
13. Soil type(s)
14. Do the receiving crops.differ from those designated in the CAWMP?
❑ Yes ;ENo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ YesX, No
❑ NA
Cl 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 XNo
ElNA
ElNE
18. Is there a lack of properly operating waste application equipment?
❑ Yes�No
❑ NA
❑ NE
Comments (refer to question #): Explain anv YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use ad ' ional pages as necessary):
'50W /6%1 �ert c 0tr >!- our 1� ? Lail Goy.
3, �, oc+'� `�
cfe 1"Mff►'�d- 1p�Ly �Rr7�?
G+^ l !. �oJ ,.� of � AV1.5i�).
/'ev :dl �/°_'`` J
,'� '�
i/
I'"- r�f�LC�T'"✓I
Pin
w
Reviewer/Inspector Name q { ; GK 1V L�
Phone: 7 7�
Reviewer/Inspector Signature:
Date: D 1 S Z•D 10
Page 2 of 3 12128104 Continued

Facility Number: Z — /3 l30of Inspection !
Required
Records & Documents
19.
Did the facility fail to have Certificate of Coverage & Permit readily available?
Xyes ❑ No
❑ NA
❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes. check
El Yes XNo
❑ NA
ElNE
El[:3❑ Design ❑Maps ❑Otherthe appropriate box. WDP Checklists
21.
Does record keeping need improvement?
El Yes ❑ No
❑ NA
❑ NE
U waste Application 11Y1 Waste Transfers
ly Freeboard Waste Analysis So�i,,l
Analysis
,�,/
Rainfall P Stockin/ngg��
�CllropYieldI" Rain Inspections leweather Code
l;Q ER onthly and
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
XNA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ YesXNo
❑ 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 No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yeso
```"`'''
El NA
El 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 Z�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 JNo
❑ 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)
1,_,�
32,
Did Reviewer/inspector fail to discuss review/inspection with an on -site representative?
❑ Yes �1 No
❑ NA
EllNE
33.
Does facility require a follow-up visit by same agency?
El Yes ) l No
❑ NA
❑ NE
Additional Comments and/or Drawings:
V&-<
� Na any,
/HCGTCi� •�1 -r0% r R/]�il7flJ rrJH �J
2r, �ee
Page 3 of 3 12128104

OF'ERRTION BRANCH - l�C�, Fe.x,:y19-71;-60.4� Jul 19'195 _ 10:19 P.09/13
S! l b Y L71 l A!1 i0 7uJlrLij
n,kTp-., - / Z 1995
owner; - ,yr_ -. ., --s trpanriam :'
County-, a ..
Agent vlsi slim c: ��'�--- Phone; ._
Ca Site Ra�sl tntlLlvt►: _ ._, Pham - _
r1,ystaal Addree,,l - c lf% -42.'V% S� ' „_..._
MuIN01 Mdr=!-
Ty" of Armmtia9, ,Syrina ,i'onitry cmia
I?r al&n Ctpo�� Numtar of AnImal.1 an ,tie:.r
Typo of Invo0co: (Ir mnd Amial
crmle Ycq or 1,40
Dcca the Aidari Waste Wonn h4y,3 rupRicut accLunrd yr I i=o% r 15 ycw24 hgnr ttq:pm svaat
(appro im mly I Foot + 7 :%Ia Aflual rvr c� ieM: 5 17-6et ImbM
Per fhrslWax w11b mom than me;arAm, VIM* address the otltcr 10600m, frcelml vndor N
cvIrglycllts sc-4,nn.
Was any r.�pagc 03erred >:-uni 0-e Fagcoii(.m}? Ye9 Nn, ;�s �>>t;ce aro�;oR of tho dM1mi: Xs� Na
Is adcquctc lard avbRmblir far lsrd applicaukm? Yes r No Is the toyer emp ;dtgaatti:7 Yes No
Additiutta�Calz;mer�t�t CS' esf` rr __��,__,_,.,,,
Fir. to [phone] of AguXt

Facility Number 13
Division of Water Quality •W
Division of Soil and Water Conservation z a
Q Other Agency 11
Type of Visit ACompliance Inspection O Operation Review O Structure Evaluation Q Technical Assistance I
Reason for Visit � Routine Q Complaint 0 Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: `AQ Arrival Time: Departure Time: + County: Region:
Farm Name: WnQ l r �O[i' Nir Owner Emaiiff.: OYi � 1 @i
Owner Name: e 114 h i? 5 id ev- Phone: l W 25-
.2— '� 7
Mailing Address: N C z g 9
nD� j
Physical Address: _ 3„10 w f (I - S n Id w Pj
Facility Contact: Shakl e SV) 1Ae,� Title: Phone No: �5 _ 2-qq to
Onsite Representative: S h" P_// S nTder Integrator:
Certified Operator: Q.r V— l S �IGt e) IQ Operator Certification Number:
3
Back-up Operator:
Location of Farm:
Back-up Certification Number:
VV-1 I Iy9
Latitude: 3S MT [0
u s sa s . +o I -ss SS, ~%a C-10A- e '� t ,
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
❑Non -La et
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ urkey Poults
❑ Other
Discharp_es & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State'? (If yes, notify DWQ)
Longitude: ®° ®�
W� a-+ -to of rat_a
415-P L� f° j tov b I i
Design Current
Cattle Capacity Population
DQ Dairy Cow
O
Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co
c. What is the estimated volume that reached waters of the State (gallons)?
Number of Structures: DQ
d. Does discharge bypass the waste management system'? (If yes, notify DWQ)
2. is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
1
❑ Yes No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes P(No ❑ NA ❑ NE
Yes ❑ No ❑ NA ❑ NE
I 12128104 Continued

Facility Number: ;F 3 • Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes �No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No ❑ NA ❑ NE
1 Structure�2 Structure 3 Structure 4
Structure 5 Structure 6
!Structure
/A Identifier: r fn-ck—
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes [jNo ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
ElYes ElNA ElNE
jNo
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? El yes *o ❑ NA ElNE
8. Do any of the stuctures lack adequate markers as required by the permit? ElYes 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 El NA El NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes o ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ YesET/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 Drifi ❑ Application Outside of Area
i
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? [:]Yes
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement? El Yes
VNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
❑ No
XNA
❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes
O(No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes TKNo ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/Inspector Name , V^ () Phone:
Reviewer/Inspector Signatur . 6 1 i AAA J Date:
_ " �IC A 12128104 - �continued
�J`�4`"""a-4pV. 49P
o

Facility Number: a — Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
❑ Yes 1P No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
21. Does ecord keeping nee�ZwecklyFreeboard
vement? If❑ Yes M<O ❑ NA ❑ NE
Does
A licati �I20
asteAnal sisZSoi�lAnalysis Waste Transfers alien
p)'Y,�, �
Rainfall Locking Crop YieldinuteInspections L1{lonthly and 1" Rain Inspections eather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative'?
33. Does facility require a follow-up visit by same agency?
❑ Yes
0E]No
ElNA
ElNE
❑ Yes
NNA
❑ NE
❑ Yes
❑ NA
❑ NE
❑ Yes
❑ No
XNA
❑ NE
❑ Yes
A No
❑ NA
❑ NE
❑ Yes
r%No
❑ NA
❑ NE
❑ Yes
MINo
❑ NA
❑ NE
❑ Yes
0 No
❑ NA
❑ NE
❑ Yes
�No
❑ NA
❑ NE
❑ Yes
*o
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
t$,No
❑ NA
❑ NE
Ad al Comments and/or Drawings:
a ado z
`
O
oq m a,� lbs. ��l000
Page 3 of 3 12128104

Dtvtsion of Water�Qual r<
yFac�l>ty Number ' tvts on of Soil an&Wate _conservation =
— — - 0!`btfier Agencu "' t►'"
Type of Visit C pliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit TRoutine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival IIime: ' eparture Time: % ounty: 0 h Region: _C_-S1Z
Farm Name: Farm Owner Email:
Owner Name: �Y Phone: VJ-7 G a F&I 3_
+ i N C 7� 9
NTaiiing Address: l
Physical Address:
Facility Contact:
Title:
Onsite Representative: S t o-n e— Sn I(\4e�
Certified Operator:t
Back-up Operator:
T Sa - aµq
Phone No: _r a40 -- 1!3-:Er-
Integrator:
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: Longitude: ® ° o 1W
CrA II u_ r3,JLA _ �.1 _ _ --,ar- n _ _ 1 S�"•'rJJ fib'-¢- -`" `7( JJ
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Design Current Design CurrYnt
Capacity Population Wet Poultry Capacity Population
❑ Layer
❑ Non-Layet
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
Dairy Cow
3
El Dairy Calf
❑ Dairy Heife3
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? (1f yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system'? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes 4No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
12128104 Continued

Facility Number: — • Date of Inspection O
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
L Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: U_)0"5+2 P01\
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
S. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ko ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.) l
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes )yJ[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 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 9 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 jNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes KNo ❑ 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.) J
❑ 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 ElApplication Outside of Area
12. Crop type(s) V U-
13. Soil type(s) 0 L
14. Do the receiving crops differ from those designated in the CAWMP?
15. Doeg the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment? ❑ Yes
A No ❑ NA ❑ NE
No ❑NA ❑NE
No ❑ NA ❑ NE
No El NA ONE
XNo ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/inspector Name s ILDate:
e: S
Reviewer/Inspector Signature: ( 0

Facility Number: — ,ate of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑Yes U11 o ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check El Yes No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
21 record keeping need im=Nkly
ment? If yes check the appropriate box below. ❑ Yes MINo ❑ NA NE
.Does cod p g � /� ❑
❑ Waste 4lication ❑ Fre board ❑ WasWAnalysis ❑ SoiV nalysis �rrtrrsfers ' n
❑ Ra Call ❑ Sto ig ❑ Cror eld ❑ 12V'f/inute Inspections ❑ Molwhty and 1" Rain Inspections ❑ wdwe er Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes C No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? El Yes ❑ NoNA ❑ 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? El Yes //❑ No t4NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes 1$ No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes /KNo ❑ NA ❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
Apo
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
No
9
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
'KNo
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
9No
❑ 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
O(No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
ff No
❑ NA
❑ NE
Additional Comments and/or Drawings:
a, �00 7 Si re5ul+S CAL
of ortf r e* bt, ,b
� ark �9� aa©
job rife a.naly s r 5 5
12128104

0 •
0 Division of Water Quality
❑ Division of Soil and Water Conservation,
❑ Other Agency
Facility Number: 290013 Facility Status: Active Permit: AWC290013 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine _ County: Davidson Region: VVV Aston -Salem
Date of Visit: 01/30/2007 Entry Time:09:05 AM_ Exit Time: 10:15 AM__ Incident #:
Farm Name: Long Meadow Farm Owner Email:
Owner: QIvde SnideE- _
Mailing Address: 241 Will Snider Rd _ Qnwood NC 27299
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Phone: [phone]
Location of Farm: Latitude: 35°45'30" Longitude: 80° 5'48"
1-85 South to Clark Rd. exit. Turn right at ramp. Turn left onto Old Salisbury Road. Right onto Hwy 150. Turn left onto Jubilee Road.
Turn left onto Sowers Rd. Right onto Will Snider Rd. After 3110 mile, farm is on left.
Question Areas:
Discharges & Stream Impacts
Records and Documents
Certified Operator: Mark S Snider
Secondary OIC(s):
Waste Collection & Treatment Waste Application
Other issues
Operator Certification Number: 20993
On -Site Representative(s): Name Title Phone
On -site representative Shane Snider Phone: [phone]
24 hour contact name Shane Snider Phone: [phone]
Primary Inspector: Melissa Rosebrock Phone: I
&4
Inspector Signature: ! �1�/ n , Date: 1301 0 7
Secondary Inspector(s):
Inspection Summary:
3. & 9. Fencing projects for cattle lot to be completed by May 1, 2007, Evidence of sediment/manure run-off into draw and pond. Need
to move hay ring back up the hill from pond.
21. 2006 soil test results ok,
Page: 1

�J
•
Permit: AWC290013 Owner- Facility: Clyde Snider Facility Number: 290013
Inspection Date: 01/30/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Cattle
Q Cattle -Milk Cow 175 125
Total Design Capacity: 175
Total SSLW: 245,000
Waste Structures
Type Identifier Closed Date Start Date Designed freeboard Observed Freeboard
Dry Stack DRY -STACK
aste Pond WSP 18.00 66.00
Page: 2

0 •
Permit: AWC290013 Owner -Facility: Clyde Snider Facility Number: 290013
Inspection Date: 01/30/2007 Inspection Type: Compliance Inspection Reason for Visit: 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? ❑ ■ ❑ ❑
b. Did discharge reach Waters of the State? (if yes, notify OWQ) ❑ ■ ❑ ❑
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 Application
Yes
No
NA NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
Cl
■
❑ ❑
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)?
❑
Page: 3

Permit: AWC290013 Owner - Facility: Clyde Snider
Inspection Date: 01/30/2007 Inspection Type: Compliance Inspection
Facility Number : 290013
Reason for Visit: Routine
Waste Appli.catiors
Yes No NA NE
PAN?
❑
Is PAN ? 10%/10 lbs.?
❑
Total P205?
❑
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
Com (Grain)
Crop Type 3
Corn (Silage)
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?
❑ ■ ❑ ❑
18. Is there a lack of properly operating waste application equipment?
❑ ■ ❑ ❑
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.
W`U P?
❑
Page: 4

Permit: AWC2430013 owner- Facility: Clyde Snider
Facility Number: 290013
Inspection Date: 01/30/2007 Inspection Type: Compliance Inspection
Reason for VisIt: Routine
Records and Documents
Yes
No
NA NE
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?
D
Transfers?
❑
Rainfall?
❑
Inspections after > 1 inch rainfall & monthly?
❑
Waste Analysis?
❑
Annual soil analysis?
❑
Crop yields?
❑
Stocking?
D
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)? ❑
■
❑ ❑
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?
❑
■
❑ ❑
ry
Otherlssues T @5 NO HA
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.
Page: 5

Permit: AWC290013 Owner - Facility: Clyde Snider
Inspection Date: 01/30/2007 Inspection Type: Compliance Inspection
Other Issues
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?
33. Does facility require a follow-up visit by same agency?
Facility Number : 290013
Reason for Visit: Routine
Yes No NA NE
❑ ■ ❑ ❑
❑ ■ ❑ ❑
❑ ■ ❑ ❑
Page: 6

Facility Number I o?
Division of Water Quality'
Division of Soil and Water
Q Other Agency
14m
Type of Visit P Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit O(Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: d b Arrival Time: (;S
Departure Time: County: D4-y 1A So V1 Region: S ��
Farm Name: O no e-&d
o UJ — _Far YYj
Owner Email:
Owner Name: G� 4 �-
J r t a
Phone: 7 S A- a
G '7-3 I t=a-f-M l
Mailing Address: a
Lt-)l Ll
c;h IGie_4_
RQCJ , Lr'n W0O
a -7
Physical Address: 3 0[.�
.' I,l 5 n
e.�_
F�T 1 r) w 6nj C_
-7Sa- a 14
Facility Contact:
Title: Phone No:
-
S h Iae-C
�~
Onsite Representative: J�QXI�
Integrator:
Certified Operator: n`i Q-rr" Operator Certification Number:
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude: I �� I 0 Longitude: RNOM �
us 1 la r K . e.X 1-� T2-. 4{ o r
T L oll{�o D o SQ.l i s bu N. TV- o n.� LSO . TL o fo -'u�o t
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Boars
Other
❑ Other
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
l ❑ Layer
❑ Non -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turke s
❑ Turke Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
Design Current
Cattle Capacity Population
Dairy Cow
a 0-5'-
1 :Z!5-'
El Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
c. What is the estimated volume that reached waters of the State (gallons)?
Number of Structures:
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page I of 3
❑ Yes �No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA ❑ NE
❑ Yes
-No
ElNA ElNE
Xyes
❑ No
❑ NA ❑ NE
12128104
Continued

Facility Number: ;1 — 3 • Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes tNo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No ❑ NA ❑ NE
w
Structure{1 Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
e� Identifier: CL-) ST
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 P'No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes Wo ❑ 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? 14
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need El Yes No ❑ NA ❑ NE
maintenance/improvement? i
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
' dKo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
❑ No 9 NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
[gNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
VNo
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):
.
/ st
AA
+
�
o
Reviewer/Inspector Name I
Phone: ca
Reviewer/Inspector Signature.
Date:
Page 2 of 3 ' r L 12128104 ' Continued

Facility Number: Q 9— (3 'Rate of Inspection l O 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 ❑Maps ❑Other
21.
Does record keeping need i rovement? , ,.,_,�f We
❑ Yes XNo
❑ NA
❑ NE
kyWaste Application eekly Freeboard (L� to Analysis D161 Analysis L`1 Waste
Transfers
Rainfall 19/stocking ❑Crop Yield Ionthly and I" Rain Inspections 2 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
O�NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit? OC-• O a
❑ Yes No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes ❑ No
[;eNA
❑ 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 CXNo
❑ NA
❑ NE
Other Issues .• • ,
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
VLNO
❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
L]9,No
El NA El 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
ko
❑ 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
El NA El NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
[yNo
❑ NA ❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes )xNo
❑ NA ❑ NE
Additional Comments and/or Drawings:
on I ) A 0 0 2
J Foy 1'0 to 4siv- sa. � lc ? Lc4 S ora e_ K • 3 t hs . NjJ Td r\1
Page 3 of 3 12128104

0 Division of Water Quality
Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 290013 Facility Status: Active Permit. AM290013 ❑ Denied Access
Inspection Type: Compliance I05pection _ Inactive or Closed Date:
Reason for Visit: Routine _ County: Davidson Region: Winston-Salem
Date of Visit: 11 /1612006 Entry Time:09:20 AM Exit Time: 11:00 AM
Farm Name: Long Meadow Farm
Owner: Clyde Snider
Incident #:
Owner Email:
Mailing Address: 241 Will Snider Rd Linwood NC 27299
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Phone: [phone]
Location of Farm: Latitude: 5°4 ' Longitude: 80"25'48"
1-85 South to Clark Rd. exit. Turn right at ramp. Turn left onto Old Salisbury Road. Right onto Hwy 150. Turn left onto Jubilee Road.
Turn left onto Sowers Rd. Right onto Will Snider Rd. After 3110 mile, farm is on left.
Question Areas:
Discharges & Stream Impacts
Records and Documents
Certified Operator: Mark S Snider
Secondary OIC(s):
Waste Collection & Treatment Waste Application
Other Issues
Operator Certification Number: 20993
On -Site Representative(s): Name Title Phone
On -site representative Shane Snider Phone: [phone]
24 hour contact name Shane Snider Phone: [phone]
Primary Inspector: M i sa osebrock Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
3. Suggest completing proposed fencing projects to reduce run-off of sediment and nutrients.
9. Cattle lot is still denuded but cattle have been removed recently so it should improve.
21. Don't forget to obtain 2006 soil test samples and waste sample for this Fall.
24. Calibration not due again until Oct. 2008.
Page: 1

• •
Permit: AWC290013 Owner - Facility: Clyde Snider Facility Number: 290013
Inspection Date: 11116/2006 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Cattle
Cattle -Milk Cow 175 130
Total Design Capacity: 175
Total SSLW: 245,000
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
Dry Stack DRY -STACK 48.00
aste Pond WSP 1&00 102.00
Page: 2

F"
•
CJ
Permit: AWC290013 Owner -Facility: Clyde Snider Facility Number : 290013
Inspection Date: 11/16/2006 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts
Yes
No
NA
NE
1. Is any discharge observed from any part of the operation?
❑
■
❑
Cl
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 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 (Le./ 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 Application
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)?
❑
Page: 3

o
•
Permit: AWC290013 Owner - Facility: Clyde Snider
Facility Number: 290013
Inspection Date: 11/16/2006 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
n
Is PAN > 10%110 lbs.?
n
Total P205?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
n
Evidence of wind drift?
Application outside of application area?
❑
Crop Type 1
Fescue (Hay, Pasture)
Crop Type 2
Small Grain (Wheat,
Barley; Oats)
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
n
■
n
D
Plan(CAWMP)?
15, Does the receiving crop and/or land application site need improvement?
n
■
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
❑
■
D
D
17. Does the facility lack adequate acreage for land application?
D
■
D
D
1 B. Is there a lack of properly operating waste application equipment?
D
■
D
D
Records and Documents
Yes
No
NA
NE
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?
n
■
D
D
If yes, check the appropriate box below.
WU P?
D
Page: 4

0 0
Permit: AWC290013 Owner - Facility: Clyde Snider Facility Number: 290013
Inspection Date: 11/16/2006 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
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)?
❑
■
❑
❑
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?
Cl
■
❑
❑
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 fl ■ fl ❑
Quality representative immediately.
Page: 5

•
•
Permit: AWC290013 Owner - Facility: Clyde Snider
Facility Number : 290013
Inspection Date: 11/16/2006 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?
n
■
1)
n
32. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
n
■
n
n
33. Does facility require a fallow -up visit by same agency?
n
■
Cl
n
Page: 6

Division of Water Quality
Facility Number Division of Soil and Water Conservation ,
- - - — O Other Agency 3 0 Pvm
Type of Visit C mpliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: 11 l Arrival Time: Departure Time: b County: Q Region: Sb,6
Farm Name: ou MuLaou:> ra-y-rn Owner Email:'
n �
Owner Name: C U 0- S h t A Phone: {O �_,3Q Fn rim
Mailing Address: NA� i 1 I b i11'i I ke'r R=op�a l L. I n Loo A, POC
Physical Address:
S 0. Qi�If .tl Sa
Facility Contact: Phone No: -7
C
Onsite Representative: �hQY�P J rl tIntegrator:
Certified Operator: +' `Q� n 5 ' V n 1 �"r _ Operator Certification Number:
Back-up Operator:
Location of Farm:
u5 !}w�( a Sooth � $57 St
onto 01A Safi s 6u ry rid
T-i , A llI+f-\
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gifts
Boars
Other
❑ Other
Latitude:
Hh -bD c6x �RA
T P, o n-�o , 'y-)�
ET
Back-up Certification Number:
E� ag 11 Longitude: ® ° PE�1' E�Y
e x I t 4- t P_ at iq o f rr-c_v(_,P , TL.
J �q . TL';� P n to To Iqi [tee 2d
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
�I ❑ Non -La er
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ urkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
Design Current
Cattle Capacity Population
Cow
_qDairy
LJ Dairy Calf
❑ Dairy Heifer
E]Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
c. What is the estimated volume that reached waters of the State (gallons)?
Number of Structures: Flj�
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes] No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
El Yes
El No
El NA
❑NE
❑ Yes
)6 No
❑ NA
❑ NE
❑ Yes b6No ❑ NA ❑ NE
Page 1 of 3
12128104 Continued

r�
Facility Number: —131 so Date of Inspection
_4
Waste Collection & Treatment
❑
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
Yes
I No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure
5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
&o ❑ 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 ElNA ElNE
I
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
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?
It. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
No ❑ NA [:IN E
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu,
Zn, etc.)
❑ PAN [--IPAN > 10% or ] 0 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Winnow ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
No ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No ❑ NA
❑ NE
16. Did the facility 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
❑ 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):
1
Review� rr/Inspector Name I �� f T Phone: s2$
Reviewer/Inspector Signature. Date: b
Page 2 of 3 12128104 Continued
I-lis�ae , rosabrOC��-� ne MQl .net

Facility Number: — 3 ate of Inspection O
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 fo ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design El Maps [I Other �(No
21. Does record keeping need impr vement? ❑ Yes ❑ NA ❑ NE
PRainfall
aste Application Week Freeboard 0 Waste Analysis S;Zonthly
lysis Wqs e Transfers
fail9- fo wSP Stocking Crop Yield and 1" Rain Inspections �ZZ'Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes XNo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes El No XNA ElNE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ElYes 0No ❑ NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ❑ No JXNA El NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes U'No //❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ❑ No XNA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes 0 No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes jNo ❑ NA ❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes �(No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by ❑ Yes No ❑ NA ❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes No ❑ NA ❑ NE
33. Does facility require a follow-up visit by same agency? ❑ Yes /`10 ❑ NA ❑ NE
Additional Comments and/or Drawings:
aoo<em
of 3 1 12128104

Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number; 290013 Facility Status: Active Permit. AWC290013 ❑ Denied Access
Inspection Type: Comol[ang Inspection Inactive or Closed Date:
Reason for Visit: RoutioeCounty: Davidson Region: ]t nston-Salem
Date of Visit: 11/30/2005 Entry Time: Q%30 AM Exit Time: 11:00 AM Incident #:
Farm Name: Lono Meadow FagD _ Owner Email:
Owner: Clyde Snider
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
��kI•'] S'1•���ti'L��
Location of Farm: Latitude: 35°45'30" - Longitude: 80°2548"
1-85 South to Clark Rd. exit. Turn right at ramp. Turn left onto Old Salisbury Road. Right onto Hwy 150. Turn left onto Jubilee Road
Turn left onto Sowers Rd. Right onto Will Snider Rd, After 3/10 mile, farm is on left.
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other Issues
Certified Operator: Mark S Snider Operator Certification Number: 20993
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
On -site representative Shane Snider Phone: [phone]
24 hour contact name Shane Snider Phone: [phone]
Primary Inspector: Melissa Rosebrock Phone: [phone]
Ext.383
Inspector Signature:
Secondary Inspector(s):
Date:
Inspection Summary:
9. Need to fence cattle out of denuded lot area and re -seed.
21. Waste pond has not been pumped in the last 1.5 years. Operator is hauling only solid manure.
21. Soil samples were taken to Raleigh before Thanksgiving and operator is awaiting results. Check next visit.
21. Operator had recorded waste applications for this Fall but had not completed a PAN balance on the Solid-2 form. Check next visit.
Page: 1

• •
Permit: AWC290013 Owner -Facility: Clyde Snider
Inspection Date: 11I3012005 Inspection Type: Compliance Inspection
Facility Number: 290013
Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Cattle
O Cattle - Milk Cow 175 120
Total Design Capacity: 175
Total SSLW: 245,000
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
ry Stack DRY -STACK
k1ste Pond WSP 18.00 60,00
Page: 2

Permit: AWC290013 Owner -Facility: Clyde Snider
Facility Number :
290013
Inspection Date: 1113012005 Inspection Type: Compliance Inspection
Reason for Visit: 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?
❑
■
❑ ❑
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?
❑
■
❑ Cl
3. Were there any adverse impacts or potential adverse impacts to Waters of the State
other than from a ❑
■
Cl ❑
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?
❑
■
❑ ❑
S. 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 Application
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)?
11
11
Page: 3

Permit: AWC290013 Owner -Facility: Clyde Snider
Inspection Date: 11130/2005 Inspection Type: Compliance Inspection
Facility Number : 290013
Reason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
❑
Is PAN > 10%110 lbs.?
Q
Total P2O5?
❑
Failure to incorporate manurelsludge into bare soil?
Q
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1
Corn (Silage)
Crop Type 2
Fescue (Hay, Pasture)
Crop Type 3
Small Grain (Wheat,
Barley, Oats)
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?
Q
■
❑
❑
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?
Q
■
Cl
❑
18. Is there a lack of properly operating waste application equipment?
❑
■
❑
Q
Records and Documents
Yes
No
NA
NE
19, Did the facility fail to have Certificate of Coverage and Permit readily available?
Q
■
❑
❑
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: AWC290013 Owner- Facility: Clyde Snider Facility Number: 290013
Inspection Date: 11/30/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yes
No
NA
NE
Checklists?
❑
Design?
❑
Maps?
❑
Other?
❑
21. Does record keeping need improvement?
❑
■
❑
❑
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
Cl
Weather code?
❑
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
❑
Inspections after > 1 inch rainfall & monthly?
❑
Waste Analysis?
Cl
Annual soil analysis?
❑
Crop yields?
❑
Stocking?
❑
Annual Certification Form (NPDES only)?
Cl
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)?
❑
■
❑
❑
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
❑
■
❑
❑
Quality representative immediately.
Page: 5

Permit: AWC290013 Owner - Facility: Clyde Snider
Inspection Date: 11/30/2005 Inspection Type: Compliance Inspection
Other Issues
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
32. Did Reviewernnspector fail to discuss review/inspection with on -site representative?
33. Does facility require a follow-up visit by same agency?
Facility Number: 290013
Reason for Visit: Routine
Page: 6

+Facility Number c2 E
3
I -
Type of Visit
Reason for Visit
Division.of Water. Quality ;
Division `of Soil and Water Co et vatiba
D Otliier Agency l :JQ r7F`
Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Q O Arrival Time: Fuff —3-01 Departure Time: ® County: y V Region: V
,, d
Farm Name: i � _v 4 w Owner Email: D- 5n iAe row6y1c. t)e--+
Owner Name: - SnJejr {] Phone: —7 �` °�"� 7Farn4_
Mailing Address: �� _i_� � S n l 6A� t`-'� L i n wood 1 Nc., A 7 a 9
} I ,
Physical Address: 3 1 �;�I �,i �� ��� t LI n:�a3 onot .4T�
Facility Contact: k ld$m:
Onsite Representative:
Certified Operator: �+ �� _ S nt a e c
Back-up Operator:
Phone Nv� ,, 75 . ! .2, y qk
lei a - [R 1s
Integrator:
Operator Certification Number: 1� 099 3
Back-up Certification Number:
Location of Farm: Latitude: E2T N3' M« Longitude: ED°
f-, 5 07 to .�o Do
1�+0SiSallsbu"� - rn t
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
_ [--]Layer
I❑ Non -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
Design Current
Cattle Capacity Population
Daia Cow
I a 0
0
LJ
DaiEZ Calf
❑
Dairy Heifer
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocker
❑
Beef Feeder
❑
Beef Brood Cow
c. What is the estimated volume that reached waters of the State (gallons)?
Number of Structures: W
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes 4No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes �No ❑ NA ❑ NE
❑ Yes XNo ❑ NA ❑ NE
1128104 Continued

Facility Number: —L3 Date of Inspection ! I I
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes )kNo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? El Yes El No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
1
Y Identifier: WA,$k Oft Al
I X) Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Loo
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 Wo ❑ 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 rNo
o ❑ NA ❑ NE
8_ Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require -dyes ❑ 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 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 V,No
El NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes *0
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination, El Yes ❑ No
XNA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes VNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes XNo
❑ 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):
joa Lk EMI Snd .er
Reviewer/Inspector Name Phone: 1 —m
Reviewer/Inspector Signature: Date: f
77/7R/l1Q !"ns�lis�uod
O

Facility Number: — D#' 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 El NA ❑ NE
the appropirate box. ❑ WDP ❑ Checklists ❑ Design El Maps ❑Other IX
21. Doe record keeping need improvement?-49}; ✓check the appropriate �Zcil
elow. ❑ Yes �No ❑ NA ❑ NE
Waste Application Weekly Freeboard ❑ Waste Analysis
nalysis l Cwif=-ett
Rainfall l� Mocking Crop Yield t '^ "'= onthlv and i " Rain Inspections Weather Code
bnkq v
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
1
24. Did the facility fail to calibrate waste application equipment as required by the permit?00. (0 ❑ Yes
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern'?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit'? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
Additional Comments and/or Drawings:
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ No
VNA
❑ NE
No
❑ NA
❑ NE
No
�NA
❑ NE
0�qo
❑ NA
❑ NE
❑ No
�NA
❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
El NA El NE
❑NA ❑NE
❑NA El NE
40
ai .¢aM,�eei� Ati U
12128104

ivision of Water Quality
Division of Soil and Water Conservation
O Other Agency
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit OO Routine O Complaint O Follow up O Emergency {Notification O Other ❑ Denied Access
Facility Number 29 13 Date of Visit: 3/29/2004 Time: 1200
O Not O erational Q Below Threshold
® Permitted ® Certified © Conditionally Certified [3 Registered Date Last Operated or Above Threshold:
Farm Name: i.Qo9.M.eadt2►r..Eat:m...................................................County: RuAsaR................................ ?'.4'SR0--•---
Owner Name: CiYile_._-----------_--.-,tlldgr------•-----_---•------------ Phone No: 3b_252c2tt23--------•---------------------
Mailing Address ...-. Li>AY.�m d.NC...........................
..1,....t.. jai.dux.�ioa.d................................................................................................... ZU959 ..............
Facility Contact: MUX(Shatte,.Slnider.........................Title:............................................... Phone No: 33.6,752,2496.................
Onsite Representative: S14�OP_SRlS1�T----------------•-----•----------•---- lntegrator:----•--------------------------------------.
Certified Operator:lY.1a][)i.S.................................. saidf'r ............................................... Operator Certification Number:20.9Q .............................
Location of Farm:
1-85 South to Clark Rd. exit. Turn right at ramp. Turn left onto Old Salisbury Road. Right onto Hwy 150. Turn left onto A,
)ubilee Road. Turn left onto Sowers Rd. Right onto Will Snider Rd. After 3/10 mile, farm is on left.
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 1 35 • 45 4 30 Longitude SO " 25 6 48 °
Design Current
Swine Canacitv Ponulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacitv Population Cattle Capacity Population
❑ Layer I I 1119 Dairy 205 120
❑ Non -Layer I JE1 Non -Dairy
❑ Other
Total Design Capacity 205
Total SSLW 287,000
Number of Lagoons 0
-Holdinpr Ponds I Solid Trans
Discharp_es & 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: _:._1)haste.Pond.... ........................... --•--•-----•--•--•--•--•----------------------------- •-----•--•--•-----•-----•--...........................
Freeboard (inches): 84
12/12/03 � �. � �!!� �`� Continued

Facility Number: 29-13 hate of Inspection 3/29/2004
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type " Corn (Silage & Grain) Fescue (Graze) Small Grain (Wheat, Barley,
❑ Yes ® No
❑ Yes ® No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
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
® No
c) This facility is pended for a wettable acre determination?
❑ Yes
® No
15. Does the receiving crop need improvement?
❑ Yes
N No
16. Is there a lack of adequate waste application equipment? ❑ Yes N 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 N No
19. is there any evidence of wind drift during land application? (i.e, residue on neighboring vegetation, asphalt, ❑ Yes N 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 N No
Air Quality representative immediately.
Comments (refer to question#): Explain any YES answers and/or any recommendations orany other comments:"
Use.drawings of facility to better explain situations. (use additional pages as necessary): ❑ Field Copy N Final Notes
I. New fencing and buffers look much better. Cattle still have access to creek in some spots but these are not a water quality concern at
his time.
?. Pumping station area is to be seeded.
1/7/04 waste analyses:
Lot=4.5 lbs. N/ton
3table-6.8 lbs./ton
LSD=0.14 lbs. N/1000 gal.
Reviewer/]nspector Name 'Melissa Rosebrock
Reviewer/Inspector Signature:
Date: .3/ 6�,
12112103 Continued

Facility Number: Z9.-13 Oe of Inspection 3/29/2004 0
Reuuired 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
OR 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 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.
Additional Comments and/or Drawings:
T
12112103

i ono of Water Ouality
siort of So an Water.Co ry Soil d' reservation ,f
>< O Other Agency 3 0 Y/ ! /
Type of Visit P Compliance inspection O Operation Review O Lagoon Evaluation
Reason for Visit 'A Routine Q Complaint Q Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: a ime:
Q Not O erational Q Below Threshold
Permitted 0 Certifiedj[] Conditionally Certified ❑ Registered Date Last Operated or Abov Threshold: .........................
(io yy f n d r County: n
Farm Name: ...............!.t.......!.!..1...........�......iM��44....... �.....�................................... _.....�.�..�.....�....r�.0.1...1................._.........-------
Owner Name:........! ..... . ....... . n U �� Phone No: �,.'3.� 1..� z a� 73.......
Mailing Address: .......'A.. . ...........l..l......n.1.......a_ �r1.Y1. _.,> ..............a. �.Z....L
Facility Contact: ..Cd..n�.........+.............................................. Phone No:..�`1..:...7:z......'?q r�
Onsi a ..Shane 5.4q.. --
._ Integrator: .. . . ........
.............
I/
Certified Operator: a'r l� S n..� de.,( ................. Operator Certification Number:............Q 33 ..
................................... 6...... ...................
Location of Farm:
❑ Swine ❑ Poultry Cattle ❑ Horse Latitude ' ®66 Longitude • =1 11
: :Design Current Design Current .. _ Design Current
Ca act Po- ulatioii: Poultry T -Capacity Population, , `C the - Capacity 'Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Nariber.of Lagoons
-< HMdind Prinrlc / Criliii Traiilc
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
I b. If discharge is observed. did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
14
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
❑ Yes KNO
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes KNO
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes o
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? Spillway ❑ Yes
o
1 S ct e 1 S ucture 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ..l[.�1.. n ._c........................................................................ ...... ...........................................................
Frechoard (inches):
12/I2103 Continued

Facility Number. — 0 Date of Inspection Q
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
S. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ PAN q Hydraulic Overload ❑ Frozen Ground
12. Crop type
13. Do the recei
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
Air Quality representative immediately.
❑ Yes KNO
❑ Yes )(No
❑ Yes W'
No
❑ Yes No
❑ Yes N10
❑ Yes No
ElYes No
❑ Yes XNo
❑ Yes J'No
❑ Yes _kNo
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes No
. Comments.,ii. fer to question#) Ezplain any YES answers and/or any recommendations ona y Other comments . _ .
Use draw�ngs'of facility to better explain "setaatiotLs. (nse acldititinal pages`as necessary): Y t field Copy Final Notes
- Zc
`
[ 4L o+
o - 1� !�-5 . N/moo
aoo3 � o--�.. .
LelAk;�*
Reviewer/inspector Name ?_
Reviewer/Inspector - Date:
Signature:
12112103
i
r
Continued ,

Facility Number: — to of Inspection
40
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
23. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
25. Did the facility fail to have a actively certified operator in charge?
25. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
2$. Does facility require a follow-up visit by same agency?
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
NPI)ES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
32. Did the facility fail to install and maintain a rain gauge?
33. Did the facility fail to conduct an annual sludge survey?
34. Did the facility fail to calibrate waste application equipment?
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After I" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
❑ Yes )(No
ElYes o
❑ Yes No
❑ Yes ❑YesIZO
[-]Yes o
❑ Yes No
❑ Yes o
ElYes 7No
❑ Yes XNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
12112103

I Assistance Site Visit Re
® DiMon of Soil and Water Conservation
O Natural Resources Conservation Service
O Soil and Water Conservation District
O Other...
Facility Number 29 - 13 Date: 8114103 Time: 1 11:00 j Time On Farm: 85 WSRO
Farm Name Long Meadow Farm County Davidson
Phone: [phone]
Mailing Address 241 Will Snider Road Linwood NC 27299
Onsite
Representative Mark Snider Integrator
Type Of Visit Purpose Of Visit
Operation Review
Compliance Inspection (pilot only)
Technical Assistance
Confirmation for Removal
❑ No Animals -Date Last Operated:
❑ Operating below threshold
❑ Swine ❑ Poultry ® Cattle ❑ Horse
Design Current
Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
© Routine
Q Response to DWQ/DENR referral
Q Response to DSWC/SWCD referral
p Response to complaint/local referral
O Requested by producer/integrator
p Follow-up
O Emergency
n Other...
Design Current
Capacity Population
❑ Layer
❑ Non -Layer
g Dairy
❑ Non -Dairy
© Routine
Q Response to DWQ/DENR referral
Q Response to DSWC/SWCD referral
p Response to complaint/local referral
O Requested by producer/integrator
p Follow-up
O Emergency
n Other...
Design Current
Capacity Population
❑ Layer
❑ Non -Layer
g Dairy
❑ Non -Dairy
g Dairy
❑ Non -Dairy
205
130
❑ 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
Structure1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier W SP
Level (Inches) 78
CROP TYPES lCorn, Silage Fescue -graze Fescue -hay udan Grass Hay
SPRAYFIELD
SOIL TYPES
7. What type of technical assistance does the onsite representative feel is needed? (list in comment section)
03/10/03

0
Facility Number 29 - 13 Date:
8/14/03
PARAMETER
0 No assistance provided/requested
❑ 8. Waste spill leaving site
TECHNICAL ASSISTANCE Needed
Provided
❑ 9. Waste spill contained on site
25. Waste Plan Revision or Amendment
❑
ElEll
0. Level in structural freeboard
26. Amendment
❑
❑
❑ 11. Level in storm storage
Waste Plan Conditional
27. Review or Evaluate Waste Plan w/producer
❑
❑
❑ 12. Waste structure integrity compromised
2$. Forms Need (list in comment section)
El
El
❑ 13. Waste structure needs maintenance
29. Missing Components (list in comments)
❑
❑
❑ 14. Over application >= 10% & 10 lbs.
❑
❑
❑ 15. Over application < 10% or < 10 lbs.
30. 21-1.0200 re -certification
❑ 16. Hydraulic overloading
31. Five & Thirty day Plans of Action (POA)
❑
❑
32. Irrigation record keeping assistance
❑
❑
❑ 17. Deficient irrigation records
❑ 18. Late/missing waste analysis
33. Organize/computerization of records
❑
❑
❑ 19. Late/missing lagoon level records
34. Sludge Evaluation
❑
❑
❑ 20. Late/missing soils analysis
❑ 21. Crop needs improvement
35. Sludge or Closure Plan
❑
❑
❑ 22. Crop inconsistent with waste plan
36. Sludge removallclosure procedures
❑
❑
37. Waste Structure Evaluation
❑
❑
[123. Irrigation maintenance deficiency
❑ 24. Deficient sprayfield conditions
38. Structure Needs Improvement
❑
❑
39. Operation & Maintenance Improvements
❑
❑
40. Marker check/calibration
❑
❑
Regulatory Referrals
IFI
41. Site evaluation
❑
❑
Referred to DWQ Date:
42. Irrigation Calibration
❑
❑
❑ Referred to NCDA Date:
43. Irrigation designlinstallation
❑
❑
❑ Other...
system
Date:
44. Secure irrigation information (maps, etc.)
❑
❑
LIST IMPROVEMENTS
45. Operating improvements (pull signs, etc.)
❑
❑
MADE BY OPERATION
❑
❑
46. Wettable Acre Determination
1 - Mr. Snider has fenced off the area above the
47. Evaluate WAD certification/rechecks
❑
❑
48. Crop evaluation/recommendations
❑
❑
fresh water pond to establish vegetation.
2. Mr. Snider has also provided additional pasture
49. Drainage work/evaluation
❑
❑
to the milk cows.
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. Crop/forage management education
❑
❑
59. Soil and/or waste sampling education
❑
❑
03/10/03

Facility Number 29 - 13 Date: 1 8/14/63
COMMENTS:
Waste analysis: 4-08-03 SSD 17.0 Ibs.Nlton B, SSD 7.6 Ibs.Nlton B IJ&
" Remember to get your 2003 soil samples.
Check on the status of the permit.
Mr. Snider is interested in changing the waste collection system. He has contacted his technical specialist about installing
pit with a slurry pump to transfer the waste to the waste storage pond.
TECHNICAL SPECIALIST Rocky Durham jP@t Hooper
SIGNATURE
Date Entered: 8/15/03
Entered By: lRocky Durham
3 03/10/03

ision of Water Quality S
r Q 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
Facility Number 29 13 Date of Visit: 03/06/2003 Time: 1240
0 Not O erational 0 Below Threshold
® Permitted M Certified © Conditionally Certified [3 Registered Date Last Operated or Above Threshold: .........................
Farm Name: Ia9Ag.1!'Icy.d.QkYYOXt171.................................................................................. County: DaxxdSRlx .................................... ......... �'. R..........
OwnerName: CIAP...................................... SiAdcr ......................................................... Phone No: 33.-252,467.3..................-.......................................
Mailing Address: 21..��'ill.S(k1SdOr.Rt?.�5� ....................................................................... UnwoodAC ................................ .......................... 2.7. ................
Facility Contact: ................................. Title:................................................................ Phone No: 33.6,752,249.6 .......................
Onsite Representative: SJaajap.Sj du..,�Ad.d�e�1..Wxight......................................... Integrator: ..........................................................................
Certified Operator: M;kr.k.S................................... sAidgt:............... ....................... Operator Certification Number:2QQ93..............................
.........
Location of Farm:
I-85 South to Clark Rd. exit. Turn right at ramp. Turn left onto Old Salisbury Road. Right onto Hwy 150. Turn left onto
Jubilee Road. Turn left onto Sowers Rd. Right onto Will Snider Rd. After 3110 mile, farm is on left. w�
❑ Swine ❑ Poultry 0 Cattle ❑ Horse Latitude 35 • 45 ' 30 •� Longitude 80 • 25 48
Design Current
Swine C'anacity Pnniilation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer j 1 10 Dairy 205 110
❑ Non -Layer I I Ell 10 Non -Dairy
❑ Other
Total Design Capacity 205
Total SSLW 287,000
Number of Lagoons 0 ❑ Subsurface Drains Present 110 Lagoon Area ❑ Spray Field Area
Holding Ponds I Solid Traps 1 ❑ No Liquid Waste Management System
Discharzes & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes M 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/thin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
❑ Yes ❑ No
❑ Yes M 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 M No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure G
Identifier: ......Wasle.P.ond.....................................................................................................................................................................................
Freeboard (incites): 92�
05103101 Continued

Facility Number: 29-13 Date of Inspection o3/06/2003
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(if any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Anolication
❑ Yes
®No
❑ Yes
® No
❑ Yes
® No
❑ Yes
®No
❑ Yes
®No
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 Small Grain (Wheat, Barley, Fescue (Graze) Fescue (Hay) Corn (Silage & Grain)
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
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
3. Cattle have denuded both lots to the extent that sediment and waste was observed in the creek. Must fence cattle from creek now and
establish vegetation. May keep cattle access for water. Suggest contacting SWCD for technical assistance and/or fnancial assistance.
Check next visit.
18. Operator needs copy of CAWMP that was sent to Raleigh. His cpy looks like he has pieces of several revisions.
19. Need to obtain soil analysis for 2003.
10/22/02 LSD 1.3 tbs. N11000 gal and SSD = 5.9 tbs. N11000 gal.
Reviewer/Inspector Name Meliss ose roc
Reviewer/Inspector Signature: I Date: 3
O5103101 r V Continued

Facility Number: 29-13 DO Inspection 03/06/2003 .
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:
O5103101

Division of Water: Quality
a Division of Soil and'Water Conservation
Q Other Agency ,
Type of Visit Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit .21�Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facility Number Date of' Visit. Time:
PermittedCertitied ❑ Conditionalh Certified ❑Registered Date Last Operated or Above Threshold:
Farm Name: A n Mpa 0 County: _ —l"i .S,00
Owner Name: i e— ,I er Phone No: ?33 (6. 15�' � t0 -7-J
` I` A lG a R q
Mailing Address: � � �� L 1 r �
Facility Contact: ft4adL Phone No: 3.91D . 7S a]b
Onsite Representative: *(A c~ n
Certified Operator: M ac V_ 5 i1 Q%r Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry le ❑ Horse Latitude Longitude
Swine
-aro • +--r- • [./1 au _
Ez�j� W. 61,
Design Current Design Current Design Current I�l
Capacity Population Poultry Capacity Population Cavle Capacity Po ulation
❑ Lffwn-�`
❑
Wean to Feeder -
❑
Feeder to Finish
❑
Farrow to Wean
❑
Farrow to Feeder
❑
Farrow to Finish
❑
Gilts
❑
Boars
Discharges g Stream Impacts
a:'- atry
❑ Non -Layer ❑ Non -Dairy
❑ Other -
Total Design Capacity
Total SSLW 7.-$ % OQ
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 XNo
3. Were there anv adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Yes ❑ No
"Vaste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes No
Strucwr Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
ldentifier;
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,
❑ Yes
No
A
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure
❑ Yes
X No
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
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
o
O
12. Crop type
13. Do the receiving crops differ with Ulse designated in/de Certified Ani aste anagement Plan AWMP)?
❑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
P(No
c) This facility is pended for a wettable acre determination?
❑ Yes
�No
15. Does the receiving crop need improvement?
❑ Yes
o16.
Is there a lack of adequate waste application equipment?
ElYes
:N,
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
XNo
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
X 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
ANo
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 Cony ❑Final Notes
B1 47 -
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:
05103101 Continued

Facility lumber: — L�..Date of Inspcxtion
Odor- Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation. asphalt.
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s). inoperable shutters. etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
:o
❑ Yes No
❑ Yes No
Additional Comments and/or Drawings,
�0as va �L5 6 e3 I S.
M/DL Jot000
bAA��' 4V --
J
O5103101 a1AJ1 {J '
ram.
4
B

OSion of Water Quality
*' ion 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 29 13 Hate of Time: Visit: 8/29/20112 9:30
O Not Operational O Below Threshold
® Permitted M Certified 0 Conditionally Certified © Registered Date Last Operated or Above Threshold: ..............
Farm Name: LuR.Meacltlt-Farlu........................ ....... County: VAxidwa .......................................... !)'.SSA........
OwnerName: Ctycll:....................................... .......................................................... Phone No: 33.6:-7,52:72.673 ...........................................................
1-failingAddress: �4..��'.UA.Srtidt'r...ad....................................................................... Ujmy.Q.Q.d.AC .......................................................... 2.7-299 ..............
Facility Contact: ............................................................ .. Title. Phone i\o:....
Onsite Representative: Sha>t3lr. �nidex.................... ............. Integrator:...........
Certified Operator: jM;&r.k,.S.,................................. 5X11,deC............................................... Operator Certification Numher:209.93..............................
Location of Farm:
I-85 South to Clark Rd. exit. Turn right at ramp. "Turn left onto Old Salisbury Road. Right onto Hwy 150. Turn left onto A.Jubilee Road. Turn left onto Sowers Rd. Right onto Will Snider Rd. After 3110 mile, farm is on left. y
❑ Swine ❑ Poultry M Cattle ❑ Horse Latitude 35 • 45 30 Longitude 80 • 25 48
Design Current
Swine Canacity Pnnulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity PopulationCattle Capacity Population
❑ Layer 19 Dairy 205 3 05
❑ Non -Layer JE1 Non -Dairy
❑ Other
Total Design Capacity 205
Total SSLW 287,000
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
Holding Ponds 1 Solid Traps 1 ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes M No
Discharo 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 M 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 M No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Stnucture 6
Identifier: ...................................................................................................................................................................................................................
Freeboard (inches): 108
05103101 Continued

Facility Number: 29-13 10 Date of Inspection 8/29/2002 4
5. Are there any immediate threats to the I.Regrity of any of the structures observed? (ie/ *e,evere erosion, ❑ Yes ONO
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 ONO
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes N No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ® No
Waste Aumlication
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 Summer Annuals Fescue (Hay) Corn (Silage & Grain)
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 N No
c) This facility is pended for a wettable acre determination? ❑ Yes N No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes ONO
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes ® No
❑ 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): [I Field Copy N Final Notes
Facility and records are in compliance.
Records were organized much better this year.
A&
Reviewer/Inspector Name Rocky Durham
Reviewer/Inspector Signature: Date:
05103101 Continued

Facility Number: 29-13 Da Inspection 8/29/2002
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
Additional omments and/orDrawings:
Waste analysis: 4-15-02 SSD 18A 1bs.N/ton B, SSD 13.8 Ibs.N/ton B (stable) +
Soil analysis dated 1-25-02
J
05103101

is sion of Water Quality
04sion 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 Z9 13 Date of Visit: 3/12/2402 'rune: 0910
FO Not Operational Q Below Threshold
® Permitted ® Certified [3 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: ............
Farm Name: Laug.MRAd.o.w.l'.ilrm.................... ...... County: i)atxAds.Rtx.......................................... �'S.RQ.......,
.......................................................
Owner Name: Clyde ....................................... Snider ......................................................... Phone No: 33,6::752:-2.6.7.3 ...........................................................
Nlailing Address: Z.9.).��'ilk.SttAt%1'1. Q.psi .............................. .. U.0►YQ.9d..1')'........................................................... Z.1.2 9..............
Facility Contact: 1`� zA�.�S.haAl�).Suid�r..................................Title:................................................................ Ph ne No: 33.6,.7512,49.6 .......................
c_41.7gb- 11IS
Onsite Representative: S)xajag.,Sjajdell'....................... . Integrator: ..................................................................................
Certified Operator: Ma,r.},$..................................$0jd.er ............................................... Operator Certification Number:2.09.9 ............................
Location of Farm:
[-85 South to Clark Rd. exit. Turn right at ramp. Turn left onto Old Salisbury Road. Right onto Hwy 150. Turn left onto
Iubilee Road. Turn left onto Sowers Rd. Right onto Will Snider Rd. After 3110 mile, farm is on left.
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 35 • 45 30 if Longitude 80 • 25 48
Design Current
Swine Canarity PnnnIntion
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ® Dairy 205 110
—d
❑ Non -Layer I A JE1 Non -Dairy
❑ Other
Total Design Capacity 205
Total SSLW 287,000
Number of Lagoons 0 ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps 1 ❑ No Liquid Waste Management System
Discharzes & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (if yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes ® No
❑ Yes ❑ No
❑ Yes [:]No
❑ 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: ......kV.astt:.Pozid...... .........................................................................................
Freeboard (inches): 102
05103101 �� 3 Continued

Facility Number: 29--13 Date of Inspection 3/12/2002
5. Are there any immediate threats to the 0191ity of any of the structures observed? (ie/ tre , evere erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type Fescue (Hay) Corn (Silage & Grain) Small Grain (Wheat, Barley,
❑ Yes
N No
❑ Yes
N No
❑ Yes
N No
N Yes
❑ No
❑ Yes
N No
❑ Yes
N No
❑ Yes
N No
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?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
® Yes []No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (refer to question ft 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 Notes44
7. Need to keep honey wagon, other machinery (manure spreader) ,and cattle off dam. Need to also find another way to push/dump solid
+
waste into waste storage pond since this will wear interior wall of dam.
8. Sediment and waste are getting into a freshwater drain between waste storage pond and barn. Need to keep waste from entering drain.
8. Pastures surrounding barns are denuded. Operator has drilled fescue, oats, and rye already. Any run-off would go into farm pond
which has overflow pipe.
19. Soil analyses were not obtained for 2001. Any fields that received animal waste in 2001 and in 2002 (so far) were sampled January
15, 2002 and results have been received. Need to obtain waste analysis for 2/15/02 and 3/8102 applications by 4/15/02.
[Application records look good this year.
Reviewer/Inspector Name Melissa Rosebrock
Reviewer/Inspector Signature Date: 1- 6 oZ-
05103101
Continued

Facilitv Number: 29-13 DA Inspection 3/12/2002
ii
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/or Drawings:
05103101

t.
Division of Water Quality
Division of Soil and Water Conservation
0 Other Agency
Type of Visit Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit XRoutine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Date of Visit: ime: d Q
FFacility Number
10 Not Operational 0 Below Threshold
0 Permitted Certified 0 Coally Certified 13 Registered Date Last Operated or AbBhreshold:
Farm Name: nditio QL3 County ve
Owner Name: R�Sri ` e - Phone No: 36 21 5- a .
Mailing Address: 1 L LocnA , D —7 0211
Facility Contact: t Q if� Phone No:
Onsite Representative: l- E'.1' Integrator:
Certified Operator: 4?,A( Operator Certification Number:
Location of Farm:
_ SSo +o car xI �Tur n h�- tx} urn ono `
SD , L ers - aka
Latitude �' ®" Longitude ' ®�
❑ Swine El Poultry attle El Horse g 5ho f
Design Current Design Current Design Current
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Poultry Capacity Population C the Capacity Population
❑ Layer I I IM Dairy a"Z
❑ Non -Layer I ❑ Non -Dairy
❑ Other
Total Design Capacity as
Total SSLW I a -7, AM I
Number of Lagoons 10 Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
Holding Ponds / Solid Traps 1E1 No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
true re 1 St ture 2 Structure 3 Structure 4 Structure 5
Identifier:EV
Freeboard (inches): M Yk
05103101
❑ Yes 9 No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes 0 No
❑ Yes 1�j No
[:]Yes �No
Structure 6
Continued

Facility Number:
. t3' • Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application?. ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
13. Do the receivin rops differ with those c9signated in the Certi
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management P an readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes )0 No
❑ Yes 4 No
❑ Yes NrNo
Yes ❑ No
❑ Yes No
❑ Yes XNo
❑ Yes 4 No
❑ Yes XNo
❑ Yes Wo
❑ Yes No
❑ Yes No
❑ Yes �To
El Yes ,XN0
❑ Yes �!No
9 Yes ❑ No
❑ Yes �No
❑ Yes VNo
❑ Yes No
El Yes No
❑ Yes OfNo
❑ Yes VNo
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 a v other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary): - Field Copy ❑ Final Notes
1. Lnu,4 94—
,
rr
Reviewer/Inspector Name rO -
Reviewer/Inspector
—
Signature:-!fluDate:
'
05103101 1 --
6 j
Continued

Facility Number: gq— r 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 8"eg t3
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes XNo
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes >QNo
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.) El Yes No
31. Do the animals feed storage bins fail to have appropriate cover? o
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? *CS To
al Comments
SJ.uy. � rA �at� r.�' cwnes✓-�y.
63.w.w �v �Paso� � .emu..: w� ��✓
� tmJp�'

�,.OPERATIONIS' BRANCH - LAID Fax:[phone]u1 19- `95. jt::13 P. 07/13
SU 9 Vi"SITAT ION PICO A
>: AT81
�lKltyi r„i
Aiivit YLsiting Sit
r 4n Sttn Reprazenu iv4: �� Pficp9:
T,4,plca! Adcb"s � o ; 6�
Lex �o G vz 7� `�oZ
Mulling Adds=: ��_ t QcdLe-- /d
Tjpc aff*orttion; Swim ,�.. Ilovltry � .__ 'CuLIC �
Dtmlgn CApWitr, � � 2�'utrbet Qf 1�n� �� M Satz:
1. UW.da: ,r,�S_r° .. �._' ,., 5�' J�;,ur11 �dv: �e �Q r?
Type of Inspc kin: Gmund v A
Deco of i Foot 25 q: 2a :c atoT;� cve�t
��PPsc:cisns11e1, I=4vt=7lrachesYca Or Na Ac1ual:`r:c!:c; S T%��4 ia'�cl
PC: iaciilfirh Wltb Mon I&= ja!0;0 addr-ss tb_ N
CVlrancdIs ;Cctia4-
lr+rns zrry s%:,;a Qbjmd Lmia tI-c Irs,uo::(s)? Ycs n tiQ �V �3:cra atc�:ar, af'.fw �4nsrlt Fs N�
I , ado;wvc land avZWc rcr ia,;d 3ppjjc:a6rrs? Y- cr.`;r, Is c', t�s. cs :n+ xdogon�? ce r No
7t; T6-
77
0
FU to (919) 71.5-WO Sig=lur or Agmt

42&vision of Water Quality V
vision of Soil and Water Conservation
0 Other Agency
(Type of Visit © Compliance Inspection O Operation Review O Lagoon Evaluation I
Reason for Visit OO Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Date of Visit: 10/18/2001 I'imc: 0930 Printed nn: 10/18/2001
Facility Number 29 13
____]0 Not Operational 0 Below Threshold
® Permitted 0 Certified IO Conditionally Certified 0 Registered
Farm Name: Lfmg.Meadow..Farm..................................................................................
Owner Name: Clyde ....................................... Sntider..........
Mailing Address: 7.4.X..l1'All.SDaSe�.l1�SJ..........................................
Facility Contact: .................................Tithe:
Onsite Representative: Shanc.5iniftr..................
................................
Certified Operator: Mark ................... .. S,ttftr,........
..................
Location of Farm:
Date Last Operated or Above Threshold: ...........
County: DaXAd5011..............
Phone No: 33.f-z,52:,2G.7..............
... I .... I lm.w.aost.HC.............................
................. 1'..$R.v)........
2.7.299....
Phone No: 33&7.52,2495........................
.................
Integrator:,.....................................................................................
......... Operator Certification Number:20993
1-85 South to Clark Rd. exit. Turn right at ramp. Turn left onto Old Salisbury Road. Right onto Hwy 150. Turn left onto
Jubilee Road. Turn left onto Sowers Rd. Right onto Will Snider Rd. After 3110 mile, farm is on left.
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 35 • 45 30 Longitude F80 •
Design Current
Swine Canacitv Ponulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
EE
Design Current Design Current
Poultry Cavacitv Population Cattle Ca acity Population
❑ Layer ® Dairy 205 115
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity 205
Total SSLW 287,00:0:::::1
Number of Lagoons 0 ❑ Subsurface Drains Present ❑ Lagoon Area 113 Spray Field Tre7a771
Holding Ponds / Solid Traps 2 ❑ No Liquid Waste Management System 71
Discharges A 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)
2. Is there evidence of past discharge from any part of the operation?
❑ Yes ❑ No
[]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 X 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: ...... Wastc.Pand..... ....Dryy.Stazk-.0k......................................................
Freeboard (inches): 120
05103101 s��� Continued

Facility Number: 29-13 Date of Inspection 10/18/2001 Printed on: 10/18/2001 `
5. Are there any immediate threats to the integrity of any of the structures observed? (iel tree'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?
❑ Yes ® No
❑ Yes ® No
❑ 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 Corn (Silage & Grain) Fescue (Hay) Small Grain (Wheat, Barley,
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
lb.
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?
(iel 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
C] 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
7. Operator is working with SWCD to do additional construction on dry stack this winter.
_
17. DWQ to send copy of permit to Shane.
18. Need to add odor/insect/mortality checklists and emergency action plan to WUP---could not locate these in recordkeeping.
** 19. PAN used in recordkeeping needs to match PAN in WUP. See SWCD for assistance. ex. T-159 F-3, 80 vs. 108 lbs. PAN?
Operator needs assistance in discerning which WUP is most current and which pages are for the dry stack and which ones are for the
WSP. Also, Bob Kootz's farm of 7.8 acres (per operator) is to be cleared next year to increase area to 10 acres. Will need to update
WUP at that time.
27. Burial of any mortality is>300' from any flowing waters.
Reviewer/inspector Name jMclip Rosebrock
Reviewer/Inspector Signature Date: Mz
05103101 L J z Continued

FacilityiVumber: 29-13 l if Inspection 1U/18/2U01 ® Printed on: 10/18/2001
Odor ls. 'sues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt.
roads, building structure, and/or public property)
29, Is the land application spray system intake not located near the liquid surface of the lagoon?
30, Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
Wd d ittona IMSom—me nts an or rawmgs:
10/11/01 Waste samples:
WSP=0.81 lbs. N/1000 gal.
Dty stack=16.0 lbs. Mon
Soil samples still need to be obtained for 2001.
05103101

A
x6 isF F ' vision csf WaterQqalit
.. a t ry r
ivision of Soil and Water Conservataon
rt,
,0 Other.AgesnU. � . � t ��,
of Vislt (X Compliance Inspection O Operation Review Q Lagoon Evaluation
(Reason for Visit R Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: I 10h 9 161Time:
10 Not Operational O Below Threshold
Permitted A Certified 0 Conditionally Certified ©` "Registered Date Last Operated or ,Above Threshold:
Farm Name: ....� Mp_al�........ Farm ......4 County:... V. ................... I......................
OwnerName: ..............�..Aer...............5....!. �. 4............-?...........................�' Pho � No:...:,.J~`. ................................................................
FacilityContact:-.�.....6.5 .�,?� tle:......................... �..............Phone No: �� � �s .............................. 4I
Mailing Address: �` 7 Will S e> I J.vG........-- •- �.Q�.°7
...................... �...... j-...--.-........... :�.. a..
Onsite Representative:..... .. Integrator: ......................................................................................
Certified Operator:_ �L.�.S,Q� ........... Operator Certification Number: a 013.13.....
Location of Farm:
45 5 : +a c a r v_ Uh Ex * +Ur-n h - urn le t Q n i 5 b u ry
E�. old S6 °� e� a u ise b ITfo N
[]Swine []Poultry X Cattle ❑ Horse Latitude ®' ®' ®66 Longitude �' ®� EY
-Design Current
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
Boars
Design Current Design Current'
Poultry CapacityCipacity Population' Cattle Capacity `Po `ulatioa`'`
❑ Layer I I ra Dairy
❑ Non -Layer I I I0 Non -Dairy
❑ Other
Total Design Capacity t
Total SSLw 1 ag 7, oo
rA
O►9
7
: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 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)
c. If discharge is observed- what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any.adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
ty s.Sitructure P-•_tructurc 2 Structure 3
Identifier: W �:.�'.)(:{....�� .�
'D
l? Freeboard (inches): l 2 Q
5100
❑ Yes ❑ No
❑ Yes
❑ No
❑ Yes
P(No
❑ Yes
gNo
❑ Spillway ❑ Yes %No
Structure 4 Structure 5 Structure 6
Continued on back

Faeility Number: — Date of Inspection /Q 0
5. Are there any immediate threats to the inrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenancelimprovement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application?
❑ Excessive Ponding ❑ PAN ❑ H draulic Overload 1
12. Crop type s�
13. Do the receiving crops differ with those designated in the Cfertified Animal Waste Management
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
�'�% yiolaltiQns;o dlFie�encte ivre notewill >reciye i?o fu�tit$r ,
icorreso ondeRce. abaut. this .visit.: • .
❑ Yes KNo
❑ Yes 9No
❑ Yes XNo
❑ Yes j�J No
❑ Yes No
❑ Yes $No
❑ Yes hiNo
❑ Yes 0<NJ
❑ Yes IgNo
❑ Yes Q4 No
❑ Yes I
❑ Yes No
❑ Yes �No
WYes ❑ No
XYes X No
PYes ❑ No
❑ Yes CjrNo
❑ Yes )(No
❑ Yes XNo
❑ Yes %No
❑ Yes `No
❑ Yes I
Comments (refer.to question #) :Explaiii.any YES answers and/or any, recommendations or,any oilier commeats
P
Use drawings of facility to betfer:ex lain situatsons (useadcitdona_,pages., n_ecessa_)
ry s�
1 A li 0. / /
/
Reviewer/Inspector Name
1►r.� o ._
Reviewer/Inspector Signature 1 �1 t j II.JAil / A, �- 1 Date: % 6 18 16 L_ 5/00

Facility Number: — 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 Yn
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes �Vo
28. is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes YNO
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? '' " Q 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 VNO
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? o r' No
Additional omments and/orDrawings:
�L)P
r O-f5 h r de*-- Lv 4mc . C a m
1q F'A
tOf
&&W J�� &4
� I �. v � • rr i , r s �
LIZAFAff
I
f All
c

V
'sion of Water Quality 0
.vision of Soil and Water+Conservation
Cher 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
Date 44 Visit: 5/14/2001 Time: 13:0o Printed on: 10/2/2001
29 13
Q Not Operational O Below Threshold
® Permitted ® Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: ......................
Farm Name: Ia!?ng.l! cadow-Fax.111t................................................................................ .. County: l);A'xjd5.QR .......................................... WS.R(?........
OwnerName: Clyde ....................................... Sjajdgr ......................................................... Phone No: 33.br25.2-Z6.7.3.............................................
..............
MailingAddress: 24.1.'iA5,Wduc-Ro.ad....................................................................... Umno.W.NC...... .................................................... Z7299 ..............
FacilityContact:..............................................................................Title:..................................... Phone No:
Onsite Representative: ShaAlg..&.T]Cat:y..S.Wdcr........................................................... Integrator: .................... ..................................................................
Certified Operator: Mark ...................................... Sgidgr ............................................... Operator Certification Number: Z099.............................
Location of Farm:
I-85 South to Clark Rd. exit. Turn right at ramp. Turn left onto Old Salisbury Road. Right onto Hwy 150. Turn left onto
ubilee Road. Turn left onto Sowers Rd. Right onto Will Snider Rd. After 3110 mile, farm is on left.
[]Swine []Poultry ®Cattle []Horse Latitude 35 • 45 30 Longitude 80 ' 25 48
Design Current
Swine Capacity Population
❑ Wean to. Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ®Dairy 205 1 135
❑ Non -Layer I I JE1 Non -Dairy
❑ Other
Total Design Capacity 205
Total SSLW 287,000
Number of Lagoons I I[] Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds I Solid Traps 1 10 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 dischan-Te 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 cal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) El Yes [I 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): 72
05103101 Continued

Facility Number: 29-13 Date of Inspection 5/1Q/2QQ1 Pr -inject (),,: 1012I2001
5. Are there any immediate threats to the in egrity of any of the structures observed? (ie/ tre . , 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 AQDlication
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 Small Grain (Wheat, Barley, Corn (Silage & Grain) 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
t7.
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.
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
A couple of fields call for 1-2 tons of lime.
# 19. Get with the technical specialist to have the latest WUP for review and organize records.
Overall facility is in good shape.
Waste analysis: 9/19/01 SSD 14.1 lbs.N/ton B
Reviewer/Inspector Name Rocky Durham
Reviewer/Inspector Signature: Date:
05103101 Continued

Facility Number: 29-13 1)of Inspection 511U/2f1U1 • Printed on: 10/2/2001
X
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation'?
27. Are there any dead animals not disposed of properly within 24 hours?
28, Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ❑ No
❑ Yes ® No
[:]Yes ® No
[:]Yes ❑ No
❑ Yes ® No
[:]Yes ® No
❑ Yes [:]No
Additional Comments and/orDrawings:
05103101
05103101

Al vision of Water Quality
vision of Soil and Water Conservation
Q Other Agency
Type of Visit Q 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
Date of Visit: 8/29/2000 Time: 0930 Printed on: 8/29/2000
29 13
Qa Not Operational Q Below Threshold
® Permitted ® Certified [3 Conditionally Certified E3 Registered Date Last Operated or Above Threshold:
Farm Name: Lo.og.l.!c;xdutw:.k;wm........................................................ ..................... ..... County: Oxxidsoa .......................................... MR, 0........
OwnerName: Cly.dc....................................... snidcr ......................................................... Phone No: M-7,52-MU...........................................................
Facility Contact: N.I,aXtC0mixi.Smider.................................Title:.......
Mailing Address: 241.Eti'Aid.So1f�.K.RAi�.....................................................
Onsite Representative:
htamtti. sir err ...........................................
Certified Operator: .!'lark..S.................................. StOlm .............................
Location of Farm:
......................................................... Phone No: 33.(„7.52,249b........................
....... I ... ....... Un.wmij..NC........................................................... 2.7.29.9 .............
Integrator:......................................................................................
Operator Certification Number:2,0993
1-85 South to Clark Rd. exit. Turn right at ramp. Turn left onto Old Salisbury Road. Right onto Hwy 150. Turn left onto
lubilee Road. Turn left onto Sowers Rd. Right onto Will Snider Rd. After 3110 mile, farm is on left.
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 35 • 45 6 3044 Longitude 80 • 25 48fit
Design Current
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ® Dairy 205 130
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity F 205
Total SSLw 1 287,000
Number of Lagoons 0 1 ❑ Subsurface Drains Present 110 Lagoon Area JE1 Spray Field Area
Holding Ponds / Solid Traps 2 ❑ 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) ❑ 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 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ....Rolding.F.attd.... ......... Dxyatack......... .................. ._......:........ ........................... :...................... :....................... ............ :....................... -
Freeboard (inches): 88 36 high.
5100 Continued on back

Facility Number: 29-13 Date of Inspection 8/29/2QQQ
P & Printed on: 8/29/2000 ,
5. Are there any immediate threats to the nty of any of the structures observed? (ie/ tre ,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) Small Grain (Wheat, Barley,
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
Is 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
violatiolis;or deficiencies were ;Holed :di1>•iilg this: visif. ;You. . .. . .. a i10 ftlrthe>^ ;
: correspotidenee: Abiif 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):
7. Try to re-establish vegetation on dam.
8. Recommend running rainwater from eastside of barn through pipe to surface discharge and diverting from waste pond
19. Tract 150 field #5 is the house and no waste is applied there. No need to put in WUP.
No waste analysis for SLD applications Feb. through June applications.
Soil samples to be taken this Fall.
Freeboard records look ok.
25. Prior to constructing larger dry hc�ling area, contact Davidson SWCD for design assistance.
L'
E:
Reviewer/Inspector Name
Reviewer/Inspector Signature!//f//p MAU„ Z /", /A A r > 1� f Date: X /,Zq 16 5100

Facility Number: 29-13 I of Inspection 8/29/2000 Printed on: 8/29/2000
J 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
M1
5100

of Water Quality
of Soil and Water Conservation
0 Other Agency
of Visit C$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
Date of Visit:
-ime:
n�,t
Printed on: 7/21/2000
erational 0 Below Threshold
Permitted [Certified [3 Conditionally Certified [] Registered Date [cast Operated or Above Threshold:
Farm Name: ...... r ... i�,MJ.0.(z .....
Farm .............................................
Countv:..1T)a.vdz-6n ..........................................
Owner Name: � Q�
........................�..�...........
�.t�l...................................
a' .."1P �✓
Phone No. ..... ..1� �...,��y..s..........................................
0, -�
Facility Contact: .. ! ..... ..�1 CRi` .................................
N
............ ........ ............ Phoneo: �q..r.� . ,.. 7.1 `�'
Mailing Address: -. ..91•......... .�'-—1.11
.........
5-ata.w........... l.. ar.rn...., ...
[.�. n-&2o.o ....../..�C........... �3 17C9 . .........
Onsite Representative:
Integrator:
...... ..%a .e....
..5y). ....................................
...........................
Certified Operator:M-.ari4.......5. ;,, ,,, .r!`�.- ....................
Operator Certification Number:..��09
Location of Farm:
r -85 S 0 Clan . e.-i
Tu rn rl h+ rQ n-yo . urn e onS sbur
.�
Swine
Design Current
Cauacitv Ponulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current
Poultry Capacity Population
❑ Layer
❑ Non -Layer
❑ Other
Design Current
Cattle Capacity Population
INI Dairy a
Non -Dairy
Total Design Capacity 1 00
Total SSLW I 3L �] 000
Number of Lagoons ❑ Subsurface Drains Present ❑ Lag--- Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream lmpact5
I. Is any discharge observed from any part of the operation'?
Disc•hargc originated at: El Lagoon El Spray Field ❑ Other
a. If discharge is ohscrvcd, was the conveyance ratan -made?
h. If discharge is observed. did it reach Water of the State.' (If' yes, notify DWQ)
c. If clischarve is observed. what is the estinmted flow in galhnin?
d. Does discharge bypass a lagoon system'? (if yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge'?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structureb 'ucturc 2 Structure 3 Structure 4
Identifier: .. Is . f.0 .....C.4-4 -d .....................................I.......................
Freeboard (inches); � '�/ L0„L
5100
Structure 5
❑ Yes No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes No
❑ Yes No
❑ Yes No
Structure
Continued on back

'Facility Number: EZ — L3 1 Date of Inspection Printed on: 7/21/2000
5. Are there any immediate threats to thc0grity of any of the structures o`b'sTervveed??(ic// tosevere erosion, ❑ Yes o
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 o
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 XNo
Write 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 47AC�t) Ire_ 1F-e <l' IMP_ l /IINf CJt► M 1 Yl /af�4151 ktkr { 14A-41
13_ Do the receiving crops differ with those designated in the Certified Anima
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
lb. Is there a lack of adequate waste application equipment?
Required Records _& Documents
IT Fail to have Certificate of Coverage & General Permit readily availahle?
Management Plan (CAWMPP &0 Yes (RNo
I & Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (icl irrigation, freeboard, waste axis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility Dail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency'?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
0;10 yiblattcjris:or iieer�cies mere notedix`iing this:visit; Yoi� ;w:i�l receive Rio; dui ther ;
correspondence. about. this .visit. -. •. •... . . . . . . . . • . . . . . . . . . . . . . . . . .
❑ Yes P' No
❑ Yes Of No
❑ Yes VNo
❑ Yes WNo
❑ Yes XNo
❑ Yes No
❑ Yes X No
VYes ❑ No
❑ Yes No
ElYes 6No
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):
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes No
Reviewer/Inspector Name
Reviewer/Inspector Signature. a � 1.�AA, ZMAW,, Date: 9 5100

Facility Number: — of Inspection 1 7/19 /6�+j Printed on: 7/21/2000
Odor Issues
`�
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge Wor below [fife9--E3-No
liquid level of lagoon or storage pond with no agitation? 0M IT -- 610M
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 VNo
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 x 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 XNo
31. Do the animals feed storage bins fail to have appropriate cover? �--E3-No
om IT a000
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? 9401 � 0
Pre- 1 n s peed on Nis
� T I Sc 1,9 Wu
V
as. Prior .to 66h54ru�C41'nak-gGr �nr� �0�01 04-�eQ/
e-
-bati ► dsowi CT) F6 V_ the s 1 n
S `-f- e_ house a yJ 06 c s
u-I- i t/L t.J U'P,
U')a �e
� .5 F r <jlea�o�
u h 0 Y}S
oils le-S � be- -�-�
� `fin s �-Oo �
free 'oaa-rJ re-corJS 1 no V 4 .
5100
J

I- 0 ston of Water Quality
0sion of Soil and Water Conservation
Q Other Agency
Type of Visit O Compliance Inspection 0. Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up 0 Emergency Notification O Other ❑ Denied Access
Facility Number
Date of Visit: 5130l2000 Tim8:30
e: Printed on: 8/28/2000
29 13
Not Operational O Below Threshold
® Permitted ® Certified 0 Conditionally Certified 13 Registered Date Last Operated or Above Threshold : .................
Farm Name: Ung.Z!'1eadstls'.Falrm ............................ .. County: V;ayjds.Qa .......................................... WSR(?........
Owner Name: Clyde ....................................... SiAdcr ......................................................... Phone No: 3,3fi:75Z.-Zfi.7.3...........................................................
FacilityContact:.............................................................................. Title:................................................................ Phone No:...................................................
Mailing Address: 1.41.�►'a11.ST1�is��t.Rt1.asl....................................................................... Pict»:t7.oft.H.......................................................... .7. .................
Onsite Representative: Mark5DAft.0 .......................... Integrator:.............
........................ ...............
Certified Operator: l,!'lark.$.................................. sx1ift'.r ............................................... Operator Certification Numher: 2999,3.............................
Location of Farm:
1-85 South to Clark Rd. exit. Turn right at ramp. Turn left onto Old Salisbury Road. Right onto Hwy 150. Turn left onto f
lubilee Road. Turn left onto Sowers Rd. Right onto Will Snider Rd. After 3110 mile, farm is on left. w
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 35 • 45 30 Longitude F 80 • 25 48
Design Current
Swine C'anarity Pntrnilation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ® Dairy 205 175
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity 205
Total SSLW 1 287,000
Number of Lagoons ❑ Subsurface Drains Present ❑ -Lagoon Area ID Spray Field Area
Holding Ponds / Solid Traps 1 2 ❑ No Liquid Waste Management System
Discharges 8 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?
Structure I Structure 2 Structure 3
Identifier: -....110 ding.pand... .......... dry -stack ......... .............................
Freeboard (inches): 36 48
5100
❑ Spillway ❑ Yes ® No
Structure 4 Structure 5 Structure 6
Continued on back

t•
Facility Number: 29-13 Date of Inspection 5/30/2000 Printed on: 8/28/2000
i.
5. Are there any immediate threats to th , tegrity of any of the structures observed? (ie/ s, 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? 1 ❑ 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 IN No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ® No
12. Crop type Fescue (Graze) Fescue (Hay) Corn (Silage & Grain) Small Grain (Wheat, Barley,
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?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
0:'io-vi6lations;or deficiencies •were noted :during -this; visit.• :You4H.1, receive•ir'o•further• : • : •
corresporidence:aboutthis:visit: : ::: ::: :::
>ientsr(refer toFqu do #) Explain anyXYES`answe s ado any recommendations;or• any=ottier Comm
rawins;of;facilrty, tolbetter,, ezplatnysttuattons;_(use, additionaLpa>;es�as°necessary.},
150 field # 5 needs to be added to the WUP.
17. Need to keep a copy of the certificate of coverage with records.
19. Need to start keeping weekly holding pond levels per general permit.
❑ Yes ®No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
® Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
i
■ iD
W
Reviewer/Inspector Name Rocky Durham
Reviewer/Inspector Signature: Date: 5100

Facility Number: 29-13 D. Inspection 5/30/2000 Printed on: 8/28/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge actor below [-]Yes []No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of 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:
A.
5100

1
Dn rsron of Saknd' Water Conservation -.O eration Revit
U- ' n
p Division of 5 nd Water Conservation - Compliance Ins on
■ Division of Water Quality - Compliance Inspection
p Other Agency - Operation Review
�a IZrntIIne 0 i,oIII praIII t 0 hnrlow-up of Uwt 1 1nspcclloI1 0 hoIIow-III) of 1VsWI- review 0 Uthcr 1
1
I�aciiihtN'unthrr , , . ,
I ® 24 hr. (hh:mm)
p Permitted 0 Certified p Conditionally Certified p Registered 0 Not Q perattona fate Last Operated:
Form rNantc: LangMtadow-Farm....... .."—........ .... Criuntv: Davidson WSRO
Owner Nance: Clyde.and.deanpatte.......... Snider.......................................................... Phone No: 336T.751�267.3 ..........................................................
Faciiit%' Coutai'1: .................... 'I�itic: ........... ........ Phone Nip: .......................
...........................................
jlailin- Address: ZAL..M.11.Sjtiider-Road........................................................................ Lanwaod.NC........................................................... 2729.9 ..............
Unsi[e Representative: Cly�le,.,Ieantette,.and.Mar.1►.Srn�icier ....................... Inte;.,�r:,[or.
....................................................................................................
Q:ertil'ied Operator':N. rk.S.................................. saider................................................ Operator Celli ication IN[fill her: 20Q9.3.............................
Loc:Ition of Farm:
a.0 ka.. r extt....ttrn. rig t.a .ramp.....urn. a t.on o.. ..a s mry. oa ....Rig lit.onto...rwy,. _ —Turn. lef1D ato .......
..� a
ttbtilee.l�aad...Turn.lefk.nnio. S.ax�.ers.l�d..Ri t.etntm..W..i11.Snirier..Rd....After.3L10..mile farm.ia.an.left_..................
Y!...................................................:....................................................................................
Latitude ©• �' ® Long, it title ®'
Design Current
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
p Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer 17
[in
❑ on- ayer
❑ ter
Total Design Capacity 175
Total SSLW 245,000
Number of Lagoons ❑ u sur ace rams resent p Lagoon , rea 13 , pray �re c rca
Holding Ponds/ Solid Traps ❑ o Liquid Waste Management System
I)isrha1roes &titri�:rm lmnaccrs
arty
1. Is any discharge observed from any part of the operation? ❑ Yes - ® No
I)ischar- c ori-inatcii at: ❑ Lagoon ❑ Spray Field ❑ Other
a. It-dischargc is observed, wastltc convcvance man-made? ❑ Yes []No
b. ll discharge is observed, did it reach Water of the State'? (,If vex- notice MVQ)) ❑ Yes ❑ No
c. if m discharge is observed- what is the estimated flow ul al/rlun?
d. Does discharge hypass a la��oon system° (It'ves, notify D\VQ) ❑ Yes ❑ No
2. Is there evidence of past discharge frorn 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 0 No
Wns[e Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ®No
structurc I Structurr ? Structure 3, Structure l S11AICI IV Slrucrrlre 6
Identifier: ...
................................................................................................................................................................................................................
I�'reehoard ( inched : ...............96.
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, Cl Yes Ill No
seepage, etc.)
3/23/94 CantirContinuedo►t hack,

hL
Facility Number: 29_I3 a •. +, „ .6/8/99
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?
p Yes ® No
W.,isic Applic,ltion
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 Small Grain (Wheat, Barley,
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? p Yes M No
16. Is there a lack of adequate waste application equipment?
❑ Yes ® No
Rcquirud RccOrds & Docilincnls
17. Fail to have Certificate of Coverage & General Permit readily available?
p 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 N No
20, Is facility not in compliance with any applicable setback criteria in effect at the time of design?
p 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)
p Yes III No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
p Yes ® No
24. Does facility require a follow-up visit by same agency?
p Yes ® No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes ® No
N•o.violtions:orddi6eiicres.were.nnted.during: this .visit.: Yuu. wili:Keceive no further.:.:
c6rrespvndeki abbirt 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):
# 17 They have applied for a General Permit; have not received it as of 6/8/99.
VAL
Reviewer/Inspector Name .Jennifer Frye F Jenny Rankin
Reviewer/Inspector Signature: Date:

Facility Number: 29_ 13 111 nei t t' QI
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below I& Yes p No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? C3 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? p 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.) p 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? p Yes ® No
�t the time of visit, the parlor water holding pond had been pumped down below discharge pipe.
only, no unreasonable odor problems should occur when they resume discharge.
or f it

r
Wig❑ Division of Soil and Water Conservation ❑ Other Age
Division of Water Quality u
�..: ,� ,,..,oi•..r.'.4.` ',xY^..'.."-....... *..'..�"'. i' .p F ` 'gym` A,w^'M ...... .v,....er y'S
i
Routine O Conwlaint O Follow-un of D1t'O insocetion O Follow-uo of DSWC review O Other
Date of Inspection I
]Facility Number
Time of Inspection 24 hr. (hh:mm)
0 Registered )(Certified [] Applied for Permit [3 Permitted 10 Not Operational I Date Last O craled:
Farm Name: ......._L,. .n. ......./..:.. _ .N..otLj_....r.... .1 .�!Y} County:......... rl�.tfL� �/`'i�. :� �.,.
1 G, �
Owner Name: ........ C �.y.A.:C ............... ...... ..✓.....nl ... er..............I.............. Phone No: ... i(...,'� �...1..�„�..�..,��e..7.3
Facilitv Contact: .................................... Title:...................... ... Phone No:
iMailing Address:....... . l..l.......WA, f. ... 1'J..LOI �. ....7.. �f .. 0.4 .../fly,
t
OnsiteRepresentative: ....._.C1.`t e......... 52n•.U-.per'..................... .... Integrator: ......................................................................................
Certified Operator,.......A..dj............5'............-�..t' A....._L!.l'..... Operator Certification Number ;.....
��.�j �.
...
Location of Farm:
Design Current Design' Current Design .',Current.
sr'Swine, Capacity; Population Poultry .CapadityxPopuiation CattleZ aw �CapacetyaPopulaEon
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
❑ Layer JZDairy
❑ Non Layer I L 10 Non-Dairy
y❑ Other
Total Design Ca�ac><ty.
^ Total. SSLW
umber of Lagoons / HoldtngPonds ❑ Subsurface Drains Present ❑Lagoon Area
F
�•,
$V ; ❑ No Liquid Waste Management System
General
I. Are there any buffers that need maintenance/improvement?
❑ Yes
)V'No
2. Is any discharge observed from any part of the operation?
❑ Yes
No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
❑ No
b. If discharge is observed, did it reach Surface. Water? (If yes. notif'; DWQ)
❑ Yes
❑ No
c. If discharge is observed, what is the estimated floes° in gal/min?
d. Does discharge bypass a lagoon system? {If ,yes. notify DWQ)
❑Yes
❑ 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
K'No
5. Does any part of the waste inanagemcnt system (other than lagoons/holding ponds) require
❑ Yes
N0
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
kNo
7. Did the facility fail to have a certified operator in responsible charge'?
❑ Yes
eN 0
7/25/97
Continued an back

/,
qr
Facility Number: �2 —
8. Are there lagoons or storage ponds on site which need to be properly closed?
,Structures (Layoons,11olding Ponds, Flush fits, etc.1
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2
Identifier:
Freeboard (ft): ............(0 .
10. Is seepage observed from any of the structures?
Structure 3 Structure 4
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
❑ Yes VNI 0
❑ Yes )<No
Structure 5 Structure 0
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess ofre-17,
or runoff entering waters of the State, notify DWQ)
15. Crop type ......,t ...................................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does,record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
No.violations•or deficiencies were noted -during this visit.- You.wifi receive niildrther :
orrespot5den6e a&out this'. visit'.-'-','-,.
7nver-t- Of- f 1P� serVPe5 a� �' St`gr LP
A,)t o bV Ita t4 Uhj-e&� V-Pf-e AO
fled
)I r
❑ Yes �No
❑ Yes ` 4 No
❑ Yes ANO
❑ Yes IYNo
❑ Yes VNo
❑ Yes XNo
❑ Yes P(No
❑ Yes
No
❑ Yes
No
❑ Yes
K No
❑ Yes
kNo
❑ Yes xl�
0
❑ Yes No
❑ Yes No
❑ Yes No
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date: