410005_INSPECTIONS_20171231

rsion of Water Quality
0 ryision of Soil and Water Conservdtion" ' 4
0 Other Agency
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
I Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access J
Facility Number 41 Dg ta:�ic n!' Visir: U812ti/2t7U3 'I'imr: 1000
-Notperational
Below Threshold
® Permitted ® Certified [3 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: Q7JQU2091.
Farm Name: i Q0y.Graye.F9rm................................................................. Count': GUilfREd.................................. Y.4'SRO ......
Owner Name: fthat:d.&I vUppjh.-._ S3'RtYant-------------------____-- Phone No:$4-------_------.---------------
Mailing Address-jff7.a.:isitclsl4i.Rdn. ................................................................................... Gib.99..aAft...NC..................................................... ZU49 ..............
Facility Contact: Richard.Q'BryaW.............................Title: ............................................... Phone No: 336,5$4,5946..................
Onsite Representative: �igilglSiS�_'hY�11L---------- ------ Intel;rator:.---------._.----------------------- ----•
Certified Operator: '
p 1��tA�xd.�...............................><y.AA{L......................................... Operator CertificationNumber: 2t,3Z(.............................
Location of Farm:
From WSRO: 1-40 east to NC Hwy 61 north. Take right ontoTickle Rd. Farm is on the right.
T
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude ®• 12 1264 Longitude 79 •F 347, 1844
Design Current
Swine Canacity Ponulation
❑ 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
❑ Non -Layer In Non -Dairy 800 0
❑ Other
Total Design Capacity 800
Total SSLW 640,000
Number of Lagoons © ❑ Subsurface Drains Present 11EILagoonArea ❑ Spray Field Arca
Holding Ponds / Solid Traps 0 10 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
h. lfdischarge is observed. did it reach Water of the State? (Ifyes. notify DWQ) ❑ Yes ❑ No
c. [f discharge is Observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (if yes. notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & 'Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ® Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
identifier: Main .......... ........................... ..........................--------------------------- ----- -..................... - --
❑ Yes ❑ No
❑ Yes ®No
❑ Yes ® No
❑ Yes ® No
Structure 6
Freeboard (inches): 48
05103101 Continued

Facility Number: 41—fl5 Date of Inspection 108/28/20031 •
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, []Yes ® No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? Yes No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ® Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ® No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes IN No
12. Crop type 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 19 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 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 ❑ No
❑ Yes []No
❑ Yes ® No
❑ Yes ® No
[]Yes ® No
[:]Yes ® No
❑ Yes ® No
[]Yes ® No
[:]Yes ® No
❑ Yes ® No
❑ Yes ® No
E3 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (refer to'question #) Ekplatn any YES answers and/or`any recommendations or any other,'comments. i
Use drawings of facility topbetter explain situations. ,(use additiotal pages, as necessary): ❑ Field Copy ®Final Notes
3. Silage leachate is not a problem at this time.
AL
6. Operator has closure plan dated 5/23/03 and plans to close the waste pond this Fall.
7. Need to mow grass down to at least 18".
19. Waste analysis:
sludge = 12.2 lbs. N/1000 gal
LSB = 0.12 lbs. NI1000 gal.
2003 soils look ok.
IDn mailed co v the certi icate v coverage to Mr. O'B ant.
w
Reviewer/Inspector Name Melis a osebrock
Reviewer/Inspector Signature: Date: r2
05103101 t v Continued

. Facility Number: 41-05 1 D&I- Inspeclion 08/28/2003
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
J
05103101

•
Type of Visit A Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Date of Visit: 'time: Im
FFacility Number
10 Not Operational SQ Below Threshold
�j Permitted O Certified D Conditionally Certified 0 Registered Date Last Operatedor Above Threshold:
Farm Name: v G Farm County: 6ul [ re,lr��
�
Owner Name: 91 Gb�j°4- IItr)
Mailing Address: 8 7 ic-10
Facility Contact: laic,
Onsite Representative: ' G
Certified Operator: ` �-
Location of Farm:
iJ ry an Phone No: 3 3S/�]}$
Phone No:
ll r u, Qii Integrator-
M. • '01 8 n Operator Certification Number:
S-46Ea54 +o hwy W /& t b56nv-► l k- o rvo r+h �-,o Loo-r-ds os 6eola , P-+,
1—
❑ Swine ❑ Poultry x Cattle ❑ Horse Latitude Longitude
Design Current Design Current 'Design Current;
Swine
Capacity
Population
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer Non-Dai
❑ Other
Total Design Capacity Q
Total SSLW
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Number of Lagoons: JE1 Subsurface Drains Present ❑ La oan Area 10 Sprav Field Area
Holding Ponds 1 Solid Traps JE1 No Liquid Waste Management System
Discharees & Stream Impacts Wo
1, Is any discharge observed from any part of the operation? ElYes
Discharge originated at: ElLagoon ElSpray 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 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than froma discharge? ElYesf�O
o
Ward llection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? Spillway ❑ Yes A
No
t ucture I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches):
05103101 Continued

Facility Number: — Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
No
seepage, etc.)
"
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? (If any of questions 4-6 was answered yes, and the situation poses an
Yes
ANo
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement?
Yes
❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
"SiNo
9. Do any stuctures lack adequate. gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
X No
Waste AnnUcation
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 t✓i.��l 5 Q,
13. Do the receiving crops differ with those desig6 ted in the Certified Animal Waste Tnagement Plan (CAWMP)?
❑ YesIN
o
14. a) Does the facility lack adequate acreage for land application?
❑ Yeso
b) Does the facility need a wettable acre determination?
❑ Yeso
c) This facility is pended for a wettable acre determination?
❑ Yeso
15. Does the receiving crop need improvement?
❑ Yeso
16. Is there a lack of adequate waste application equipment?
❑ Yes
A No
Rewired 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
YNo
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
o
21. Did the facility• fail to have a actively certified operator in charge?
❑ Yes
XNo
22. Fail to notify regional DIVQ of emergency situations as required by General Permit?
(ie.f discharge, freeboard problems. over application)
❑ Yes
No
23. Did Reviewer/Inspector fail to discuss reviewhrispection with on -site representative?
ElYesX�No
24. Does facility require a follow-up visit by same agency?
❑ Yes
XNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
VNo
© No violations or deficiencies were.noted during this visit. You will receive no further correspondence about this visit.
"..'..`{t s. �"�i:':?.�...,.;g;(•%."`:':`..._'o: ._�-.: .r.-Y Y�' i ,. r'-..!"-' a7�E�. G-'kC.�'�:i1 wa<".wiv'� 'ei+Y'Si'F ibMf::�Ps'^F��SI•�!''r "tkyC�^.'�,�'y� ra !�.,1'' ..�.'C.�
Camments,(i^efer io gneshun:-Ezpla3>;.anyYES answers sudlor any recommeodaeions o any other mm�ents.��;
Use.drawings of faciilio to better explain situations. (use additional pages as necessary) Cody Y
a"'Final Notes s
iv _w- .Field
i...i
7 eta Woo rass c6w n 'k � `r
o+r r - i w . rv''*' O'K"p$^
Reviewer/Inspector Name " � � Ufa w '1
s kSG
Reviewer/Inspector Signatur • Date:
05103101 I V Continued

Facility Number: —Q Date of Inspection
Qdor 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 110
❑ Yes No
❑ Yes �No
M.
-M 1.
R .
05103101

Technical Assistance Site.Visit.Re
lion of Soil,and Water Conse7aitiL
Natural Resources Conservation Service
Soil and Water Conservation District
Other...
Facility Number Date: /1/03 Time: 1 11:20 Time On Farm: 75 WSRO
Farm Name Holly Grove Farm County Guilford
Mailing Address 6871 Tickle Rd. Gibsonville NC
Onsite
Representative Richard O'Bryant Integrator
T e 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
Phone: [phone]
27249
Purpose Of Visit
ps Routine
O Response to DWQ/DENR referral
Q Response to DSWC/SWCD referral
Q Response to complaint/local referral
Q Requested by producer/integrator
Q Follow-up
Q Emergency
O Other...
Design Current
Capacity Population
❑ Layer
❑ Non -Layer
❑ Dairy
® Non -Dairy
Phone: [phone]
27249
Purpose Of Visit
ps Routine
O Response to DWQ/DENR referral
Q Response to DSWC/SWCD referral
Q Response to complaint/local referral
Q Requested by producer/integrator
Q Follow-up
Q Emergency
O Other...
Design Current
Capacity Population
❑ Layer
❑ Non -Layer
❑ Dairy
® Non -Dairy
❑ Dairy
® Non -Dairy
�_800
11
❑ 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
Structurel Structure 2 Structure 3 Structure 4 Structure 5
Identifier WSP
Level (Inches) 59
CROP TYPES Fescue -hay
SPRAYFIELD
SOIL TYPES CrB Eo82 CeB2 EnB ApB
7. What type of technical assistance does the onsite representative feel is needed? (list in comment section)
03/10/03

Facility Number 41 - 5 Date:
4/1/03
PARAMETER
Q No assistance provided/requested
❑ 8. Waste spill leaving site
TECHNICAL ASSISTANCE Needed
Provided
❑ 9. Waste spill contained on site
El 10. Level in structural freeboard
2
5. Waste Plan Revision or Amendment
❑
❑
❑ 11. Level in storm storage
26. Waste Plan Conditional Amendment
❑
❑
27. Review or Evaluate Waste Plan w/producer
❑
❑
❑ 12. Waste structure integrity compromised
❑ 13. Waste Structure needs maintenance
28. Forms Need (list in comment section)
29. Missing Components (list In comments)
❑
❑
[114. Over application >= 10% & 10 lbs.
30. 211.0200
❑
❑
❑ 15. Over application < 10% or < 10 lbs.
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 removal/closure procedures
❑
❑
37. Waste Structure Evaluation
❑
❑
❑ 23. Irrigation maintenance deficiency
❑ 24. Deficient sprayfield conditions
38. Structure Needs Improvement
❑
❑
39. Operation & Maintenance Improvements
❑
❑
40. Marker c hecktca I lbrat I on
❑
❑
Regulatory Referrals
41. Site evaluation
❑
❑
❑ Referred to DWQ Date:
42. Irrigation Calibration
❑
❑
❑ Referred to NCDA Date:
El Other,..
43. Irrigation system designAnstallation
❑
El
Date:
44. Secure irrigation information (maps, etc.)
❑
❑
LIST IMPROVEMENTS
45. Operating improvements (pull signs, etc.)
❑
❑
MADE BY OPERATION
46. Wettable Acre Determination
❑
❑
1- The waste plan was revised and includes
47. Evaluate WAD certificationtrechecks
❑
❑
48. Crop evaluation/recommendations
❑
❑
irrigation and new application windows.
2.
49. Drainage work/evaluation
❑
❑
A wettable acre determination was done.
50. Land shaping, subsoiling, aeration, etc.3.
51. Runoff control, stormwater diversion, etc.
❑
❑
❑
❑
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 41 - Date: 411/03
COMMENTS:
Waste analysis: 9-26-02 LSB 0.37 Ibs.N/1000 gals. I, 0.47 Ibs.N/1000 gals. B
Soil analysis dated 5-1-02
Mr. O'Bryant called in a high freeboard level to the DENR, Division of water quality, Winston-Salem
regional office. Mr. O'Bryant completed a 5 and 30 day plan of action to lower the waste pond level.
The fresh water pond below the WSP has a dark color. This maybe from silage leachate draining into the
pond.
TECHNICAL SPECIALIST lRocky Durham I Millie Langley
SIGNATURE
Date Entered: /7103
Entered By: lRocky Durham
03/10/03

ion OT Water Quality,
i •
O ston of Sari and Water Conservation
�lgeno � �� iC
�r ',
Type of Visit 4 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 41 �$ Date of Visit; 11/412Li02 Time. 101S
0 Not Operational Below Threshold
® Permitted ® Certified E3 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: ..............
Farm Name: HoUx.OxaYe.Eatrim.................................................................................. ..... County: GuMord ............................................ W..SRQ.....,.,
Owner Name: lilleblalCd..St. eIaneth......... A.' ryaat................................................... Phone N0:33,6,-
,650.:35M ...........................................................
MailingAddress: � �1. �Jlelfif�. ld..................................................................................... ................................................... V.2.49 ..............
FacilityContact: .......................................Title:................................................................ Phone No:...................................................
OnsiteRepresentative: RkJhard.Q'AIrYxtL................................................................... Integrator:............,.........................................................................
Certified Operator:Mb,Ard..NI........................... Q,BXyailt......................................... Operator Certification Number:213.2b.............................
Location of Farm:
From WSRO: NC Hwy 150 east towards Osceola. Turn right (south) onto NC Hwy 61. Take left ontoTickle Rd. Farm is on +
:he right.
❑ Swine ❑ Poultry ® Cattle ❑ Worse Latitude 36 OF 12 6 12 if Longitude 79 • 34 113
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 Capacity Population Cattle Capacity Population
❑ Layer 7 1 ❑ Dairy
❑ Non -Layer ® Non -Dairy 800 14
❑ Other
Total Design Capacity 800
Total SSLW 640,000
Number of Lagoons 1 0 ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds I Solid Traps 11 ❑ No Liquid Waste Management System
Disebarees & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d, Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ® Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ® Spillway ❑ Yes ®No
Structure I Structure 2 Structure 3 Structure 4 Stricture 5 Structure 6
Identifier: ............ Main ............ ................................................................................................................................................................................
Freeboard (incites): 60
05103101 NO / Continued

Facility Number: 41—OS Date of Inspection 11I4/2002 .
5. Are there any immediate threats to the inte ity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ® No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? El Yes ®No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ® Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ® No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ®No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ® No
12. Crop type Fescue (Graze) Fescue (Hay)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ® No
b) Does the facility need a wettable acre determination? ❑ Yes ® No
c) This facility is pended for a wettable acre determination? ❑ Yes ® No
15. Does the receiving crop need improvement?
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 ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
"
Comments (refer to question #) Explainany YES'answers and/or any recommendations or an ' y other comments.
Use drawings of facility to: better.explam ituahons.!(use' additional pages;aslnecessary) , ', ] Field Copy ® Final Notes ! ,
3. Looks like there may be some short-circuiting of silage leachate through the freshwater pond and into the creek since the freshwater
+
and is full. Strong odor and dark color noted in the creek water. Suggest spreading the rotted, stockpiled, silage that is located next to
the freshwater pond as soon as possible. Need to check creek next visit.
7. Continue efforts to control vegetation on the dam of the waste pond.
16. Operator borrows pump and reel from another permitted facility in the area. Is not a problem, though.
19.. Records look good!
9124102 Waste analysis=0.37 lbs. N11000 gal. Operator is interested in closing this waste pond. Suggested that he contact the
Guil ord SWCD regarding financial and technical assistance.
Reviewer/Inspector Name Meliss Rosebrock
ReviewerlInspector Signature: Date:
05103101 v 1 Continued

Facility Number: 41-05 Da f Inspection F 11/4/2002 •
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes Cl 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 IN No
32.
Do the flush tanks lack a submerged fill pipe or a penrianenthemporary cover?
❑ Yes ❑ No
Additional Comments and/orDrawings:
Waste pond on Trotwood Road is closed and property sold.
O5103101

tb
S j� ".t;: E FE i'i. 9i•1 B€�( 3� � @�a
Ei
3 .E� � , �Dlv�ni�IJ ��,��4Gi �/�)�{y,�'� i ���9¢ �i i
Ei 3E � i � { �636. F ! � 3 i '.'I � 3�[S33i,f � � El !'F _
E "
I
Dii ihiba ofSoil tester Cotisseirvatinn
auti
r
l
4 W
„ .•
-
i I Y t
L: "
Type of Visit 9k `Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit f Routine 0 Complaint O Follow up O Emergency Notification
(late of Visit:
Facility Number
Permitted V.Certified Q Conditionally Certified 0 Registered
Farm Name:
Owner Name: -4
Mailing Address:
Facility Contact: IL
Onsite Representative-
Certified Operator:
Location of Farm:
I -0rA tL)5
❑ Swine ❑ Poultry
' `:Sririne a
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
Farrow to Feeder
❑owinish
Nt
°, Holdia�r
Other ❑ Denied Access
ime:
Date Last Operated
r Above hresbald: _
County: W V v
1 f dr
Phone No: .11:� & ' I'd S6
• � Phone No:
Off` ,,� Integrator:
� �] u � Operator Certification Number: Q �d.b
1S0
T-urn irt,
� '� ] � ,r v. � 3„ .....•. — . v i...i�.. . �..� r r � v. � ,Lie'- � . i -
Cattle ❑ Horse Latitude ' • " Longitude 0 •
fiber of Lagoons
ands / Solid Traps
g
Discharges &Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes XO
Discharge originated at: ❑ Lagoon ❑Spray Field El 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/rain?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) El Yes
o
2. is there evidence of past discharge from any part of the operation? ❑Yes O
3. Were there any adverse impacts or otentiak adverse im acts to the Waters of the State other than from a discharge? � Yes ❑ No
Waste Coll-ection &Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? Alsvillway ❑Yes XNo
Strut e l StructuZe� Structure 3 Structure 4 Structure S Structure 6
Identifier: )5;V_f06,1jj
Freeboard (inches):
05/03/01 Continued
a
0

ZI
Facility Number: I — U57 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
( No
seepage, etc.)
l `
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? (If any of questions 4-6 was answered yes, and the situation poses an
❑ Yes
No
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?
ElYeso
gN
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
No
11. Is there evidence of over application? ❑ Excessive Po ding ❑ PAN ❑ Hydraulic verload
❑ Yes
No
12. Crop type
13. Do the receiving cr ps differ with those desigiated in the Ce ' led Animal Aste Management Plan (CA
❑ Yes
XN.
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
VNo
b) Does the facility need a wettable acre determination?
❑ Yes
I$No
c) This facility is pended for a wettable acre determination?
❑ Yes
No
15. Does the receiving crop need improvement?
ElYes
&No
16. Is there a lack of adequate waste application equipment?
❑ Yes
KNo
Required Record§ & 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 Certifiimal Wast 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?
_'K
(ie/ discharge, freeboard problems, over application)
❑ Yes
NO
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
o
24. Does facility require a follow-up visit by same agency?
❑ Yes
jNo
25, Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yeso
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comifients {(refer,to uestion # I Explain ariY YES answers and/or''an i ecommertdations or snv, er camments.
rr �g, �.�...`�
4
':i .;'.[( ji i`' ' .�.'if:F. .il. ..'< .... Ii1.. `• 1�.,. .'�P - r>:r,. �.<'<. f� E ii:. , r #>i, ':o. ".�.F� 9 dt9.i"li1E E ie� 3-nwlE{.E.
Use_drnwings of facility tabetter eXpl,", s�tuations;.(use addittonal;;puges as necessary) ff ; . Field Conv ❑Final Notes
,'
_ t i
tf;rV •r- :•>aienn�-� _-r^rt �»i �€ x,r� i n� M l� r�r..tii't;°� '.`°t� to -rpt o�Z r �� ";€
Reviewer/Inspector Name p .-
-
Reviewer/Inspector Signature: Date: a'—"'

cl�
0�
Facility Dumber: — Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Arc there any dead animals not disposed of properly within 24 hours? ElYes o
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ElYes No
roads, building structure, and/or public property)
29. [s 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.) o
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes gNo
32. Do the flush tanks lack a submerged fill pipe or a permanentitemporary cover? - 19 *e8_.4.4ia
Additional Comments and/or Drawings:
r� n'
r
Soo
O o3 7 - g1;zq10 9- / 0 aA JIg
4"kA4 4�'� 7
.e
05103101

Facility Number 41 5 Date of visit: 4l30/2042 Time: 13:30
0 Not Operational 0 Below Threshold
e Permitted ■ Certified © Conditionally Certified © Registered Date Last Operated or Above Threshold:.. ............:.
........ County: faux of d............................................ WSRQ........
Farm Name: HRIIX.�'i.�Q.Y.0.�1t[�1........................................................................
Owner Name: ijt;jjar ..&.Kf:witcth......... Q.'. ry.alak.................................................. Phone No: ...............................:..........................
MailingAddress:07.1.11dde.Ad................ :........................... :........................................ CAUKtAlle.-M .................................................... 2.72.49 .............
FacilityContact: ........................................................... ....::...:......... Title: ................................................................ Phone No: ......................
Onsite Representative: ' Integrator:
Certified Operator:Rlt;bard.i.!'1........................... Q00AW......................................... Operator Certification Number: .............................
Location of Farm: - . . ..
Tickle Rd. off of Hwy. 61 North of Gibsonville.
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 36 • 12 6 12 « Longitude 79 * 34 f 1$ 66
Design Current Design Current Design Current
Swine Ca 8—c I OR P,o ulation Poultry Ca acit P,o ulaEion Cattle HDREWNP,o ulation
❑ Wean to Feeder ❑ Layer ❑ Dairy
❑ Feeder to Finish ❑ Non -Layer 10 Non -Dairy 800 l35
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other -
❑ Farrow to Finish Total Design C►apaCity 800
❑ Gilts
❑ Boars Total SSI.VV 640,000
Number of Lagoons ❑Subsurface Drains Present ❑ Ell
ea Lagoon Area ❑Spray Field Ar
Holding Ponds /Solid Traps �.J ❑ No Liquid Waste Management System
Discharges & Stream ImpacjA
1. Is any discharge observed from any part of the operation? ❑ Yes 0 No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min`?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ® Spillway ❑ Yes ® No
Structure i Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ................................... ................................................................................................................................................................................
Freeboard (inches): 50
05103101 Continued

Facility Number: 41-5 1 1* Date of Inspection 4/30/2002 4
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
!e,:. .,
❑ 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
U. Crop type Small Grain (Wheat, Barley, Corn (Silage & Grain) Fescue (Graze)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes IN 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
IN 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
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
ents- (, Mr, to o Ux lain an. a d/)an. ecommendatio or any other comments.
awn of faci ette e p ain situatio s. a Zal onal pa a ecessary ❑ Field Copy ® Final Notes
14C, Mr. O'Bryant has applied waste by irrigation the last few times. The waste plan was revised to include irrigation, but there needs
to be a irrigated area for the pulls, for record keeping.
Records looked good with the above exception.
Reviewer/Inspector Name Rocky Durham
Reviewer/Inspector Signature: Date:
05103101 Continued

raeility Number: 41-5 1 , of Inspection 4/30/2002
dor 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
(�' _ tone ��ont� eritsIan" on _rawttigs:
Waste analysis 4-24-02 LSB 4.2 lbs.N11000 gals. I
A,
9-24-01 ALB 1.8 lbs.N/1000 gals. B
Soil analysis logged in 4-23-02
05103101

ivision of Water Quality
vision of Soil and Water Conservation
CIFOther 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 {,f visit: 9CL1/20U1 Time: U9o9 Printed on: 9/26/2001
41 OS
tD Not Operational jj Below Threshold
Permitted ■ Certified ❑ Conditionally Certified ❑ Registered Date Last Operated or Above Threshold:.. .....................
Farm Name: RQUy..Gro.y61FArm....................................................................................... County: SauRfud..
Owner Name: klUchamd.................................. O.'At:ymat......................
...............
Mailing Address: 0.7.1.jjckjg.W..........................................................
Facility Contact: ....................................Title:
Onsite Representative:...
............. Phone No: 33.6..56-3.09.................
............. GAbAw Alle-NIC........................................
Integrator:
Phone No:
Certified Operator:RilChArd................................. Q''BjryGilt......................................... Operator Certification Number: 21,32A .............................
Location of Farm:
Tickle Rd. off of Hwy. 61 North of Gibsonville.
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude F 36 • 12 ' 12 Longitude 79 • 34 18 '
Design Current
Swine Canacity 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
❑ Non -Layer
® Non -Dairy
1100
50
❑ Other
Total Design Capacity
1,100
Total SSLW
880,000
Number of Lagoons 0 10 Subsurface Drains Present 110 Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps I I ❑ 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?
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
❑ 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 & 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: .....WSP.1-ma.ia.... .......Chased.otut .......................... ...................................................................................... ...................................
Freeboard (inches): 66
05103101 3 7 -I Continued
UP%—,Z

Facility Number: 41-05 Date of Inspection 9/21/2001 ,
Printed on; 9/26/2001
5. Are there an immediate threats to the inte rit of an of the structures observed? iel tree erosion,
Y g Y Y ( ❑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?
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 (Graze)
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
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 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 ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
® Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes IN No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
•omments efer to u h n # : xplain any a we • an or any recommendations or any other comments.
K s d awings of facih to better explain situations. ,u additional pages as necessary : ❑ Field Copy ® Final Notes
7. Continue efforts to control vegetation on dam.
19. WUP should specify application areas by pulls with corresponding acreages for proper recordkeeping by operator. Contact SWCD
for assistance. Operator applied some waste by irrigation this spring. This is not a usual occurance, though. Should still write in a
short narrative in the WUP to denote this, including the amount of acreage per pull receiving waste.
Silage leachate runs into farm pond.
j4pproximately 20 beef cattle still have access to creek since the fencing is down.
+
Reviewer/Inspector Name Imeussa osebrock
Reviewer/Inspector Signature: Date:
0510JI01 Uonttnuea

Facility Number: 41-05 16
of Inspection 9/21/2001 Printed on: 9/26/2001
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
ALI
J
05103101

Type of Visit /i 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 jDateofVisit: a Time: I
O Not Operational 0 Below Threshold
14 Permitted)PCf Certified © Conditionally Certified 13 Registered Date Last Operated or Above Threshold: �..�
Farm Name: ...T.I II. ..... IrDllt✓....Fa.?:..I'I�?.................. ........................... County:....au. �..r. .rd............................................
Owner Name: ..lr�aL''.....�..►�r Q!.......................................... Phone No:......p....rO...�'.....3`..�........... :.
FacilityContact: ................................................................ Phone No:...................................................
Mailing Address: ..... .��.1.. .......... (..L.Ci�e:........�Gt:........,E....... ............................... ............ ............
Onsite Representative: r! Q �, r�'1 �1..... ..... Integrator:
Certified Operator:...... („r ...... 0,.....O,E.y a n d ....................... Operator Certification Number:.....:. a...�.
Location of Farm:
T;60e- . a F Huy 61 Ivor o
❑ Swine ❑ Poultry Lattle ❑ Horse Latitude ®' �� �66 Longitude �• ®� ®«
Swine eg• PCurr'ent ' Design Current. 'Design' " Curi�ent,4
',rt,......... Ca ai o ulation Poul 3'„ ;Capacity.�,Papuladoa Cie .` Capacity..Population.:°
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Total 'Design Capacity
Total SSLW,
ly le)0
e:
g?0/ 0406 Jr
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area JE3 Spray Field Area
Bolding Ponds /;Solid Trsps Z- ❑ No Liquid Waste Management System
h
Discharnes & 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? XSpillway
ff,, Structure I Structure -27 Structure 3 Structure 4 Structure 5
Identifier: ..W ....I..................[...2........................................................................................I.................
atn
Freeboard {inches}:
5100 6q
© lam,
❑ Yes *o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes No
❑ Yes No
❑ Yes ANO
Structure 6
Continued on back

acflfty Number: 4 — ds Date of Inspection
5. Are there any immediate threats to thel}ll�i grity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
❑Yes �No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
0 Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes 1010
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes XNo
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
/KNo
❑ Yes gNo
12. Crop type
13. Do the receiving c ops differ with th se desi aced 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?
10
❑ Yes fiVNo
c) This facility is pended for a wettable acre determination?
❑ Yes ONO
15. Does the receiving crop need improvement?
❑ Yes �No
16. Is there a lack of adequate waste application equipment?
❑ Yes XNO
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes O(NO
18. Does the facility fail to have all components of the Certified Ani al Waste Management Plan3eadiiy available? P(NO
(ie/ WUP, checklists, design, maps, etc.) 7 // ❑ Yes
19. Does record keeping need improvement? (ie/ irrigation, freeVVVVboard, 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 XNo
24. Does facility require a follow-up visit by same agency? ❑ Yes 6[fio
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes .490
ova YI A 1911S:or d�fcep'es •:►ire kited...00ift 4Ais'vasjt; Yoit:w)1j-tooit� 0..0..
4i'tM��
cori-esuoridence: about this visit: •................................... .
v a?' �1.1i I'�t !yt }(1V' 'I Wig'
Reviewer/Inspector Name ;
Reviewer/Inspector Signature: Date: g/pp

Facility Number: — *e of Inspection ! 0
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below 10
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?
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 KNo
31. Do the animals feed storage bins fail to have appropriate cover? des—allo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
Additional Comments an orDrawings:,
3�
J#�- dz Lt� I wjue ;,�V dt&-O 4
S/00

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 of visit: 5/1/2001 'finie: 11:15 Printed on: 8/29/2001
41 5
0 Not Operational C Below Threshold
■ Permitted E Certified [3 Conditionally Certified © Registered Date Last Operated or Above Threshold :...................
Farm Name: Ht1Uy,,GxovxFarm ...............................
County: Glltlfuxd............................................ W.SRQ.........
OwnerName: FUcl>laud.................................. Q.'.I31symat................................................... Phone No: C:fi fi-#9...........................................................
Mailing Address: 607.1.1ickkEd..................................................................................... Gh.muffle-M ................................................... 2.7.2.49 .............
Facility Contact:.............................................................................. Title:................................................................ Phone No:
.....................................
Onsite Representative: Riftard.0,1KY4A11................................................................... Integrator:...............................................................
Certified Operator:Rkhad................................. VDr.Y.Ott......................................... Operator Certification Number: Zjj2ft......
Location of Farm:
Fickle Rd. off of Hwy. 61 North of Gibsonville. +
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 36 ' 12 6 12 46 Longitude 79 ' 34 6 18 66
esign
ine 210,acit
Current Design Current Desigr' Curr
Poult .a
Po ulation 1 Y Ca aci P,o ulatioti `Cattle Ca sett ,P,o ulation
❑ Wean to Feeder
❑Layer
❑ Dairy
❑ Feeder to Finish
❑Non -Layer
® Non -Dairy
1 1100
1 9q
❑ Farrow to Wean'.
❑ Farrow to Feeder
❑Other �g
Total Design Capacity 1,100
#
Total SSM 8805000
❑ Farrow to Finish
❑ Gilts
❑ Boars .
Number of Lagoons
Holding on /Solid Traps z
❑Subsurface Drains Present ❑Lagoon Arca
To Spray Field Area
❑ No Liquid Waste Management Systemji
Dkischa= & Stream ImpagJ5
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?
❑ Yes ® No
❑ Yes ❑ No
a
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection R& Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ® Spillway ❑ Yes ® No
Structure I Structure 2 Structure 3 Structure 4 Structure S Structure 6
Identifier: ...........WSP..1......................W..SP.2.......... .................................... ................................... ......................................................................
Freeboard (inches): 53 em t
05103101 Continued

Facility Number: 41-5 Date of Inspection 1 5/1/2001 1
. Printed on: 8/29/2001 •
5. Are there any immediate threats to the T!rity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
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?
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ® No
12. Crop type Fescue (Graze) Fescue (Hay)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ® No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ® Yes ❑ No
15.
Does the receiving crop need improvement?
❑ Yes
® No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
® No
Required
Records N 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
IN 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.
en ts ref t n lal an. a Man o mencdation or an other ommen
.a in a ette a Iain situati ditional a n a ❑ Field Copy ❑ Final Notes
14. The WUP will need to be revised to include irrigation and irrigated acres specified in the WUP if Mr. OBryant wants to continue t
apply by irrigation. The irrigation equipment is borrowed.
6 The Gerringer Farm has been sold and the holding pond, (WSP # 2), has been pumped out and scraped out. As soon as the solids have
dried and been spread the Soil and Water district will do the closure report.
wer/Inspoetor Name Rocky Durham
E
wer/Inspector Signature: Date:
05103101 Continued

r Facility Number: 41_5 Dof Inspection 5/1/200I Printed on: 8/29/2001
Odnr 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 IN No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
t o�na *n`mments an o rew ngs:
w
05103101

i€ "'€ a1 •: 1 ,';• Iall Of"Water€QUehtyon
I uff' €al,, I''•'€€ !�lI ,F °! �€€€I„,,,• Vil i€, [1!dlll „iiti;':Igl+
slon-,of Soil `and Wa,'ter CanserYatiy
,. , '� i a, : ! ...I dl i�'1' , ��.. _ -€ ,.�I r ! , a ra�7, c B 1. � i � it E. ` i 1 .:: i ;M I ,..,I,,V=` € •.�7 3-h1" ) �.� .f:'
......
OtherlL�1 Enc �I#ild� Y�1:N,d=:ti,s,��, I„ ,1'I„ i:i�' ��h,�, ,€E� �� ;I�';I� y .;; �€,t iI' �,�l. Y.'•
, , „ , i,
Type of Visit OO Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Fallow up O Emergency Notification O Other ❑ Denied Access
Facility Number 41 OS Date of Visit: 9/201200D 'rime D805 Printed on: 9/20/2000
O Not Operational 0 Below Threshold
® Permitted ® Certified [3 Conditionally Certified 13 Registered Date Last Operated or Above Threshold: .......................
Farm Name: RoMy..GxQ.w.Ealrm ............................... ..................... County: Guftr.d ............................................ W.SRQ........
Owner Name: tiichtaX.d.................................. Q'Arya)A ................................................... Phone No: 33.6nlii'56.459 ...........................................................
FacilityContact: ....................................... Title:................................................................ Phone No:...................................................
Mailing Address: {�1. �xO1f�R.l�...............................
Onsite Representative: Rkbard-O'.Bry.8Ittk................................................................... Integrator:......................................................................................
Certified Operator: Ri., lU:tlX ........................... Q,BXYAtkt......................................... Operator Certification Number:Z132G.............................
Location of Farm:
'fickle Rd. off of Hwy. 61 North of Gibsonville. A
RP
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 36 ' l2 1 12 « Longitude 79 • 34 ' 18 LL
p
rent
sign rent
Swine
Ca acit Population
Poultry
Cap accit Population Cattle
Cap acit Population
❑ Wean to Feeder
❑ Layer
❑ Dairy
❑ Feeder to Finish
❑ Non -Layer
® Non -Dairy
1100
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Design Capacity
1,100
❑ Gilts
Total SAW
880,000
❑ Boars
Number of Lagoon`s 0 ❑Subsurface Drains Present ❑Lagoon Area ❑ Spray Field Area ,',,
Holding Ponds / Solid Traps 2 ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify D W Q) ❑ 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 S Structure 6
Identifier: ............ Main........,.... ............ ...92..............................................................................................................................................................
Freeboard (inches): 84 48 V l
S100 ' Continued on back

Facility Number: 41-05 Date of Inspection 9/20/2000 Printed on•. 9/20/2000
5. Are there any immediate threats to theority of any of the structures observed? (ie/ tresevere 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_Appl_icati_o_ n
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 (Hay) Timothy, Orchard, & Rye 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?
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?
(iel WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (iel 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?
(iel 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 ®No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
0' Nowiolatiotis_o'r deficiencies,wet;e;noted dh fiftg•this AAt.-N u'Will receive,no•fgrth;et•; -;
correso oritlehe' abbotthis.visit. .' .'.
Comments (refer to question #) Explain. ;YES answers and/or an recommendatiFonsjor any other, comments
dr Use awings of facility to better explainfsituations. (use additional pages as necessary):
7. Continue efforts to control vegetation on dam.
9. Recommend horizontal gauged markings on liquid level markers.
Mr. O Bryant new recordkeeping forms.
w
Reviewer/Inspector Name iM
Reviewer/Inspector Signature:
Rosgbrock . A
Date:
5100

Facility Number: 41-05 Da Inspection 9/20/2000 Printed on: 9/20/2000
Odor Issues
:s
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ® No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ® No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ® No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ® No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ® No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
5100
t

F tvision of Water Quality "
t ivision of Soil and Water Conservation
Q Other Agency
Type of Visit Ocompliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit 6Toutine O Complaint O Follow up O Emergency Notification O Other © Denied Access
her Date of Visit. I"iine: J—� Printed fin: 7/21/2000
Facility Nunt
O Not O erational Q Below Threshold
Permitted Certified © Conditionally Certified (] Registered Date Last Operated or Above ThJreshold:
Farm Name: ...L.ID. y......f rQ.1(G.r....i�acni........................................... County: ... L�,b�.�.�.1♦.l..TQl..((..................... .......................
Owner Name: ....... Ri..o,.�.ard .0...... ..... .' ..................... Phone No:. .. .GP.�..... ........... �.1... !
t
FacilityContact: .... ..........��r e ...........0........ .. I�ii : ani ............................................... Phone No: ...................................................
MailingAddress.....W... v... /...�. .... (....L. .�L !' ........L41 .............................................................................. ..........................
Onsite Representative: i.1.�. i'Lt L....... 1... r.....l.Y� - integrator............................................................................
............ .
r r�
Certified Operator:......... � ] r ,,.,,...,. .......0.,,,,, ►r.... n Operator Certification Number:....... srL .W....
Location of Farm:
rt: a '/7o-�` Nw 1 d►'° j 6 i pan vi7 e
❑ Swine ❑ Poultry 9Cattle ❑ Worse Latitude �• �� ��� Longitude �• �` ���
Design Current
Swine Capacity Pouulation
❑ 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 I I JC] Dairy
❑ Non -Layer I I QNon-DairylQQ
❑ Other I I I
Total Design Capacity F7 V
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present j ❑ Lag-iiin Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharge s & Stream im i} acts_'
1. Is any discharge observed from any part of the operation? ❑ Yes ONO
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the convevance man-made? ❑Yes ❑ No
h. If discharge is ohserved. slid it reach Water of the State? (ii'yes, notify DWQ) ❑ Yes ❑ No
c. If dischargc is observed. what is the estimated flow in balhnln'?
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
SVU1 turcc Structure 2 Structure 3 Structure 4 Structure 5
Identificr: ...... MAIN .........................�..........
. ..................
),j Freeboard (inches):
5100
❑ Yes ❑ No
❑ Yes -No
El Yes No
❑ Yes XNo
Structure 6
Continued on back

Facility Number: — Date of lftspection Printed on; 7/21/2000
5. Are there any immediate threats to the ihtegrity of any of the structures observed? (ie/ trees; i`evere erosion,
❑ Yes
No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
❑Yes
� No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
Yes
❑ No
8. Does any part of the waste management system other than waste structures require maintenancelimprove ment?
❑ 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
12. Crop type jto
13. Do the receiving crops differ with those ignated in the Certific Animal Waste Management Plan (CAWN .?
b4cs
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
o
X
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
VNo
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? (ic/ 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
o
22. Fail to notify regional DWQ of emergency situations as required by General Permit'?
(ie/ discharge, freeboard problems, over application)
❑ Yes
VNo
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative'?
❑ Yes
�lo
24. Does facility require a follow-up visit by same agency`?
❑ YeA_j
__No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
El Yes
No
O YIQIai}UI15.OP Ci v
00-titig �tbisvlslt. • Ybit Will•i-eb6*0 00 furthOOrI'CSI}Ori[�eriCe.a�dut.t�i15
151t.'.','.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.
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):
11^40rrowl lop tes VN P-, A -1-0 1 fe r�c�
Reviewer/Inspector Name
Reviewer/Inspector Signature:`/{/ j%j j ./jj?lj/j /A_/3 j_jh_ V_ ? __,_/ Date:

Facility Number: — tof inspection is
Printed on: 7/21/2000
Odra Issues `
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge Wor bielow B*C.- SNIo
liquid level of lagoon or storage pond with no agitation? O I l 1 1 I 1 J O� r] Ano F
27. Are there any dead animals not disposed of properly within 24 hours? �V ❑ Yes DiNo
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 E�No
P
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.) 1 ❑ Yes A No
31, Do the animals feed storage bins fail to have appropriate cover? ❑ Yes 4NO
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? om 1 T j p2000 - *as
Additional Comments and/orDrawings:
604
KAX,
'3
5100

+,. ,L.. r,l,��, 1411 ll r Oil r ,h. rfr� Iq ilhl
Q1onof{WSierlQuallit 1 '..I .i'',rl,.I rlrP,l.l
E (,1 ,Ill lli I„l �I` ! )}� ;�II•I ,[(Illllir _. I III -llrl li I,,I, IrE ,, � :. L-., inn,. I. .-..y,qV I I
WFUoh.of Soili.and€.WaterConscrvatiOb'h ld7lrl�dVFli rL Ain {j l--fi;'ll�l it C,�rl lj}I';[:;p�{II yl lil !I�I!i,llhF �jl `sial �h llfi'I':-r
I. i . IFt'il Irl II _Ir, i. 3 - E • VI�I . ! I I I I' I I r I
I'r€af'l..li�IOthei.Agencyrl
Pill �,iJrilll,.lri +.�:. 'Ihilll 'I h[, T.�Ir�whs.C11,++iv , dl.I,"! I I ., ,liu�i.l Il I1� V�.1 % I � l,e..l.. •u . 1. ,_, I ,,.r L r _ �V Y;�' ' 1 lU k r':kh G, c -I . h, ` I � - 61I . 14. IS� I : .�I,
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit © Routine O Complaint O Follow up O Emergency Notification Q Other ❑ Denied Access
Facility Number
Date of Visit: 6/15/2404 Time: 13:40 Printed on: 9/20/2000
41 S
O Not O erational Q Below Threshold
® Permitted ® Certified Q Conditionally Certified [3 Registered Date Last Operated or Above Threshold:
Farm Name: ........................ County: Guffud ........................................... W-SRO........
Owner Name: HjCl pr.d.................................. O.."A youl................................................... Phone No: ���rf��.:3.S�r9.................................................
FacilityContact. ............................... ............................................... Title:................................................................ Phone No:...................................................
Mailing Address: 6#71"Tickig.Ltd .............................. ... ..... GibmayAllt AC............................. ......... Z.7.2.49 ..............
............................................... ..............
Onsite Representative: RiShard.Q'B.rygmk................................................................... Integrator:......................................................................................
Certified Operator:Rickard.M. ........................... Q,,Dxya11.t......................................... Operator Certification Number:2.13.2(..................
Location of Farm:
1ekle Rd. oft' of Hwy. 61 North of Gibsonville.
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 36 • 12 12 Longitude 79 • 34 , 18 GG
Design Current
Swine Capacity Pnnulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current DesignCurrent
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑Dairy
❑ Non -Layer ® Non -Dairy 1100 100
❑ Other
Total Design Capacity 1,100
Total SSLW , 880,000
I Number`6f Lagoons I, , •
❑ Subsurface Drains Present
❑ Lagoon Area
❑ Spray iField Area
Holding. Ponds / Solid Traps; 2
❑ No Liquid Waste Management System
,
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
❑ No
b. If discharge is observed, did it reach Water of the State`? (If yes, notify DWQ)
❑ Yes
❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes
❑ No
2. Is there evidence of past discharge from any part of the operation?
❑ Yes
® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
❑ Yes
® No
Waste Collection & Treatment
4, is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
❑ Yes
® No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier: ....... .train.farm....... ... data'ingicLfarm................................................................................... ............. ..............
....................................
Freeboard (inches): 48 48
5100
Continued on back

Facility Number: 41-5 Date of Inspection r 6/15/2000 Printed on: 9/20/2000
5. Are there any immediate threats to theority of any of the structures observed? (iel trsevere 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?
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?
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
11. is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ® No
12. Crop type Fescue (Graze) 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?
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? (iel 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?
U.Nd•violations'or dericienciet-Woe:noted duriilg•(his;visit.:Ytiu:will receive no farther':
: corresuond6c' e. abod this :visit:
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
® Yes ❑ No
❑ Yes ® No
❑ Yes ®No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
Comments `(refer to question #): Explain any YE5 answers and/or any recommendations or any other comments.
facility to better, explain situations (use additional pages as necessary): Usedrawings,of
119. Will need to start keeping weekly holding pond levels per General Permit.
There are only 2 cows at the Garringer farm. This property has a sale pending.
Operator borrowed a neighbors irrigation reel, pump and pipe to lower holding pond at Garringer farm. There was only one pull
lone on a fifty acre field. Plan is written for pump and haul, however, since there are only two cows here and the property is under
-on tract to sale I am not concerned with a wettable acre determination or WUP revision at this time.
_.,--..E.....w .... ...- ......... . ...� «.-.�:.., Reviewer/Ins ;
Reviewer/Inspector Name i"`�,�
p Rocky I)urHam Millie L'aagley '
Reviewer/Inspector Signature: Date: 5100

4�
.r
Facility Number: 41-5 Da Inspection 6/15/2000 printed on; 9/20/2000
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 Comments
4?Pt'�I��.`'`r
S/00

10 Routine O Complaint O Follow-up of DWQ inspection Q Follow-up of DSWC review O Other 1
� . �m i i�u nrri� n ur
Facility Numher 41 5 Date of Inspection 12/21/99
Time of Inspection F 10.15 24 hr. (hh:mm)
0 Permitted ® Certified [3 Conditionally Certified [3 Registered 10 Not O erational Date Last Operated:
Farm Name: Raft..Gro.Y.Uarm............................................................ County: Guilford ...;....................................... WSRO........
Owner Name: '
Facility Contact: ..............................................................................Title:.
Phone No: 3,36-.56:35N9...........................................................
....................... Phone No:...................................................
Mailing Address: 0$21.:TAtsljg..Rri................................................... ................................... G bam.ville- 1C
Onsite Representative: RigbArd.Q',0xyank......................- Integrator:......
Certified Operator:Rjgbard.H........................... Wk-Vaut......................................... Operator Certification Number:2,1�.Z6....................
Location of Farm:
..........................................................................................................................................................................................................................................
IV
Latitude 36 • l2 ]2 Longitude r-347.18
Design Current
Swine Canacity Panulation
❑ 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
❑ Non -Layer ® Non -Dairy 1 100 I IS
❑ Other
Total Design Capacity 1,100
Total SSLW . 880,000
- ' - -Number of Lagoons JE1Subsurface Drains PresentjjEl Lagoon Area I[] Sprat Field Area
Holditng`Ponds"% Solid Traps r 3. ❑ No Liquid Waste Management System
Discharges R Stream Impacts
1. Is any discharge observed from any part of the operation? [:]Yes' N No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. li' discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
--------b: lfdisch,n,te-is•observed did-it-reach-Water•ot'the-State'?-(It=yes.-notify DWQ) ---- -0 Yes —❑-No---.--.--
c. li'discharge is observed, what is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon system? (H yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes N No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge'? ❑ Yes N No
Waste Collection K Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ElSpillway ❑ Yes N No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure h
Identifier: Main #2
Freeboard(inches): 9Q. .. $4.. ... ........................................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, [:]Yes N No
seepage, etc.)
3/23/99 Continued on back
Printed on 12/21/99

jFacility Number: 41-5 Date of lnspertion 12/21/99
r 6. Are there structures on -site which aroproperly addressed and/or managed through*Ste 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 N 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 N No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes N No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes N No
12. Crop type Corn (Silage & Grain) Fescue (Hay) Fescue (Graze)
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
V
15. Does the receiving crop need improvement? ❑ Yes N No
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?
�: No v'tolations:o"r :deficiencies-were:nbted during this: v.isit.:Ytiu:wil.l :receive-n6-fi rth:er• ;
. . . correspondence: about this :visit:
❑ Yes N No
[]Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes ® No
❑ Yes N No
❑ Yes N No
ommend continued attention to ground hog holes in dike at Main pond-, operator noted ongoing problem. No active holes
:rued in this visit.
Reviewer/Inspector Name Tom Y
Reviewer/Inspector Signature:
ilJ7YLI� Date: ! 1
Printed on 12/21/99

r,
10 Routine O Complaint O Follow-up of DWO inspection O Follow -in) of DSWC review. O Other 1
Facility Number
Date of Inspection
Time of Inspection
Registered 13 fC�ertified 13 Applied for Permit 13 Permitted C
Farm Name: ....1.�....................�jr- l�rUtf?...........�' 1..
OwnerName:...........................................................................................................................
FacilityContact:.............................................................................. Title...........................
Not
MailingAddress:............................................................................................................ ...
Onsite Representative:Xlei�,..A ......................C2'.,�iL�
24 hr. (hh:mm)
Date Last Operated:
County:..... ( t„1.�.1- ... �r tin ..
1~ t ,�.�......
Phone No: .............................. f £+� .�?:k.,.C3 .....
.�..
................................. Phone NO:. .1.`m... i....l .....
ni
............. ................................................... .r:..� r l? ck! E 1
Integrator: ........................................�_: g J. O 1. i .......... {.....
Certified Operator:............................................................................................................... Operator Certification Number:.........................................
Location of Farm:
C
C
Latitude Longitude
t,•€e 433Desl n� Current vCV
Swine wCir''acitPo ulation�Foitlt ?, .Caagc'tn Po u!a nan�.Cettl'e 3` .y ¢Cam agctn Po ulation�� `
..,.. p.. p,..:., h.., P..
❑Wean to Feeder ❑ Layer ❑Dairy
❑ Feeder to Finish ❑ Non -Layer Non -Dairy fr
❑ Farrow to Wean 5 -.£a�a w s +_i`'T.:i rd�
❑Farrow to Feeder ❑ Other _ e f
❑ Farrow to Finish a Total Desk it Ca 6, 60'
❑ Gilts g y s
❑ Boars Total SSLW
Number ofgLageons (Holding Ponds ❑ Subsurface Drains Present I ❑ Lagoon Area ❑ Spray Field Area
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes �No
2. Is any discharge observed from any part of the operation? ❑ Yes �No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes �No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes pNo
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 ZNo
3. Is there evidence of past discharge from any part of the operation? ❑ Yes 17No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes +1No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes. ;jNo
maintenancelimprovement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes - ErNo
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes eNo
7/25/97 Continued on back

;.ip
Facility Number. 4
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons joldlna Fonds. -Flush Pits. etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
is
Structure 1 Structure 2 Structure 3 Structure 4
❑ YES No
❑ Yes F(N o
Structure 5 Structure 6
Identifier:
Freeboard {ft):...:....�.......»` ................
10. Is seepage observed from any of the structures? ❑ Yes
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes (ONO
12. Do any of the structures need maintenancelimprovement? [ 'Yes [I No
(If any of questions 9-12 was answered yes, and the situation poses !
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste A.nnlicatWn
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type 621+ms........................... ..................................................................................................................
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 nerd improvement?
For Certified or_Pyrmitted 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?
0. No.vidlatiohior* deficiencies: were. natid;during this:v:is '.. You'vii11- receive-iro.ftirtheir
. • ctirrespot�tdebce �b:out •Ehis: visa:•.: • . � .. � .. . . . :: • .. . . - ' . • . • . ... • : � :.:.
t9.) - oa-� 6 Als // _
t
1 -), , 1?7h p IG" NHS 1e ' r�J .
�Ves ❑ No
❑ Yes (XNo
❑ Yes )ETNo
❑ Yes ONO
❑ Yes FrNo
❑ Yes JO No
❑ Yes P'No
❑ Yes dNo
❑ YesVNo
❑ Yes d No
❑ Yes EdNo
❑ Yes QT10
7/25/97

W %' uiN. . ❑ Division of Soil and Water Conservation ❑ Other
Division of Water Quality
10 Itoutine 0 Complain( 0 Follww-u of D%VQ inspection 0 Follow-u E►f DSWC review 0 Other
Date of Inspection S Z/
-Facility Number
Time of Inspection Z p a 24 hr. (hh:mm)
01 Registered © Certified [3 Applied for Permit © Permitted O Not O erationa] Date Last Operated:
Farm Name: ��/� Oedva ✓� County: !, ��
n........................................................................................................ h....................................................................
Owner Name:.......R..LL :..................�,�a`�.......,.......,........,........,p,................ I'hotte No:...(31N1.C?SrlO..5...........,.............
Facility Contact: .(.`�`:...`.:........`�.b.` °"f ......Title:......LR,!.,e/..................................... Phone No:.1�3
J �t r 2 72
MailingAddress-. .....�F 71......T c '/�....° cf:..........................................................yG.....,.........,......... ....,. ..........................
n
Onsite Representative:.....;��c Q�.......��.1r..y`.':`..�.......................................... Integrator:......................................................................................
.................
i3�
Certified Uperatort.......�+:cl,:��tr.............Q. i�r �r���' p „�
.......,.�}...................................................... Operator Certification Number;.....................................
Location of Farb(:
.c..... ad ......... Q. ..o.+ . ..6.l.............ac.......... ........................................................................................... FqV
Latitude ©• /Z ` /L Gf Longitude 7®* =E I.
E t Destgp Current
p
Design Curiretit Design Currettt
Capacity Population
Poultry
Capacity Population' �Cattie
Capacity Populatton.
a
Wean to Feeder
❑ Layer
❑ Dairy
Feeder to Finish
FO
❑Non -Layer
Non Dairy
Qj� /aQ
o
Farrow to Wean
`
❑Other
+t
❑ Farrow to Feeder
,
o
El Farrow to Finish
Total Design Capacity'
fa()
❑ Gilts
❑ Boars
� Total SSLW-
Number of Lagoons / Holding Ponds"'� ❑ Subsurface Drains Present ❑Lagoon Area ❑ Spray Field Area
71.
❑ o Liywd Waste Management System
l�
F
s ,
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes allo
2. Is any discharge observed from any part of the operation? ❑ Yes 0 No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
•d. Does discharge bypass a lagoon system? (If ycs, notify DWQ) ❑ Yes ❑ No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes RNo
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes '4No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes ZNo
maintenance/improvement?
b. Is facility not in compliance with any applicable setback criteria in effect at the time of design' ❑ Yes El No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes 9No
7/25/97 Continued on hack

Facility Number:
8.
Are there lagoons or storage ponds on site which need to be properly closed'? 4
❑ Yes
® No
Structures La goonsj told ing Ponds Flush Pits etc.
9.
Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes
B No
Structure iff Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
}
Identifier: - o0! I. L: rt oa+—
.J
I:reeboard (ft): .... La..?r....... ............. ? {�
............. I ...................
..
10.
Is seepage observed from any of the structures?
❑ Yes
5.No
I.
Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
V No
12.
Do any of the structures need maintenance/improverent?
❑ Yes
)VI No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13.
Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes
ENo
Waste Application
14.
Is there physical evidence of over application?
❑ Yes
❑ No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15,
Crop type �0 'f�.l..�/ 4�! q� .. f�- lOS�................. ___ ..............
16,
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
No
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
® No
18.
Does the receiving crop need improvement?
❑ Yes
No
19.
Is there a lack of available waste application equipment?
❑ Yes
R No
20.
Does facility require a follow-up visit by same agency?
❑ Yes
1J No
21.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
P"o
22.
Does record keeping need improvement'?
❑ Yes
EL No
For Certified or Permitted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
IM No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
0.No
25.
Were any additional problems noted which cause noncompliance of the Permit!
❑ Yes
VINo
:3-No.violatio'ns' or deficiencies were•notedduring this .'visit..You.'will re'cei:ve no further
correspondence about this;visit.:.::
'nrrunents (refer to question #) :Explain any YES answers and/orany<recommendki6ns oe any'other corm
Ise: drawings of facility to better ezplatn :s�tuattohs. (use ailditiinal page's" as necessary)
.. _: 4f,
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: {�Zdv

10 Koutme p Complaint p i onow-up of uwt2 inspection p Pc
Facility Number
Registered p Certified p Applied for Permit p Permitted
Farm Name: Hak-Graxe.I".arm.......................................................................
ow -up of uawt- review p tuner
Date of Inspection
'rime of inspection ® 24 hr. (hh:mm)
0 Not Operattoaa Date Last Operated:
............... County: Guilford WSRO
OwnerName: Rji......................................... 0.!Bxy.an1... ................................................ Phone No: 65fa-3589 ...................................................................
FacilityContact: RirttsK .. t:yang.......................................Title: Pa.rtner............................................... Phone No:'91W5.84-59.45.................
MailingAddress: 68.7.1.1idle.Rd...................................................................................... Gibsran.Ville...NC.................................................... 27249 ..............
Onsite Representative: Richard.Q.'.JBxyant................................................................... Integrator:........................,........,...........,.........................................
Certified Operator: .................................................. .............................................................. Operator Certification Number:
Location of Farm:
.............................................................:........................................................................................................
Latitude ®• ©4 ©" Longitude ®a ®4 ®61
V esign Current Vesign:iu ren esign, urren,
Swrnel s Capacity',l'opulat[on Poultry k. Capacity eFPol uldtiofi .. Cattle Capacity. Population.
13 W57757eeder
Feeder to Finish
[3 Farrow to can
p Farrow to -Feeder
p Farrow to Finish
p Gilts
p Boars
Number. of Lagoons;/iHolding
0.,
>*;i p Layer p airy no
p Non -Layer lia Non -Dairy
p Other
Total Design Ca0acity 800
i T6ta1.SSLW`820,00
ri a sur ace rainsPresentp :►goon reR p Spray ie
... ...
13 O iqui _as a anagement System +
General
1. Are there any buffers that need maintenance/improvement? p Yes ®'No
2. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: p Lagoon 13 Spray Field p Other
a. If discharge is observed, was the conveyance man-made`? p Yes H No
b. If discharge is observed, did it reach Surface Water? (if yes, notify DWQ) 13 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) p Yes ®No
3. Is there evidence of past discharge from any part of the operation? p Yes ®No
4. Were there any adverse impacts to the waters of the State other than from a discharge? 13 Yes ® No.
5. Does any part of the waste management system (other than lagoons/holding ponds) require p Yes p No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? p Yes N No
7. Did the facility fail to have a certified operator in.responsible charge? p Yes 13 No
7/25/97

Facility Number: 41_5 0 •
8. Are there lagoons or storage ponds on site which need to be properly closed?
Yes
M No
Structures Lapoons,Holdine Ponds, Flush Pits etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate?
0 Yes
N No
Structure I Structure 2 Structure 3 Structure 4 Structure 5
StRICn]re 6
Identifier: 1 2
Freeboard(ft)' ..5..................................4................. .................................... .................. ................. ................5.................
................5.................
10. Is seepage observed from any of the structures?
p Yes
® No
11. Is erosion, or any other threats to the integrity of any of the structures observed?
p Yes
H No
12. Do any of the structures need maintenance/improvement?
C3 Yes
N No
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
p Yes
® No
Waste Application
14. Is there physical evidence of over application?
p Yes
® No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15, Crop type ....... Cnrat..(Si1age.&.G ain.)...........Timothy.Y.pxchard,.&.Rye...................................................................................................................
G ra s
16. Do the receiving crops differ with those designated in the Vnimal Waste Management Plan (A WMP)?
p Yes
R No
17. Does the facility have a lack of adequate acreage for land application?
p Yes
® No
18. Does the receiving crop need improvement?
p Yes
®No
19. Is there a lack of available waste application equipment?
p Yes
®No
20. Does facility require a follow-up visit by same agency?
❑ Yes
® No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
p Yes
® No
22. Does record keeping need improvement?
❑ Yes
p No
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
p Yes
p No
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
p Yes
p No
25. Were any additional problems noted which cause noncompliance of the Permit?
p Yes
p No
. • . o,vlai Ions.or lcrencies•were.nu a nring rs visit:. iou. Will.receive no. further.
es.io.l.e�efr abau>: t.ijs:visi�;. • .... .. • ....... .......::....: .
Comment °(refer to question #): Rzpliiiii iiriy Y5 answers and/ur any recommeniltttions ar any dth'er comments.
WO-13-�r �
1"M
wings offaeiltty to better explain situatlnns. use additional��pagas necessaray::€;' - ;�
There is an old well about 80' from the toe of pond at the main farm house area. The feed station on the kiiii has baresoilsbut(tlier..
area is constructed for heavy use. The feedlot at the farmlii area Y,as some movement of solids away from the hnldmg pnndkwhic
'
r tints'
will need to be addressed by atonal removal or other treats per NRC•S guidance The disjunct lagoon is located offTrotwoodIRd: ,
i - "SU
j�^ y.i t 4i n '
off Turner Smith Rd. from Hwy 61 south of I'Iwy l50 and G1, intersection T,�his pond may neeo�betenhanced/ei?larged: Trhe.
number of cows which may be on these farms can be as manyias2T20oyer�1�225)acresla"va�[atiEe Cons�derationtof these=numbersl
may be neeCie dinthe futurefconcernsartILse�:
Nfin d 7/25/97
�3 �:'.,vmtxw. ..�.a:e�i.�a5�aunn�l,vfiW.t...fr ti.�i..�.ra.�,_� .w-..6_.�.,. ::.: .�W.., W.... ,. ..• . _:.. .�.
�
­77,"' -Tra"�
Reviewer/Inspector Name UF
�. itiikkri`ri!&'�Iktfiadi �!a 7 J maa.�f t t.3i 3r u:,ad�c
Reviewer/Inspector Signature: Date:

10 Routine O Complaint O Forlow-up of DWQ inspection O Follow-u of DSWC review O Other
Date of Inspection
Facility Number / S—�
Time of Inspection 0 cf" 24 hr. (hh:mm)
Farm Status: ($Registered ❑ Applied for Permit
❑ Certified ❑ Permitted
Total Time (in fraction of hours
(ex:1.25 for 1 hr 15 min)) Spent on Review
❑ Not Operational Date Last Operated: ...... _..... _..... .............. _..... ......... _........ _/.............. _.f...�_..... _/.J..._...... ...... _....... _.......
I.
Farm Name: ......W..�......�tYA..✓....R ....... IYY. ^............. ..................... County: ..... Cl'..ti... J .Terri! ............... ........... ..........
Land Owner Name: .... `%._. f?.✓... _........... / ./: c. :. ...... Phone No: ....... 2 P //
Facility Conctact .. r. _1G .O.��✓..y..l Title:._.. E !/ ( R.n/... ... Phone No:
Mailing Address:
L
OnsiteRepresentative: ................................................n.............(.......................................... Integrator:............................................
Certified Operator:... 1.L/i. ............ ._.ti),!��1_ ,,,,,_... Operator Certification Number:
Location of Farm: /
Latitude F3_T1•©`�J«
Type of Operation and Design Caaaciti
Feeder
Other
Longitude ®• ©• ®"
ace Drains Present
Area ❑ Snra
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require 44
4/30/97 maintenance/improvement?
Field Area
❑ Yes ® No
❑ Yes ® No
❑ Yes
®No
❑ Yes
EjNo
❑ Yes
® No
❑ Yes
❑ No
Continued on back
5s

Facility Number:..............................Aplicable
6. Is facility not in compliance with setback criteria in effect at the time *sign? "r
7. Did the facility fail to have a certified operator in responsible charge?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons andhor_Holding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft): Structure I Stru 2 Structure 3 Structure 4
❑ Yes a No
❑ Yes M No
❑ Yes KNo
❑ Yes ❑ No
Structure S Structure 6
.......................... ............................ .............. _............ ............................ ............................
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
3yaste Application
on
14. is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
❑ Yes W No
❑ Yes ,0 No
❑ Yes ® No
A14 ❑ Yes ❑ No
❑ Yes JZNo
15. Crop type +.:.... . tllx ...... "f s'..:7....l�.r,............. .' u
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes t$No
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with,on-site representative?
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
❑ Yes 9No
❑ Yes W No
❑ Yes ig No
❑ Yes ❑ No
❑ Yes Z9 No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Comments'(refer`to question Explain any YES'answers'and/o'r'any recommendations o� any„other cornments
Use drawngsof facility`t to betterexplain situations. {use additional ppages as necessary) 4.; r
'+ LY� 1/•!*`,�tl O►�d�JY xU� '�vu.'►. l?ASQ. C T 1�t[�c Q�y�
4.4. �.2 t�I! {ShLA o ,.1 a-+/-'2�
S-c� !s+ O v e 7%,/ o 74-
wv�
r s/ 0Q.G � v 1 v o 1Wcw�
d-r„ .`�i �vo-r..! `Nw 6 / S o w� a 'F /�w I � � 6 / ; ►��a,-% ��:'a,.� �
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: 7 p e
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

State of North Carolina
Department of Environment,
Health and Natural Resources
Winston-Salem Regional office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Leesha huller, Regional Manager
•
1DaHNF;Z
DIVISION OF ENVIRONMENTAL MANAGEMENT
November 22, 1995
Mr. R. L. O'Bryant
6871 Tickle Rd.
Gibsonville, NC 27249
SUBJECT: Farm Inspection
O'Bryant Beef Farm
Guilford County
Dear Mr. O'Bryant:
Due to recent concerns about agricultural impacts to waters of the State,
the Division of Environmental Management conducted inspections of all registered
farming operations involving livestock. Mr. Ron Linville of this office in
conjunction with Mr. John Andrews, District NRCS Conservationist visited your
animal operation on July 25, 1995.
Observations at your facility have been categorized as follows:
,4
Catecrory I. NOTICE OF VIOLATION
A wastewater lagoon at your facility has overflowed.
Adequate freeboard (minimum of 1911) is not being maintained in the
lagoon.
A pipe, ditch, pad or other conveyance can contribute to waste being
discharged from the animal operation.
Operational and Maintenance concerns exist which are likely to cause
animal waste runoff in a manner that is detrimental to water
quality.
Category II. NOTICE OF CONCERN
Parlor .wash, calf feeding or other activities could contribute
negative impacts to water quality.
Loafing areas have the potential to release waste intermixed with
rainfall to the extent that water quality could be negatively
impacted.
Existing apparatus for controlling waste need repair or replacement.
Other:
Category III. NO OBSERVED PROBLEMS
X No observed wastewater deficiencies at the time of the site visit.
585 Woughtown Street, Winston-Salem, North Carolina 27107-2241 Telephone 91 D`771-4600 FAX [phone]
An Equal Opportunity Atflrmative Actlon Employer 50% recycled/ 10% post -consumer paper

Page 2
If your facility has any Category I NOTICE OF VIOLATION item indicated, it
is necessary that you notify this office in writing by December 8, 1995 as to the
steps you have initiated or will be taking to rectify the condition(s). Please
be advised that any non -permitted discharge of any type of wastewater to the
waters of the State is illegal per North Carolina General Statute 143-215.1.
Discharges from the lagoons and feedlots must cease immediately. Until
compliance is achieved with the regulations, your Farm will be considered in
violation of GS: 143-215.1 and could be subject to enforcement action with the
possible assessment of civil penalties of up to $10,000 per day per violation.
If your facility has any Category II NOTICE OF CONCERNS, you should notify
the Winston-Salem Regional Office by phone at [phone] to discuss your
progress in resolving water quality concerns by December 8, 1995.
For both Category I and II above, this office recommends that you seek the
advice of the Guilford Soil and Water Conservation District at 910/333-5400 prior
to providing a written or verbal response to this office. Your cooperation in
this matter is greatly appreciated. If you have abandoned waste lagoons or
storage ponds, you should consider proper closure of the structures. Operations
below threshold limits may be removed from the registry providing a written
request is submitted to the Division. If you believe that this notification is
in error or if you have any questions about this letter, please do not hesitate
to contact Mr. Ron Linville or Steve Mauney, Water Quality Supervisor at (910)
771-4600.
Sincerely,
M. Steve MauneY
Water Quality Supervisor
CC. Guilford County S&W Conservation District
Central Files
WSRO
a:\o'bryant.ltr

or
SILC P-equirzz irrunediarc Atreention
�L C DN aA C/C— Faciiiy Number:
SIT:. VISITA'1'I N RvCORT]
Owner: 'd/zv,1- G xrvr FmmNamc: 14ZZ, C'Gz&r,-- 2
County: , �s' UI L F'af2 D
Agent VisiL,,g Sites J drl�l /� tJ �c..s� Phone: 1/0 -33 3-S Yo0
Uixrator: G5-5� - 3FZ�-
On She Repro.-;cncativa: �•, �,t,=-�S .�.ii� �• Pbflnc:y �o • A 15�- 35��
Mysicsl Address: z7 J,l, Eas>-�_ r-- .-•c
MidlingIZ:W2,
Type of Opcm iva: Swinc poultry Cattle
oesign Cap-ocity; Z 1 S Nurnber of Animals on Sits; ' / Z/ o �. Z- 2 z O
' 7- L ztitIIBe: —p 12 ' � 02 Longitude; ? LO ---2f
Typt of Inspccticn: Gerund Lof' Aaial
Circle Yes or : tc
Does Ehe A:djimi Waste Lagacn hava suiTcient freetcard of 1 Foot f 25 yeur24 hour storm eveut
(aPPrctirnntely I Foot _ 7 inc:^.es)(, es ar No zi hard: -?:I_ i-c.-t Inchea
I=or facilities with moro ch= =e 1agnrnt, V1=C address the the
conuncats sca!ion.
Was any secp:zaa observed . rani tip Iegooti(s)? Yes ouN2) `N m F.t:cm crasioa of tho dam?. Yes orb
Is adequate latid a A!tble for Iand applicaaan? Yes or Ya Fs the cave. crop adequate? Yes or No
Additianal Commanur. z - �� /�fi ='• ;= _� fis,,�a`;
._..._�i9cl,Tcs L ��.�,c�,�� f=v? r1 •Y.!��� L C� t.2�tcw lei ��.� C'i� 7`7lr—
O
Ftu to [phone] � % 5ignaiure oFAg%mt
.5 &I Ck--
/ i rC ��

JUL-14-1995 15%34 FROM BEM WATER QUALITY SECTION TO
W5ltU
Site Requinstmediate Attention: X) U
Facility No. —Vl- 5
DMSION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: a 7 S—,1995
l Time: o = 3 .X- l •' "'.j
Farm Name/Owner. L Me
^� Mailing Address: , C_ e- s G
County:
Integrator. Phone:
r
On Site Representative: O Phone:
Physical Address/Location:
Type of Operation: Swine Poultry Cattle
Design Capacity: Number of Animals on Site: dt oleg, 4 t a �o
DEM Certification Number: ACE DEM Certification Number: ACNEW_
Latitude:.� _ �' Longi Elev on: � Feet
ZZ Circle Yes or No e'u`�V
Does the Animal Waste Lagoon have sufficient &eeboaM of 1 Foot + 25 year 24 hour stoma event
(appro)imately 1 Foot + 7 inches) (�" No Actual Freeboard: t. _ Inches 3 41
Was any seepage observed from the lagoon(s)? Yes ord9-.Was any erosion'observed7 Yes qCN'
Is adequate lazed available for spray? t:e a r No Is the cover crop adequate? Yes or No
CM(s) being utilized: Csr- e5r ,,� rr-,- ,
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? � se or No
100 Feet from Wells? (Sor No / / 0
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? 4e ;or No 7
Is aainW waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? or e
Is animal waste discharged into waters of the state by man-made Glitch, flushing system, or other
similar man-made devices? Yes of& if Yes, Please Explain.
Does the facility maintain adequate waste management records (vol s of manure, land applied,
spzaY irrigated on specific acreage with cover cx+ap)? Yes No
Additional Comments: - e-1,-,3 Z_�
Inspector Name
cc: Facility Assessment Unit
Use Attachments if Needed.
MTAL F.02

•
:7
/. C4,_� -0 1
s(. ° / i I l/-Q
�� 3� '��r