410010_INSPECTIONS_20171231

Type of Visit Oi Compliance Inspection O Operation Review O Structure Evaluation Q Technical Assistance
Reason for Visit OO Routine Q Complaint O Follow up Q Referral O Emergency Q Other ❑ Denied Access
Facility Number 41 10 Date of Visit: 11/10/20Q4 Time: 113Q
Not Operational O Below Threshold
® Permitted ® Certified [3 Conditionally Certified © Registered Date Last Operated or Above Threshold: ............
Farm Name: .5ftata.Hairy..k:UM................................................................................... County: G.uillaxd............................................ WSR.O........
OwnerName: LiadLeY.5 ............................... h-cy .............................................................. Phone No: (3 .f�.3.T.S.:S.T.b........................................................
Mailing Address: 5.1245mi11A.t?aky.Rd........................................................................ Gib.01AX111c..NO.............................. ... 2.7.249-8.842..
..................
FacilityContact: .............................................................................. Title:.......................................................... Phone No:
OnsiteRepresentative: .......................................................................................................... . Integrator:......................................................................................
Certified Operator:Uuidley..S.............................. Lyiey..................................................... Operator Certification Number:ZI3.19 .............................
Location of Farm:
Huffine Mill Rd. east to Apple Wyrick Rd. - take right, follow till fork, take right fork, Smith Dairy Rd. A
❑ Swine ❑ Poultry ® Cattle ❑ Morse Latitude 36 ' 08 48 Longitude 79 • 38 2164
esig uI
De's
CurrentcSwine
Capacity Poo try
a
Capacity: Po ulatlon Cttle''
Capacity Population
❑ Wean to Feeder
❑ Layer
I
1
10 Dairy
140
0
❑ Feeder to Finish
10 Non -Layer
I
I
JE1 Non -Dairy
❑ Farrow to Wean
Farrow to Feeder
❑Other
❑ Farrow to Finish
Total Design Ctipacity
140
❑ Gilts
Total SSLW
196,000
❑ Boars
Numb°er ofLagoons 0
0
lfnlrlina Pnnrin l Cnlid Tranc
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
❑ 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 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
identifier: ..................................................................................
Freeboard (inches):
12112103 Continued

Facility Number: 41-10 0. Date of Inspection 11/i012004
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees; severe erosion, ❑ Yes ® No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes ® No
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ® No
S. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes ® No
elevation markings?
Waste Application
10. Are there any buffers that need maintenancelimprovement? ❑ Yes ® No
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes ® No
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc > 3000
12. Crop type Fescue (Graze)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
® No
b) Does the facility need a wettable acre determination?
❑ Yes
®No
c) This facility is pended for a wettable acre determination?
❑ Yes
®No
15.
Does the receiving crop need improvement?
❑ Yes
®No
16.
Is there a lack of adequate waste application -equipment?
❑ Yes
®No
Odor lssues
17.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes
❑ No
liquid level of lagoon or storage pond with no agitation?
18.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
®No
19.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
®No
roads, building structure, and/or public property)
20.
At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
❑ Yes
® No
Air Quality representative immediately.
Comments.(refer to question #).. Explain` any YES answers andlor'any recommendations or'any other comments..a t i
Use drawings,of facility to better; explain7situations. (useladditional pages aslEnecessary) E ❑ Field Copy ® Final Notes
i 11 Ind r E — : j € �r n� t yy qq� 7E'Y'" Wr,}r}y!'r•4 97 7%; i,
b: , 6'. dix . ET. il'I, t T! i!!E
Facility has closed the waste storage pond per NRCS standards. Heifers are being raised on pasture, no animals on the lot. No
A6
environmental concerns observed during today's inspection. MMR
Reviewer/inspector Name Meli`' Rnck sebfio
Reviewer/inspector Signature. A, Date: Q
12112103 i J V Continued

Facility Number: 41—ltl 1Wf Inspection 11/10/2004
Required
Records & Documents
21.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
® Yes
❑ No
22.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
® Yes
❑ No
23.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24,
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
® No
25.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
® No
26.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
❑ No
27.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
® Yes
❑ No
28.
Does facility require a follow-up visit by same agency?
❑ Yes
®No
29.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
® No
NPDES Permitted Facilities
30.
Is the facility covered under a NPDES Permit? (if no, skip questions 31-35)
❑ Yes
®No
31.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
32.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
33.
Did the facility fail to conduct an annual sludge survey?
❑ Yes
❑ No
34.
Did the facility fail to calibrate waste application equipment?
❑ Yes
❑ No
35.
Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ Stocking Form ❑ Crop Yield Form []Rainfall [:]inspection After V Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
10
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
12112103

Zechnical Assistance Site Visit
• D ion of Soil and Water ConservatioRw
O Natural Resources Conservation Service
O Soil and Water Conservation District
O Other...
Facility Number 41 - 10 Date: 514104 Time: 1 15:10 Time On Faun: 45 WSRO
Farm Name Shasta Dairy Farms County Guilford Phone: [phone]
Mailing Address 5124 Smith Dairy Rd. Gibsonville NC 27249-8842
Onsite
Representative Integrator
Type Of Visit Purpose Of Visit
® Operation Review
❑ Compliance Inspection (pilot only)
❑ Technical Assistance
f-1 Confirmation for Removal
® No Animals -Date Last Operated: 10/15/03
❑ Operating below threshold
❑ Swine ❑ Poultry ® Cattle ❑ Horse
OQ Routine
O Response to DWQIDENR referral
O Response to DSWC/SWCD referral
O Response to complaint/local referral
O Requested by producer/integrator
Q Follow-up
O Emergency
O Other...
Design Current Design Current
Capacity Population Capacity Population
❑ Layer
❑ Non -
El Wean to
Feeder
❑ Feeder to Finish
Layer
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
® Dairy
❑ Non -Dairy
® Dairy
❑ Non -Dairy
yea
a
❑ Other
GENERALQUESTIONS:
1. Is waste discharging from any part of the operation and reaching surface waters or wetlands? ❑ yes ® no
2. Is there evidence of a past waste discharge from any part of the operation that waste reached ❑ yes ® no
surface waters or wetlands?
3• Does any problem pose an immediate threat to the integrity of the waste structure (large trees, ❑ yes ® no
seepage, severe erosion, etc.)?
4. Is there evidence of nitrogen over application, hydraulic overloading or excessive ponding ❑ yes ® no
requiring DWQ notification?
5. Is there evidence of improper dead animal disposal that poses a threat to the environment ❑ yes ® no
and/or public health?
6. Is the waste level within the structural freeboard elevation range for any waste structure? ❑ yes ® no
Structure1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier WSP
Level (Inches) 25
CROP TYPES lCorn, Silage Fescue -graze
SPRAYFIELD
SOIL TYPES
7. What type of technical assistance does the onsite representative feel is needed? (list in comment section)
03/10/03

•
s
.4
"r
Facility Number 41 - 10 Date:
5/4/04
PARAMETER
O No assistance provided/requested
❑ 8. Waste spill leaving site
TECHNICAL ASSISTANCE Needed
Provided
❑ 9. Waste spill contained on site
❑ 10. Level in structural freeboard
25. Waste Plan Revision or Amendment
El
❑
❑ 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.
❑
❑
[115. Over application < 10% or < 10 lbs.
30. 21-1.0200 re -certification
[116. 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. Organizelcomputerization 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 checklcalibration
❑
❑
Resaulatory Referrals
41. Site evaluation
❑
❑
❑ Referred to DWQ Date:
42. Irrigation Calibration
❑
❑
❑ Referred to NCDA Date:
El
El
❑ Other...
43. Irrigation system designlinstallation
Date:
44, Secure irrigation information (maps, etc.)
❑
❑
LIST IMPROVEMENTS
45. Operating improvements (pull signs, etc.)
❑
❑
11. MADE BY OPERATION
46. Wettable Acre Determination
❑
❑
47. Evaluate WAD certification/rechecks
❑
❑
48. Crop evaluation/recommendations
❑
❑
2.
49. Drainage worklevaluation
❑
❑
50. Land shaping, subsoiling, aeration, etc.
51. Runoff control, stormwater diversion, etc.
❑
❑
❑
❑
3
52. Buffer improvements
❑
❑
53. Field measurements(GPS, surveying, etc.)
❑
❑
4.
54. Mortality BMPs
❑
❑
55. Waste operator education (NPDES)
❑
❑
5'
56. Operation & maintenance education
❑
❑
57. Record keeping education
❑
❑
6.
58. Crop/forage management education
❑
❑
59. Soil and/or waste sampling education
❑
❑
03/10/03

Facility Number 41 - 10 pate; F 514104
OMMENTS:
Mr. Ivey was not present during today's visit. Mr. Ivey gave permission to inspect the facility today.
No application records or waste plan available today.
The milk cows were sold in October of 2003. The local soil and water conservation district is working witl
r. Ivey on a closure plan and cost -share contract to close the waste pond.
* Remember the waste pond has to be maintained according to the General Permit conditions until it is
osed out to NRCS standards.
TECHNICAL SPECIALIST lRocky Durham Millie Langley
SIGNATURE
Date Entered: 517104
Entered By: P—ocky Durham
03/10/03

Facility Number
talc of Visi1: 08/22/2603 'I'inu:: 1000
41 10
Q -No( Operational 0 Below Threshold
® Permitted ® Certified 0 Conditionally Certified ❑ Registered Date Last Operated or Above Threshold: il4/Q1/Z091.
Farm Name: E>t> MS............................................................... County: CaUffilrd ................................. W�KQ......
Owner Name: �.'lOsll:,-------------- IYp.Y------------------------------- Phone No: (3St13757fi------•----------- --- - -
Mailing Address: 5.XZ4.,5m1tb.IWry..Rd........................................................................ .Gslb&o.tl.Y.lAt:...MC.................................................... 2724.9.76.8.42...
Facility Contact: UQd1t•'J'.h9Y ..................... ....Title ... Phone No:
Onsite Representative: IJildl@Y��eX-----------------------•-----•---------- lntegrator:._._.__-----------------------------------•
Certified Operator: Uud a.5.............................. I.Y.Cy .................................................... Operator Certification Number: Z13" ............................
Location of Farm:
liuflfine Mill Rd. east to Apple Wyrick Rd. - take right, follow till fork, take right fork, Smith Dairy Rd.
❑ Swine ❑ Poultry IN Cattle ❑ Horse Latitude 36 • 08 . 48 46 Longitude 79 • 38 21
Discharges & Stream Impact
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
it. [f discharge is observed. was the conveyance man-made'? ❑ Yes ❑ No
b. If discharge is observed, did it reach Writer 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 hypass 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 b
Identifier: .....Woad.Puod. .... ........................... .......................... ...
Freeboard (inches): 40
05103101
Continued

Facility Number: 41-10 1)ate of Inspection OS/22/2003 •
5. Are there any immediate threats to the in 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? IN 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
1 L Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ® No
12. Crop type Small Grain (Wheat, Barley, Millet pasture
B. 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?
Reciccired 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 IN No
❑ Yes ® No
® Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
® Yes ❑ No
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
._ ,y, ; �: ,, �.S .�..,-� �r ar�.,wr n"'K-.,'9.:.'.�'4'" 's•`#E'.ae&' ##" 1F°P' "'T'srs^..m.
'Comments (re euto question #)f Explain any YES answers and/or annyrrecommendations or 81V other comments
Use drawings`'of facility to better explain situations. (use additional pages as necessary) ❑ Field Co Final Notes
A� py
�. ' }.,� �_ �
...aGU
s�n......
7. Need to mow vegetation to at least 18" on dam. No woody vegetation was noted, though.
_
9. Marker has fallen slightly. Need to straighten when you get a chance.
13. and 25. Need to add millet to 7073 F-17 since waste was applied here in June and July 2003.
19. Don't forget to obtain 2003 soil samples.
19. Need to use different application orm for different crops.
wer/Inspector Name Meliss Rosebrockwer/Inspector
r
Signature: Date:
05103101 YrT- i v Continued

Facility Number: 41-10 l). )f Inspection 08/22/2043 .
Odor Issues
25. 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
05103101

11
0 �-'30AM
IType of Visit tiCompliance Inspection 0 Operation Review 0 Lagoon Evaluation I
Reason for Visit 0�11/ Routine O Complaint O Fallow up 0 Emergency Notification 0 Other ❑ Denied Access
Date of Visit: Time: o
Facility Number
Not O eratienal Belo hreshold
Permitted Certified 0 Conditionally Certified [3 Registered Date Last Operated r Above resh d:
Farm Name: County: "� r /-
Owner Name: —1 ' Pho NrA
o: J 3 � • 3 �5` p, � 7 4�
IlMailing Address: + ` o e , v �a2�.�i 9
Facility Contact:
Title: Phone No:
Onsite Representative: ' Integrator:
Certified Operator: G'S'TAOperator Certification Number:
Location of Farm:
ri J'
❑ Swine ❑ Poultry
Cattle ❑ Horse Latitude ;I n ig , Eliz LL Longitude • [�' EZU ,,
Design Current
Swine Capacity Po uintioi
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ $oars
Number>;of Lagoons
Holding Ponds 1 Solid Traps
Design Current Design Current
Poultry Capacity Population Clittle Capacitv Population
❑ Layer I Dairy
❑ Non -Layer I 1 1, ILI Non -Dairy I I I'
❑ Other I
Total Design Capacity
Total SSLW `
❑ Subsurface Drains Present ❑ LaQooa Area
No Liouid Waste
Discharees & Stream Impacts
1, Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment X-Spillway
4. Is storage capacity (freeboard plus storm storage) less than adequate?
Stru tut�e Structure 2 Structure 3 Structure 4 Structure 5
Identifier: 6
p'
Freeboard (inches)
❑ Yes XNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes No
❑ Yes No
❑ Yes No
Structure 6
05103101 Continued
-�-3)`l 4 mcq-,

0 0
Facility Number: q,— Qyl
Date of Inspection
S. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do anv stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
13, Do the receiving crops differ with th a designated in the Certified Animal
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
Management Plan (CAWMP)?
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?
4 18. Does the facility fail to have all components of the Certified Animal Waste Management Plaa readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (iel irrigation, freeboard, waste analysis & soil sampie 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/lnspector 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
❑ Yes
Yes
��r❑"` Yes
❑ Yes
❑ Yes
❑ Yes
No
No
No
❑ No
/,<No
ANO
XNo
KNO
A Yes
No
El Yes
)4 No
❑ Yes
No
❑ Yes
No
❑ Yes
No
❑ Yes
No
❑ Yes
�No
ElYes
�N o
XYes
❑ No
❑ Yes
IsNo
❑ Yes
r7 No
ri
❑ Yes
No
❑ Yes
o
❑ Yes
No
Yes
J
❑ No
[] No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
r ,,,..w ��y�.xp f ,.. y,.,.;T '^.- . .... - �:: ., s �a�;s�.:�•.^.I.C'.'1�" ".'iiCCW-� t-'Y' a YY 1'k k- 'iA' ' Je�hiyYrYi''. "^4C"a:Fr'1T15h -!!:O' " R % ` v" Q
Comments,(refei- to gnesti6in": `Ezplam any, YES answers and/vr.any recommendations
mmeatar }Use
11UP
drawrrgs of facdtty tobetter ezplain sittiations.juse additional pages as necessary)sedret as ieid Copv ❑ Final Notes� !''T.'.C.+�`�^:a+.b'—h'-AI•.�.•erMnwv.��—�..- "Si.�.✓a.
O
Reviewer/Inspector Name`
4
a. A
Date:
Reviewer/Inspector Signature:tU-
05103101 1 L IF Continued

Facility Number:
Rateof Inspection eZ�
•
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?
Cl Yes PO
ElYes
-9 1788 a-
Additional Comments and/or Drawings:
�073 F_1
9 W63
O510310I

Technical Assistance Site Visit Rep
lion of Soil and Water ConservatiMF
0 Natural Resources Conservation Service
O Soil and Water Conservation District
O Other...
Facility Number 41 - 1 a Date: /16/03 Time: 1 13:40 j Time On Farm: 60 WSRO
Farm Name Shasta Dairy Farms County Guilford
Mailing Address 5124 Smith Dairy Rd. Gibsonville NC
Phone: [phone]
27249-8842
Onsite
Representative Lindley Ivey Integrator
Type Of Visit Purpose Of Visit
Operation Review
Compliance Inspection (pilot only)
Technical Assistance
Confirmation for Removal
I ❑ No Animals -Date Last Operated: - I
❑ 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
Q Routine
Q 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
O Emergency
O Other...
Design Current
Capacity Population
❑ Layer
❑ Non -Layer
® Dairy
❑ Non -Dairy
Q Routine
Q 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
O Emergency
O Other...
Design Current
Capacity Population
❑ Layer
❑ Non -Layer
® Dairy
❑ Non -Dairy
® Dairy
❑ Non -Dairy
1801
95
❑ 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 IN no
requiring DWQ notification?
5. Is there evidence of improper dead animal disposal that poses a threat to the environment
❑ yes IN no
and/or public health?
6. Is the waste level within the structural freeboard elevation range for any waste structure?
❑ yes ® no
Structures Structure 2 Structure 3 Structure 4
Structure 5
Identifier WSP
Level (Inches) 40
CROP TYPES Corn, Silage Small grain Fescue -graze 71
SPRAYFIELD
SOIL TYPES Ce62
7. What type of technical assistance does the onsite representative feel is needed? (list in comment section)
03/10/03

a
41 - 10 Date:
4/16103
TER
0 No assistance provided/requested
aste spill leaving site
TECHNICAL ASSISTANCE Needed
Provided
aste spill contained on site
rFNmber
25. Waste Plan Revision or Amendment
®
❑
evel in structural freeboard
26. Waste Plan Conditional Amendment
❑
❑27.
evel in storm storage
Review or Evaluate Waste Plan w/producer
❑
❑aste
structure integrity compromised
28• Forms Need (list in comment section)29.
aste structure needs maintenance
Missing Components (list in comments)
❑
❑ver
application >= 10% & 10 lbs.
30.21-1.0200
❑
❑
[115. 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.Organizelcomputerization of records
❑
❑
[119. 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
❑
❑
❑ 23. Irrigation maintenance deficiency
37. Waste Structure Evaluation
❑
❑ ,
❑ 24. Deficient sprayfield conditions
38. Structure Needs Improvement
❑
❑
39. Operation & Maintenance Improvements
❑
❑
40. Marker check/callbratlon
®
❑
Regulatory Referrals
41. Site evaluation
❑
❑
❑ Referred to DWQ Date:
42. Irrigation Calibration
❑
❑
❑ Referred to NCDA Date:
43. Irrigation design/installation
❑
❑
❑ Other...
system
Date:
44. Secure irrigation Information (maps, etc.)
❑
❑
LIST IMPROVEMENTS
45.Operating Improvements (pull signs, etc.)
❑
❑
MADE BY OPERATION
46. Wettable Acre Determination
❑
❑
1
47. Evaluate WAD certification/rechecks
❑
❑
48. Crop evaluatlon/recommendatlons
❑
❑
2.
49. Dralnage work/evaluation
❑
❑
50. Land shaping, subsolling, aeration, etc.
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
❑
fi
58. Cropfforage management education
❑
❑
59. Soil and/or waste sampling education
❑
❑
03/10/03

•
Facility Number 41 _ 10 Date: 4/16103
COMMENTS:
Ibs.N11000 gals. I
This is a follow-up visit to the operation review on 4-02-03. Mr. Ivey couldn't be available that day to go over the records.
Mr. Ivey couldn't locate a waste analysis for the September 2002 applications. The DWQ inspector noted a 8-22-02
ample on her report. Need to find a copy and keep with the other records. Records need to be kept for three years
;cording to the General Permit.
There needs to be a separate Irrigation 2 form for each crop and crop cycle. (i.e. small grain will be Fall '02 to Spring '03
id Corn will be on a separate form).
Small grain will need to be added to the waste plan as an application crop.
The maximum liquid level marker will need to be straightened and then checked by the technical specialist.
TECHNICAL SPECIALIST lRocky Durham Millie Langley
SIGNATURE
Date Entered: 121103 Entered By: lRocky Durham
3 03/10/03

Date of Visit: 4/30/20t12 'Time: 11:15
Facility Number 41 10
roNot Operational O Below Threshold
S Permitted ® Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: .....................
Farm Name: Seta.Rainy-.arm................................................................................... County:GjUjjf9jr.(j ........................................... W,SRQ........
OwnerName: Unid cy..S ............................... hcy.:.....::..................................................... Phone No:03.61175.-5.576 ..........................................
Mailing Address: 5j2.4.$,,l1p{.thDairy.Rd....... :........
Facility Contact:..............................................................................Title:
Gihsonylile...N.0................................................... 27249-042..
Onsite Representative: da.It7ldij:Y.l7!ICJ:.......................................................................I........ Integrator:
Phone No:
...................................................
Certified Operator: Uldley..S.............................. Iny .................................................... Operator Certification Number:2,1.3 9...........................•
Location of Farm:
Hufline Mill Rd. east to Apple Wyrick Rd. - take right, follow till fork, take right fork, Smith Dairy Rd. ►
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 35 • 08 ' ®" Longitude 79 • 38 k 21 ,•
"`
Design
Swine Ca acit
Current Design Current
P,o ulation Poultry Ca acit P=nnlation Cattle
Design Current
Ca acit Population.
❑ Wean to Feeder
❑Layer
IN Dairy
180
110
`
❑Feeder to Finish
❑Non -Layer
❑ Non -Dairy
❑ Farrow to Wean
❑Other _
TotaCapacity
Total SS LW
180
252,000
❑ Farrow to Feeder
' '
❑ Farrow to Finish
❑ Gilts
❑ Boars
Number of Lagoons
Holding Ponds / Solid0t—n
p:sl
�1
❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
❑ No Liquid Waste Management System
Discharges &Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (if yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge.
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ® Spillway
Structure l Structure 2 Structure 3 Structure 4 . = Structure 5
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes IN No
❑ Yes IN No
Structure 6
Identifier: ................................... ....
Freeboard (inches): 60
05103101 Continued

Facility Number: 41-10 • Date of Inspection 1 4/30/2002
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ treesvere 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 Corn (Silage & Grain) Fescue (Graze) Small Grain (Wheat, Barley,
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14. a) Does the facility lack adequate acreage for land application? []Yes ® No
b) Does the facility need a wettable acre determination? []Yes ❑ No
c) This facility is pended for a wettable acre determination? []Yes ❑ No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit 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.
► en efer to # : xptain any E a and/or any ecommendatlons or any other comments.
wIn o facil better explain situation . u itional pages nec �ssary : ❑ Field Copy ® Final Notes
19. Need to have a separate IRR-2 form for each crop per crop cycle. (i.e. Small grain would be from Fall `01 to Spring `02).
_
Need to locate the waste analysis used for the Fall `01 applications and keep with records.
r. Lindley has decided to use the current irrigation design pulls when applying waste.
Need to have the latest WUP on site for inspection.
25 Need to have the crop changed on field # 11 from grass to small grain.
According to the waste pond design there is 30 inches of freeboard above the max. liquid level mark.
Suggest organizing records in one three ring notebook with separate sections for the waste plan, application records, waste analysis,
oil analysis, COC and general permit, etc. to expedite the ins ection grocess,
w
Reviewer/Inspector Name lRocky Durham
Reviewer/Inspector Signature: Date:
05103101 Continued

Facility Number: 41_10 [)it' Inspection 4/3d/2002
0
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge actor 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?
aste analysis: 3-1 1-02 ALD 2.2 lbs.N11000 gals. I
iiI analysis dated 4-t8-02
❑ Yes
❑ No
❑ Yes
® No
❑ Yes
® No
❑ Yes
® No
❑ Yes
® No
❑ Yes
® No
❑ Yes
❑ No
05103101

Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit 4 Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number
Date uP Visit. 10B/2t101 Time: t23t3 Printed on: 10/11/2001
41 10
Not Operational 0 Below Threshold
Permitted 0 Certified El Conditionally Certified © Registered Date Last Operated or Above Threshold: .........................
Farm Name: SahaStA.1,air..y.F.&lt)<I1&.............................................
Owner Name:
County: G.uM[Q .d............................
PhoneNo:{3k...7..:..7..........................................
MailingAddress: 12 .Siltlli>rbl. ?a1xX. Z........................................................................ CA59MY111P...N.0 ................................................... 2.7.2.494.842..
FacilityContact: Un dley..hcy................................................... Title:................................................................ Phone No:...................................................
Onsite Representative: Lindary..lXtry........................ ..... ........................ Integrator:......................................................................................
Certified Operator: Lindley ................................... lXg3'..................................................... Operator Certification Number: 2d3d2.............................
Location of Farm:
Huffine Mill Rd. east to Apple Wyrick Rd. - take right, follow till fork, take right fork, Smith Dairy Rd.
[]Swine []Poultry ®Cattle []Horse Latitude 36 • 08 6 48 it Longitude 79 • 3$ { 21 fl
DischaMes _& Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge orignated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'? (if yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
❑ Yes ❑ No
❑ Yes 0 No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection s!ic Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ® Spillway ❑ Yes 0 No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ...... Waste.Pt nd....................................................................... ....... ...................................
L`
Freeboard (inches): 53 �' `y� ;#
05103101 Continued

Facility Number: 4]-10 Date of Inspection 1 10/8/20011 Printed on: 10/11/2001 s
5. Are there any immediate threats to the fity of any of the structures observed? (ie/ tree9,evere erosion, Yes ® No Y
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 maintenancelimprovement? ❑ Yes ❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ® No
Waste Application
10, Are there any buffers that need maintenance/improvement? ❑ Yes ® No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ® No
12. Crop type Corn (Silage & Grain) Rye
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
)wired Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
® No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
® No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
® Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
® No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
® No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
® No
23.
Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
❑ Yes
® No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
® No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
® No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
ef er comments.
p facil tter a plat ituatio Tonal pa es as ecessa ❑ Field Copy ®Final Notes
M
3. Repairs to milk parlor berm area look good.
_
7. Continue efforts to control burrowing animals on dam. Suggest removing solids from storage pond for increased storage pond.
Facility uses sand for bedding.
8. No leachate seeping from trench during today's inspection.
19. Weekly freeboard levels not available. Operator said he was unclear regarding proper freeboard recording. 1 went over the
rocedure with him today and left afreeboardform. Need to send NOV or NOI next time if not available.
rrigation map does not match actual pulls in field. Suggest WUP list fields and pulls so that operator can keep accurate records.
IS
u ested he contact the SWCD or the original irrigation specialist. Need to send NOV if not updated next time.
Reviewerllnspector Name :Meli os brock
Reviewer/Inspector Signature: Date:
0510310I 1 Continued

F'acili;y Number: 41_10 of Inspcction 10/5/200i Prinled on: 10/11/2001
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
1. Animals now buried in trench near wet weather branch. Suggest next "dead hole" to be >300' from any potential source of
ater. Branch was not wet or flowing today.
change of ownership form to confirm and document that operator is now owner.
n3
05103101

Type of Visit V Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit (Routine 0 Complaint. 0 Follow up 0 Emergency Notification 0 Other 0 Denied Access
Facility Number Date of Visit: 1/40 v/0 I Time:
1 10 Not Operational 0 Below Threshold
APermitted 0 Certified U Conditionally Cerdfied 13 Registered Date Last Operate or Abo, e Threshold: .........................
- qEd ....................... .......................
Farm Name: 65.�a . ..... ................................ county:
Owner Name: Lind t. 'S ............ Phone No: 3.2.,5 ..... ��I(a ............... ....
............ ................ 0 . J ........................
4
Contact: ... ....... 4k�L*o: ..................... ......................
Facility
o
ailing Address TV-D­1
... ...................... 9 .11 ............................................... ..................................................................................... ..........................
OnsiteRepresentative:.-ij.11J.0-1. .....17VEM ........................... ............. Integrator: ......................................................................................
Certified.Operator:........ ......... T!44 ........................................ Operator Certification Number:..........................................
Location of Farm:
[3 Swine 0 Poultry Cattle 0 Horse Latitude EZTgl* =16 E5�n6t Longitude �W111
Design esgnl
Curren D ,Current:; 'i il';
Swine
... ... ... .
,Capacio dej,�! j��Ca ci = Po "aviation
[3Wean to Feeder
F13 Layer Dairy I
[3 Feeder to Finish j[] Non -Layer
V
ffF _iTrTo-w—to Wean
0 Farrow to Feeder ❑Other
©Farrow to Finish
Total Design'
❑ Gilts
❑LA
Boars t04SL*i] 42S oil
oo
Subsurface Drains Prese!!Uj[3Lag n Area I Spray Field Area
0 in�� 1. Solid T No Liquid Waste Management System
0
��r -777
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation? 0 Yes XNo
Discharge originated at: 0 Lagoon 0 Spray Field [3 Other
a. If discharge is observed, was the conveyance man-made? 0 Yes 0 No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? Spillway
StructuM I Structure 2 Structure 3 Structure 4 Structure 5
Identifier. . .............. .................................... ................................... .................................... .............................
Freeboard (inches);
5/00
[3 Yes 0 No
0 Yes [I No
❑ Yes �Vo
❑ Yes -t; -No
E]Yes XN0
Structure 6
Continued on back A

Facility Number: — D Date of Inspection 71
5. Are there any immediate threats to thogrity of any of the structures observed? (ie/ trees, severe erosion, , Yes Yo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes (b 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 A No
8. Does any part of the waste management system other than waste structures require maintenancelimprovement? ❑ Yes O(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
1 l . Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes No
12. Crop type
13. Do the receiving crops differ withWose designat4l in toe Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & 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.) j('
19. Does record keeping need improvement? (ie/ irrigation, frXeboard, was Keanalysis & soil 6ample 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?
Q yiQl a�i$t s'oo 4061eode wire �Qte �1> ri4g thisAsit; - Yoo rviii•tteooiye 40 flitW
• correspondence: abbik this visit.
❑ Yes
No ,
❑ Yes
No
❑ Yes
No
❑ Yes
V10
❑ Yes
/t No
❑ Yes
Lb No
❑ Yes 0
❑ Yes
MA or
_VYes
❑ No
❑ Yes
%No
❑ Yes
1KNo
❑ Yes
A No
❑ Yes
❑ Yes
IgNo
&(No
❑ Yes (No
1 �
of I ( r�'►/ / !' /
Reviewer/Inspector Name
i(J1,151►� Is.'s w f wM.. MW

Facility Number: — �te of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor 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?
J f�,
1�t i
AN
i AT
26 No a 60C9
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do
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i

North Carolina
nt of Environrnent and Naal Resources
Department 1 0
Mooresville Regional Office
WOOL
Michael F. Easley, Governor NCDENR
WilliamG. Ross Jr., Secretary
Division of Soil and Water Conservation
April 6, 2001 R EC 51V D
N.C. Dept. of FHNR
Mr. Lindley S. Ivey APR 19 2001
5124 Smith Dairy Road
Gibsonville, North Carolina 27249 Winston-Salem
Regional Office
SUBJECT: Operation Review Notice of Referral
Shasta Dairy Farms
Facility No. 41-10
Guilford County
Dear Mr. Ivey,
On April 5, an Operation Review was conducted of Shasta Dairy Farms, facility no. 41-10. This review, undertaken in
accordance with G.S. 143-215,10D, is one of two routine site visits scheduled for all subject animal operations during the 2001
calendar year.
During the operation review, the following items were noted:
Waste liquid level was within the storm storage elevation at 10 inches below the spillway. According to
your holding pond design you are required to maintain 18 inches below the spillway elevation.
Failure to notify the Division of Water Quality of waste levels within the storm storage and structural
freeboard elevations.
Failure to maintain weekly freeboard readings.
Failure to maintain complete application records.
Waste structure and stock trails need maintenance.
It was for these reasons that your operation was referred to the Division of Water Quality for further investigation and
possible enforcement action. G.S. 143-21.5.10E requires me to notify the Division of Water Quality and the owner/operator of these
observed violations.
Please review the enclosed inspection report and comment sections for site findings and corrective actions as discussed.
The Division of Soil and Water Conservation appreciates your cooperation with this Operation Review. Please do not
hesitate to call me at 704/663-1699 ext. 276 if you have any questions, concerns or need additional information.
919 North Main Street, Mooresvi1k, North Carolina 28115
Phone: [phone] Fax: [phone] inz.-rnet: www.enr.state.nc.us/ENR1
AN EQUAL OPPORTUNITYlAMRMATIVE ACTION EMPLOYER - 50% RECEYCLED 1 10% POST CONSUMER PAPER

Mr. Ivey
April d, 2001
Page 2
Sincerely,
Rocky D. Durham
Environmental Engineer
Enclosure
cc: Carroll Pierce,. Division of Soil & Water Conservation
Guilford Soil and Water Conservation District
Melissa Rosehrock, DWQ Winston-Salem Regional Office
DSWC Regional Files

0.. - . roniot Water Quahty � � 3 r + t
1, ian of Soil and' Water Coaseryat�on
- i O:,Otlier.= etic;s �, x%fit S
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 41 10 Bate of Visit: 4/5/20111 Time: 13:30
O Not Operational O Below Threshold
® Permitted ® Certified 0 Conditionally Certified © Registered Date Last Operated or Above Threshold
Farm Name: Shasla.Dairx.k'airms.................................................................................... . County: Gailfard............................................ WSRQ........
OwnerName: U01ey.S ............................... ly-ey .............................................................. Phone No: I( lyJ. 2-SS7.�.................................................
Mailing Address: 5.124jSni PAiry.Rd........................................................................
GibAmills..NC................................................... U2.4Q-88.41.
Facility Contact:...............................................................................Title:............................................................... Phone NoW & d- - )1+3
... (. .......................
OnsiteRepresentative:.......................................................................................................... Integrator:........................... ..........
Certified Operator:Lbadley.................................. 1.Y,ey,.................................................... Operator Certification Number:21319..................
Location of Farm:
cuff ue Mill Rd. east to Apple Wyrick Rd. - take right, follow till fork, take right fork, Smith Dairy Rd.
r
❑ Swine ❑ Poultry ® Cattle . [I Horse Latitude 36 ' OS i 48 " Longitude 79 ' 38 ; Z1
Design Current
Design Current
Design Current
Swine Capacity Population
Poultry
Capacity Population Cattle
Capacity Population
❑ Wean to Feeder
I
JEJ Layer
® Dairy
180
❑ Feeder to Finish
10 Non -Layer I
I
IL]Non-Dairyl
El Farrow to Wean
Lj Farrow to Feeder
❑ Other
Farrow to Finish
Total Design Capacity
180
r is
Total SSLW
252,000
Boars
Number of Lagoons ❑ Subsurface Drains Present 110 Lagoon Area ❑ Spra}_Field Area
Holding Ponds i Solid Traps 1� ❑ No Liquid Waste Management System
Discharges & Stream Impaac_t§
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
01/01/01 Continued

'Facility Number: 41-14
Waste Collection tion & Treatment
Date of Inspection F 4/5/2001
•
4. is storage capacity (freeboard plus storm storage) less than adequate? ® Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 1
Identifier: ......................................................................
.. .................................... .................................... ....................................
Freeboard (inches): ...............1.0............... .....
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? .
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
® Yes ❑ No
Structure 6
❑ Yes ® No
❑ Yes ® No
® Yes ❑ No
® Yes ❑ No
❑ Yes ® No
❑ Yes ® No
11. Is there evidence of over application? ❑ Excessive Pending ❑ PAN ❑ Hydraulic Overload
❑ Yes
® No
12. Crop type Small Grain (Wheat, Barley, Com (Silage & Grain) Fescue (Graze) Rye
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
17. Are rock outcrops present'?
❑ Yes
❑ No
18. Is there a water supply well within 250 feet of the sprayfield boundary? ❑ Unknown
❑ Yes
❑ No
❑ On -site ❑ Off -site
Required Records &Documents
19, Fail to have Certificate of Coverage & General Permit or other Permit readily. available?
❑ Yes
® No
20. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
j
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
® No
21. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
® Yes
❑ No
22. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
® No
23. Did the facility fail to have a actively certified operator in charge?
❑ Yes
® No j
24. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
® Yes
❑ No
25. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
® Yes
❑ No
26. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
27. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
® No
Odor Issues
28. 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?
29. Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
® No
01/01/01
Continued

.Facility Number: 41-10 Date of Inspection 4/5/2001 Printed on: 4/6/2001
30. Is there any evidence of wind drift duried application? (i.e. residue on neighboring leation, asphalt, ❑ Yes ® No
roads, building structure, and/or public property)
31. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ® No
32. 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
33. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ® No
34. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ❑ No
[] No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments {refersto queshva i =Explain any YES answers and/or any recommendations or any other comments.
Use.drawi igs offacility tof etter explain situatidns (use additional pages as necessary) Copy `
ah� f ?{ r i ❑ ® Final Notes
F�1..: �,� :r s_ Field Co
# 4. Approximately 8 inches above the maximum liquid level marker. Need to apply waste, according to your waste plan, as soon as
possible and as field conditions allow. I will have to do a notice of referral to the DWQ.
There has been a around 4 inches of rain in this county in the last week and field conditions are saturated at the present time.
# 7. Need to get rid of groundhogs and control vegetation on the waste pond embankment.
# 13. Need to have Rye added as a crop option to the waste utilization plan.
# 19. Need to use a separate Irr-2 form for each field and crop. Need to use waste plans tract and field number on the Irr-I and Irr-2
forms.
Waste analysis needs to be within 60 days of application. Need to have weekly waste pond levels recorded, ( per General Permit).
# 21. Was not able to locate the 2001 certified operator's card.
# 22. Need to call Melissa Rosebrock of the Division of Water Quality at the Winston-Salem regional office and let her know you are
above your maximum liquid level.
# 23. Mr. Ivey was not present during the review, but gave permission to come and do the review.
Reviewer/Inspector Name Rocky;b 6'am,.:,
Reviewer/Inspector Signature: Date:
01/01/01

0 �.v •
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
WINSTON-SALEM REGIONAL OFFICE
DIVISION OF WATER QUALITY
January 4, 2001
Mr. Lindley S. Ivey
5124 Smith Dairy Road
Gibsonville, NC 27249
SUBJECT: Follow-up Compliance Inspection
Shasta Dairy Farms
Guilford County
Dear Mr. Ivey:
On December 20, 2000, Jenny Rankin, of the Division of Water Quality from the Winston-
Salem Regional Office performed a follow-up compliance inspection on your farm.
Enclosed is the inspection sheet which was completed during the inspection.
If you have any questions concerning this report, please call the Winston-Salem Regional
Office at 336-771-4600.
Sincerely,
Larry D. Coble
Water Quality Supervisor
cc: Guilford County NRCS/SWCD
WSRO Facility Files
Central Files
3
585 WAUGHTOWN STREET, WINSTON-SALEM, NORTH CAROLINA 27107
PHONE [phone] FAx[phone]
DENR CUSTOMER SERVICE CENTER 1-877-623-6748
AN EQUAL OPPORTUNITY / AFFIRMATIVE EMPLOYER - 50% RECYCLED/1 O% POST -CONSUMER PAPER

Facility Number 41 10 bate of Visit: 12J20/2000 Time: 10:00 Printed ton: 1/4/2001
UNot —Operational Q Below Threshold
Permitted M Certified © Conditionally Certified ❑ Registered Date Last Operated or Above Threshold:.........................
Farm Name: S... County: �.rua1f0J ............................ . SA,Q........
ltafS�a.I?all[:y.�'.�]l7ltbS............................................................ .............. . W.
OwnerName: Liatda.,S.............................. I.Y.Cy .............................................................. Phone No:Q3.6117.5.-5.576 .......................................................
Facility Contact: laliftldlty.N,..Iya..............................................Title:................................................................ Phone No: .......................
Mailing Address: S2.4.5axitht.I?airy.Rd............................ ................. G.ib,�alaxRe...NC................................ ... 2.7.E.49-8.542..
.......................... ................
Onsite Representative: U1xdjry.Ixvy................................................................................ Integrator:......................................................................................
Certified Operator:L.l;jfty................................... Iy.ICY..................................................... Operator Certification Number: �13.1,9 .............................
Location of Farm:
Huffine Mill Rd. east to Apple Wyrick Rd. - take right, follow till fork, take right fork, Smith Dairy Rd.
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 36 ' 08 ° 48 « Longitude 79 • 38 6 21 64
Design Current
ation
Design Current °r D sign Current "`
Poultry Ca acit Po ulation Cattle Ca acit Yo ulation
Wean -to Feeder
❑ Layer
®Dairy 180 130
Feeder to Finish
❑ Non -Layer ❑Non -Dairy
OtherFarrow Total Design Capacity 180
Total SSL:W 252,000
Farrow to WeanFarrow to Feeder
to Finish
Gilts
r
Boars
rNumber of Lagoons ©
H01Cli-n—RjEMdQs/Solid Traps LI
❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
❑ No Liquid Waste Management System
Dischar=.I& Stream Imaicts
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
-Structure I Structure 2 Structure 3 Structure 4
Identifier: .................................................................................. ....... .... ....................
Freeboard (inches):
5100 -
❑ Yes ❑ No
Structure 5 Structure 6
............................• ....................................
Continued on hack

Facility Number: 41-10 Date of Inspection 12/20/2000 Printed on: 1/4/2001
5. Are there any immediate threats to the 0rity of any of the structures observed? (ie/ treoevere erosion, ❑ Yes ❑ No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ❑ No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15.
Does the receiving crop need improvement?
❑ Yes
❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
HgQuired
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
❑ No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
❑ No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
❑ No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
.. yi. . . . t . ..:de#icienc were .noted :d... this; visit...... ..1. . .. no ...... .
correspondence. abiout this :visit:
follow-up inspection was in regards to the discharge that was seen during the October 18, 2000 inspection. Questions 4 through
addressed during the previous inspection. The curbing in the holding lot was fixed causing the discharge to stop.
AL
Reviewer/Inspector Name Jenny Rankin
Reviewer/Inspector Signature: _q(j"U4 Date: 14 zo I00 5100

-zw- ;�.i:��i, `C E J I k !.l ,.I.€tl I# I rj ,l i3 I i ril€IIY: ji'iii:�Y 'I P .:;i.r r kr I}!!3.,n ! Izl�il;ikf'lii r iIt[ { 11',l jkilr€?I
sionibf Soli and Water Conservation
.:l::I.`�=t I. ..:I�:,'}€:: -u <€ . =a, e`t•' �-'r f„€-':.rr., j iI'd,r��! €ll:�r,r; Il3r-�+ :•'`tr:' ,.I�,,, ail r ,;::: ,,-., bigl';Ya#<, °.€.,f:
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.i' ' 7, r�. !�: i. •I � dp�}Ei! k� `�l' �,llkL.F.(! t'il-p��lliC#11r��[IE,��IIIi�jli�i.r�il�i�j���
Type of Visit O Compliance Inspection Q 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 10 Date of Visit: 10/18/2000 'rime: 134o Printed on: 1011912000
O Not Operational O Below Threshold
® Permitted ® Certified © Conditionally Certified © Registered Date bast Operated or Above Threshold:. ........................
Farm Name: Shay tm.X?aixx..l axttas...................... County: GAMA............................................ ... SRQ........
OwnerName: lalAldle3:.&............................. I.Y.Py ............................... Phone No:(33.017.S-S.S.7.�.............................. ... ............................... .... ...............
Facility Contact: Lind1a.5..I:m .............................................. Title:.............................................................. Phone No: 4n�Z1,.Ql �.. ........
Mailing Address: 5J24.SMiJ(h Dais.X.Rid........................................................................ gabs.Qui1le..K.................................................... z7z.44-13.8.a2.,
Onsite Representative: URAdIRY-1 ey ... ... Integrator:.. ...............
Certified Operator: UR,dIcy........................ ........... lygy .................................................... Operator Certification umber: Z.1,3.dQ..................
Location of Farm:
Huffine Mill Rd. east to Apple Wyrick Rd. - take right, follow till fork, take right fork, Smith Dairy Rd.
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 36 • 08 6 48 « Longitude 79 • 38 1 21 Gl
Design Current
Design Current
Design Current
Swine Capacity Population
Poultry
Capacity Population Cattle
CapacityCapkity Po ulation
❑ Wean to Feeder
❑ Layer
IN Dairy
180 130
❑ Feeder to Finish
❑ Non -Layer
JE1 Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Design Capacity
180
❑ Gilts
❑ Boars
Total SSLW
252,000
Number of Lagoons IEJ Subsurface Drains Present ❑ [Lagoon Area ❑ Spray Field Area
Holdipg Ponds 1 Solid Traps , 1 ❑ No Liquid Waste Management System''r
Discharl;es & Stream Impacts
1. Is any discharge observed from any part of the operation? ® Yes []No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ®No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ®No
c. If discharge is observed, what is the estimated flow in gal/min? <1 apm
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 G
Identifier:......WastaRjandd.........................................................................................................................................................................................
Freeboard (inches): 18
5100 Continued on back

f
Facility Number: 41-10 Date of Inspection 10/18I2000 Printed on: 10/19/2000 -
5. Are there any immediate threats to the Ority of any of the structures observed? (ie/ tre0evere erosion, ❑ Yes N No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste managementor
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? N Yes ❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? N Yes ❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
11. Is there evidence of over application? []Excessive Ponding [:]PAN []Hydraulic Overload ❑ Yes ®No
12. Crop type Corn (Silage & Grain) Rye
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes N No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ®No
b) Does the facility need a wettable acre determination? ❑ Yes ® No
c) This facility is pended for a wettable acre determination? ❑ Yes ® No
15.
Does the receiving crop need improvement?
❑ Yes
N No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
N No
Required
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
N No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WL1P, checklists, design, maps, etc.)
❑ Yes
N No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
N Yes
❑ No
20,
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
N No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
N No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
N No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
N No
24.
Does facility require a follow-up visit by same agency?
N Yes
❑ No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
N No
No violations;or defidencies-were;nateil during this; visit. ;You:viiEl recOve•n6•further
corresiv6zid6c'e abouf this.visit: ... .. ... .. . . .. ... .. ... ... .. . .
Comment1.s (refer to question ##): Explain any YES answers and/or any recommendations or.:any, other lcommients.
Use draw tngs'of facility to better explain`situations. (use additional pages' aspecessary):
11. and ##8. Runoff from holding lot is going to wet weather branch. Branch was dry today. Possibility of waste getting to creek during ;
wet weather.
q7. Continue effirts to control vegetation on dam. Some small tree seedlings need to be removed. Large burrow holes on west side of
dam need to be repaired.
q9. Need gauged marker per permit.
V19. Need to put each crop on a different application sheet (IRR2). 2/2/00 waste application was outside of application window. Need
b maintain weekly freeboard readings. No waste analysis records within 60 days of of Feb. and Mar. 2000 applications. No soil
analysis records for 1999 or 2000, yet. R
Reviewer/Inspector Name Melissa oseb rock I
ReviewerlInspector Signature: p / Date: 16 1-1 15© 5100

Ficility Number: 41-10 Da f Inspection 10/18/2000 Printed on: 10/19/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atlor below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
®No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
®No
roads, building structure, and/or public property)
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
® No
30.
Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes
®No
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
® No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
Additional Comments and/or rawings:
21. No operator card -need to check database.
24. Will come out and check once repairs are made to holding lot area.
27. Burial of dead animals was <300 feet per operator. Operator did denied my request to inspect burial site.
5100

ivision of Water Quality
ivision of Soil and Water Conservation '
EV Q OtheC,fAgency
(Type of Visit (Compliance Inspection O Operation Review O Lagoon Evaluation 1
Reason for Visit routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Date of visit: � Fime: � Printed on: 7/2112000
Facility Number
Q Not O erational 0 Below Threshold
Permitted Certified 13 Conditionally Certified © Registered Date Last Operat or Ab ve Threshold:
Farm Name: e ` a...r... i ....... � r County:....��............ rd............................. ...
..... 4 ,,,ff .... ..... ........ ........... _
Owner Name: l �Srf,... .... e,J . ���...... .......... .. Phone No:..�-'.tJ..!...1..:... ..... ........... ..... .... .............. ..... f
Facility Contact: ....lr! ........ 1. S..�......"-!^.u.el.Title: ............................................................. Phone No��l\i
+ _ 'l �!
Mailing Address:...,....:. ..lYl. �11.. .1..... �-f.�... ' ..... �....v.l... .......................... a ... ............. �. �� �
Onsite Representative: Un.,, -.v ................................................. Integrator: .........................................
Certified Operator: ................................................... ............................................................. Operator Certification Number:. --e Ak...........
Location of Farm:
I I-d UoreP,M, ba-t�j ea5 - +-o A he. W A ri.e�-- _ - 11ICe rif f f�-f l
-c r1! �-n V� Cli]n -l-Or� MrfV1 1\n,r,i Y /_ `'
�❑ Swine [I Poultry Cattle []Horse Latitude �• ®� ��� ongitude «
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 I I Dairy
❑ Non -Layer 1 1 ❑ Non -Dairy
❑ Other I I
Total Design Capacity SQ
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present 1111 Lagoon Area 10 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste ;Management System
Discharges & Stream Impacks
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field Other
a. [f 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. II'discharge is observed. what is the estimated [low 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'?
St ucture I �tructure 2 Structure 3
Idenlific.r: ...... )�; . .......................... .
Freeboard (inches): I$ i1
5100
A Yes No
❑ Yes XNo
❑ Yes x No
Z
Ye ❑ No
Yes No
❑ Yes NW
Spillway ❑ Yes X No
Structure 4 Structure 5 Structure 6
....................... ............I..........
Continued on back

FacilityiNumber: of inspection Printed on: 7/21/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or helow Eq Yes—E3-Na
liquid level of lagoon or storage pond with no agitation? M CPMO
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 XNo
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.)
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? OM / 1— aCCO
N o-1 e5 ° Vo s e-4Jk on1 kol es a n Clam? r aZ�UA-cu
d
y.
III
5 roJ L)a+e-d rv�a.r-fir a•' be 1 a
Cer+r�ica+e o �' Coverage.: ✓
Nf
iA
4pphe'a+;On ���a��l1
MM
1-0
W"May-m-M
'
❑ Yes X No
❑ Yes No
.Q x0r, —Q-Xu-
5/00

Facility Number: — Date of Inspection 0 Printed on: 7/21/2000
5. Are there any immediate threats to theogrity 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
,j No
11. is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
No
12. Crop type
13. Do the receiving crops differ with tho de tgna(e n the ertii'ied Irnimal Waste Management Plan (CAWMP)?
❑ Yes
No
14. a) Does the facility lack adequate acreage for land application'?
❑ Yes
o
b) Does the facility need a wettable acre determination?
❑ Yes
'No
c) This facility is pended for a wettahle acre determination?
❑ Yes
No
1.5. Does the receiving crop need improvement?
❑ Yes
No
16. Is there a lack of adequate waste application equipment?
❑ Yes
No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
ElYes
YNO
18. Does the facility fail to have all components ofthe 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
❑ 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'?
El Yes
No
24. Does facility require a follow-up visit by same agency?
Yes
❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
X No
�'Vq yiQla ions;or . . . . n. . . r. . nQtea dt}r'ing � bis;visit, - Y;oh will -r, eceiye itio further; , ;
- correspori�ence: about; this Nisit.
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):
Con+ h u e, e- 4 lis 4q� C.eh4-rot Y e_+o- -�o n eh dam e Sooe
S "4 _{ree s ad 4I OeA 4dj h e neftvpA AL) ralI, I
I��l�.s 0�, wesd— 5'td�o� dog, needs da b�e� rcpa�red.
9 • Q\(eeA
Reviewer/Inspector Name
Reviewer/Inspector Signature Date: 5100

kli' it i rat[ i�� II
I
�l�IrPfiulE r fiililt� i i + I dE I�, I 11I
(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 41 10 Date of Visit: 6l20/2fl00 'rime: 13:35 Printed on: 10/17/2000
rO Not Operational 0 Below Threshold
® Permitted ® Certified © Conditionally Certified [] Registered Date Last Operated or Above Threshold: .........................
Farm Namc: S.baata.V%ky.Xar w..........................................................
Owner Name Chill.x.5............................... Jxu ............
County: G.U.0foxd............................................ W..SRQ........
Phone No: 03,6117.5r.5.57..I...........................
FacilityContact: ............................:................................................. Title:................................................ Phone No:
Mailing Address: 512.S�r�titi�.L?altx.Rsh...........................................................I........... Ubmiavillp—M .......................................
Onsite Representative: L.110.djg.jy.vy................................................................................ Integrator:............
2.7.249-84.2..
Certified Operator* UpldIcy.5.............................. lxgy..................................................... Operator Certification Number:Z.1 .1Q....
Location of Farm:
3uffine Mill Rd. east to Apple Wyrick Rd. - take right, follow till fork, take right fork, Smith Dairy Rd. A
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 36 • 08 , 48 14 Longitude 79 • 38 21
Design Current
Design Current
Design Current
Swine Capacity Population
Poultry
Capacity Population Cattle
Capacity Population
❑ Wean to Feeder
I ❑ Layer
is Dairy
18o
180
❑ Feeder to Finish
JE1 Non -Layer
❑ Non -Dairy
❑ Farrow to Wean
E
❑ Farrow to Feeder
❑Other
❑ Farrow to Finish
Total Design Capacity
180
❑ Gilts
Total SSLW
. 252,000
❑ Boars
Number of Lagoons Q Subsurface Drains Present
Holding Ponds 1 Solid Traps 1 ❑ No Liquid Waste Manager
Lagoon Area Ij I Spray Field Area
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3, Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
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 G
Identifier: ..........................................................................................................................................................................................
Freeboard (inches): 24
5100
Continued on back

Facility Number: 4t-10 Date of Inspection 6/20/2000 I Printed on: 10/17/2000
5. Are there any immediate threats to the inity of any of the structures observed? (ie/ tre*ere 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 ADnlication
10. Are there any buffers that need maintenance/improvement? ❑ Yes ®No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ® No
12. Crop type Corn (Silage & Grain) Fescue (Graze) Fescue (Hay)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15.
Does the receiving crop need improvement?
❑ Yes
® No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
®No
Required
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
® Yes
❑ No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
® No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
® Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
® No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
®No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
® No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
®No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
® No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
® No
No yiolations:or detieiencies were'nbted during this, visit. ;You:will :receive nti further
corresnondence:abotif
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
# 7. Need to control weeds and woody vegetation on holding pond. Also, continue efforts to get rid of ground hogs.
# 9. Will need a graduated marker to keep weekly levels on holding pond. Currently has a pole as a marker.
# 17. Operator stated he hadn't received his Cert. Of Coverage yet. The local soil & water office had a copy which he can copy.
# 19. Need to have separate IrrII forms for each crop. Recommend keeping records by pull. Also, there was application outside the
windows of application for corn. The same record keeping requirements and recommendations were discussed last year.
# 19. cunt. Need to start keeping weekly holding pond Ievels per the General Permit requirements.
Reviewer/Inspector Name Rocky Durham Millie Langley,
Reviewer/Inspector Signature: Date: 5100

Facility Number: 41-10 Date of Inspection 1 6/20/2000 Printed on: 10/17/2000
0 0
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
5100

1 I�l' '�'� _ '1[ - N-- 1 1 •'4 (
C[Di ision of Soil Water Conservation Opera�onsReview'
t''iss,� ,.?.�3r :vt�h;i , D:Division••of Soilate%:Consen%adon='Comnliarici?insoec��,fils,.1#:
•..f •!I �
id tll 1.. ,�.
10 Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other
Facility Number Date of Inspection b-fit(-Q
Time or Inspection 1= 24 hr. (hh:mm)
© Permitted ® Certified Q Conditionally Certified © Registered JE3 Not Opera Date Last Operated:
Farm Name: .1 5� O1 �C.t lrl� �'Q�m County: ..L�.S�.1. !(................................. w. R(,).,
................................. •...... ................ ................... ...........
Owner Name:..... .:..1.`................................... ...y Phone No: ...3.-3
^ (n21. �Vi3
.........................................................................................................
FacilityContact: ............................................................................. Title:............................... Phone No.
Mailing Address: ...r�..�..�.......... ...m(� .........�.r.�j.......115,1...................... t `'� ,, �� Zi 2 y 9
``....�4�.n...l....................... t��..� ...,.......... ..........................
Onsite Representative ::.....U. 6.1 .�Ij. 4Ue Integrator:.............................................................................
Certified Operator:...... L1x)J.k\j.............5 •......... tve.1...................................... Operator Certification Number: ..
Location of Farm:
A,
........................................................................................................................................................................ _
NvF inp......miu.....Rai......Pis.t.... ... Rd. .....
.rt�..��t.:..�..�Q��.��►..+�..4....irk.�.....+..a.�..�..�f..f��..... _
,.:..,.�o 121 ". F77--1 1 '/0 i.. r ,..,.,:t,.1. 1-70 . C'-ACL 41 TI-Wr V (�c
`F.
Design Current „'„ ;` € Des�gt Current ' Design Current
,. •.
Swine Ca acity Po ulation Poult .
i3' ';_ _ ._ Ca achy Po iulation'..r Cattle :Ca acit Po ulation.
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts t
❑ Boars
❑ Layer i; Dairy 60 1 i 3 (]
❑ Non -Layer Non -Dairy ,
a� ❑ Other
v
}� f I�s 3�91iE pia „ TOtill DQS1gTliCapRq.y_,, ?
H�€ I 1 •'i I- '�I �- � � . 4' i' i A �'-F {. �j' YSS
ar .. 4 �. t
ota
�j S t OCR
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?
h. 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/ruin?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation9't�
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard(inches): .... 6................................................................................................................................................................ ..
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
❑ Yes gNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑-Yes m'No
❑ Yes 5No
❑ Yes NzNo
Structure 6
.... ........................
❑ Yes KNo
Continued on back

i• 2 M.d ri. jar!:..R.M1 Fy r A•C^•.:'C
Facility Number: !y 1 — flat n4pection
6. Are there structures on -site which are not pro erly addressed and/or managed through a waste anagement 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)
d
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 Armlication
* - r
❑ Yes
M No
❑ Yes
No
❑ Yes
No
❑ Yes
P'No
10. Are there any buffers that need maintenance/improvement? ❑ Yes tc No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes tgNo
12. Crop type I , ~GV, // le
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan CA::::,::,:-.
' g p. g g ( WMP)? ❑Yes No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes 5No
b) Does the facility need a wettable acre determination? ❑ Yes �9No
c) This facility is pended for a wettable acre determination? ❑ Yes �3'No
15. Does the receiving crop need improvement? ❑ Yes No
16. Is there a lack of adequate waste application equipment? ❑ Yes 4No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
IgNo
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
❑ Yes
'El No
(ie/ WUP, checklists, design, maps; etc.)
' t
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
03 No..
i
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
Jallo
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
-O'No
22. Fail to notify regional DWQ of emergency situations as required by General Permit? ,
t
El Yes
[� No
(ie/ discharge, freeboard problems, over application) @
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
Pq,No
24. Does facility require a follow-up visit by same agency?
❑ Yes
KNo r
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
t�No '
?�V ... . aflQliS.Or dfrfEleliC145 W rf` F1Q;tE[7 [�ltl3`lllg t li5,V151t. rOl! lii CeC�IVe i 0 �11�'tilgr.
Coir' s 6fidenCe' aba' U' f th& A it. '
r
,l Il .l -.: ...,'ri'11t .. ..... � 1',;, , ,.::... h i; "!, - :, �' i' • 1 q i a;, dE ! `!4' : ! ! ., d3 '-9' 1'::f4 3 F "'. •`i9nf )' ,,.�,z
Cornmentsi(refer to;.questton #i) E:Ezplatn anyf,YES answers andlor any'recommendatton[ or,;ainy.othericom>Enents 8 , 11 _, I :td�:,:'l;j;
-i, iE,. d 11 .1 !-.'lt!:I �' �[' 9 .,. f 3: i8 3 'E
F.:.IAF '!. 3': �:, i4 iF
-s i
' ­.. 7 I..-. Eg,s,.....t, , . I+... 3.I E Y, F!. .V',:li,il! : -::t�. i..E. ,! !': :!� .1 ! .:.I- 3ke"
Use!drawtn s Afaciltt ;,toibetter ex IaEn;s►tuiti&i use additional a es as neeessa , ,' , l9.il,! Ii 1° "1'; !7
g Y P { p.S !y) i ! ?,; li E,,y ',id',
1 <' 'd , I.laC3,
r, ,,>, f
i If 3 i 3,sl� I d.l ,jl , '4,IlNI it ,a=a Add,I
. i1,3.�8,
InkrY
it
v�
Es, [ •g�
Reviewer/Inspector Name
g
.4.E €
Reviewer/Inspector Signature: / � y. Date:
3/23/99

Date spection
Facility Number:t
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
N�40
28,
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
WNo
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
F1,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
(VrNo
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 permanent/temporary cover?
❑ Yes
❑ No
Additi pat Omments'i
w...,... P....r..... -k E rR �: n,e� e. ,,, ». -„� �� r.'.7s > >o-e,.r �.. _.- -. ., ,�t.'v{ E•c a =-,f.� „� .i�31„ 1=€_f <¢.a ia3i :dfl, ! ltt .�c�(v�•�d o,9i I{ d S�-sE �9� F f B_E. sf,n'1.{ f.��i-EEE f, d3.a$1Bs4. A..&�.3a>d,E �i �• Ii 3
i
• Y
J T
3/23/99

�;.:.. r
O Div is i6w of Soil Water':C6hservation Operation Review ; "
`l Division of Soil V Water Conservation-- Com liance Iris ec�,
ID P P
Division of Water.Quality -_Compliance Inspection ..,. z;
p Other Agency, Operation Review:'
16 Routine 0 onlp aint 0 •o oar -alp of DNVQ inspection 0 Mow-tip n review 0 . t per
1 .icility Number
Mite ot• I41'.1wetioii
i"inne of tllsllection 24 hr. (hh:mm)
p Permitted a Certified 13 Conditionally Certified p Registered in Not Operatlnna hate Last, 01wrated:
Farm Name: Shasla.Dairy-Farms............................................................... Counly: Guilford WSRO
Owner Nanne:.CJ.!'f......................................... Lvey..............................................
Facility Contact:............................................................................... I Illy: .......,
PhoneNo: ...........................................................
................................................... 11hotic Nil:....................................................
I lailinr Address: SIMSurath-Dairy.Rd........................................................................ Gibsuaville...N.0 .................................................... 27249 ..............
OnsiteRepresentative: L,iadlty.].vey................................................................................ 1llwgrlrtor:........................................................... I...........................
.. O eralor Ccrtiticatioo Numhcr: ..
Ccrtiticd Uperator:L,in ..............................Ixey .................................................... 1 .............................
Location of harm:
LLuffine...MA I R.d...eas1:1 :A Ile;;1?�,y a I ;Rd� ka1 ,iri r,lfn Iaxr ;tall.Fax cl; tall ;ri lxt;fa��Cr; nxtlt, ? irxkid.::::::::::::..................:::::::::::: -
Latililde ®•®. ®.: 1,,11llgilude ®0
Swine Capacity Population
p Wean to Feeder
p Feeder to Finish
p Farrow to can
p Farrow to Feeder
p Farrow to Finis
13 Gllts
p Boars
Design Uurrent Design Current
Poultry Capacity Population Cattle Capacity Population
p Layer I® Dairy
p Non -Layer p Non -Dairy
peter
Total Design Capacity 180
Total SSLW 252,000
Number of Lagoons Ip Nuosuriace urains rreseni IIp Lagoon Area Ip apray r lelu AI'ea I
g Ponds4 Solid!Traps, Noldi'n, rlo Liquid asa Management System
�;
1 h
Discharges & Stream Inlhacts
1. Is any discharge observed from any part of the operation? p Yes 0 No
1)i char,,c ori-irlalccl at: p Lagoon p Spray Field p Other
a. !t'discharac is observed, was the convoy. ncc Inall-made'? p Yes p Na
b, 11'discharuc is obsel•vc(l, did it rc.lch Water ot" th4 Sonic•'' (If ves', notik, D\VQ) p Yes p No
C. Ii'disehargc is observed, w1l"it is tlic cslirnated How in ual/min?
d. Does discharge bypass a la-oun systcrn? (11'yes, notil:y I)WO) 0 Yes 0 No
2. Is there evidence of past discharge from any part of the operation? p Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? p Yes ® No
W.,isle Collection & Treatnnent
4. Is storage capacity (freeboard plus storm storage) less than adequate? 13 Spillway p Yes ® No
sirllclllre I tilruciuro h �II'Ilcltl➢'c 3 sIrllctlll'C 4 slrliclure 5 ',,iniclllrC 6
1111 w i f let' : ............ pand............. .. .....:.........................................................................................
FrcOboard(inches):...............3Q...............................................................................................................................................
Y
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, © Yes 0 No
seepage, etc:)
3/23/99 Continued on hack

Facility Number: 41-10 Ilsic•6/24/99
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? p Yes M 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? p Yes M No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? p Yes N No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
p Yes N No
Warsle Annlication
10. Are there any buffers that need maintenance/improvement? ❑ Yes H No
I. Is there evidence of over application? p Excessive Ponding p PAN p Yes M No
12. Crop type Corn (Silage & Grain) Small Grain (Wheat, Barley,
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? p Yes N No
14. a) Does the facility lack adequate acreage for land application? p Yes N No
b) Does the facility need a wettable acre determination? Yes ® No
c) This facility is pended for a wettable acre determination?
p Yes
N No
15.
Does the receiving crop need improvement?
p Yes
® No
16.
Is there a lack of adequate waste application equipment?
p Yes
® No
Required Records & Doemnents
17.
Fail to have Certificate of Coverage & General Permit readily available?
p Yes
p 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
p No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
p Yes
H No
21.
Did the facility fail to have a actively certified operator in charge?
p Yes
®No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
[3 Yes
®No
23.
Did Reviewer/]nspector fail to discuss review/inspection with on -site representative?
p Yes
N No
24.
Does facility require a follow-up visit by same agency?
p Yes
®No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? p Yes H No
M ; Na.vitil�itioits.or 'or'-nted'during. this .visit.: you• will receive nos further ;
•.correspvndekc� O.6irt thisMsit;
Comments (refer to question ,#);' , xplaiu any YES answers and/or any recommendations or any other comments..
Use drawings off acility to better; explain situations. (use additional"pages as necessary):,.
19. Discussed need for operator to keep nitrogen balance, by field.
Reviewer/inspector Name ","".--
Tom'Yoc m,r' Jenny Rankin-.Hamid,ROfiee
Reviewer/inspector Signature: e fkDate:

Facility Number 41 10 Date of Inspection 5125199
Time of Inspection 12:30 24 hr. (hh:mm)
0 Permitted ® Certified 13 Conditionally Certified © Registered 10 Not Operational I Date Last Operated:
Farm Name: Shata.D?aitx:y-Earm................................................................................... County: G.Wfard ............................................ W..SRQ........
OwnerName: CX........................................ hey .............................................................. Phone No: ...........................................................
FacilityContact: ..............................................................................Title:................................................................ Phone No:
MailingAddress: S� I, .Banitbt.D)aiuy. D........................................................................ Whayffie.Ac ................................................... 2.72.49 ..............
Onsite Representative: LjIldDey..DXg3'................................... :............................................ Integrator:.................
Certified Operator:UndleY.S.............................. Iny..................................................... Operator Certification Nnmber:213,19 .............................
Location of Farm:
Latitude 36 ' 08 ' 48 -' Longitude = ' 38 ' =1
Design Current Design ,' ;Current Design Current
Ca acit Eo ulation `
Swine atilt e
R Y:. Ca actt Po ulahnn Cattl Ca aci Po ulation
❑ Wean to Feeder ❑ Layer ® Dairy 180 140
❑ Feeder to Finish ❑ Non -Layer ❑ Non Dairy
El Farrow to Wean
Farrow to Feeder ❑ Other ;
Farrow to is m.'Total�Des�gnlCapac>Ity 180
lil' s
Gilts I n
T
1
1 �'¢ i I a�] �� �,�� {I
otal SSLW 252,000
LJ Oars
Hold n Ponds,/ S g d Tra s x � s ', E � �� ,Spray Field Area
y f �. 10
1 f ❑❑ Subsurface Drains Present
❑ Lagoon Area
xr _ a. 1
l g p� , a No Li uid Waste Mana ement System i 2
Discharge
j,s & S ream 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 discbarge 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 IN Yes ❑ No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .................................... ..... ..............................................................................................................................................................................
Freeboard(inches): ................5.................................................................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ® No
seepage, etc.)
3/23/99 Continued on back

Facility Number: 41-10 Date of Inspection 5/25I99
6. Are there structures on -site which are not proy addressed and/or managed through a wastcoagement 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 ADDlication
10. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes ®No
12. Crop type Corn (Silage & Grain) Orchard grass (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?
Re uired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ic/ WCTP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (iel irrigation, freeboard, waste analysis & soiI 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?
13, 1�0•Vi0�at10I1S,01',def1C,1�nC1eS�WCre,nOtred,dLCipg• S •VISIT:: You: will;receive Ro furtlie'r ; • : •
.. corresp6 ' ... dei6out this:visit:. • . .
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ® No
® Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
4 Liquid level is above marker approx. 5" from crest of spillway (low area). Need to pump as soon as possible. Will have to refer
DWQ.
7 Need to keep WSP area mowed for easy visual inspection (18" or less).
19 No waste analysis for fall `98 and spring `99 applications. Need to keep application records by WUP i.e. by field and tract
amber. Recommend keeping by pulls.
Reviewer/Ins ector Name i ham �� ke 1 LEI gt€F!7 �Jen •.r;�s"i+r ; "R?4I' 7 ?42E`(t?i E ` j �' M i aS^T Ski �F. fr' } - ^t'r ^ Z^'7
N
p Roc1C i �,e�R," r MillieiLattgley 3.,.
Ys.... _.._ ,grs i s , alp � .R
Reviewer/Inspector Signature:
Date:
3/23/99

Facility Number: 41-10 Date oIV
ection 5/25/99 Is
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
...,.... i_.. .. .. < i'. e' E'ad�::. A :i§: 1£F1E_ -%8: ;8�' t,� 3;��8 ��a:: §§.iE i'<i. �l' tl' I vi& d.:ot3:i 3ld I'.. AeE.t 'i 1. ii .: 3..�, td'{:t .'.13.;.."!"E. — ;2a3::a:
bona omments an or§ raw n( s. j j i }� j,E! ; ,€,.,€, ii 1 E(, £ j, < �p @ !Ej ijyE j j ilaaEi�lE I E i i (: y §fir} ! I E E ] 7 :; E.,; E, E
.a., „:,:.>,.,,,,..ER:„.atik��§laa�laili}f.1(IFlii11�.3,.��id�..:6:oz�,¢AaE$1a1.e���:E�i�,���t��,fiaP,_9.�.�i.[,.&1f1z���E,ti1�` I .l,.il„il.< ..deg.3�3�,.oia.El�E€.�F.-H€aLiu?`�r;r'•wraF�;3,E4,.c�t.S�N,e1i�:'.I9�:ad�,k.�.,$�EE.�i..a{f�"�a.11r
".£ i
4
A,
3/23/99

rr ■ Division of SoiW Water Conservation - Operation Review IF
Division of Soil and Water Conservation - Compliance Inspection
0 Division of Water Quality - Compliance Inspection
0 Other Agency - Operation Review
10 Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Facility Number 41 10 Date of Inspection 5/25199
Time of Inspection12:30 124 hr. (hh:mm)
0 Permitted ® Certified [] Conditionally Certified [3 Registered 0 Not Operational I Date Last Operated:
Farm Name: SJbASta.JD.fJrYXa= ..................................................... County: Gullfojr.d ............................................. MR. 0........
Owner Name: CAL ........................................ 11vx....
.............. Phone No: 910-f21AL3.1...........................................................
FacilityContact:.............................................................................. Title:............................................................ Phone No:
Mailing Address: 531 .Stlaitb�.1?.ait�.Lid,....................................................................... GjbAQxky111c..NC ................................................... Z72.49 ..............
OnsiteRepresentative: UutdIcy. .-gy...................................................................... Integrator:......................................................................................
Certified Operator: 1, ndicy..S,............................. 1ygy..................................................... Operator Certification Number:;,13.19,
Location of Farm:
....................................................................................................................................................................................................................................................................
11u1f1ira�..M1ll.Lid,.ast.>tn.� ]se.�!' .xicl�.lid,,.-..ta>i;t~.>ri t,.fQllur�..titllt���,.>ta1t. ' tit Fso�l�,.nn�t1�.1?axr...Lis1............................ :................. _
Latitude 36 * 08 48 Longitude 79 ' 38 11 21 �•
Design Current
Swine Capacity 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 I I ® Dairy 180 140
❑ Non -Layer I Non -Dairy
❑ Other
Total Design Capacity 180
Total SSLW 252.000
Number of Lagoons I0 Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps JEI 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)
H
❑ Yes ® No
❑ Yes ❑ No
❑ 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
Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Isig!Qollection Treatment
storage capacity (freeboard plus storm storage) less than adequate? ® Spillway ® Yes ❑ No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure b
Identifier:
Freeboard(inches): .............5..... ........................................................................................................................ ............................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
❑ Yes ® No
Continued on back
3/23/99

Facility Number: 41-10 , Dattoispection 5/25/99
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan'? ❑ Yes ® No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ® Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ® No
Waste
Application
M.
Are there any buffers that need maintenance/improvement?
❑ Yes
IN No
11.
Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
® No
12.
Crop type Corn (Silage & Grain) Orchard grass (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?
Requiryd 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?
2t. 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?
LY� 46.*Wati6ns'or :deficiencies were:noted during this: visit; ;You:vvili reeeive no further ; ;
corresuandence: about this :visit::::. : :: :::::::::: :: :::::: :
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ® No
® Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
4 Liquid level is above marker approx. 5" from crest of spillway (low area). Need to pump as soon as possible. Will have to refer
DWQ.
7 Need to keep WSP area mowed for easy visual inspection (18" or less).
19 No waste analysis for fall `98 and spring `99 applications. Need to keep application records by WUP i.e. by field and tract
umber. Recommend keeping by pulls.
Reviewer/Inspector Name lRocky Durham Millie Langley
Reviewer/inspector Signature: Date:
3/23/99

Facility Number 4l 10 Date of Inspection 5/27198
Time of Inspection 1300 24 hr. (hh:mm)
[3 Registered 0 Certified 0 Applied for Permit 0 Permitted 113 Not O erational Date Last Operated:
Farm Name: ............................................................
County: Qullfo,rd.............................. ...
S11�tsha.�?aiu:X.�'.�xlltts....................... .... ...... MRQ........
OwnerName: C n........................................ Lux .............................................................. Phone No: 910421-0 3.1...........................................................
Facility Contact:.............................................................................. Title................... .... Phone No:
Mailing Address: 511A Snook JD.ai11xRd,....................................................................... WbAc!>ux1i IC-NG.................................................... 2.72.49 .............
OnsiteRepresentative:........................................................................................................... Integrator:......................................................................................
Certified Operator: l.rind.ley.5.............................. Iny .................................................... Operator Certification Number: 213.19.............................
Location of Farm:
Latitude Longitude , 79 • 38 1 21
D sign q'Gurrent `1 '� '&xD { Destgna . Current ti: '. ; , Desegn CUCCent
s Capacity Popular on' . Poultry Capacity op_uhati in 4Cattle ,x 'Csp city P�,opulatton
❑ Wean to Feeder ❑ Layer Dairy
ry
❑ Feeder to Finish ❑Non -Layer
❑ Farrow to Wean
❑ Farrow to Feeder j ❑Other ;
L k
❑ Farrow to Finish I MTotal Design Capacity 180
❑ Gilts '
❑ Boars ��'Total SSLW 252,000
Number of Lagoons /HoI'd ing Ponds 0 ❑ Subsurface Drains Present ❑Lagoon Area ❑ Spray Field Area
❑ No Liquid Waste Management System
180
❑ Non Dai
General
I. 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: [ILagoon [ISpray 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) [IYes ❑ 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 ElNo
3. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes ® No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes ® No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ® No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes ® No
7125/97 Continued on hack

Facility Number: 41-10 Date of Iaion 1 5/27/98 •
8. Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
® No
Structures a 1 in onPits,
9. Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes
® No
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier:......taQld.pamd..I ............................ ....... .... ... ...................................................................................................................................
Freeboard(ft): ............1.2.0...........................................................................................................................................................
...................................
10. Is seepage observed from any of the structures?
❑ Yes
® No
t 1. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
® No
12. Do any of the structures need maintenance/improvement?
❑ Yes
® No
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes
® No
Waste Application
14. Is there physical evidence of over application?
❑ Yes
® No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type .......GQXtL.( �Aag s .Gxs7. w................................................................................................................................................................................
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
® 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?
❑ Yes
® No
22. Does record keeping need improvement?
❑ Yes
IN No
For Certified or Permitted Facilities Qnly_
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
® No
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
® No
25. Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
® No
No:violations.or. deficiencies:were noted du ring.this'isit.:.You.will receive:no:further::
correspondence: about this:visit: ::::::::::
�&j
.i
Reviewer/Inspector Name iErie Black
Reviewer/Inspector Signature: Date:
XT- 16 -.• Al 1A I T_a_ _Pf______a____ f•J

State of North Carolina
Department of Environmerlb
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
May 14, 1999
CERTIFIED MAIL
RETURNREQUESTED
C.M. Ivey
Shasta Dairy Farms
5118 Smith Dairy Rd.
Gibsonville NC 27249
Farm Number: 41 -10
Dear C.M. Ivey:
OMN���
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT ANp NATURAL RESOURCES
RECEIVEr)
N.C. Dept. UT (. HNR
MAY 19 1999
Winston-SahDri
l e, gional OflElog
You are hereby notified that Shasta Dairy Farms, in accordance with G.S. 143-215.1 OC, must
apply for coverage under an Animal Waste Operation General Permit. Upon receipt of this letter, your
farm has six 60 days to submit the attached application and all supporting documentation. In
accordance with hapter 626 of 1995 Session Laws (Regular Session 1996), Section 19(c)(2), any
owner or operator who fails to submit an application by the date specified by the Department
SHALL NOT OPERATE the animal waste system after the specified date, Your application must
be returned within sixty (60) days of receipt of this letter. Failure to submit theapplication as required
may also subject your facility to a civil penalty and other enforcement actions for each day the facility is
operated following the due date of the application.
The attached application has been partially completed using information listed in your Animal
Waste Management Plan Certification Form. If any of the general or operation information listed is
incorrect please make corrections as noted on the application before returning the application package.
The signed original application, one copy of the signed application, two copies of a general location
map, and two copies of the Certified Animal Waste Management Plan must be returned to complete the
application package. The completed package should be sent to the following address:
North Carolina Division of Water Quality
Water Quality Section
Non -Discharge Permitting Unit
Post Office Box 29535
Raleigh, NC 27626-0535
If you have any questions concerning this letter, please call J R Joshi at [phone] extension
363 or Ron Linville with the Winston-Salem Regional Office at [phone].
for
cc: Permit File (w/o encl.)
Winston-Salem Regional Office (w/o encl.)
Sincere
Kerr T. Stevens
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

JD Routine O Complaint O Follow -tip of DWQ inspection O Follow-up ofDSWC review O Other
Facility NumberEVD_�=
Date of Inspection
Time of Inspection a 24 hr. (hh:mm)
D Registered 13 Certified, © Applied for Permit © Permitted � Not opera tional Date Last Operated: t�
Farm Name:.. ...................County: ................!..�r....
OwnerName:........................................................................................................................... Phone No:............................� ? ..° .FA......
Facility Contact:.............................................................................. Title:............................................................... Phone No:......SEP; ..=1..�SO......
MailingAddress: ...............................................................................................................,....................................................................Y.
r...O
(0
Onsite Representative•,.1../..�:.....................�,e/L .................... Integrator: ....................................... ..................................... T 0
Certified Operator:............................................................................................................... Operator Certification Number-,...............
Location of Farm:
Mac
Latitude =0=, « Longitude =• 0` ="
Design v,Current;;'y „r.' ^DestgnF CurreiiE� x °"DeS�gttxCurrent
Y -3
Swore ,Capacdy Populitton h, Pau ltry�Capac�Ey„Populaton Cattle CapacitY:';PapuIationx�
Z5 ❑ Wean to Feeder ❑ Layer Dairy
❑Feeder to Finis❑Non Layer ❑ Non Dairy h
❑Farrow to WeanNIS
❑ther a, k
El Farrow Farrow to Feeder
Farrow to Finish N.
zp %Ta'0106' Capacity
x. '.
k ❑ Gilts E /�
Noun
Qn IT66 SST. T���
❑ Boars
i
,•. .. ... ..",+.6'f x S ` # i ) 1:<h y'
Number of Lagoons / Holding Ponds ❑ Subsurface Drains Present ©Lagoon Area 10 Spray Field Area
¢,`, ; ,. ❑ No Liquid Waste Management System
General
1, Are there any buffers that need maintenancelimprovement? 5� V0'r"
❑ YesNo
x
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
BNo
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
EfNo'
3. Is there evidence of past discharge from any part of the operation?
❑ Yes
VNo
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yeso
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑Yes
VNO
maintenanceli mprovement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
[�lo
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
/INo
7/25/97
Continued on back
.. --- ---' ,.�,�,.;.r..:,,�^r,,,a`fir,.'��:1.��.-.ti_t�w�±.a•��---�=.�'".-:3�a.�:�:
'p�

Eacility Number -.IL — G 01
8. Are there lagoons or storage ponds on siPhich need to be property closed?
Structures fLaQoons.Holding"Ponft Flush Pits. etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3 Structure 4
❑ Yes �No
❑ Yes /,No
Structure 5 Structure 6
Identifier:
Freeboard (ft): .... ...... ...........................................................................................................................................................
....................................
10. Is seepage observed from any of the structures?
❑ Yes
?(No
H. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
Ld No
12. Do any of the structures need maintenance/improvement?
1Ces
3
/❑ 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 Ievel markers?
❑ Yes
j
aste Ajaplicqtigg
///�o
14. Is there physical evidence of over application?
❑ Yes
(If in excess of , or runoff entering waters of the State, notify DWQ)
` P.
'p4o
...... ...... .......
15. Crop type ...........��.......G�..............................................................................................................................
........
.................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
940
17. Does the facility have a lack of adequate acreage for land application?
❑ Yes
(,No
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For_Certirad or Permitted Facilities QAy
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.vialations:or de:ticiencies: rvcre;notid.during this: visit.• .Y6114il� i*eive;no•ftirther-
corrtspQtidence 6bout •this: visit.:... ::. :: :. ::.... .
❑ Yes IQ No
❑ Yes Q�No
❑ Yes CYNo
❑ Yes WNo
❑ Yes J&No
❑ Yes gNo
❑ Yes ro
❑ Yeso
f
1 z ,tOL4) pa-ra T g7a.�1 o;t✓ 5 PI2d�-c� . T'a Avl�
FO
1 ,prL`twa L #Jt�X_ L� Lv ti; i ©e¢4-y
v__6 W r ri Sj 7/25/97. w
Reviewer/Inspector Name x'
Reviewer/Inspector Signature:. Date:

[] Division of Soil and Water Conservation ❑ Other Agency
I&Division of Water Quality
(D Routine 0 Complaint 0 Folito-w-up of DNVQ inspection 0 Follow-up of DSWC review 0 Other
Date of Inspection S -) 7 9
Facility Number
Time of Inspection / 24 hr. (hh:mm)
©Registered MCertified © Applied for Permit © Permitted JE3 Not Opera Date Last Operated.
Farah Name 7�............................
�........ rr-nS................... County• .............................................
Owner]Same: l�^.........................................I.................... '.....�:.....'��rl....:s�....:�1�c+�...................................................................... Phone No:......?.�.�....
Facility Contact: ...it d14�.......,.V ................................ Title:.....wnf........................................ Phone No: ................................
.�...�...... a., r`..c�...1........../✓x ................................ %....Mailing Address: i ..
Onsite Representative: ....... A!\..,),e,.....�.41e...................... I ......................... .. Integrator:..................... .
Certified O eratot•;.....,I ................................................... Operator Certification Number;.Z�?......
...............
Location of Farm.
c..1 ... . i....:...:.... f................. s...I�yc�;� .....................nr. ...,f.,Q:.t`r... ..v.....�:nc..�..rWK-a-.r'�� ......:^ter. A
(.�... Pk!...W..................................................................................................................................................................................................................... .
Latitude ®' =' ®" Longitude =' ®1 ©"
Design .Current
:.,.Design urrent;' estgn urrent' '
Swine
Capacity' Popiilationa
Potsttry ' "r xCapaaty .P©pulation Cattle ; "° Capacriy Population
a!FO
Wean to Feeder
❑Layer
Dairy
zoa�
Feeder to Finish
❑Non -Layer
❑Non -Dairy
E '
Farrow to Wean
❑ Farrow to Feeder
❑ Other
❑Farrow to Finish
Total Design:Capacity
❑ Gilts
E
`.
v
❑soars
Total SSLW�'
Number`of La Pons 1 H41dtng:Ponds'
g
❑ Subsurface Drains Present ❑ Lagoon Area
❑ Spray Field Area
V��
,
❑ No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes No
2. Is any discharge observed from any part of the operation? ❑ Yes No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance. man-made? ❑ Yes ❑ No
b. If dischargc is observed, diet it reach Surface Witter? (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
3. Is there evidence of past discharge from any part of the operation? ❑ Yes 14No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes KNo
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes U No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes b'o
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes iNo
7/25/97 Continued on back
e

Facility Number: V1 — ;�� 0
8. Are there lagoons or storage ponds on site which need to be properly closed'.
Structures (l.agoons,tloldine Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
"y���SStructture_II Structure 2 Structure 3
ILlellEkflel': !V .�'..�.�}..(.5A'Y / .... .................. I.-....................... .......
Freeboard(ft): .......... ..........,..........,..............................,......I.........................
10. Is seepage observed from any of the structures?
❑ Yes kNo
❑ Yes .�N0
Structure 4 Structure 5 Structure 6
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application'?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type...CbA!✓..................................................................................................................................................................................
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 ReviewerMspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement'?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
No.violations or. deficiencies. were noted -during this;visit. • .Yo'U4i11 receive nti further
correspondence a4out this visit:,
to question #):,, Explain any YES:.answers a td/or_any recommend
kreility to better explain situations. (use additional pages as necess
❑ Yes , No
❑ Yes 0 No
..... ....... ..............
❑ Yes
I ..... .......
ONo
❑ Yes
IR No
❑ Yes
allo
❑ Yes
0 No
❑ Yes
(NNo
❑ Yes
allo
❑ Yes
KNo
❑ Yes MNo
❑ Yes 14 No
❑ Yes IQ No
7/25/97
rY „. .... W
Reviewer/Inspector Name.+
Reviewer/Inspector Signature: Date: 5` 2-7

Facility Number: ... f77 .... 7.7.07 1 . ,
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons and/or }folding Pondsl
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft): Structure. I . Structure 2 Structure 3...
10. Is seepage observed from any of the structures?
Structure 4 Structure 5
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste APPligation
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)L
15. Crop type01-tn"..6-/.....,Tti%Ya ! � j... .....P..L3..,(lz,*..A..:..............................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
For CertifiCd FacilitiC5 Only + -f-
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 9PNo
❑ Yes XNo
❑ Yes D 'No
❑ Yes X No
Structure 6
❑ Yes [kNo
❑ Yes MNo
❑ Yes JUNo
❑ Yes Iff No
❑ Yes � No
❑ Yes Wo
❑ Yes PTNo
❑ Yes �No
❑ Yes A No
❑ Yes VNo
❑ Yes A110
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Comments (refer to question k Explain any YES answers and/or>any recommendations or any ottuer comments.'µ
Use drawings„of facility to better explain siti atuons (use additional pages as necessary)-'.'
7r` �01n 1x .�tr ca.ii f/ cL7 G ed/ d �r +� py + 0.J u-,- ✓ Q
fi b- �wQ,� Q_ &,.j . f"q 'p- C, 0 � �-F 4,
ReviewerAnspector Name
Reviewer/Inspector Signature: Date: 7 0,f / f
cc: Division of Water Ouality. W ter Oualitv Section. Facilitv 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
•
LTL?WA
IT * 0
A&41-
DIEHNFZ
DIVISION OF WATER QUALITY
September 5, 1997
Mr. Lindley S. Ivey
Shasta Dairy Farms
5118 Smith Dairy Rd.
Gibsonviile, NC 27249
SUBJECT: 'Farm Inspection
Ivey Dairy Farm
Guilford County
Dear Mr. Ivey:
An inspection of your facility was conducted by Ron Linville of this office
on August 19, 1997 in conjunction with Mr. John Andrews of the NRCS.
Conditions found at the farm were much improved as piping had been
installed which directed a prior discharge into the existing holding pond. No
discrepancies were found at the time of the inspection.
Mr. Linville has recommended that a small area of your night pasture
adjacent to the drainageway around the holding pond be considered for
installation of a vegetated buffer as an exclusion area if this is feasible.
Thank you for your prompt consideration of our previous water quality
concerns. If you have any questions about this letter, please do not hesitate
to contact Mr. Ron Linville or me at [phone].
Sin
M. Steve Mauney
Water Quality Supervisor
CC, Guilford County S&W Conservation District
Central Files
WSRo
a:\ivey.97
585 Waughtown Street, 1 4FAX [phone]
Winston-Salem, North Carolina 27107-2241Nvf An Equal Opportunity/Affirmative Action Employer
Voice 910-771-4600 60% recycled/10% post -consumer paper

OwnerName: C.M.........................................Ixey............................................................... Phone No: ...........................................................
Facility Contact: Lindley.&Ixey...............................................Title: olY.ner................................................ .. I'hone No;
Mailing Address: 51U.Simith..Hairy.Rd........................................................................ GibswwilIc...N.C..................................................... 27.249.....4........
OnsiteRepresentative: Undley.lvey................................................................................ Integrator:.......................................................................................
Certified Operator:Lindley..S.............................. I.Y.ey .................................................... Operator Certification Numhcr:2.13.1.9.............................
Location of I+arm:
....11. im-E.....!..:. .gas IzP.. e::.:.:x! !........:....�:-:t........:!:..!...:..pr...:.......
Latitude Longitude
❑ Wean to Feeder
p Feeder to Finish
13 Farrow to Wean
p Farrow to Feeder
p Farrow to Finis
p Gilts
p Boars
Genera
tiori`'�;, � Cattic
alry
on- airy
aacity Population150
.,
i
Tofal�Design`Ca'�ac�ty ;.ISO
' Total SSLW
uosuriace urains rresent I1p Lagoon Area Ip apray
o Liqui d W aste M anagement S ystem
1. Are there any buffers that need maintenance/improvement? p Yes ® No
2. Is any discharge observed from,any part of the operation? p Yes ®No
Discharge originated at: p Lagoon p Spray Field p Other
a, If discharge is observed, was the conveyance man-made? p Yes ®No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) p 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
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? p Yes ®No
5. Does any part of the waste management system (other than lagoons/holding ponds) require p Yes N No
maintenancd/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? p Yes ® No
7. Did the facility fail to have a certified operator in responsible charge? p Yes ® No
7/25/97

Facility^ Number: 4 _10
8. Are there lagoons or storage ponds on site which need to be properly closed? p Yes ® No
Structures a oons Holdin Ponds Flush Pits etc.
9. Is storage capacity (Freeboard plus storm storage) less than adequate? p Yes ® No
Structure 1 Structure-2 Structure 3 SVLICtUre d Structure ' Eruct{irT i>
Identifier: l
Freeboard(ft):..•.............4............................... :................... .................................... ................................... ..4................ ............4................
10. Is seepage observed from any of the structures? p Yes ig No
11. Is erosion, or any other threats to the integrity of any of the structures observed? p Yes ® No
12. Do any of the structures need maintenance/improvement? p Yes H 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 p 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 D WQ)
15. Crop type ....... Corn..(Si1agg.&.Gxain.)....... Small.Graiml.(Wphea1,.Barley,.......................................................................................................................
16, Do the receiving crops differ with those designated in the' Animal Waste Management Plan (A WMP)? p Yes ® No
17, Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25, Were any additional problems noted which cause noncompliance of the Permit?
q • oo�>^eiot�to�lnes�. o�r a�oaue>rexn�iciise•vs•iwe�;.e.n.ot.e uring this visit;. You. will.receive nofurther. •
......................... .i......... ::� � s.
• .
e�Ienced oltsm r►tght pasture next to existing tence'�andfditch'� � �•� �'••>
y n
-
,,��
F
�.[I.t
p Yes ® No
p Yes ® No
p Yes IN No
p Yes ®No
p Yes ®No
p Yes p No
p Yes p No
p Yes p No
p Yes p No'
& +�� �� � 7 � l� 2{xF r��•'c Ycr C � try n rri=4_��i r + � �. k es y -
a 7/25/97
%"tir.y;ai...
M
Reviewer/Inspector Name RonrLin�ille: , 1rA Tel1�"�r(k t 1 r,� ��`r,�",l k1���"� j`
II IVS� T t ).- M Mr.r s ..i!+ 1 1w._ r, Rai 1 a .�E17 �4 �! I in,n ARL rw k. wm� .t 4 ) �.',ik •*.• ..i i 44f .� f.cs°?tiii
Reviewer/Inspector Signature: ✓ �s� Date: -5!0 -,�-

O Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Facility Number p Date of Inspection 2p
Time of Inspection 0 24 hr. (hh:mm)
Total Time (in fraction of hours
Registered [I Applied for Permit ex:1.25 for 1 hr 15 min
Farm Status: ( )) Spent on Review
Wertitied ❑ Permitted or Inspection tinchides travel and nmeeednnl
❑ Not Operation/al Date Last Operated:
Farm Name: ..... ?.b._GiJT _CL 1 V �i
Land Owner Name:.... C......1W..' .............. Z
Facility Conctact:./—l., rt.d.../"*�" ..................
Mailing Address: ...S�j.. I. r...... Ai ?!n'...
Title:
Onsite Representative:., /....ti.r? j ...... �v.: ..._...........................
Certified Operator:.....Z............. ............. I.._......................
Location of Farm:
County:.......L/ let..l..1.7aY....QV...... _.... _....... .............
Phone No:.. 1/...0,�2 / U /.(..............
'._C:........... Phone/No:.91...q 6.................................
/C,2.....e C.............. C..%a.2.V. ,
Integrator: .................................................r7Z........ 3 ..°l...
Operator Certification Number: ........................... ...
Latitude ®• ®' ®" Longitude [�• F26-51 Wl«
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 gallmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require *'
4/30/97
maintenance/improvement?
❑ Yes ❑ No
■
❑ Yes F�No
❑ Yes [a No
❑ Yes ® No
❑ Yes [XNo
❑ Yes INo
❑ Yes ❑ No
Continued on back

i
Farm Status: Registered
Farm Name: S:hasta.1miry..Farms.....................................................
Owner Name: C.M..........................................lY.ear...........................
Mailing Address: 5118 Smith Dairy Rd.
Datwofilnspecti6n,;,' Time`ofllnspection
t 7 'Usi 24,hr..time.
in Routine p omp am p Follow-up
............ County: G.ttilfor:d............................................... W.S.110 .........
PhoneNo: G2x-0.13.1...................................................................
Gibsonville NC
Onsite representative: Uridse}:.Ivey..................................... ...... Integrator:
Certified Operator Name: Lindlu-S............................................ 1yey........................................................
Location of Farm:
Latitude Longitude ®•®� ©��
0 Not OperationalDate Last Operated: ... ..............................................
Type of Operation and Design Capacity
27249
1. Are there any buffers that need maintenance/improvement? p Yes p No
2. Is any discharge observed from any part of the operation?
a. If discharge is observed, was the conveyance man-made?
b. Ifdischarge is observed, did it reach Surface Water? (if yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Was there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
p Yes ❑ No
p Yes p No
❑ Yes ❑ No
❑ Yes ❑ No
p Yes ❑ No
❑ Yes p No
❑ Yes ❑ No

S
v
6. Is facility not in compliance with any appli4k setback criteria?
. p Yes N No
7. Did the facility fail to have a certified operator in responsible charge (if inspection after 1/1/97)?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons and/or Holding Pond
9. Is structural freeboard less than adequate?
Freeboard (ft): Lagoon I Lagoon 2 Lagoon 3
3
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adquate markers to identify start and stop pumping levels?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type
16. Do the active crops differ with those designated in the Animal Waste Management Plan?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the cover crop need improvement?
19. Is there a lack of available irrigation equipment?
For Certified Facilities_ Only
20. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
21. Does the facility fail to comply with the Animal Waste Management Plan in any way?
22. Does record keeping need improvement?
p Yes p No
p Yes p No
p Yes M No
Lagoon 4
p Yes a No
t3 Yes a No
p Yes p No
(3'Yes []No
Yes 0 No
p Yes p No
p Yes a No
p Yes a No
p Yes p No
p Yes p No
p Yes p No
p Yes p No
23. Does facility require a follow-up visit by same agency? p Yes p No
24. Did Reviewer/Inspector fail to discuss review/inspection with owner or operator in charge? p Yes p No
Reviewer/Inspector Name
Reviwer/Inspector Signature: Date:

JUL-14-i995 15:34 FROM DEM R QUALITY SECTION TO
WSRO P.02/02
Z.-
Site Requires Immediate Attention: �,
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: , 1995
Tim. 0
Farm Name/Own
MatTing Address:
County:
Integrator. Phone:
On Site Representative: Q Phone:
Physical Address,/I=ation:
Type of Operation: Swine Poultry Cattle 4""
Design Capacity: �� Number of Animals on Site:
DEM C cation Nu�ber• ACE DEM Certification Number: ACNEW
Latitude: Longitude: ..a_" Elevation: � Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) ePor No Actual Freeboard: Wit. Inches
Was any seepage observed from the lagoon(s)? Yes os�o Was any emsion observed? Yes o�i!
Is adequate land available for spray Yes No Is the cover crop adequate? es' No
Crop(s) being utilized: -- f- . 92 �
Does the facility meet SCS minimum setback criteria? Feet from Dwellings? ZJ eVx No
100 Feet from Wells? <re xrr No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or�"
• • Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes ore
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? ejNo If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied, _/s �a4
Way irrigated on specific cover cs+ap)? 'ear No
Additional Ornaments: 11% /mot c,". C c m r r �_, _40
Inspector Name
cc: Facility Assessment Unit
Use Attachments if Needed.
TnTAL P.02

� .,:a... a�:..kLa�ir all L":lr.:l...,V C7r�•a..v.....��
*7 Numbev
l sI 'nSIT _'Iron RECORD
1995
/ Owner. Vet x am Ne=c7S/
Co�mt;1: C'sUI L Fa 2 DD
Agint ViSI'5'Sg Sits; D one; _�/O 33 3-s yot�
cpxrator: v Phone: /D— Z/f %
On Site Refrrocentadve: P Phone:,S. ore c'�5� +/"f.
hfwiing Add
�71,' t x Z
20"
Typc of Op=Uan: Swint Poultry Gault -V -DA/A6
Design cap achy; Number of AnimaLi on Site: 23
Utirade:I(o_o -oq LonzIiudc;-U—° 9E �ZO "
Type of ins,=t?cn: Ground Aerial
Orcla Yse or No
Does the A: imzl Wass Up= have auMci=t frehaard of I Feet +25.7=24 hour stormy eves[
(appro.-I=tcly I Foot=Esr��+�r,7 inches) Yes a 6ioard:--L-red _ Q Mcka
Far far-B Was told,` Caro tb= =a Iagc;nn, plewc address the aher iagaoas' rz t d undz the
cvlruz�ris Sac;ion.
Was any w-m rap oGscrve i �a ttx laswa(s)? Yeas o t( w� !1:,:.., crosiaa of � cietrn2: YGs , a
Is ad: quato !slid &VISIble far land aL*ica ien? Yes or l'itf Is tiic cavc. crop :dopat!? Ycs of ;pia
Addid nal Cosrrnen _rVLOV giale �Ii a �lli D U Q
Fat to (919) 71 5-3
A--c 1 t .l

I'acilitf �lumtiex: 7 %-�'�
,=- � IT 1 T.14QN RECORD
DATE: Li 1995
L�
Own,arm Name. c�S7 PP,
com" :.... CsT U/ L Fa 42 D
Ageitvisi --gSitr^ e> �. P:tonc; �/0-333�3y�0
operator: r !/ Y. Phone: f0 — (o -1/— L %l
On Site ReprceeatatSva: P Photo: -Fs Abu'/
Pliyslcal Address; g" _
M:,,i�r7� ��►idl�ss S s fir},' �1 a,,
Type of OpcmUva: ,Swine Poultry Cattle Drg iR y,
I;�i�a C=�acity; 162—
De ?cttrzbcr of hnzmaia orr Sits: �)
l�itit^_f��: LAYfl ' • ✓ �/ -y Longitudc,
SyaC of Ins-, 11cn: Gn7und 1--' Aerial
Circle Ycs or Nc
Doc;. We AzdiiA Wasta Lsgccn have mMcicat frelmard of I F�cct + 25 yeur34 hour alorm event
(apprc.-d=iely I moot - 7 inches) Yes oq�9 — b �r r,^xoard: J— Fe...
a 2 7nch&a
For facilities wiLh mom rth= =& Iarn% pimse addmss the enter 2agc rom' '=baard under ,he
varu tcttis sccdon.
Wns any !.emup-age obscrved !.--am tS& lagcon(s)? Yeq or to was �.LYiY crosion of ttz dam?: Yca 010
Is sdxuate larsd available for land sppiicaucan? Yes or No is the asvc: crop ad ssatr? Ycs cr No
Additional Camrnen is MV V �V e PA)D je2&Q
S9 V s _
Fit to (9 I g) 715-3559
gnature of Agimt
/�-tC�� �