760033_INSPECTIONS_20171231

vision of Water Quality
vision of Sail and Water Conservation
O Other Agency
Type of Visit Q Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit (P Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facilitv Number 76 33 Darvof Visit: 12/23/2403 Time: 4)30
Nut 0 1-ational Q ttclol% I hrrshuld
Permitted 0 Certified 13 Conditionally Certified 0 Registered Date Last Operaled or Ahove Threshold: . __
Farm Name: W,LiAartawA.Sgns.Ufixy.................................................. Cc�unhY.�: RaJUA0 0L------......................... S8.0-.....
Uwner Name: illisiro-tt,.------- ----- F;�rlq ----_ _ ___..-------------- Phone No: 331�:43]_�4Q5------------- -------- ---
MailingAddress: 4Q9.A1drld9C.RAad............................................................................. 1119hTaiat...N...................................................... M63..............
Facility Conlact: Guy.,FRCl.m............................ Phone No:
Onsite Repr"entutive: CsaPy-Fgetfajx.-------------------- --------------- Integrator:-------- ----------------- ----- ----------
Certified i]peratur:Cr4rJ.li.................................. F,arLQ.W........................... ................... Operator Certification N timber: Z131.5 ............................
Location of Farm:
From WSRO, take Hwy. 311 south to Glenola. Take left onto Cedar Square and right onto Farlow Farm Road. �*
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 35 • 52 39 Longitude 79 ' S2 02
Design Current
Swine Canseity Pnnnistion
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ® Dairy I I75 0
❑ Non -Layer ❑Non -Dairy
❑ Other
Total Design Capacity 175
Total SSLW 245,000
Number of Lagoons 1 0 ❑ Subsurface Drains Present.JIEI Lagoon Area IN Spray Field Area
Holding Ponds 1 Solid Traps l� ❑ No Liquid Waste Management System
Discharues & 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. li'discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. li'discharge is observed, what is the estimated flow in gal/min?
d. Does. discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge'? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (Freeboard plus storm storage) less than adequate? ® Spillway ❑ Yes ® No
5ntic1ure I 5tnrcturt 5tnrcturc ; Structure 4 Structure Structure h
Identifier: __._7asie.F[lld-....
I I�!�+oa d (inches): 24
05103101
Continued
Af

Facility Number: 76-33 1 . Date of Inspection 12/23/2003 .
5. Are there any immediate threats to the integrity of any of the structures observed'? (ie/ trees, severe erosion, ❑ Yes N No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? El Yes ®No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes N No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes N No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
N No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
N No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
N No
12. Crop type
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
(9 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
Reouired Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
N No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
® No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
N No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
N No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
N No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
N No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
N No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
N No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ® No
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
❑ Field Copy N Final Notes
Operator wants to close out waste pond by Feb. 2004. Randolph SWCD/NRCS is writing closure plan now. Either DWQ or
ndolph SWCD/NRCS needs to document that sludge was removed prior to pushing in the dam.
19. Record keeping looks great.
12/17/03 waste analyses:
WSP = 0.22 lbs. N/1000 gal. and sludge = 0.38 lbs. N/ton
ReviewerAnspector Name Melissa Rosebrock
Reviewer/Inspector Signature:
05103101
Date:
Continued

Facility Number: 76-33 1) A lnspecOon 1212312003
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(a) 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
05103101

Type of Visit rP Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit Routine Q Complaint 0 Follow up Q Emergency Notification Q Other ❑ Denied Access
Date of Visit: Time: 2m=
FacilityNumber
Not O e lion l Below T shold
V
Permitted 0 Certified © Conditionally Certified [] Registered Date Last Operat or Above TThreshold:
Farm Name: I`" F0L*-10 S 5 air County:
Owner Name: Lj FOLIJ dU) Phone No: �'� • a2 T
Mailing Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Location of Farm:
Semi ■ .;iA r
Am- /
'r 6U3 Operator Certification Number:al. 11c
0 Swine ❑ Poultry Cattle ❑Horse Latitude 4 ..f.•� • f " Longitude 0 ° L 11
Design Current
Nwtne Capacjtv ro ulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
Boars
Design , Current Design Current
Poultry Capacity Population c4ttle Capacity Population
❑ Layer Dairy
❑ Non -Layer I I Non -Dairy
❑ Other
I
Total Design Capacity
Total SSLW
Number of Lagoons Subsurface Drains Present JI❑ Lagoon Area 10 Spray Field Area j y.
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System,
x.
Dischilrins && Stream IMpacts : • /
1. is any discharge observed from any part of the operation? El Yes ;J 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 o
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes No
IYA_s,t& Collection a44 Treatment V
4. Is storage capacity (freeboard plus storm storage) less than adequate? Spillway ❑ YesStructur 1 Structure 2 Structure 3 Stnicture 4 Structure 5 Structure 6
Identifier:
Freeboard (inches):
05103101 Continued

i •
Facility Number:, — 3 Hate of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes gNo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or V
closure plan? YesNo
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do anv of the structures need maintenance/improvement? ❑ Yes *o
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes VNo
9. Do anv stuctures lack adequate, gauged markers with required maximum and minimum liquid level XN
elevation markings? ❑ Yes o
Waste Application
10. Are there anv buffers that need maintenance/improvement? ❑ Yes )6No
11. Is there evidence of over application? 9 Excessive Ponding ❑ PAN 0 Hydraulic Overload ❑ Yes VNo
12. Crop type
13. Do the receiving cr s differ with those designate n t e Certified Animal Waste anagement Plan (CAAP ❑ Yes No
I4. a) Does the facility lack adequate acreage for land application? ❑ Yes No
b) Does the facility need a wettable acre determination? ❑ Yes KNo
c) This facility is pended for a wettable acre determination? ❑ Yes No
15. Does the receiving crop need improvement? ❑ Yes o
16. Is there a lack of adequate waste application equipment? ❑ Yes XNO
Re uired Records & Documents
17. Fail to have Certificate of Coverage &: General Permit or other Permit readily available? ❑ Yes pCl No
18. Does the facility fail to have all components of the Cezfted Animal Waste Management Plan readily available? VNo
(ict WUP, checklists, design. maps, etc.) � ✓❑ Yes
19. Does record keeping need improvement? (ic/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes tNo
o
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes
21. Did the facility fail to have a actively certified operator in charge? ❑ Yeso
22. Fail to notM- regional D«'Q 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
15.�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,
. �,�.n4h tra.e+trm.+�,KkN^.d�;.�.:�-i� wFR„ts.r`Era t
Commentsfte&e to gtiestioii ':Eiiplain any,-YFS s and/or any'recommenaseons or any o61h iiiiin 4
7answei .
Use,drawings of facility to better explait At itionsz,(ase addition pages as! necessary) , .` ;! ❑ Field Copy Final Notts -
hr
�y+.'�."3dl rs:lits�X..+;.a;:ta...�VJ..:P;i�S�d M���',.wfai. ; �?'H.u=w-.�w�.acwe.�• FJ' r
Reviewer/laspector Name Y ' ....
;w
Reviewerllnspector Signature.Date: 2
05103101
Continued

Facility Number: Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge 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? ❑ Yes No
2& Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover? Yes EL-IJ mu
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? n "-- E "`-
Additional Comments and/or Drawings:, w x
0
� � 1
12-Y 3.
D2y1Wt.i- a. -7
tO 5 P JS-
-Zdy-
0.634 O.BS J0//S/03
l21 t-7/03 wsP o.ZZ
4v d • 3 E'
01103101

E
Visit OCompliance Inspection O Operation Review O Lagoon Evaluation
for Visit ® Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Ua�te of Visit: 9l13/20U2 Time: 1240
Facility Number 76 33
0 Not Operational Q Below Threshold
e Permitted E Certified [3 Conditionally Certified 13 Registered Date Last Operated or Above Threshold:.. ....................
Farm Name: K!A.F>3tr1Qw..&.Sons.1(2Airy.........'........................................................... County: RA11dQ1Ph.............................. ........... W,SRQ:......I
Owner Name: W—i1liasl A ............................. Ealrlow.... :.................................................... Phone No: -4 �- 4Q5..ar. 3.t1-4 4-9.> ��.......................
Mailing Address: 4.02.,A ldrida-Zoa!d...................... ..... ........... ................... ..................... fiFb..poiallkm.................................................... V24t3.............
Facility Contact: Gairy.ka rlww........................ ...:......:.....;:.......:. Title:..........
Onsite Representative: Gary„ .ajrjo.w..................
Certified Operator:.GAry.d?,............................. l+iiJrjA.}%...................... ......... .........
Location of Farm:
Phone No:
Integrator:
Operator Certification Number:7,13.15„......,,;•,,,•„••
From WSRO, take Hwy. 311 south to Glenola. Take left onto Cedar Square and right onto Farlow Farm Road. A
❑ Swine ❑ Poultry ® Cattle ❑ Horse, Latitude 35 • 52 4 39 66 . Longitude 79 • 52 ' OZ44
■ � �
-�
.� a -, '.'. „`-_< `: = .;. , �.: .: �� : �`�-'n _,E.4'a..$Z°' ,lti r �,y k ¢ y � e, �,
■ - ®® !w Any,
Discharges -& Stream Impacts
F•'
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State`? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ® Spillway ❑ Yes ® No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .......Wlste.P.ond................................................................................................ ...............................
Freeboard (inches): 30
05/03/01 17A 3 `L �J Continued

Facility Number' 76-33 1 . Date of Inspection 9/23/2002 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?
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
Wastc Application
a
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) Small Grain (Wheat, Barley,
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ® No
b) Does the facility need a wettable acre determination? ❑ Yes ® No
c) This facility is pended for a wettable acre determination? ❑ Yes ® No
15.
Does the receiving crop need improvement?
❑ Yes
® No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
® No
Required
Lords & Documents I • " , '.
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
IN No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ® Yes ❑ No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
❑ Field Copy ® Final Notes
WSP to be cleaned out per Piedmont Triad Water Authority (PTWA) agreement. Suggest having NRCS/SWCD write closure plan.
it need to agitate pond, pump, and land apply at agronomic rates. Obtain waste analysis and keep application records. After all
nurc and sludge has been emoved, have verified by DWQ and/or SWCD. Will need to have closure form signed and sent to DWQ in
14. Per letter from PTWA, they have purchased land from owner for Randleman Dam project. After 12/31/02 some land will not be
available for animal waste application. Per agreement this, this facility is not to be operated as a dairy after 12131/02.
19. 2001 soil analysis was not obtained but operator has already taken samples and received results for 2002.
Reviewer/Inspector Name Meli� Rosebrock
Reviewer/Inspector Signature-_ Dale:
05103101 Continued

N
(Facility Number: 76-33 1 of Inspection 9/23/2002
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
waste analysis: Irrigated = 0.36 lbs. N/1000 gal., Wet scrape = 2.9 lbs. N/ton, and Dry scrape = 3.9 lbs. Mon
waste analysis: Irrigated = 0.27 lbs. N/I000 gal., Wet scrape = 2.6 lbs. N/ton, and Dry scrape = 3.4 lbs. Mon
❑ Yes ❑ No
❑ Yes ® No
❑ Yes IN No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
V
J
05103101

PM
�7.:.;;�'� i °., '.'..#.`a�i S IE !';Ili I '!1. �3; .Ef%.3 �9. dllri ..� i�€Ip ! jE ::'i EE__;9.93 e.-� }Iy�E�I�• ;�Ia�pl e��d!
ri( l,,tn 3 ( f E %
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�'p�y \C ..,�.j� .n:"...�: I';:si
,.�I./DI.iVi$IEfp (If.�lfllliSn[ w8ter�Conserva�onail �l�i
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?R. - �ViwJ�gP1tCy. 4{If'
IL A
Type of Visit Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Rate of Visit: Time:
10 Facility Number
Not ODerational Below Threshold
Permitted qq Certified 0 Conditionally Certified © Registered Date Last Operated or Above Threshold:
Farm Name: 4,�~SonS bat rij _ County:
Owner,Name: Wl LI i am �[3-��Q ) Phone No: r r
Mailing Address:
Facility Contact:
Onsite Representative: ,
Certified Operator:
Location of Farm:
16.E Title.• - V 416 17ond 4e )04)Phone No:
a -- 1 ntegrator• A
a�aia3
��, Operator Certification Number:
om tiy5 RZ ; ,T t L W 3I1 50 fartYkn ,.TU M IeF-F onto LedoFm
❑ Swine [3Poultry Cattle ❑ Horse Latitude ©' ®• ®u Longitude
j Design'., Current ?: x Design Current i i I Destgn if C' ent ,
❑ Wean to Feeder Ca aettv,..Pa ulatton ;,a� ❑ Lt er Ca acity . PoFoulation Ca EN
, .f . ilCa actty :Po `utii ion' j
s } I,
❑ Feeder to Finish ❑Non -Layer n-Dairy
1 El Farrow to Wean ,
L_I Farrow to Finish
❑ Gilts
! 0 Boars
Number' of Lagoons
Holding.Ponds'l.Solid Traps '
❑ Other
} Total Design Capactt 7, R`
OC ��TotaI.SSLW;. �!
Man
❑ Spray Field Area
)charges & Stream lmRacts
1. Is any discharge observed from any part of the operation? ❑ Yes KNO
Discharge originated at: ❑ Lagoon ❑ SDrav Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes No
Waste Collection R Treaquent
4. Is storage capacity (freeboard plus storm storage) less than adequate? XlSvillwav ❑ Yes XNo
Struc�tur Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: {-
Freeboard (inches):
05103101 Continued

0
Facility Number: — Date of Inspection
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
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
❑ Yes
�o
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
Xo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
XNa
Waste Application
❑
�No
10. Are there any buffers that need maintenance/improvement?
Yes
31. Is there evidence of over appIation? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
0
o'
a
12, Crop type
13, Do the receiving crops differ with those des Ynated in the Certified Aimal Waste Management Plan (CAWMP)?
❑ Yes
XNo
14. a) Does the faciliy lack adequate acreage for land application?
❑ Yes
No
b) Does the facility need a wettable acre determination?
ElYes
XNo
c) This facility is pended for a wettable acre determination?
❑ Yes
%No
l5, Does the receiving crop need improvement'?
❑ Yes
o
ro
16. Is there a lack of adequate waste application equipment?
❑ Yes
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
XNo
18. Does the facility fail to have all components of the ertified anal Waite Management Plan readily available''
WUP, checklists, design, maps, etc.)
❑,{Yes
XN0
ox-IIIII(ie+'
19. Does record keeping need improvement? (ie/ irrigation, frelboard, wa to analysis soil ample reports)
19 Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
z No
21. Did the facility fail to have a actively certified operator in charge?
ElYes
ONO
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
_YNo
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
o
24. Does facility require a follow-up visit by same agency?
❑ Yes§IIo
25. Were any additional problems noted which cause noncompliance of the Certified A%'W?
% Yes
❑ No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
' � f { i, 3 -- li r7. � .',G
Coirilitentsl(reYer t+n iu�estioq��#)',Explain any,Y'E5zansv►ersiaadlor`any recomenda#ions,+nrt�an �other:contmet►tsr
Use dre nags of fAcillty to benter expla,n sittiaHans (use addtt onal� ps�ges a4 ueeemary) Field Conv ❑ Final Note.,
,! VW y i.t
Reviewer/Inspector tiame (zj
Reviewer/Inspector Signature: Date:
05103101 1 Continued

FacHiq, Dumber. — qate of Inspection q
Qdor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes tl�ll
o
28. is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt. ❑ Yeso
roads, building structure, andlor public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon''
�40-
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 txo
o
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes
32 Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
_,
11
MAE
/ lid
'Affff I /
IV
►l�aa�ba-- -Trr
oso3,oa � �-
` 9s w fad.3 9 DrJ

Type of Visit O Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit O Routine Q Complaint Q Follow up O Emergency Notification Q Other ❑ Denied Access
Facility Number 7ti 33 Date of Visit: 12/11l2t?O1 'Time: 0930
Q Not —Operational O Below Threshold
■ Permitted ■ Certified [3 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: ..............
Farm Name: W...R,.Far1R.:.&.St]t1S.Da.1rY ...................................................... .............. County: RAjXdalAtj......................................... WSR.O.........
Owner Name:`?[!1111AM2.......................
Mailing Address: 4.9.9.,A 1dxadge,..RQ.aid..................................................
Facility Contact: diary.FArlow.................................................. Title:
Onsite Representative: Gar.y.F.atrjo.w....................................................
Certified Operator:.Garry..l),........................ . Fairlu Y....................
Location of Farm:
........................... Phone No: 43.1.44M.u.43.4-4839 ........................................
klilrh. G.................................................... 2.72.63 .............
Phone No:
Integrator:
Operator Certification Number:21315 .............................
rom WSRO, take Hwy. 311 south to Glenola. Take left onto Cedar Square and right onto Farlow Farm Road. A
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 35 a S2 4 39 {f Longitude 79 • 526 F-02711
Discharges & Etuarn Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ® Spillway
Structure l Structure 2 Structure 3 Structure 4 Structure 5
Identifier: ..... Wasle.Pond.........................................
.................................... ...................... .:........... ...................................
.... .................. .......
Freeboard (inches): 84 _
05103101 r
,05 76 1
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
Structure 6
Continued

Facility Number: 76-33 Date of Inspection 12/11/2001
i
5. Are there any immediate threats to th tegrity 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 N No
(if any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ® Yes ❑ No
S. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes N No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes N No
IVOste 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 N 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)? ❑ Yes N No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes N No
c) This facility is pended for a wettable acre determination? ❑ Yes N No
15.
Does the receiving crop need improvement?
❑ Yes
0 No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
N No
Required
Records & Dements
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
N No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
N No
19,
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
N No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
N No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
N No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
N No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
N No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
N No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? %Yes ❑ No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
❑ Field Copy N Final Notes
7. Continue efforts to control vegetation and briars on lower area of dam of waste storage pond.
14. Irrigation design by Ora-Mak based on wetted acres on 3/1/99. Most recent CAWMP is dated 5/2000. Irrigation PAN deficit is
.7299 and broadcast PAN deficit is -31561 pounds.
19. Still need to take 2001 soil samples (for 2002 corn crop). Need to also use PAN from most recent CAWMP for calculations.
25. CAWMP has still not been revised per 2000 DWQ inspection and 2001 SWCD review. Need to add fields for solid waste
application and revise acreages to CAWMP (ex. Field 6).
Reviewer/Inspector Name !,MVim Rosebrock
Reviewer/Inspector Signature: Date:
t
05ID3101 ! r I ' Continued

Facility Number: 76-33 DaWnspection 12/111200]
• 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
J
05103101

rz
Woutine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other
Facility Number Date of Inspection
Time of Inspection 24 hr. (hh:mm)
Permitted 0.Certified 0 Conditionally Certified [3 Registered Not O erational Date Last Operated: �%,j0hQl
FarmName: .....�....:...... .Qf...S...on5.................................. County:.R.Andti. ...............................................
iI j cJ 331�•G.U3(f.y8
Owner Name:. .... ....... 1.1.�............................. Phone No:. ``., ...�J............. .!..
Facility Contact: ...fit rr........Ffa. �`� 0 ................ itle:...................................................... Phone No: T '....{..°2
j �j o ;70
Mailing Address: T� r(:r j P...1..1...1....� /�7!63.....................
• .....................l1 ..........} ............... ,..... .............
OnsiteRepresentative:... 6Arr .....L...�.V.'VD................................................. Integrator:......................................................................................
Certified Operator: ,,,,,,,,,.5„(,1 ..•....•....•.............................................................. Operator Certification Number: ••„ aj..3 �
Location of Farm:
... ......i............ i. A
Latitude
®•®'�" Longitude �•®'®"
'Desrgn _ gn Current "
Curs:ent
ie Capacity! PopulationPoult..... „Po , ..0lation, ,„`,� Ca actt
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
Farrow to Finish
❑ Gilts
❑ Boars
�] Layer
Dairy
❑ Non -Layer
Non-D�
I❑
Other
'
.
Total;Design C2!00
i
1.
r
.Total SSLV+
Number of Lagoons ; j ❑ Subsurface Drains Present ❑ Lagoon
t
Holding Ponds / Solid Xraps ❑ 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 Statc? (If ycs, notify DWQ)
c. if discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
dent'
is
Li
7S
000
❑ Spray Field Area
❑ Yes *o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes j'(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? ILlSpillway El Yes ko
j. �Structur 1 Structure 2 Structure 3 / Structure 4 Structure 5 Structure 6
Identifier:aS ari
Keeboard(inches):...........si................................. .................................,...
................................................................................. ............................................
1 to ats the ' ctur bs ver osi
se ge, c.)
3/23/99 Continued on back

FacilityNumber: — .0 Date of Inspection I la�/�II/Q�1 I db ,
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ treere erosion, ❑ Yes JkNo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes O(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? AYes *No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ��10
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level II
elevation markings? ❑ Yes XNo
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes XNo
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes No
U
12. Crop type Al3
13. Do the receiving crops differ with tho4 designated in the Certi Aed Animal Waste Management Plan (CAWMP)? ❑ Yes No .
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes N'No
c) This facility is pended for a wettable acre determination? ❑ Yes h No
15. Does the receiving crop need improvement? ❑ Yes KNo
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/ irrig'tion, freeboard, waste analysis & soil ample reports) ❑ Yes ,& No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ro
21. Did the facility fail to have a actively certified operator in charge? ❑ Yeso
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes bNo
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes P(No
24. Does facility require a follow-up visit by same agency? ❑ Yes KNO
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? XYes ❑ No
YiPfhiQtis;o ilfe�e��ie wire PAt a1H'}og�js'visjt; Yoh wrii•>reeiye tjo fu4 thtr.:
cories oridence about this visit. .
xP y E YES, answers and/or any ireconnnendations pr any other catnments Comments er to qn #) ,E p lain any. Y q :z�
q
Use drawin of facili to betfer�ex lain'sibil` tiona (rise;addiddrial�pages ais necessa )• , • ' �', �,� _;q �, sl
A.
A � � �" �000 �
— 3151P
7.
Reviewer/Inspector Name �i7� �Sa,b� �.:.`,.. :,�� , �,:', >,� r, n�,�,,;:'_:

Facility Number: — ref Inspection IT/
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below E3-Vvr-
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 bkNo
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? $1'es-0 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 *0
31. Do the animals feed storage bins fail to have appropriate cover? E3 Yes E3 No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ^�--a No
• Mr if or, Xrawln
1
�5. %�wrt�„p�a.O„��p✓�a-�✓�a,v«¢a/ ,�d� � aomacvQ
� C)&
VW
19. -AV/ke4 A4� 0266/ (,/41fz,) a ooa
PAIV
C •�/G��-Q.O-f�i1r.� CArvti��
0
5/00

Type of Visit O Compliance Inspection mOperation Review O Lagoon Evaluation I
Reason far Vis it GH�foutlne O Complaint O Follow up Q Emergency Notification O Other ❑ Denied Access
rariilty Number Daty of Visit: -(c u t Time: E== Printed on. 10/26/2000
0 Not Operational 0 Below Threshold
0 Permitted ertified ❑ Conditionally Certified Q Registered Date Last Operated or Above Threshold:
Farm Name' jri).*..,6 eG:c.t`1.... 4'p AJ:5...... fl.!: l ................... County:.....i�-171.to: ..�. ?. 1...........................................
0
OwnerName: .... ,fEEULlA n!t;........ /C...... ........................ /ea> ....................................... Phone No: ,., 3_ ::.. ..�. . .` .... ...............................
Facility Contact-, V4�........ 1.-f . .�*s:.s^ ............. .ritie:.. %./f?.TA.1r........................ Phone No:.
,Mailing Address: ...`�...1...7....-. c..°..--- r!` .......... �� - u�.......... i ct,ALE............. �-��.�.�f' �.....
Onst to Representative: r A do + 1 .. Integrator:.,.,, j ,. ` t, i i"" ..........
Certified Operator: ... T At,�/.......................... .r �a, ��1............,................ Operator Certification Number: ...... t...�....1...S.............
Location of Form:
t1C-i4 T-ed, c'sF' /-<JW,4{-
-I
❑ Swine ❑ Poultry 03-6attle ❑ Horse Latitude ®0 ` 4 � �.l41 Longitude • ` "
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer airy
❑ Feeder to Finish 10 Non-[,ayer ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrbw to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons ❑ Subsurface Drains Present 1113 Lagoon Area 10 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
I. 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 matt -made?
h. If discharge is observed, did it reach Watcr of the State'? (If yes, notify I)WQ)
c. li'discharge is observed. what is the estimaled flow in gallmin?
d- Dues 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 stora e) less than adequate? Spillway
g 14114.9:G 9 tci ��S .11 .t- W g q
Su'ucturu I Struaaure 2 Strur_lure 3 Structure 4
Wentificr:� .%ti./Jft?C.. rr`................................................................................................
Freeboard (inches):
jinn
!""
❑ Yes M'1`10
[:]Yes [:]No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes EiKo
❑ Yes E5,No
❑ Yes 21 o
Structure 5 Structure 6
............. ................ ........ I...........................

Facility Number: Date of Inspection Printed on:
5. Are there any immediate threats to lontegrity 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 of
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?
10/26/2000
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type 6,0 iA e' _C.-5 0"L
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended fora wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & 1Documeims
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design'?
21. Did the facility fail to have a actively certified operator in charge?
22, Fail to notify regional DWQ of emergency situations as required by General Permit?
(iel discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes Iid'o
❑ Yes at (o
&yes ❑ No
es 0 No
❑ Yes [R<O
❑ Yes Ly'1�o
❑ Yes M11-0
❑ Yes
El Yes
/
M41,0
❑ Yes
Lslwo
❑ Yes
m4lro
❑ Yes
0 Yes
0
B-feS ❑ No
❑ Yes Gwo,
[jKes ❑ No
❑ Yes [a-u
❑ Yes 0410
❑ Yes M40
❑ Yes 2'1l0
❑ Yesio
❑ Yes D410
0; �'VQyiQl'alFignjs;o� d�rc�t�cie� •wire nQl;edit><t�`ttig �h�s'visit; • o>jr wii�•�eegiye, tr}o
ctirres' oridencc; a�aut this :visit: • ' .
, ,
Comments (refer to questton #) E:K lain anYES ansavers andlor an reconunendaty`ro er. cammenta '� '' � 1.� G
Use dr'awings,of facilityto bettor ez lai.ri situations. use additional a es as necessa y
p y y' ns or an oth
7 /AIJ jilo Sc'_ 0 cJ�. 5; Ft// c- r t !.5 Iye,4 r� /� 5 I-J A 5 �
(cnJ r`z: t/ sr�ACC 5 ffA�r rr'Zs�t� t r-� p�c i ✓[
J ✓
1-7,
.�A.� rc ca rcS -7 0/4�c_d / Jc 1
T
Reviewerlinspector Name 61/1
Reviewer/Inspector Signature: 44 Date: 'S, 5/00

Facility
Issues Number �� — OdoOte of inspection �- -U Printed on: 10/26/2000
Odor
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below []Yes 2-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 [io"
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes moo'
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 UJxO-
31. Do the animals feed storage bins fail to have appropriate cover? IL11 #- ❑ Yes ❑ No
5100

(Type of Visit © Compliance Inspection O Operation Review O Lagoon Evaluation I
Reason for Visit *Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 16 33 Dair of Visit : ] 1/2d/2ddd I'imc: 1330 Printed on: 11/21/2000
0 Not Operational Below Threshold
® Permitted ® Certified 13 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: 4/V;.QQ.Q.......
Farm Name: W..R . FArlttw'.&.Sojts.Baily.................................................................... County: RA Motu)a......................................... !'1'5Q ........
Owner Name: 1?Nifttltt.R............................. FAKI&W ........................................................ Phone No: 33,6 43.I1: .49S..Q.t.3 !6�434r.411 9........................
Facility Contact: Gaxy.luhtw.................................................. Title:............................................................... Phone No: 4;MAZ19..pk.(M.45.24......
Mailing Address: 4.09..PAI,dirida.Iwid............................................................................. kighTQiuX..NC................................... ................. U20 .............
Onsite Representative: GAr.Y.. ArAll.W..................................
.................
Certified Operator:..Ga31r•Y•....................................... Eadox ...................
Location of Farm:
............. Integrator: .................................
Operator Certification Number:Z1�,15.............................
+rom WSRO, take Hwy. 311 south to Glenola. Take left onto Cedar Square and right onto Farlow Farm Road. A
w
❑ Swine []Poultry ®Cattle ❑ Horse Latitude 35 ' SZ , 39 !{ Longitude F 02
Discharges Stream InWacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. II' 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
L. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection .R: Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate'? ® Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: ......Waste..Rand.........................................................................................................................................................
Freeboard (inches): 96
sioo
❑ Yes ® No
Structure 6
Continued on back

' Facility'Number: 76-33 Date of Inspection 11/2U/2000 Printed on: 11/21/2000
5. Are there any immediate threats to the i rity of any of the structures observed? (ie/ ,re
evere erosion, ❑ Yes IN No
seepage, etc.)
6. Are there structures on -site which are not property 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 Annlication
10. Are there any buffers that need maintenance/improvement?
❑ Yes
® No
I I. Is there evidence of over application? ❑ Excessive Ponding 0 PAN ❑ Hydraulic Overload
❑ Yes
®No
12. Crop type Small Grain (Wheat, vetch)
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/inspectgr 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 yiolati6tis;oe-doficiieWA0s-* e;noted durirtg•tWKVisit.-'You:wil1 receive ncj fncthe>r
correspondence. about this .visit. . . _
3. Silage trench has some juice that runs out to creek when it rains. Recommend contacting SWCD for suggestions or just not using A.
:his silo anymore.
). Per permit, marker needs to designate low spot on the dam (spillway).
15. Small grain to be planted on field that was applied on last Friday. Only corn stubble on field now.
19. Need to contact SWCD about adding solids application fields and appropriate acres to WUP. Operator is spreading solids along
edges of irrigated fields and needs a way to combine PAN totals from both types of applications.
IV
ReviewerAnspector Name Melissa Rosebrock
Reviewer/Inspector Signature. / ,id
Date: / //-Z( / w 5/00

' Facility Number: 7trr-33 lof Inspection 11/20/200 Printedon: 11/21/2000
Qctar 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
f.'d itWFCa I l ootnmerUffa orb rawtngs:
J,j
5/00

li*ion,o�. Waier Iona ity.
Division of Soil and: Water
Other Agency
'10
'Type of Visit compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit Woutine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other D Denied Access
Date of Visit- Time: Printed on: 7/21/2000
Facility Number
0 Not Operational Below Threshold
rinnitted ertified [3 Conditionally Certified 13 Registered Date Last Operated or Above Threshold: ...... ,
C ... .
Farm Name: ....... . Y ............. County:... .................. ........ 13 ...........
Owner Name: ... U.,,Jliam ..... P ..... folrlo.o ......................................... Phone No....... 331k, ... kz...., ...... qy- 0 V1 E
Facility Contact: Faf -.. 10. Q .............'Title: ............. ............. .................... Phone No: ,3_36,. " t 1,
... q4.0 c
....... . ........... ....
al1..A)...........a....................
Mailing Address:.... gtdr
Integrator: .............. ....... ....................................................
Onsite Repriesentativ ... r—
................ ...........................
Certified Operator:..am_,�. ..... b ........ Operator Certification Number: .......
....... . . .... 1.6_0
... .................................... ..... I .............................
Location'of Farm:
W115pa- Tai r
61A 71 401'
6 n 16 Fowi
[3Swine [3 Poultry' Cattle [3Horse Latitude 0 Longitude
Design Currenf Current Design Design Current
ltspadtY Population Poultry Capacity Population Ca de Capailty
:,Population
Wean to Feeder I JE] Layer I Dairy 1
1 11
Feeder to Finish 10 Non -Layer Non -Dairy I
A. El J. Farrow to Wean
Farrow to Feeder I[] Other
Farrow to Finish Total Design,Qipaclty
Boars Total SSLW
Numbers of Lagoons
JEI Subsurface' Drains Present
�g--nArea
I0
Spray Field Area
-lit
Ponds! Solid traps
Met Liquid Waste Management System
Discharees A Stream Impact
1. Is any discharge observed from any part of the operation?
0 Yes XNo
Discharge originated at: [] Lagoon [I Spray Field [] Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes [3 No
b, If discharge is observed. did it reach Water of the State'? (If yes, notify DWQ)
❑ Yes [] No
c. II'discharge is observed, what is the estimated now in gal/inin?
d, Does discharge bypass a lagoon system? (if yes, notify DWQ)
E3 Yes 0 No
2. Is there evidence of past discharge from any part of the operation?
[] Yes 0
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 j
❑Yes ANo
S uctUltructure 2 l Structure 3 Structure 4 Structure 5
Structure 6
rjIdentifier: ......... .... ............................... ... ............. . . ................... ................. ................ ...........
I ...................
Freeboard (inches):
5/00
Continued on back

Facility Number: — Date of Inspection Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
[] Yes
N0
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
KNO
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
k
I t . Is there evidence of over application?, ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
El Yes
tNo
12. Crop type 9rQ l I W F �.
.13. Do the receiving crops diffekJth those designated in the Certified Animal W to 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
VNo
15. Does the receiving crop need improvement?
❑ Yes
No
16. Is there a lack of adequate waste application equipment?
❑ Yeso
Required Records & Documents
k]
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
VNo
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
AYes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
o
21. Did the facility fail to have a actively certified operator in charge?
ElYes
rNo
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
o
rN
24. Does facility require a follow-up visit by same agency?
❑ Yeso
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
YNO
0: �-0010000s :ot- 4001c�er 00 4 ' 0 jn004. 0(wifig 4his: visit; • Y00 3011-NCOye 06 futthor....
• corresporideit& about; this viset:...........:.. .
Comments (refer, toeques6on' #)n Explaiq any YES,answers and/or any irecommendatioas or any otlier,comznents ?'
p! i .it' i 'i' jT,
'� t �
Use drawtnes.of facilityyto better explain situations (use;adrhtlonal pages as necessary): t ,�' I,,, . ',',r ', ; t-
, , _ , . .
�SSmal l
-��n ft be (a11+on ►�.1, a � �a5 ��lie DO l4s-}-
Co rn 5 �0. e �Z�O(E o� e( norms
� o f .9 r.
90 m I'Y1 r s �siq n a- elo S pv f ol davj
� �f, Yam' ��eec�
000c5Qi ((W o y ,
7. Si ta_9 _+eAG
aS some j u I t' u 6 of ilt (! regLGv r} i-�-
AL
Reviewer/Inspector Name I
Reviewer/Inspector Signature:
Date:
5/00

Facility Number: — 3.31 IJOA 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 below fifes- qNo
liquid level of lagoon or storage pond with no agitation? (A � T, a '
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes No
28. is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes _�� o
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes _b No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes XNo.
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes :` N/O
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? m i a6z NO
Additional Comments an orDrawings: � [.' . t
• �AJkVi z`/�
�.�eo�me:v�d tav�faCtih� 5��
or Just na-I- using ►�6
r
0-5 'dtIs
/ft W W
I
} I
5100

V
13 Permitted Certified ❑ Conditionally Certified 13 R
Farm Name:...NS.......
Owner Name:..........WL.�l.
Facility Contact: .....L.�.� ...., ................Title:
ju
Mailing Address: •...............
..........,t/�,c�r�4^.....1�!
Onsite Representative:....y � . � �F„ ,�2wLa „,„ , Ji .{G
Certified Operator:...........il„..„........&..!2[C"...5:j......... ..„.... ........
Location of Farm:
Date Last Operated: ..................__
f&�......................................................
...........................
Phone No:.. t�.4 34
aie�. 4.tc .... . ......... A .L.„...... .2 . 3_
Operator Certification Number:,.,„y�?3f -5
. ........ . .
_f`...o►........�'v Y _e,e4 u,!c,��.........._.. �.
Latitude 0 ®/ ®« Longitude' ®' '•
7 rit lrll ',1 L oE1� i.p AEI �� JG
air ; lr EL sr.6 et t Y
f ,4 •.'�fai�� t•,�e
E F ° ^e CE1 ':'1 :e.�I�l:
•t5� i y'1 aC� C i
r d IFd• a t��
R
E4Yvy YJ' i�L■ ��-{y5�{y. �"Cp s E'" l
7 f ft 1 T ��' �SMIy r . C�°Y.d 1g�fi � i � kl� -
,L�srr�s
o ?
a
fin Wean to Feeder
{,,. r
�: Layer 0 DairyFeeder
rE to Finish
❑Non Layer -r. ❑ Non -Dairy
7F Farrow to Wean
�tr;_d1 W "L: 'k...l, r.a.,.'L#t..Lr'::r�:;':G::E�.Tt.�.r.1:.h�BL W i.�r •+��(�[ t�. �4A - 1., ._
Other jaz'i'
°'!�" . s �n <r tl^,�y p91v
, , Ex �I 3 1 i sa EPp F L .
Aig
t
❑Farrow to Feeder
Farrow to Finish's
„
�'rllt5
.7
i.
NAR
Bo
r'1+":':spd}tare'
W r r ea mg6E5}}s��?
.1? 17 m n.'.aFat a K i0'f
Yeaeil.� ,nli e+- +e±=a.f �' • a "rn a. �C a - _E r
u a
- '+ [] Subsurface brains Present ❑Lagoon Area ❑ Spray Field Area
7
M. ❑ No Liquid Waste ManagemenSystem
Disctiargres & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: [J Lagoon [] Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it rea�k Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal6in?
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 Colle Teflon & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?: ❑ Spillway
❑ Yes gNv
-❑ Yes ❑ No
❑ Yes ❑ No
Yes
❑ No
❑ Yes
[ <01
❑ Yes
&fo '
❑ Yes B<O
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure h
Identifier: E 5Pd1,at►Y
Freeboard(inches): D..................... ................. I... ........................... I.... .....................................
5. Are there any hninediate threats to -the integrity of any of the structures observed? (ie/ trees, severe erosion. Yes
31231�9 seepage, etc.)

'3 ti
`ineiiit}• Numbehate of Lnspc•ctian
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes Ud �o
❑ Yes to
❑ Yes V1110,
❑ Yes �o
1'VRstc Application /
10. Are there any buffers that need maintenance/improvement? ❑ Yes L^',N/
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑Yes No
12. Crop type c, ro `
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre detetmination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required -Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18, Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP. checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis &soil sample reports)
20.. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ic/ 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 A"P?
❑ Yes [a10
❑ Yes [ to
❑ Yes 2<0
❑ Yes t1.Yr'Q
❑ Yes �do
❑ Yes 2400
es 0 No
❑ Yes
❑ No
❑ Yes
[] Now
❑ Yes
[I3-a
❑ Yes
In
❑ Yes W, o
[] Yes T
Cj YesWO_❑ Yes �r 0
f I f I ,
I f # f f
l.s "1'ss 1 S
r irk i e� 1 :
1 r ���•�sZ'nAA�.xi fl's• � �v'�Na��i� o�,y. ±�:a,t,vr
«,..�'.i.:i�..,aal�Zki����.'�.'�.��S;.i.i��l.,-'
K-e 1-o'
Ail
A�JUc� �TQ�i�O/J /N
�C�Zbi tf'�
Reviciverflnspector Name .r
ys€; ') 'r
�.
Reviewer/Inspector Sigr,atnre:
Date: & ;;Z900

Faeitity, Number_ Dafeocpccdon
t -
Odor .1ssticr
26, Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes 2�o
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes
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 2 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
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 perrnanent/temporary cover? ❑ Yes ❑ No Al

0 Division of Soil anAWter Conservation - Operation Review
Division of Soil an Ater Conservation - Compliance Inspectio
Division of Water Quality - Compliance Inspection
13 Other Agency - Operation Review
10 Routine Q Complaint Q Follow-up of DWQ_inspection 0 Follow-up of DSWC review Q Other
Facility Number 76 33 Date of Inspection 9/30/99
Time of Inspection 13:00 24 hr. (hh:mm)
0 Permitted ® Certified 0 Conditionally Certified 0 Registered JE3 Not O erational Date Last Operated:
Farm Name: W..,R..FArl.Qw..&.Soms.Dairy....................................... ................. County: Fatxdaluh......................................... WSRO........
Owner Name: WAiamA............................. Farlaw ........................................................ Phone No: 431r.2.495.. v A3.4-48,39.........................................
Facility Contact: S e.y.e.fAirlow..................................................Title: RACtUT ............................................... Phone No: 336-. .4-b91.8...............
Mailing Address: 4.R9.Atdirisle..KQA............................................................................. Hjgb..>Qk9..N.C.................................................... 272.63 .............
Onsite Representative: Stem,&GAry„kuxio,} .........
Certified Operator:.{.,Gary..I?................................... Earlom.......
Location of Farm:
Integrator:.........................................................I............ I...............
Operator Certification Number: Z13.15......
Latitude 35 • SZ ' 00it Longitude 79 • 52 4 3866
Design Current
Swine Canaritv Panitlatinn
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current
Design Current
Poultry
Capacity Population Cattle
Capacity Population
❑ Layer
® :Dairy
175
I
❑ Non -Layer
❑ Non -Dairy
_+_
❑ Other
Total Design Capacity
175
Total SSLW
245,000
Number of Lagoons 10 Subsurface Drains Present ❑ Lagoon Area JIM Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharees ,, Stream Impacts
1. is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'? ❑ Yes ® No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ® No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ® No
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatmgnt
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): ................60.....................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
Structure b
❑ Yes ® No
Continued on back

Facility Number: 7ti-33 Date of ection 9/30199
r 6. Are there structures on -site which are not prope addressed and/or managed through a wai I Page in e n t or
closure plan? ❑ Yes ® No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ® No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ® No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
® No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
® No
12. Crop type Corn (Silage & Grain) Small Grain (Wheat, Barley,
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
® No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
® No
b) Does the facility need a wettable acre determination?
❑ Yes
® No
c) This facility is pended for a wettable acre determination?
❑ Yes
® No
15.
Does the receiving crop need improvement?
❑ 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
IN No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
® No
:1'�o viblatidris;or :de#icienc es were _noted ;dutring this: visit. ;You. Will he'r•
.•.�crirresnc�ndenceahni�tthis.wit.•�•.�.•.�.-�•.•��.•.•.•.•.•�•.•.•.•.•.•.•.�.•.�_•.•.•.•.•.•.�.•.•.•.•.•.

Facility Number 3 3 Date of Inspection 3�
Time of Inspection © 24 hr. (hh:mm}
© Permitted Certified © Conditionally Certified JErfZegistered IQ Not O erational Date Last Operated:
FarmName: ........... Vi'..Z... �A...................................................................0P.................................. .......�5�......,
31
Owner Name:........ ►.44!.!�M .......� ; +'.1 .... Phone No: I — 5 ar 3* - 48
..... ...............r...�....... ....' . .................................................... .....
Facility Contact: ...... j P........✓.1.�i ........................ Title: t'''h'\Q'r' Phone No: ¢3 4 � lg
y� p
Mailing Address: Ci� i C I� ......... ........?'Osr�....................................... .....7.�..�.�3............................................................................ �G ......
Onsite Represcnfativc:...... �Y ..` "... .... W.............................Integrator:......................................................................................
Certified Operator:,,,,,,,, t' ,,,, ,,,,,,,,,,,, xr/aw ...... Operator Certification Number: ....z�3�s................
Location of Farm: I
..................................................... ....................................................................................
Latitude ©' ° Longitude ®• ©4 ®«
Design Current Design Current,
Swine , i ii..t 1;.. 1 ,
Capacity Po ulation:. Poultry !'Ca acit . Population C tt] " "
f
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current
a e Capacity Po 'ulation;:
Dairy
7
❑ Non -Dairy
:
❑ Layer
❑ Non -Layer
❑ Other
Total Design Ca''-'
'
F Total'SSLW
!
{ iQ it er of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area i•
Holding' ds I Solid Traps No Liquid Waste Management System
Pon . .. .
0.'.. ❑ t3 g y
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation? ❑ Yes �'No
Discharge originated at: ❑ Lagoon ❑ Spray Field []Other
a. If discharge is observed, was the conveyance man-made'? ❑ Yes �o
b. If discharge is observed, did it reach Water of the Slate'? (If yes, notify DWQ) ❑ Yes � Nb
c. If discharge is observed, what is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon system'? (If yeti, notify DWQ) Yes �Fo
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 ,�o
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes JR'fkTo
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(inches): .........�.................................................................................................................................................................................................
5. Are there any immediate threats to the integrity of ariy of the structures observed? (ie/ trees, severe erosion, ❑ YesN0
seepage, etc.)
3/23/99 Continued on back

Facility Number: 74, -- "33 Date *11ection
i
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes WNo
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? [-]Yes ONO
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes PM"&o
9. Do any stuclures 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 t5['No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes JRNo
12. Crop type �� Cs1 1 R`e / �f774r�1 wiz/L!
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes �J'No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes �<No
b) Does the facility need a wettable acre determination? ❑ Yes JKNo
c) This facility is pended for a wettable acre determination? ❑ Yes ErNo
15. Does the receiving crop need improvement?
❑ Yes
1RNo
16. Is there a lack of adequate waste application equipment?
❑ Yes
O'No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
''Nlo
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
'J�tNo
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
X'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
E'No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
I'No
23. Did Rev iewerAnspector fail to discuss review/inspection with on -site representative?
❑ Yes
TTNo
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
U ViO�a1<iQI15.Or [I�IfICIeIiCiCS rare Ci ( I� rtfig this'vl5lt' • Y,oj}'*fl1.teb6*i6 rid fulet�I�lr
icorresp oric�e"e: ab"f this visit. ........:...:.:................ .
E {
E...1,
Comments (refer ta.:questEtinl#) EEzplatn any Y�ES,nswers andlor anyreconritendations or any othertcorntrtents
• - ! i 1 1 - - (i; 4
Use'drlIawmn s of factltt tabetter;ex lainartuattons: use a
g, yddtt�oitalepages as,necessary
s
N� D 7U lzeM7 t5o4 r2DS DA/ 34A�/ ����(� 7D
�
LAlv e0^1 71LI)
w - -
Reviewer/Ins ector Name w r�
'_ �
Reviewer/Inspector Signature. Date: 3p j 200 f
3/23/99

Facility Number: 7(,— hale 00)ection •
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes JYNo
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 fR'No
roads, building structure, and/or public property)
24. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes YNo
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 .0 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 �<N©
Additional ornni nts 'a1], or rawinp �' , ! ,r` i' 3 E 1 f u. � ` . ,1 j
A�I

Facility Number E)alt=tr(' lospectiorl
lime of l-iispection ® 24 hr. (hh:mm)
0 Registered o Certified p Applied for Permit p Permitted in Not 0peratrorra Date Last Operated:
Farm Name: W..R...FArJo.H:.&.,Sam.D'aix.y ........................ .. County: Randolph WSRO
Owner Nanrc:.1tY111ia:rn.R_........................... Faxipfx........................................................ I'honc Nu: 431.:2495c.or..4 4-.4.83Q.........................................
Facility Contact: Stexe.FataM...................................................Title: Parlueir............................................... Phone No: 336-.43.4-.6918 .......................
Mailing Address: 409-Aldridge.Road............................................................................. High.RaiuLNC ..................................................... 2726.3 ..............
OnsiteRepresentative: S:taxe.rc&,.Gary.FarLow............................................................. Integrator: .......................................................................................
Certified Operator:cAry...D................................... Farlaw .............
Location of Farm:
.... Operator Certification Number:21.315............................
Latitude ©a© ®11
Longitude ®o ©4 ®,.
Swine Capacity Population
E3 Wean to Feeder
p ee er to F inns
13 Farrow to Wean
[3 Farrow to Feeder
p Farrow to Finis
13 Gilts
p Boars
Poultry Capacity Population Cattle Capacity Population
p Layer ® airy 175
p Non -Layer I 1[3 Non -Dairy
p ter
Total Design Capacity 17
Total SSLW 245,0
Number ofji✓tigoons /:Holding Ponds ❑ u sur ace Drains Present rea in Spray re rea
p No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement? p Yes g No
2. Is any discharge observed from any part of the operation? 13 Yes g No
lliscliar�c originated at: l7 Lagoon p Spray Field p Other
it. i f discharge is observed, was the conveyance man-made? Cl Yes g No
b. Ifdischargc is observed, did it reilch Surface Water? (Ifycs, notify DWQ) p Yes g No
c. ll'discharge its observed, what is the estimated flow in galltnin?
d. Does discharge bypass a lagoon system'? (Il'yes. nolil'y DWQ) p Yes gNo
3. Is there evidence of past discharge from any part of the operation? p Yes g No
4. Were there any adverse impacts to the waters of the State other than from a discharge? p Yes IN No
5. Does any part of the waste management system (other than lagoonstholding ponds) require (3 Yes g No
maintenance/improvement?
6. [s facility not in compliance with any applicable setback criteria in effect at the time of design? p Yes g No
7. Did the facility fail to have a certified operator in responsible charge? p Yes g No
7/25/97

act t y Number: 76-33 1)a1c of 111-'* m
8. Are there lagoons or storage ponds on site which need to be property closed? p Yes ® No
I, Struc.lures t La€,00ns.Holdingl fonds, Flush Pits. (:tc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? Yes ® No
5111cture 1 Structure 2 Structure 3 Structure 4 Strucnne 5 St•uctrn•e C
Idcuiilicr:
Freeboard(10:...............id:...............................................................................................................................................................................................
10. Is seepage observed from any of the structures? p Yes N No
11. Is erosion, or any other threats to the integrity of any of the structures observed? p Yes N No
12.
Do any of the structures need maintenance/improvement?
p 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
p No
Nyasle Anniication
14.
is there physical evidence of over application?
p Yes
® No
(if in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
Crop type ....... C.=..(Si1agt".&.Qxain,)....... S>nalL�raiiclt.�lNlaeat..Badey...........................................................................................................
16.
Do the receiving crops differ with those designated n4the' Aniimal Waste Management Plan (AWMP)?
13 Yes
® No
17,
Does the facility have a lack of adequate acreage for land application?
0 Yes
®No
18.
Does the receiving crop need improvement?
p Yes
® No
19.
Is there a lack of available waste application equipment?
(3 Yes
®No
20.
Does facility require a follow-up visit by same agency?
p Yes
®No
21.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
® No
22.
Does record keeping need improvement?
p Yes
®No
For Cvrtif'ied or Permitted Fncifities Oniv
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
p Yes
p No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
p Yes
p No
25.
Were any additional problems noted which cause noncompliance of the Permit?
p Yes
p No
� . . o- yla4tions. or deficiencies *were .np a g , urinis visl om will.receive noF ur er..
o�`> eS}?ondCRf RU> t#jis *W1:. • . . . . . . . .. . . . . . .
mments (re er to'question'#) , Exatniany'I , i .,r rA r
o fpi r answers an ar,any:recommen attons or'any°other:comments
- •4 � r 3r I �- a .l q '1 I r _ ( Ir I -:1 'nNen I df d`d d 1 � yV -���.# l y r -
Usedrawings o$facthly to better explain situationsw(use additional pagcs�as necessary): '
> li .._ ,,, r..,a . ?_-. �7. - iy:�: , r .� .1.:.:-a`t-:y�!1i' :zr-o�{1!F•.. Ga.� <.:.er� rlF�, r .n='� r... , ,•. r ;...y�: s,,. e r «
)IVERSION DITCH IN PROGRESS.
3. MARKERS TO BE INSTALLED SOON.
AS SOON AS MARKERS ARE INSTALLED AND DIVERSION Dr CH ARE COMPLETED, FACILITY CAN BE
CERTIFIED.
CATCHES ONLY LIQUID, SOLIDS AS SCRAPED AND HAULED DAILY.
Reviewer/Inspector Name iW jCoCey BasingeC i" " r �r r r ny
Reviewer/Inspector Signature: Date:

a
Date of Inspection z `fb'
Facility Number
Time of Inspection : 3D 24 hr. (hh:mm)
registered O Cerrtified 0 Applied for Permit O Permitted [3Not O erational Date Last Operated:
Farm Name:.... W ....Sc.als .......................... County: D t+ ........................... w�
. ...... ....... .... Owner Name: „W t �� p'" i.....R.*............. '... �:�a............................................... Phone No:.. 3(A) 4 3....- 7 r'..5.................��..4...
FacilityContact: „F �-/§ t! Title. Phone No: ,..,g .3.¢ 9�8
" .................�, /�.......................J.....,I....................................../................................. 6.........
Mailing Address:..........T` ..u.` ��°....................................................... 1� .. di.r�.... .. G......................... �� &3
Onsite Representative: k......................................
........�....6..............! G(a'�dl.......................... Interratnr:.................
Certified Operator:.......+ rj ............ ,rl a d:✓...................................... Operator Certification Number;.....(.. �.���.................
Location of Farm:
........................ ........................ ... .. ................ . .
Latitude pCj 66
I Derr n " _Cui
... g
Swine °Capacity ropu
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Longitude • 6 i6
Number' of Lagoons 1 HoldingPonds ! 10 Subsurface Drains Present J1❑ Lagoon Area I❑ Spray Field Area
4 5 Sz ❑ No Liquid Waste Management System
General
I. Are there any buffers that need maintenance/improvement? ❑ Yes WNo
2. Is any discharge observed from any part of the operation? ❑ Yes VNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes VNo
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes [�rNo
c. If discharge is observed, what is the estimated Flow in gaVmin?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
❑ Yes
ENo
3. Is there evidence of past discharge from any part of the operation?
❑ Yes
E "No
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
ENO
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
29'&o
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
WNo
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
E'No
7/25I97

Facility Number: jfa
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes *PNo
f, Structure tts oldin Ponds Flush Pits etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes JgNo
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:.
Freeboard(ft): ........ r.. La (. -I-) ...........................................................................................................................................................................................
10. Is seepage observed from any of the structures? ❑ Yes )RNo
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes O`No
12. Do any of the structures need maintenance/improvement? ❑ Yes ,rNo
(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............�......- ........................... .. ...1.r2.......... ............................................. ,...............
16. Do the receivingcrops differ with those designated in t9e Animal Waste Management Plan AWMP ?
P g g ( )
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 Onty
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.viaiations.or deficiencies: were; noted;during his. visit.. Yoii' receive nollirth�er, .
corres'pbtidehO about this:visit:•: ; ... :. ::: :....: :..
�� �dh Fx c eod as so�� .0 Ce .
rev u �O t t Gl W
.Yes ❑ No
❑ Yes P(No
❑ Yes RNo
❑ Yes P.No
❑ Yes PTNo
❑ Yes 5 No
❑ Yes (�To
❑ Yes RrNo
❑ Yes Wo
❑ Yes Q No
❑ Yes ❑ No
❑ Yes ❑ No
4 ,A6 s6zn ash D!'Ui do—y—s2�=e-
GO}zj-
k'24�00,1 Cct c� v7-r t I �l,,u r,� • 7125I97
Reviewer/Inspector Name I < ".
Reviewer/Inspector Signature:
Date:

p Routine p uornplaint p o ow -up of DWQ inspection p Follow-up of DSWC review p Other
Date of Inspection
Facility Number
Time of Inspection 24 hr. (hh:mm)
E Registered p Certified p Applied for Permit p Permitted IM Not OperationalDate Last Operated:
Farm Name: W...RJF.ax1ow.&.,SDua.Dairy..................................................................... County: Randolph WSRO
Owner Name: W..illiauL.11............................. Earjaw ...............................
Facility Contact: Stexe:.F.ar.lax...................................................Title:
Mailing Address: 409.Adr4lge.Road...................................................
Onsite Representative: S.tAmEarlow.....................................................
Certified Operator: Gary..A................................... Fal1aw ....................
Location of Farm:
............ Phone No: 4.31r2495..or.434-483.9.........................................
................................................... Phone No: 91,1-.43.4-69111.Barn...........
H ig h.1' ai rat.. NC ..................................................... 27. 2,63..............
............. Integrator:..........................................,...............................
............... Operator Certification Number: 2.1.3.1.5.......................... ...
Latitude ©•©° ® Longitude ®•
f siwme
, '.�_',
��Capac�ty 4 Population �,� Poultfry ',g Capac ty Poppulation � Cattle -. _ Capacity Population
, k
p Wean o Feeder;
p Layer In Dairy
p Feeder to Fin ish
p Non -Layer 13 on- airy
p Farrow to Wean
p arrow to Feeder
. p t her
Farrow to Finish
Totalp D`es�gn Capacity 175
❑ Gilts
f
IE
p Boars
s, „s_ Total SSLW: 245,000
t s$ ilsit43:s §kSii;F !s€ } 11EAt§I Ie-c, F E }�
pmEbereof Lagoons /}Ha3dE�Ing Ponds¢ i u sur ace rams resen p agoon rea p pray �c ren 3
si fiS, t9
I.�E'. ® o Li Waste Management System d _
General
1. Are there any buffers that need maintenance/improvement? p Yes ® No
2. Is any discharge observed from any part of the operation? ® Yes p No
Discharge originated at: p Lagoon p Spray Field p Other
a. If discharge is observed, was the conveyance man-made? ® Yes p 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? minimal
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) Yes IN No
3, Is there evidence of past discharge from any part of the operation? R Yes p 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 ® No
maintenance/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
7125/97

Facility Number: 7= 0
8. Are there lagoons or storage ponds on site which need to be properly closed? p Yes ® No
Structures (Lagoons,Holding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? p Yes p No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(ft):................................................................................................................................................................................
10. Is seepage observed from any of the structures? p Yes p No
11. Is erosion, or any other threats to the integrity of any of the structures observed? p Yes p No
12. Do any of the structures need maintenance/improvement? p Yes p No
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13, Do any of the structures lack adequate minimum or maximum liquid level markers? p Yes 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 DWQ)
15. Crop type .......Caru..(Silage.&.Grain)....... Small.Grain.(. hcaL.Darlsy..:..........................................................................................................
16.
Do the receiving crops differ with those designated in the' Animal Waste Management Plan (A WMP)?
p Yes
p No
17.
Does the facility have a lack of adequate acreage for land application?
p Yes
®No
18.
Does the receiving crop need improvement?
❑ Yes
N No
19.
Is there a lack of available waste application equipment?
p Yes
M No
20.
Does facility require a follow-up visit by same agency?
p Yes
® No
21.
Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
p Yes
® No
22.
Does record keeping need improvement?
p Yes
N No
For Certified or Permitted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
p Yes
p No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
p Yes
p No
25.
Were any additional problems noted which cause noncompliance of the Permit?
p Yes
p No
Q .. o.viqions-or cren.cses'were. no a raring is visit: . You. will.receive no: further .: .------------
omtnents re er to° uestian #1 { an answers an
( q ):Explain"„ y . ,. lor,any reeommendfitioEns organ other cominents
# 9 {.Eji 16E5,9 f°��8
1�6, :�.i4i"�:.. hE 11..ii}s'E-it�3�6: 9:.in'.�, 1�, .€,, dl'1 ;r is{:Et'.i9E
CJ3e driiwmgsEoffac�ltty ttbtter?�iplainlsituations (use`adtl�tional pages asinecessary)
i ,:, ; {
## 9-13 - No lagoon yet. NRCS/SWC Working on design.
16 •- No plan yet. NRCS/SWC working on it.
23-25 - Not certified yet..
2-3 - Parlor water discharge: NRCSISWC working on design to construct lagoon to catch parlor water and lot runoff.
Dry stack to be enlarged. '
7/25/97
_-
Reviewer/inspector Name 'Corey Basinge"" r .
�l4 "A1;:. € "!Al i">, '� { i ill k EP„
Reviewer/Inspector Signature: Date:

10 DSWC Animal Mdlot Operation ReviewWW
12 DWQ Animal Feedlot Operation Site Inspection .'
10 Routine O Complaint O Follow-up of DWO inspection O Follow-up of DSWC; review O Other I
Date of Inspection 3d
Facility NumberDate
of Inspection E:]= 24 hr. (hh:mm)
MRegistered © Certified © Applied for Permit © Permitted [3 Not Operational / I Date Last Operated: .........................
Farm Fame: W. � �eq.W St,4S �4'lf��( .. County. R4-4 Led-
x...............................d................................,. ........................................................
...- �d2wL
4• - 4'8 3c(Owner Name: .... ��!d3
....'7�,...................................................Phone Na:...31...................................
-�'eva F1R- oL-) Wt►$
FacilityContact...............................................................................
..
Title: Phone No:...................................................
jc
Mailing Address:......40 ........� • Z�2o3....,..'.................................. ....
l3 .t 2i a�J ..... Integrator: ......................................................................................
Onsite Representative: ..........................................................................
Certified Operator;....��4 .....P................... `..................................... Operator Certification Number,....L1.�. 157
......................
Location of Farm:
AL
................................................................................................... _.......................................I.......
.. .. 4........
G(�r lZ j a $T oi, er.,0.�"...... D4Jr5 ejJx �'(. Alin...... �
Latitude Longitude
Design Current
Swint i Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current
Design . Current
Poultry
Capacity Population Cattle
Capacity Population
❑ Layer
Dairy
❑ Non -Layer
❑ Non -Dairy
❑ Other "
Total Design Capacity
.�
Total SSLW
2-�5', Vic)
Number of Lagoons / Holding Ponds.:: ❑Subsurface Drains Present ❑ Lagoon Area JEISpray Field Area
JE[No Liquid Waste Management System
General
I. Are there any buffers that need maintenance/improvement'? ❑ Yes IENo
2. Is any discharge observed from any part of the operation`? n g Yes ❑ No
[discharge ori.�inatcil at: El Lagoon ❑Spray Field ❑Other pay t'
a. If discharge is observed. was the conveyance man-made? E5Yes ❑ No
b. If discharge is observed, did it reach Surface. Water? (if yeti, notify DWQ) ❑ Yes R No
c. If discharge is observed, what is the estimated flow in gal/min? ti,Qt
cl. Does discharge bypass a lagoon system? (if yes, notil_v DWQ) ❑ Yes fff No
3. Is there evidence of past discharge from any part of the operation? .9 Yes ❑ No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes ($No
mai ntenance/i mprove ment?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ONo
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes N64o
7/25/97 Continued on back

Facility Number: I(- — 3?) 0 0
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons.Holding Ponds Flush Pits etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
................................................................................................................................................................................ ..
Freeboard(ft):.................................... ....................................
10. Is seepage observed from any of the structures?
I. 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)
S►�1dt.t� �Rd nt
15. Crop typeC—Op-d
........................................-.,..............................._.............,...............................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17, Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement'?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25, Were any additional problems noted which cause noncompliance of the Permit?
0 No.violations or deficiencies. were -noted dtar.ing this.visit.:You,will receive no ft r.ther
correspondence•akiout this'. visit.
Comments (refer to'question 4); Explain any YES answers and/or any'recontmendations'or
Use drawings of facility,to better explain situations'. (use additional pages as necessary):
�— 13 do l Qsno n
�L 4-7
S y aj-.
❑ Yes eNo
❑ Yes ❑ No
Structure 6
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes gi�Nlo
❑ Yes
❑ No
❑ Yes
iNo
❑ Yes
5�No
❑ Yes
4;rNo
❑ Yes
WNo
❑ Yes
ENo
❑ Yes
, Imo
❑ Yes ❑ No
❑ Yes [:]No
❑ Yes ❑ No
7/25/97

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