760036_INSPECTIONS_20171231

Facility Number 76 36 Date of Visit; 12/6/2001 'fime: 1215
Not Operational 0 Below Threshold
Permitted ■ Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold:.........................
Farm Name: UjrxeUDamb1t.T.1..............
Owner Name: la>agm...................................
Mailing Address: 3�11,HQttx�t ,hill. �fl.,
Facility Contact: X?,ti[]pQXLHAIAll h............
County: fttldQlplx......................................... W.SRO........
lerall......................................................... Phone No: Q3j6)..8A9,-995.Q .......................................................
......................................... Ttri'WtX.NC..................... ........................................ 273.70 .............
................................ Title:................................................................ Phone No: 316A.1403.3 .......................
Onsite Representative: Ownaa.Ha aah..............
Certified Operator:l)=ota.Lrath..................... Hatglkab..
Location of Farm:
................. Integrator:
Operator Certification Number: Z4b2,7.............................
rake 64 -West. Make a right on Hoover Hill Road. Farm located on the left. AL
❑ Swine ❑ Poultry ®Cattle ❑ Horse Latitude F 3570 • 48 40 Longitude 79 • 58 ° 0$
❑ Wean to Feeder
❑ Layer
❑ Dairy
❑ Feeder to Finish
❑ Non -Layer
111H
Non -Dairy 1 200
1 22
Discharges _. Stream Its
L Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection !& Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ® No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ..Uizel.Spteader... ................................... .............................................................................................................................................
Freeboard (inches): NIA
05103101 J`73 111 Continued

Facility Number: 76-36 Date of Inspection 12/6/2001
5. Are there any immediate threats to thttegrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type Fescue (Graze)
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ® No
b) Does the facility need a wettable acre determination? ❑ Yes ® No
c) This facility is pended for a wettable acre determination? ❑ Yes ® No
15. Does the receiving crop need improvement?
16, Is there a lack of adequate waste application equipment?
Required Records &_Documents
17, Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
2t. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ® Yes ❑ No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
❑ Field Copy ® Final Notes
9. Not applicable.
17. Operator and owner wish to he removed from registration and will submit a "Request for Removal" form. Owner also wants to have
permit rescinded. This request will need to be made in writing the the DWQ.
19. Waste analyis was dated 10/16101. Per operator, he lost analysis result for the sample taken February 2001 and had to request that
another one be sent from Raleigh for this inspection.
25. Several fields have been cleared. If facility stays registered/permitted, the CAWMP will need to be revised for the actual field
lApplication of waste was made to T-9476 F-9 which is on map but not in CAWMP.
Reviewer/Inspector Name Me[iW Rosebrock
Reviewer/Inspector Signature: Date: o�-
05103101 Continued

Facility Number: 76-36 1 l)&' Inspection 12/G/2001 0
dnr Is
sues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e, residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30, Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
bna •ominen an o riaw ngs:
AL
05103101

UR Routine Q Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review O Other
���� on.u.uuuwumuinu�i�i�i i.n��uuu.�nnuu nnnuui.ua�
Facility Number Date of Inspection Z
Time of Inspection EQ=24 hr. (hh:mm)
Permitted 0. Certified 13 Conditionally Certified [3 Registered Not O erational Date Last Operated:
Farm Name: � re-IE ..baplf f t rt.. County: .... f&.Mjp.h........................
I
Owner Name:.................. Vn �- ............ �fi .�.�....... Phone No:.. .�3..!�....� �... 99..... �..............................
on
, .......................... F- tFacility Contact: ...... an ah Tlf Phone No:-l-
g6 / a33
3 J boovim- vCa 73 7dMailing Address:............................................................................................... f ...........•...•....................................•....1......................................... .................•........
Onsite Representative: .,,&M A.!.i............:�.annah................................. Integrator:............................................................
Certified Operator:.... bam.an........ ................................................ Operator Certification Number:......,.[.. . .....
Latitude M]` DWI Longitude • EM
S Design Cur'"rent : Design - Cuirent . _ , .� `Design k`Currenf
5wiae Ca aci ..`Po' ulation . Poultry Ca a'' Cattle
,, cr j;Po alahon,,; , . , . _ <�Capaopulation
�bk3>
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
Farrow to Finish
❑ Gilts
❑ Boars
❑ Layer
❑ Non -Layer
❑ Other
. � •Tofa1.D'e
i ❑ Dairy°
" Non -Dairy -Z05 I zz J.i
n Capa`c
Zb0
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation? ❑ Yes 660
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)0 yes ❑ No
c• If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If ycs, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
❑ Yes ❑ No
❑ Yes
❑ Yes o
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes >No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure b
Identifier: Lavel SpreaAer
Freeboard(inches): ...... .......... Nt�......... ....................................................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ yes ) No
seepage, etc.)
3/23/99 Continued on back

Facility Number: 2 — . 410 f inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or TT
closure plan? ❑ Yes XNo
(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 maintenancetimprovement? ❑ Yes XNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ' O
Waste Anolication
10. Are there any buffers that need maintenance/improvement? ❑ Yes o
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes 11T0
12. Crop type 44.1-LC D
13. Do the receiving cips 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 determination?
15. Does the receiving crop need improvement?
16. Is there'a lack of adequate waste application equipment?
Required Records & Documents
17., Fail to have Certificate of Coverage & General Permit readily available?
18. 'Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) /
19. Does record keeping need improvement? (ie/ irrigationr4eebeard, waste analysis & soil sample reports)
20 Is facility not in compliance with any applicable setback criteria in effect at the time.of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
YioiL�iOKor. iigf e�000 4TO hofgd- �l4ra'itig 1thIs'visit; • Y;oO wii j •teeOiye 00 futthoo . .
co rrespoiidteitce. about this visit ............ . ..... . ........... . .... .
II,
❑ Yes No
❑ Yes a
❑ Yes XNo
❑ Yes *No
❑ Yes )jj"No
❑ Yes )?(No
❑ Yes ,<o
❑ Yes XNO
❑ Yes No
❑ Yes No
❑ Yes )(No
❑ Yes No
❑ Yes o
❑ Yes No
ba"Yes ❑ No
Reviewer/Inspector Nameis' j rtt , �� s �y
u.i1�. l_{ L R = eg i �� ..as� .?pY�
Reviewer/Inspector Signature: d jga j "1 I1. wD , Date: %n h i

Facility Number: — D*f 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 tit/or Wow
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes x No
28. Is there any evidence of wind drift during land application'? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes 10
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? *or, We-
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?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
tu44) T 9y16
F- 44,t /ket ti„ Ckdh t r.1J
wuP
i9. UJ2ate 2ltdPc�u!m� uJffio ddGd !o//b�oi �v0�(lP,�
CQoa �lc�t72etro-rJ
5100

Facility Number
Date o'�f Visit: "4/ 'lime: /d 3c� Printed tin: 10/26/2000
rf �
Q Not Operational Q Below Threshold
Permitted [3 Certified © Conditionally Certified 13 Registered mate Last Operated or Above
JThreshold: .........................
Farm Name: L..l'-4(�.-�.....T�C.....r...�!'`.1....... county: ...............................................
.5..... P
Owner Name:........ G.0 G ^}..t.. ....�.lr... Phone No; ....,..��?..��'........�....'.�.J?................
........ .........................
Facility Contach-D.Fi:!`:: ,go ............... A t� N a I'itle:..rA, ......... V [l ! A5.4.!r..... Phone No:...................................................
' I........I......................... I J .............
Mailing Address:.....3.... ..!.t. i °. .v. 1.........1 .!144 {..............� ?.n..(f......74. �?.r. ,......V,. ..........q.... ....l..Q.. ..........................
Onsite Representative. r.� -( (� N W A h Integrator: „t.,,�„ ,[ �?c c +J
p.P....[y^.A...........................................................I.............................................................
Certified Operator:,,,,,_ .,pnnr~' .. .............. Operator Certification Number:... .. ....................
N..!�..R. 4 S �?
Location of Farm: 1
6 4 151 e-s r' To o oPd / // o A u,,N s/{ G o 7o ,j R r r/ .s t/1
—�qfr-
❑ Swine ❑ Poultry BICattle ❑ Horse Latitude �' �� ��� Longitude �• �� �«
Design Current Design Current Design Current
Swine CapacityCapa'city Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer ❑ Dairy
❑ Feeder to Finish ❑ Non -Layer ❑Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ID Other
❑ Farrow to Finish Total Design Capacity p Q
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impact
1. Is any discharge observed from any part of the operation'? ❑ Yes M-N6
Discharge originated ar []Lagoon ❑ Spray Field []Other
a. 11"dischargc is observed, was the conveyance man-made? ❑ Yes ❑ No
I), If discharge is observed. slid it reach Water of tlic State? (if yes, notify DWQ) ❑ Yes ❑ No
c. II'discharge is observed. what is Ilhc estimated ]low in galhnin?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes mw'o.
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑-K�
Waste Collection & "freatmen*
4. Is storage capac.i:y (freeboard plus storm storage) less than adequate? ❑ Spill-, ..y F1 Yes ❑ No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier...............................................................................................................................
Freeboard (inches):
5/00 rontinued on back

Facility Number: — Datc of Inspection . —/ _d Printed on:
5. Are there any immediate threats to 18tegrity of any of the structures observed? 0 es, 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?
10/26/2000
❑ Yes
❑ Yes To
(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 ENO
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes , 01N0
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 914
11, Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes G'Wo
12, Crop type r-
S C u Gt r C
13, Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes [D-N-6
14, a) Does the facility lack adequate acreage for land application? ❑ Yes (moo
b) Does the facility need a wettable acre determination? ❑ Yes ORQ
c) This facility is pended for a wettable acre determination? ❑ Yes Eg-mo —
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required_ Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
�? yiol;aiigr}s;off at �c�enc�es i re potted• dltring this;visit; •:Y;oit.Wiii eeoiye pot tui-t fir;
• corresponc�errce: abouk this : :visit :.::...::..:...:...:......... .:::. :
❑ Yes 0-110 r"
❑ Yes ED-Niu-
❑ Yes ❑ No
❑ Yes ❑-K0
❑ Yes Q-114o
❑ Yes
❑ Yes M.'. o
❑ Yes [ 4-ro'
❑ Yes D-Ko
❑ Yes E?1<0
❑ Yes
Comments refer to uestio " _( _ ,_, q _ n #): Ezplatiti any YES answers and/or any°recommendattops orany other,comntenfs:� + �E '.r'�
ings;of f#cjlity!to better explaimsituations (use'additional pages as necessary) " ; VsFOik;;
00/0erA- M `S O/'!- 04¢ _I'„a rb rho AA)A.NS dYj A�
re t c t t 5T 61i w/�� 40 /tom i D t�d C7
/0to L /C nos /u, 4-
qV
Reviewer/Inspector Name''
Reviewer/Inspector Signature: r Date: 9— / �/ _ 5100

Facility Number: — ` j6 )ate of inspection -/$'- • Printed on: 10/26/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes
❑ No
liquid level of lagoon or storage pond with no agitation?
2T Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
9 O
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) t,
24. Is the land application spray system intake not located near the liquid surface of the lagoon? `
❑ Yes
❑ No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.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
MNo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? /V /
❑ Yes
❑ No
"aona omments!an or' raven
J
Siao

Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 76 36>ate ul' Visit: 11/20/Z000 Time: 1010 Printed on: 11/21/2000
Not O erational C Below Threshold
® Permitted ® Certified ❑ Conditionally Certified [3 Registered Date Last Operated or Above Threshold: .........................
Farm Name: Tfrxxt~ll.t?.ttlxbl�.�'�................................................................... ....I......... County: RAad91pht.............................. :.......... WSRO........
....
Owner Name: Eµggjw .................................... :Jl u rell......................................................... Phone No: L33().#1 9..-Q �".4........................................................
Facility Contact: DAMOjid1AIxM11 ............................................ Title: ..................... ........................................... Phone No: fig$b.1�Sil ........................
.
Mailing Address: 3#ll.klt,.axer..bill..>;oad................................ ... ..... Tdaity.Nc .............................................................
Onsite Representative: O�Qpt.d�tp ................. ...... Integrator:..........................
Certified Operator:)DOMQn................................... IC anixab............................................ Operator Certification Number:24N2.7 .............................
Location of Farm:
lake 64 -West. Make a right on Hoover Hill Road. Farm located on the left. A
w
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 35 • 48 40 « Longitude 79 • 58 f OS «
�Destg'n� Currents 4 Design Current: '. �. Design°+ 'Current
a�
�Swine<,.:;�„,Ca a tt �•,P.o ulation. k ltr.Y Ct P,o ulation Cattle Cact't�P,o�uta iot'
❑ Wean to Feeder
❑Feeder to Finis)►
a
❑ Farrow to Wean ❑Other Ek"i
Farrow to Feeder
❑ Farrow to Finish ;
o cit 200
T tal Dest n Ca a
❑ Gilts
❑ Boars ��' t Taotal SSLW 160,000
.
§Number of Lagoons 10 ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area pw
55dingnds / 3olitl Traps ® ❑ No Liquid Waste Management System
Layer
,
Dairy
Non -Layer
-
Non -Dairy
200
225
y, 13
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'? ❑ Yes ❑ No
b, If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. 'Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4
Identifier: ... Lavel. spreader ...............................................
Freeboard (inches): dry stack
5100
❑ Yes ®No
Structure 5 Structure 6
...............................................................................
�j,�J Continued an hack

Facility Number: 7b-36 Date of Inspection 11/20/2000 Printed on: 11/21/2000
5. Are there any immediate threats to the4krity of any of the structures observed? (ie/ tre0severe erosion,
❑ Yes
® No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
❑ Yes
® No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
® Yes
❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings'?
❑ Yes
® No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
® No
I L Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
® No
12. Crop type Fescue (Hay)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
® No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
® No
b) Does the facility need a wettable acre determination'?
❑ Yes
0 No
c) This facility is pended for a wettable acre determination?
❑ Yes
® No
15. Does the receiving crop treed improvement?
❑ Yes
® No
16. Is there a lack of adequate waste application equipment?
❑ Yes
0 No
Reouired Records & Documen
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?
Oel 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 Reviewerllnspector fail to discuss review/inspection with on -site representative?
❑ Yes
® No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
® No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
® No
0; Nd-Ablati6ris;or deficiencies were noted iluring•this: �isiL, :You'Will receive•no•further• . ;
correspondence. abouf this :visit.
7. Operator plans to fence out the level spreader area and re -seed. Recommend vegetation control in the level spreader.
15. Rye grass (drilled) did not come up well. We have had very little rain the last two months in this area. Will re -seed in Spring with
rescue.
has not had to spread any solid waste in the last year. No records required.
r
tfton field soil test results show a higher than normal zinc level. This field is not in the WUP. Recommend rotating this field since
nc is approaching 700. 1 j
Reviewer/Inspector Name 'Melissa Rosebrock
Reviewer/Inspector Signature:
Date: %//12l/Q0 5100

• Facility Number: 76-36 of Inspection I /20/2000 Printed on: 11/21/2000
Odor Issues 0
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ® No
28. Is there any evidence of wind drift during land application? (i.e, residue on neighboring vegetation, asphalt, ❑ Yes ® No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon'? ❑ Yes ® No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ® No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ® No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
(_' �t onti 1!omments7an orb _r•.arw,tn�s:
5100
5100

�V1310n'Of Water QnelEiy i • �'} r - p i 6 �. i . I -
Dwisian of Soil and Water Conservation
l I( I Othei4gei ' ��Qc
of Visit )() Compliance inspection O Operation Review O Lagoon Evaluation
Reason for Visit '0 Routine Q Complaint O Follow up Q Emergency Notification O Other ❑ Denied Access
Facility Number n IAA
Date orVisit: Ci1ne: � Printed on: 7/21/2000
Q Not O erational Q Below Threshold
Permitted Vcertified [3Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name:.......�!... Cr....'........... T'e rrl.lj...................................................... County:... rvwolph..........................................
j 159 .g9 6
Owner Name:....��.t+i?.......1�..I.e............................................... Phone No:.1,( .......................... ....
Facility Contact: ...... .m..§r1......... Han . hTitle:........................................... ........... Phone No-3- ....... 6... ...............'.............. �3
Mailing Address:. ...... oaom� ......A.1)... pj ........ ... jl�........."�.7.J.70............ ..........................
Onsite Representative:.....,.ba.man...:.......H...�.� �.......................... Integrator:.... ............. .......................................... ............................
Certified Operator:.......bamon.......Hmnxi ...................................... Operator Certification Number:......."...!.... .a..�.....
Location'of Farm:
ry ®C1 ®© ❑ Stwlne ❑ Pouft Cattle ❑Horse Latitude • � �s Longitude • � 41
Desiga Current Design Current Design' Curreat
i,SvPlne.`a. Capacity,, Po elation, Poultry Capacity,.Population Cattle Ca aih :;Po elation.
Wean to Feeder ❑ Layer ❑ Dairy
irk it
Feeder 0 Finish ❑ Non -Layer Non -Dairy OIO
If Farrow to Wean
�' ❑ Other
Farrow to Feeder
' yE Farrow to Finish
P t Total Deli Ca aciyy
Gilts
`Y �,i Boars Toti&si LW . d
6 / Salid"Traps
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
I❑ Subsurface Drains Present
�No Liquid Waste
Discharge originated at: ❑ Lagoon ❑ Spray Field 0 Other
Lagoon Area ❑ Spray Field Area
System
r
I
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State'? (if yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes J�rNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes AiMo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes,,tq'No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes '^ Ko
Structure I tructure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: !!,%... . .r.�..... .............. .................................... ............. I ......................
Freeboard (inches):j�-aC�L
5/00 Continued on back

Facility Number: — Date of Inspection (S printed on: 7/21/2000
5. Are there any immediate threats to the i'Rf grity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ANO
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yeso
(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? r
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
13. Do the 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 determination?
15. Does the receiving crop need improvement?
16, Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
.... yi. atiOOs'o� d0�ele�tcie� -*Ore 00teO. 00fifi tbjs:vjs)t; • ;Y;o Wij•teeOiye o futt#��r
. • correspotideike: aho' U' f this visit:. •. •. • : • :............. .
I] Yes ❑ No
❑ Yes dro
❑ Yes �Vo
❑ Yes XNo
❑ Yes A"V
❑ Yes--*o
❑ Yes XNo
❑ Yes No
❑ Yes No
lbryes ANo
❑ Yes XNo
❑ Yes )9No
❑ Yes )(No
❑ Yes PNO
o
❑ Yes
❑ Yes o
❑ Yes o
❑ Yes 44No
❑ Yes k "o
❑ Yes tkw
o m q )- , : y;, ; r s any recommendaions r e oany othr comments
Comments (refer to question # Explain an YES answers and/or a t, & ,a t<<
ij
Vie drawings' or facility to' better explain situations. (use addtt<onal pages as necessary):
7.4
a11,5 � �e a o f `fie I&e 1 SP a � -� � r4?cJP-r
1Recomlmend Ve3&a-hoo �-on�v-� r I►�
re��a ,
15. !�e_ ra5s r
� i l tQil di j V, oi Com L e � f . � ��o�e
ad vl�r 0- Irar 8 o o � . e- 1
Reviewer/Inspector Name E £" !1 , , ��'CL
Reviewer/Inspector Signature. Date: 0/#{}

1 0 Facility Number: — of Inspection Printed on: 7/21/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation? OM IT, aow,
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes R No
28, Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes .11�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 ?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 ATIO
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? 6 1 r 8-*es B NO
Additional Comments and/or rawings:
u r read
JA
a a
? o om
5100

- . I
Routine
of
IFacility Number l
Follow•uu of DSWC review O O
IDate of Inspection (2 - @ ' - -al .Offi -j
Time of Inspection . pn r. hh:mm
13 Permitted j(Certified [3 Conditionally Certified [3 Registered
Not
Date Last Operated: ..........................
Farm Name: ... ..................................... county: ...R,t Gi.l.:idQ.r#.pl......................... .......................
Owner Name: ,. �,.!t S.............. ... 7T-4. .- ................................... Phone No:.. {a.�..". .ti�l ......... 0.�.'!'K"..............�
Facility Contact: hiQm. » kX``Zlq ``.Title..... ...................... Phone No:.. , fY.�' ....y..�....................
Mailing Address: »il A4.�.�...»..9`�`ax »»..*'4..1�» T.r. �.................r.`�»'.:4+..................
OnsiteRepresentative: 1.......... ...... ...... ........ Integrator:..... ...».»..» ............................ ..............................
Certified Operator:..,. .. . ............................................... Operator Certification Number:..........................................
Location of Farm:
Latitude • ®9 ®G1 Longitude =]' ®' ®"
`N4�5: �s�t,� s,G araa ac r Q€,M1D� �' a� Cill'reni�c M �_, ,, .. ., sx•s �...;c...,c... r �r s
gn DeSlgll9 26a saCurren 3 e :i'r F. S r .S 3uu a ! r,Cu�rgilt i r r.,
rPSnet r s s s I"'. V M
PA 9
On�k�.UUltxy Ca'��$ii ,s�,�,l'oa llllitlQnSar� 4 hsySsl&�a I�,atr:psbFdPSErldtl Shy°Sr.
E�
44 HoWean to Feeder ❑ y'FEE
,; La er �;� ❑ airy
13; ❑ Feeder to Finish ❑Non Layer Non Dairy
fE °� ❑ Farrow to Wean9zlin�k� 66aScrtl�'s'u rrr,jl 3c�Fs s ird F
! E< ❑ e cr s r ; r 1SF�r { y!yE a
i'.l. Farrow to Feeder n, Other rM a
a 4 17•P47,4Gtr i i. ,.a. ...r7r^r44xi. ji
r §� r ��4 E�nn 4aa ° saw saes aSs oe9sr U ,
Farrow to Finish §a r 9tfu 5ql e 1$ ea S C
_5 Total Designapaciiy� r
4-- rb a s 2 °rS r yre.�sr s, r t r
iPEJ
Gilts
E° t ti 3 r sc es `I �1 �.
h s � r � , a,�cw' ills kao � - Sg UTIt y.'i� �
a'E t?��,�Qsrrs.ra a' 9er� .4F ssd� go
lte Boars 4? sa r s'S�ot8� �w.rc a
�a a.1 as t h
'� ❑ Spray Field Area
Number o 1L'a ns f ❑ Subsurface Drains Present ❑ Lagoon Area y
ldin on Slid raps ❑ No Liquid -Waste Management System k A
.. I
u�sr�..�xsi r2f���ifi '•
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes [�No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the con veyance'man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (Il'yes, notify DWQ) [I Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (11'ycs, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes RfNo
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 k)fkLp��e ocl jt p, ❑ Yes M'50
Structure I Structure 2 Structure 3 Structure 4 -Strfcc�Structure 6
Identifier: Ole.
Freeboard(inches): .......................................................................................................................................................................................................................
S. Are there any immediate threats to the integrity of any of the structures observed? (ic/ trees, severe erosion, ❑ Yes fffNo
seepage etc.)
3I23199 Continued on back

cility Number: -7c.— 3� * ate of Inspection
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 Nj,�(,
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
I
06 No
❑ Yes
❑ Yes
dNo
❑ Yes
[if No
❑ Yes
eNo
❑ Yes
53'No
❑ Yes
Q-Ko
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 determination?
15. Does the receiving crop need improvement?
I6. Is there'a lack of adequate waste application equipment?
Required Records & Documents
17.. Fail to have Certificate of Coverage & GeneraI Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20- is facility not in compliance with any applicable setback criteria in effect at the time,of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which'cause noncompliance of the Certified AWMP?
. �Q •Yi�����is'o!' �l�fc�encies wire k��ed• #4H`f�l� ��#s'��s�t; • :Y:oU rv���•���Y� �o: fua���r
correspondence. abotit: this visit. ..................... ........
❑ Yes Q'No
❑ Yes �io
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes eNN0
❑ Yes ' gKo
[+Yes ❑ No
❑ Yes [�No
❑ Yes �Io
Vy
s NIo
s ❑ No
❑ Yes dNo
❑ Yes 9<0
❑ Yes O'�o
❑Yes iJNo
1g t a PJ2_-a 10�- 5 a c 1 ; a r \D_ . •
v��z,1Cs - r7 Prr.r�� ;� '�1q�� ',nd��ls R.►-1 �L,r m�
IReviewer/Inspector Name �lxr`3' 4Q`M
Reviewer/Inspector Signature. V o 11 _' A a,a,t %. tiI n Date:

Facility Number. — Ote of Inspection •
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or b Iow ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation? N
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes • [eqo
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 & o
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes 5KNoo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes & O
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
.,s,.r u:�usx..dCe.+�. ,F t.a..s::;na� .r. s,. ....r: u: .� ..�.;y.a .n s .�Fi_ ._v�' ..SC'a.�7draSL�:�1'F•si ;��u'S:a
L

s '
z _Uivision of S d Wntcr Uonservatlon 'Operation Revte
,a.
' p'Division of So d,Water Conservation .,Cothpiiance lnsp p,''
_0 llrvai._ot€, of Water Quality, -Compliance lnspectioii '
p Othe€Agency - .Operation Review:
°7.
19
outrne p Complaint O ,o ow-np o inspection p 7 ow -up of DSWC review O - Other
Facility Number Dole orin.s<pectioii
l'inte of lnspection ® 24 hr. (hh:mm)
p Permitted M Certified p Conditionally Certified p Registered in Nol perattona Date. Last Operated:
Farm Name: Terrells.JDouble.T.T..Charolai&............................................................... Counly: Randolph WSRO
OwnerName: Eugene ................................... Terr.ell........................................................ I'limie No: 861:rSO33 ...................................................................
Facility Contact: Charlip-Runk...................................................Fille: Manager ............................................ I'Irorrc No: 33fi%86.jr50.3.j .......................
Mailing, Address: 381.1..11oaver.Nill.Road..................
OnsiteItepresentative:........................................................
Certified Operator:Charlo.. .......................... Hunt.
Location of Farm:
.. Trinity..NC.............................................................. 27.371.
..................... Integralor:.............................................................................
........ .............. ....... ...—. Oper'ntor Ccrlification Number:2.1.600.............. ..............
Latitude ©• ®. ®,1 Longitude ®0 ®1 ®41
Design Current
Swine Capacity Population
p can to Feeder
p Feeder to Finish
p arrow to Wean
p Farrow to ee er
p Farrow to Finish
p Gilts
13 Soars
Poultry Capacity Population Cattle Capacity Population
p Layer I
p Non -Layer IM on- airy
p other
Total Design Capacity° 200
Total SSLW 160,000
ENuiiiber of Lagoons 13 u sur ace rams resen p agoon rea 13 Spray Held rca
olding Ponds l Solid Traps 0 o tqut ... as a anagemen ys em
I)ischart:es & Stream Imp;tcls
1. Is any discharge observed from any part of the operation? p Yes ® No
Discharge orieinatcd al: 13 Lagoon p Spray Field p Other
;i. II discharge is observed, was the conveyance moll-tnadc? ❑ Yes ® No
b. [idiseharue is observed, did it reach Water oithe State? (lives, notilj, DWQ) p Yes ®No
c. I1'discharge is observed, what is tlic estimated flow in g d/min?
d. Does discharge bypass a lagoon system? (Il'yes. notify DWQ) 13 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? p Yes ® No
Waste Collection & Tr•eatmenl
4. Is storage capacity (freeboard plus storm storage) less than adequate? 13 Spillway 13 Yes M No
siniclure I Structure 3 Sirticture 3 Structure 4 structure 5 Structure G
Identifier:.............................................................................................................................................
...................................
Freeboard(inches):....................................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
p Yes M No
Couliuued on brick

i `
Facility Number: 76_36 tl��' In'.iiccilon
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? p 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? p Yes M No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? p Yes M No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
p Yes
® No
N1'aste A) )lication
10. Are there any buffers that need maintenance/improvement?
p Yes
® No
11, Is there evidence of over application? p Excessive Ponding p PAN
p Yes
M No
12. Crop type Fescue (Graze)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
(3 Yes
® No
14. a) Does the facility lack adequate acreage for land application?
p Yes
®No
b) Does the facility need a wettable acre determination?
p Yes
®No
c) This facility is pended for a wettable acre determination?
p Yes
® No
15. Does the receiving crop need improvement?
p Yes
®No
16. Is there a lack of adequate waste application equipment?
p Yes
®No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
p Yes
®No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
p Yes
® No
19,
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
p Yes
® No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
p Yes
® No
21.
Did the facility fail to have a actively certified operator in charge?
p Yes
®No
22,
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
p Yes
® No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
p Yes.
N No
24.
Does facility require a follow-up visit by same agency?
p Yes
® No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
p Yes
®No
t : N.o:viuhatioits'or. &flcienries.were �nnted -during. this visit. ' You- will -receive na further.
tbis:visit;
...ckresnaridek About ::..:.. . .:.................. .... . :
Com'inents (r6fer,td: u"tidn x ain}an answers an or an recommen a ons or°an o er comments
tJse drawings offacilsty to�better explam�situahons..(use,add,itional,pages,asnecessary)
'. ri•' ..P "Ilt rn. ,�i„ , , '.�E:. r„
ewly installed Level Spreader is working well. Facility is in greats ape. No problems noted. A,
w
ector Name Reviewer/Ins W «
P
Reviewer/inspector Signature- Date:

0
13 Division of Soil MR Water Conservation ❑ Other
'Division of Water Quality
Routine O Complaint 0 Follow-up of DW2 inspection O Follow-up of DSWC review O Other
Bate of Inspection
Facility Number 3Co
Time of Inspection 24 hr. (hh:mm)
0 Registered Certified 0 Applied for Permit © Permitted 10 Not Operational I Date Last Operated:
FarmName: �Eet'ELc. Deu61.e 77' 6W*k �►S „ County: ........................................................................................................................................................................................
Owner Name:.........E................... �'�+- Phone No: t589- 885a
...............................................I.,.........1....................................... I .............. I.,........
Facility Contact: ......L !!-h4R u E 444^17 Title: 144d4'GG2 3�- B� 1- 60 5r3
...........................................................................................................:..... Phone Na:..��..........................
Mailing Address:...... �arl..,......1- 1-&-L bra lll�wllTy Ij C- 7-:
.............,,...LL...--............---.............I............................. . ..,........................................I...... ---.......I.,........... ............
Onsite Representative: .......... LE....0 ��^ Integrator:........................
.........................................................................................................................
Certified Operator;.-.--.. 1 .. .- (�: Operator Certification Number;.... �G ............... .. �................................--.. ..............
Location of Farm:
Z. ;..................... ..... .......ic Svi...... ....`...e-...� c,�g...��.. ....u5...........................................................................
A
. .... ..... ....�..............:�........................................................... IV
Latitude 35 • ®` ® fC Longitude ®' ®' !D 44 .
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes JELVo
2. Is any discharge observed from any part of the operation? ❑ Yes 18'No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gaUrnin?
d, Does discharge bypass a lagoon system! (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement`?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
❑ Yes Q No
❑ Yes C4�'No
❑ Yes Wo
❑ Yes ` P-110
❑ Yes j' Io
❑ Yes 12!rNo
❑ YesVo
❑ Yes �o

A 1
Facility Number:
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 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard(ft) ............................................................................ ..........................................................................................................
10. Is seepage observed from any of the structures?
11. is erosion, or any other threats to the integrity of any of the structures observed?
12, Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste_Application
14. Is them physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ............. G�4.-.......------..................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management flan (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 Pemt tted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
No.vialations-or. deficiencie's:werenotedduring this; Visit, Y.oit:will receive no' ftirtlierl:
.�.•c4rrespQndenceabautthi5:vis�t:�::- ". "�,•.• ;-:.�.:: � : , :.�.�:�:�;-.•, .•;-, .:. .•
. ubta I&W 5 ,&r
M, .
Gd war "e -
❑ Yes ONo
❑ Yes ;6rNo
Structure 6
❑ Yes 1RNo
❑ Yes �Oo
❑ Yes JiMo
❑ Yes )?No
❑ Yes �1�rNo
❑ Yes Mo
❑ Yes tZRio
❑ Yes �No
❑ Yes lqwo
❑ Yes �ENo
❑ Yes 13-90
❑ Yes 4SMo
❑ Yes ;J;�No
❑ Yes o
❑ Yes ❑ No
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: ',l Date:

Facility Number I):lte of Inspeclion
f rl11E' of llkspvckon © 24 hr. (hh:mm)
Registered p Certified p Applied for Permit p Permitted in Not Operational I Date Last Operated:
Farm Name: T.errrylls.Daublre..TT.Charolai&............................................................... County: Randolph WSRO
OwnerName. Eugene ................................... Terrell........................................................ Phone No: 889-A850 ...................................................................
Facility Contact: Charlire-Risat..................................................'Citle; Manager ........................................... Phone No; 33&861:6.03.1 .......................
Mailing Address: 38.11-Roaxter..klill.R&........................................................................ Irinify-MC .............................................................. ZMA ..............
OnsiteRepresentative: Charlie.11utnt.............................................................................. Intet;r.rlor:.......................................................................................
Certified Oporator:UaLrles.W........................... HIM ................................................. I Operator Cerlitication Number:21,600 ............................
Location of Farm:
Latitude©o® Longitude F-7970 ®®•
Swine Capacity Population
E3 Wean to Feeder
E3 Feeder to Finish
E3 Farrow to can
13 Farrow to ee er
p Farrow to Finis
p Gilts
p Boars
Number of Lagoons / Hold ing:Ponds
Poultry Capacity Population Cattle Capacity Population
p Layer I I E3 Dairy
p Non -Layer M on- arry
p ter
Total Design Capacity 14
Total SSLW 1 112.000
General
1. Are there any buffers that need maintenance/improvement?
unsurtace Urarns rresent pp Lagoon Area Ip Npray
o Ltputtl waste management �ovstem I
2. Is any discharge observed from any part of the operation?
Discharge originated at: 13 Lagoon 13 Spray Field 13 Other
a. I['discharge is observed, was the conveyance niaii-made?
b. I1'discharge is observed, did it reach Surface Water? 01'ycs, notify DWQ)
c. II'discharge is observed, what is [lie estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
p Yes
M No
13 Yes
0 No
(3 Yes
®No
(3 Yes
®No
13 Yes
®No
p Yes
®No
p Yes
®No
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
p Yes ® No
p Yes M No
13 Yes ® No

act t y Number: 76_36 t) I rrt,0LcCdorr
i 8. Are there lagoons or storage ponds on site which need to be properly closed?
Slruclures (Ir.I(-'oons,Holdint-' Pon(Is, Flush PiIs, _etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2
Identifier:
Freeboard(11):.............................................................................
10. Is seepage observed from any of the structures?
Structure 3 Su•trcnure 4
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
NV,iste Applicatimi
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
•
n Yes M No
p Yes I& No
Structure 5 Structure 6
p Yes N No
0 Yes ® No
n Yes ® No
n Yes ® No
p Yes N No
15. Crop type................................................................................................................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? n Yes n No
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permilted 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?
R ... oyiq ions.or eren•cies•were.nroo string , is visit., . oa will.receive no: further .: .
n Yes ® No
n Yes ®No
p Yes ®No
n Yes ®No
jj Yes IR No
p Yes ®No
n Yes n No
n Yes n No
n Yes n No
.Comments refer toiquesttoo #) Explain any answers an or any recommen .attons or any of er comments
Use'drawmpys'of faciltt�J/ tw ettervx lain °situations(use,'addtttonal.�a es as neCessarrY)=;k1 1 ; € „
�> �. p, _E.:�;' f� �+ f. 4E '1.. _' �)f i'ji t,.f �. ..•, iF. :.'SnF :. E [�. '..e 3,. t� . .i! ��ii1_.Y r,.!a i.�,� �E fry
LEVEL SPREADER CURRENTLY UNDER CONSTRUCTION.
CURBS TO BE INSTALLED SOON. WORK PROGRESSING AT A STEADY PACE.
** ROOFING DRY STACK IS A CONCERN TO BE ADDRESSED.
RECORDS TO BE KEPT WHEN SYSTEM IS PUT IN OPERATION.
16. NO PLAN YET. SWCD IS WORKING ON IT.
T
Reviewer/Inspector Name ',W Corey Basinger _ _."-
I:} ; •i { .�,3 �i.. < i-'� it <t i�..e.i rr E�- 3 f E t lj
Reviewer/Inspector Signature: Date:

Division of Soil a11FWater Conservation [Other A
Division of Water Quality
10 Routine O Complaint O Follow-up of DWO inspection O Follow-up of DSWC review O Other 1
Facility Number
Date of Inspection D Z
L
Time of Inspection 0 24 hr. (hh:mm)
Registered 0 Certified 13 Applied for Permit [3 Permitted JE3 Not O erationa�!�4 Date Last Operated:
-G�rv�L6 � t,6�� C�a rt7�a tS Count kL.5�.
Farm Name: y:..............'{"............................... .I.`..V.....
Owner Name: �U Gl� , ` mti Phone No: 33� — 8a� 8 ` 9-0
.........i�:............................... l`.�:....................................................................................I.............................. ............................
Facility Contact: .... t :�!!a :V ... ! �r ................. Title: �� : e11' (. ��III-a.0 ....-3.
............. ......... ........................................ Phone Na• ............. 3 3
3811 Ue l-t Pe- A 1 !c 214-311D
Maiting Address: ....
Onsite Representative:..ak4-t ........ L..i ..
Integrator:.....
p w ... Operator Certification Number Z 1 {o D
Certified Operator;...^�...................................................................................... p ......................... ..............
Location of Farm:
Latitude 3�� ' ®` ®"
:... .................
r ....
Longitude ®' ®' =11
-rent : ,.Design l Current
lation :Poultry` 4` Capacity Population f
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes ;..No
2. Is any discharge observed from any part of the operation? ❑ Yes EPNo
j Discharge originated at: ❑ Lagoon [3Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ([No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes M No
c. If discharge is observed, what is the estimated flow in gaUmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes F No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes `(Z No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes +M No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes P No
maintenance/improvement?
b. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes UNo
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes y No
7/25/97

acility Number: 4p-
.
x, 8.
Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
No
Structures (Lagoons,Holding Ponds, Flush_Pits, etc.)
9.
is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes
No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier:
Freeboard(ft):.............................................................................................................................................................................................I.........I.,.......
10.
Is seepage observed from any of the structures?
❑ Yes
[�No
11.
Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
Wo
12.
Do any of the structures need maintenance/improvement?
❑ Yes
,j1'o
(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
MNo
Waste AjUlication
14.
Is there physical evidence of over application?
❑ Yes
Pq No
(1f in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
Crop type �;r:`�................................................. ... ..... ............
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
❑ No
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
No
18.
Does the receiving crop need improvement?
❑ Yes
ONo
19.
Is there a lack of available waste application equipment?
❑ Yes
Wo
20.
Does facility require a follow-up visit by same agency?
❑ Yes
P No
21.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
bfNo
22.
Does record keeping need improvement?
❑ Yes
C No
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑ Yes ❑ No
24. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
25. Were any additional problems noted which cause noncompliance of the Permit? ❑ Yes ❑ No
r
No.violations•or. deficiencies.were-noted-during this:visit.- You:rvil7 receive,no•furiher
corres'pQndehO about this:visit.- : ... :: .: . ..... . : .. .. : .
paw,
L ek r
C'
7/25/97
jj �
Reviewer/Inspector Name f w Y
Reviewer/Inspector Signature: Date: j 98

tC�EEIp Lompramt 0 ronow-up of ilwlly inspection p roiiow-up or i)�wu review O utner .IEE II-'--'■l,-`
Date of Inspection
Facility Number
Time of Inspection ��I I N 24 hr. (hh:mm)
Registered p Certified p Applied for Permit p Permitted 113 Not OperationalDate Last Operated:
Farm Name: Terrells.l)ouble.Ia:..Cha.rolaia............................................................... County: Randolph WSRO
Owner Name: Eugene ................................... Terxcll........................................................ Phone No: 889.-A859 ................................................
Facility Contact: Ckairles.Hunt...................................................Title: Earx.Manageir............................... Phone No: 9.10-.86.6.50a .......................
Mailing Address: 18.1 I..t:louver.. II -Rd. ...............
....... Txiiaily..NC.............................................................. Z7a7D ..............
OnsiteRepresentative: Charles..Runt............................................................................. Integrator:......................................................................................
Certified Operator: Charles..W........................... Hunt................................................... Operator Certification Number:21,6,QD ............................
Location of Farm:
Latitude ©• ®' ®" '� Longitude ®• ®� ®
Swine ,
!t
esign ur,req
Capacity ,Populations' Poultry:
p can to ee er
rl Feeder to VinisT
p Farrow to Wean
rl rarrow to ee er
p arrow to Finis
p Gilts
p Boars
u
gn$ urrent Design- Current
city�s Population . CaMe Capacity PgpuIaiibn s
h N
p airy
®N airy on
:i
',;,j"91a Total€Design Capacity, 140N
s l� Tot�a1��SSLW112,001)
en
1. Are there any buffers that need maintenance/improvement? p Yes ® No
2. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: p Lagoon p Spray Field p Other
a. if discharge is observed, was the conveyance man-made? p Yes ® No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) []Yes ® No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) p Yes ® No
3. Is there evidence of past discharge from any part of the operation? p Yes ® No
4. Were there any adverse impacts to the waters of the State other than from a discharge? 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? [3 Yes ® No
7. Did the facility fail to have a certified operator in responsible charge? p Yes ® No
7/25/97

11'actlity Number: 76-36 10
8. Are there lagoons or storage ponds on s0hich need to be properly closed?
Structures (Lag oons,HoldinQ_Ponds, Flush Pits, etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Freeboard(ft)...........................................................................................................................
10. is seepage observed from any of the structures?
p Yes ® No
Yes p No
Structure 5 Structure 6
11. is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type .......................1 escur...................... ......................................................................................................................
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?
R .. oyic ions.or crencies•were.no a unng is vise You wi .receive nofurther.
O ricesponOO� 4N10:th4-* 'sit::
0 Yes p No
p Yes p No
p Yes p No
p Yes p No
p Yes ® No
p Yes p No
p Yes H No
p Yes ® No
p Yes N No
p Yes ® No
p Yes N No
p Yes ® No
p Yes p No
p Yes p No
p Yes p No
'Comments (refer to Explain any YES i3nswe"rs andlar any recommendations or any iit "er coftiimeiits.
Use drawings of fa ility.'ta better explain situations. (use additional pages as necessary)::
F" lcn a. v r '7'. :.'"rF'9c w_-�' + •"! _
Ii
9�16 t,.No lagoon�onlsiter
] 6 N0plan yet *SWC•/NRCS o k`irig on it x N
-
23-25 - No plan yet. SWC/NRC►S working
.R it Y.
7/25OF7.7
Reviewer/Inspector Name Corey EA Rger
;:a,. sa. ,a;,{ ;4 .
Reviewer/Inspector Signature: Date: r
i

.�.................
: f ❑ DSWC Ani Feedlot Operation Review v �
< x
Y Operation Site Inspection WQ Animal Feedlot Opera
, w�
a
r ,
.,, .
utine O Complaint O Follow-up of I)
Facility Number 3
Registered © Certified © Applied for Permit 13 Permitted
Follow-up of DSWC review Q Other
Date of Inspection
Time,of Inspection � 24 hr. (hh:mm)
0 Not Operational /I Date Last Operated: .......... I ........ I......
Farm Name: rE1ZR-FLGS De 91&-C T7" Cfkt�ot.4+t S count : %i4 /DOGyafi .......... &
........................................................................................................................ y..,,.,......,.,.....,........,,...............................
Owner Name r
.....�..i1.�6+�E....?..�.E.-.,. .. Phone No:..,.,.�,�.�.....�.�..`/......,.9,.'��...-�"..
Facility Contact: ..K� ...... Title:...M/!?aG . Phone No:
............. ........................... Q..-...$Gr.l....�'..,......
Mailing Address:... ...... 00.0MEtL F u— ..P......................... "�.................rNG.,. 2 ..............
.................................... 3 �
Onsite Rep resentative:.....L {TJ� ................................................... Integrator: ......................................................................................
Certified U erator;..........Cf tGEr, „
p .... .......dviqi7 ......................................... Operator Certification Number:................ .........................
Location of Farm:
Ak
iG r .S o r17if or 6r<i cJr i -1-Ov7W 1%S G 4-
�....M.... ..........................'{-S ..........................
Latitude ®" �I fic Longitude ®• 9 /Q 46
Design Current
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design' Current Design: -.Current
Poultry Capacity Population Cattle Capacity, Population
❑ Layer ❑ Dairy
❑ Non -Layer on -Dairy Q
❑ Other
Total Design Capacity /¢V
Total SSLW /!Z GWa
Number of Lagoons / Holding Ponds ® ❑ Subsurface Drains Present 110 Lagoon Area 10 Spray Field -Areal
❑ No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes N No
2. Is any discharge observed from any part of the operation? ❑ Yes P5,io
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes CR'Ko
b. If discharge is observed, did it reach Surfaco Water'' {[f yeti. notify DWQ) ❑ Yes 5No
c. It'discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ.) ❑ YesA�LfVo
3. Is there evidence of past discharge front any part of the operation? ❑ Yes �lo
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes Io
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes 10
ma ntenance/i mprove ment?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design`? ❑ Yes k<O
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes<=)CrNo
7/25/97 Continued on back

Facility Number:
r
8. Are there lagoons or storage ponds on site which need to be properly closed'?
Structures (Lagoons,flolding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3
Identifier:
Freeboard (ft):...................................
10. Is seepage observed from any of the structures?
0 ❑ Yes (il'No
❑ Yes ❑ No
Structure 4 Structure 5 Structure 6
i
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste .application
14. Is there physical evidence of over application'?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type .............&.CNI........................................................................................................................................................
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 AWMP9
25. Were any additional problems noted which cause noncompliance of the Permit`?
No violation's or. d'idencie's.were'note'd-during this'visit., Nou4111 receive no furttier
correspondence about this visit:
Comments (refer to question #)..;Explain:any�YES answers and/or any recomet►ettdations or. any other come
Use drawings bf facility to,better c.icPlain Situations. (use additional pages as.necessary) i.
913 146 l Oda on -5i
9
pfril cf. sulG%eaC'S f,-Wk oh I
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes [:]No
❑ Yes ❑ No
❑ Yes XfNo
❑ Yes
❑ No
❑ Yes
EaNO
❑ Yes
0
❑ Yes
o
❑ Yes
No
❑ Yes
No
❑ Yes
No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: %