760036_PERMITTING_20171231

FARM NAME: - vwgg L
FARM NUMBER: Ite - %,
OWNER/CONTACT: CAgA6 , IL d
TELEPHONE: 6�- i - ee5b
DATE
COMMENTS
1 u j l a, t a
00

State of North Carolina
Department of Environment and Natural Resources RECEIVED
Division of Water Quality WATERQQP+tVfY SEM
Non -Discharge Permit Application Form mAY- 16 2000
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
General Permit - Existing Animal Waste OperatiorN, 015chbm" Petm"
The following questions have been completed utilizing information on file with the Division. Please
review the information for completeness and make any correSlions that are appropriate. If a
question has not been completed by the Division, please complete as b%Wfl[()E44=Do not leave
any question unanswered. l`i.C. Dept. of EHNR
1. GENERAL INFORMATION:
J U t 1 1 2000
1.1 Facility Name: Terrells Double TT-GkaaA22 &
zsatein
1.2 Print Land Owner's name: Eugene Terrell Winstoneffiee
CA N.0
1.3 Mailing address: 3811 Ho 'ver Hill Road
City, State: Trinily NC _ _ Zip: 2737D
Telephone Number (include area code): 861-5033
L4 County where facility is located: Randolph
1.5 Facility Location (Directions from nearest major highway. Please include SR numbers for state roads. Please include a copy
of a county road map with the location of the farm identified): _Take 64 -West. Make a right on Hoover Hill Road. Farm
located on the left.
1.6 Print Farm Manager's name (if different from Land Owner): c�
1.7 Lessee's / Integrator's name (if applicable; please circle which type is listed):
1.8 Date Facility Originally Began Operation: 01/01/62
1.9 Date(s) of Facility Expansion(s) (if applicable):
2. OPERATION INFORMATION-
2.1 Facility No.: 76 (county number); 36 (facility number).
2.2 Operation Description: Cattle operation
Non -Dairy
200- Certified Deb ;n Capacity
Is the above information correct? 5Dyes; 1:1 no. If no, correct below using the design capacity of the facility
The "No. of Animals" should be the maximum number for which the waste management structures were designed.'
TY.P.0 of Swine No. of Animals Type of Poultry No. of Animals T e� of Cattle No. of Animals
• Wean to Feeder • Layer • Dairy
• Feeder to Finish • Non -Layer • Beef
• Farrow to Wean (# sow) • Turkey
• Farrow to Feeder (# sow)
• Farrow to Finish (# sow)
Other Type of Livestock on the farm: No. of Animals:
FORM: AWO-G-E 5/28/98 Page 1 of 4 76 - 36

2.3 Acreage cleare5dd and available for application (excluding all required buffers and areas not covered by the application
system): 43-5' : Required Acreage (as listed in the AWMP): 3
2.4 Number of lagoons/ storage ponds (circle which is applicable): C),
2.5 Are subsurface drains present within 100' of any of the application fields? YES or O (please circle one)
2.6 Are subsurface drains present in the vicinity or under the lagoon(s)? YES or (please circle one)
23 Does -this facility meet all applicable siting requirements? (Swine Farm Siting Act, NRCS Standards, etc.) (Swine Only)
t4 ltYES or NO (please circle one)
What was the date that this facility's swine houses and lagoon were sited?
What was the date that this facility's land application areas were sited?
3. REQUIRED ITEMS CHECKLIST
Please indicate that you have included the following required items by signing your initials in the space provided next to each
item.
3.1 One completed and signed original and one copy of the application for General Permit - Animal
Waste Operations;
3.2 Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is land applied;
3.3 Two copies of the entire Certified Animal Waste Management Plan (CAWMP). If the facility
does not have a CAWMP, it must be completed prior to submittal of a general permit application
for animal waste operations.
The CAWMP must include the following components. Some of these components may not
have been required at the time the facility was certified but should be added to the
CAWMP for permitting purposes:
/3.3.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available
Nitrogen (PAN) produced and utilized by the facility.
✓3.3.2 The method by which waste is applied to the disposal fields (e.g. irrigation,
/ injection, etc.)
"3.3.3 A map of every field used for land application.
✓313.4 The soil series present on every land application field.
13 3.5 The crops grown on every land application field.
/13.6 The Realistic Yield Expectation (RYE) for every crop shown in the WUP.
✓3.17 The PAN applied to every land application field.
✓3.3.8 The waste application windows for every crop utilized in the WUP.
✓3.3.9 The required NRCS Standard specifications.
� .3.10 A site schematic.
1/3.3.11 Emergency Action Plan.
�'3.12 Insect Control Checklist witb chosen best management practices noted.
3.3.13 Oder Control Checklist with chosen best management practices noted.
3.14 Mortality Control Checklist with the selected method noted.
3.3.15 Lagoon/storage pond capacity documentation (design, calculations, etc.). Please be
sure to include any site evaluations, wetland determinations, or hazard classifications
that may be applicable to your facility.
✓3.3.16 Operation and Maintenance Plan.
If your CAWMP includes any components not shown on this list, please include the
additional components with your submittal.
Applicants Initials
]C:-T—
Er
FORM: AWO-G-E 5/28/98 Page 2 of 4 76 - 36

•
Facility Number: 76 - 36
Facility Name: Terrells Double TT Charolais
4. APPLICANT'S CERTIFICATION:
I,
•
FtE ID oN
WAR Q
Noltawov FW014
(Land Owner's name listed in question 1.2), attest that
this application for ie�_cr tL I c \t Lkg'- b E E L I (Facility name listed in question 1.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application package
will be retur�dt incomplete.
Signature _
5. MANAGER'S CERTIFICATION* (complete only if different from the Land Owner)
I, 1�-�r*�.a v� C'_r-1 M C_L,, ____ ___ (Manager's name listed in question 1.6), attest that this
application for r rr-E (Facility name listed -in quesiinn 1.I)
has been reviewed by me and is accurate and complete to the best of my knowledge..I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application package
will be returne incomplete.
Signature a^^-�� _ Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON -DISCHARGE PERMITTING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NORTH. CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
FAX NUMBER: [phone]
FORM: AWO-G-E 5/28/98 Page 3 of 4 76 - 36

•
•
DIVISION OF WATER QUALM REGIONAL OFFICES (INN)
Asbeville Regional WQ Supervi�or
59 Woodfin Place
Asheville, NC 28901
(5�g) 251-6208
Fax (9 --g) 251-6452
Avery Mac=
Buncombe Madison
Burim
McDowell
Caldwell
Mitchell
Cbesak�e
Polk
Clay
Rutherford
Graham
Swain
Haywood
Transylvania
Hendon
Yancey
Jackson -
Fayetteville Regional WQ Supervisor
Wacbovia Building, Suite 714
Fayexteville, NC 2S301
(910) 48& 1541
Fax [phone]
Washington Regional WQ supmvisor
943 Washington Square Mill
Washington, NC 27989
(25z) 946-6481
Fax (; 975-3716
Beaufort Jones
Bade Lenoir
C:bowszf
Pamlico
Craves~
Pasquot &
Ctrxituck..
Perquimaas
Dare
Pitt
Garr$
Tyrell
Creme
Washing=
Henford
Wayne
Hyde
Mooresville Regional WQ Supe7Yisor
919 Notch Main Sued
Mo=ville, NC 29115
[phone]
Fax C704) 663-6040
ucigb Regional WQ Supavis r
3800 Baaar Dr.
Raleigh, NC 27611
[phone]
Fax [phone]
Cbarbam
Nash
Durham
Norttsampton
Edgecombe
Franklin
Orange
Per=
Granville
Vance
Halifax
wake.
Jn6tastaa
Waaza
Lee
Wilson
Wtimi.ngtoa Regina WQ Sapasvisor
127 Cardinal Drive Extension
Wilmington. NC 2MS-3845
[phone]
Fax [phone]
Anson Moore Alexander Unaoln Brunswick New Haaovcr
Bladcn Richmond Caba=S Mecklenburg Cut= Omlow
Cun*exiand Robeson Catawba Rowan Columbus Pmdear
Hz neu Sampson Cleveland Stanly Duplin
Hoke Scotland Gaston Union
Montgomery bedell
Wharton -Salem Regional WQ Suprsvicar
595 Waughtowa Strerx
Wiastoo-Salem, NC 27107
03Q 7714600
Fax b-;L) 771-4S1
A]atnmcc Rockixtglsam
Alleghany Randolpb
Asbe
Stakes
Caswell
Smry
Davkl=
Watauga
Davie
Willies
Funny
Yadkin
Guilford
W
FORM: AWO-G-E SI U198 Page 4 of 4

Certification Amendment for Cattle Facilities
Facility Number Facility Name
Number of Animals Facility is Certified for Date of Certification
Please indicate the maximum number of animals that your animal waste management system is designed to
accommodate:
Dairy Milking
Dry cows
Heifers
Calves
Beef Brood Cows
Feeders
Stockers
TOTAL CONFINED ANIMALS **
** If this total is equal to the number that your facility is certified for, you do not need to complete the rest of this
form. If the above total number of animals is different than your certified number but it is what your technical
specialist evaluated when your facility was certified, please have your technical specialist amend the certification by
completing the section below. If your facility was not previously evaluated and certified for the maximum design
capacity, you must have a technical specialist re -certify your facility. Your certification number should be the
maximum number of animals (cows, heifers, calves, etc.) that your animal waste management system can
accommodate.
Please use the space below to describe the operation.
Amended Certification (only needed if the incorrect number of animals was previously certified):
By signing this you are certifying that the animal waste management system at this facility has been evaluated for
the maximum number of animals that it can appropriately accommodate; however, the original certification did not
correctly represent this number, (shown above as Total Animal Number).
Farm owner/applicant
Signature
Date
Farm manager (if applicable)
Signature Date
Technical Specialist
Signature Date
Phone Number ( )
N.C. DIVISION OF WATER QUALITY
NON -DISCHARGE PERMITTING UNIT
1617 MAIL SERVICE CENTER,
RALEIGH, NORTH CAROLINA, 27699-1617

State of North Carolina*`1.f '
Department of Environment • 0
and Natural Resources f
Division of -Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary NCDENR
Kerr T. Stevens, Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
June 16, 2000 RECEIVED
Damon Hannah N.C. Deft. o.f EHNR
Terrells Double TT JUN 2 9 2000
3811 Hoover Hill Road
Trinity NC 27370 Winston-Salem
Regional Office
Subject: Certificate of Coverage No. AWC760036
Terrells Double TT
Cattle Waste Collection, Treatment,
Storage and Application System
Randolph County
Dear Damon Hannah:
In accordance with your application received on May 16, 2000, we are forwarding this
Certificate of Coverage (COC) issued to Eugene Terrell, authorizing the operation of the subject animal
waste collection, treatment, storage and land application system in accordance with General Permit
AWG200000. This approval shall consist of the operation of this system including, but not limited to,
the management of animal waste from the Terrells Double TT, located in Randolph County, with an
animal capacity of no greater than 200 Non -Dairy and the application to land as specified in the Certified
Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until April 30, 2003. Pursuant to this COC,
you are authorized and required to operate the system inconformity with the conditions and limitations
as specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of wastes to
surface waters. An adequate system for collecting and maintaining the required monitoring data and
operational information must be established for this farm. Any increase in waste production greater than
the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the CAWMP and this COC and shall be completed prior to
actual increase in either wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the
General Permit or the CAWMP may result in the revocation of this COC, or penalties in accordance
with NCGS 143-215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive
relief.
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This
request shall be made within 30 days of notification by the Division.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Certificate of Coverage A9760036
Terrells Double TT
Page 2
This COC is not automatically transferable. A name/ownership change application, must be
submitted to the DWQ prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the
right to apply for an individual non -discharge permit by contacting the engineer listed below for
information on this process. Unless such a request is made within 30 days, this COC shall be final and
binding.
The subject farm is located in the Winston-Salem Regional Office. The Regional Office Water
Quality Staff may be reached at [phone]. If you need additional information concerning this
COC or the General Permit, please contact JR Joshi at [phone] ext. 363.
Sincerely,
'� Kerr T. Stevens
cc: (Certificate of Coverage only for all cc's)
RandolphCounty Health Department
Winston-Salem Regional Office, Water Quality Section
Randolph County Soil and Water Conservation District
Permit File
NDPU Files

WASTE UTILIZATION PLAN
Producer: Daeeond-Hanah
Location: 3811 Hoover Hill Road ( Terrell Double
Trinity, NC 27370
Telephone: [phone]
Type Operation: Non -Dairy
Number of Animals: 200 Cows
(design Capacity)
j ssc � p�1
TT Charolias)aj 16 1)UJ
Non -Discharge Pstmitbng
The Waste from your animal facility must be land applied at a specified rate to prevent pollution of
surface and/or groundwater. The plant nutrients in the animal waste should be used to reduce the
amount of commercial fertilizer required for the crops in the fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient. Waste should be analyzed before
each application cycle. Annual soil tests are strongly encouraged so that all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization plan in order to maximize the
fertilizer value of the waste and to ensure that it is applied in an environmentally safe manner. Always
apply waste based on the needs of the crop to be.grown and the nutrient content of the waste. Do
not apply more nitrogen than the crop can utilize. Soil types are important as they have different
infiltration rates, leaching potentials, cation exchange capacities, and available water holding
capacities. Normally waste shall not be applied to land eroding at greater than 5 tons per acre per
year. With special precautions, waste may be applied to land eroding at up to 10 tons per acre per
year. Do not apply waste on saturated soils, when it is raining, or when the surface is frozen. Either
of these conditions may result in runoff to surface waters which is not allowed under DEM regulations.
Wind conditions should also be considered to avoid drift and downwind odor problems. To maximize
the value of nutrients for crop production and to reduce the potential for pollution, the waste should
be applied to a growing crop or applied to bare ground not more than 30 days prior to planting.
Injecting the waste or disking will conserve nutrients and reduce odor problems.
The estimated acres needed to apply the animal waste is based on typical nutrient content for this
type of facility. Acreage requirements should be based on the waste analysis report from your waste
management facility. Attached you will find information on proper sampling techniques, preparation,
and transfer of waste samples to the lab for analysis.
This waste utilization plan, if carried out, meets the requirements for compliance with 15A NCAC
2H.0217 adopted by the Environmental Management Commission.

0
1ASTE UTILIZATION PLAN continued
SWjd/Llquik ;
200 cows x (0.57 ft3/day-cow) x (365 days/yr) x (12.5 % confinement) = 5,170 W/year
200 cows x (0.57 ft3/day-cow) x (120 days/yr) x (12.5 % caafinerne t) = 1,700 ft3/3-mo,
Runoff from feedlot: ne runoff generated from the field lot enters into the open "drystack" and leaves the structure
almost immediately via a 12 inch pipe. The structure will be designed to withstand a 24-hour,
25-year storm event. We believe this is still an over -design since the chances of the large pipe or
the conveying structure is minimum.
Rainfall for 24-hr, 25-yr storm = 6.2 inches
Lot area (from CAD) = 6,950 ft2 (the existing free stalls will be guttered)
Drystack Dimension = 80' long and 12' wide, 80 x 12 = 960 ft2
Total Area =6,950 + 960 = 7,910 ft2
Volume required = 7,910 ft (6.2/12)ft =4,087 ft3
Assume 50% of this flow remains in the structure during the rainfall event
4,087 ft x (50%) = 2,043 f'
Volume required = 2,043 ft3+ 1,700 ft3 = ft3
Salidlliauid: 200 cows x (36 lb PAN/head-yr) = 7.M lb PA ear.
(PAN from N. C Tech. Guide Std. 633, table 78, brood cow)
Note: Since the liquid.waste will be land applied by level spreader, only the solid waste (5,170 F13) should he
Included in the calculation.
You should plan time and have appropriate equipment to apply the waste in a timely manner. The fallowing acreage will
be needed for waste application based on the crop to be grown and surface application:
2

kASTE UTILIZATION
•
PLAN (continued)
Table 1: ACRES OWNED BYPRODUCER
Tract
Field
Soil
Crop
Lbs. N*
Acres
Lbs. N
Month of
#
#
10
Per Ac.
Utilized
Aeplication
9476
6
Ma C
Fescue
(3 tonX37.51b Nhon)=l 12.5
3.3
371.2
Feb To April
(grazed)
Au st to Oct
7
Wt C
Fescue
(4.8 ton)(37.5 lb NAon)= 190
20.0
3600.0
Feb to April
(grazed)
August to Oct
11
WpC
Fescue
(4.2to037.5lbN/WW157.5
4.51
710.3
Feb to April
(!;=)
August to Oct
12
Wp C
Fescue
(4.2 tonx37.5 Ib N/ton)= 157.5
4.5
708-. 7
Feb to April
August to Oct
13
Wt C
Fescue
(4.8 ton)(37.5 lb Mon)= 180
L0.3
1854. 0
Feb to April
WW14
August to Oct
14
Wt C
Fescue
(4.8 tonX37S 1b Nhon)= 180
&6 0
1440.0
Feb to April
0 )
Au st to Oct
TOTAL 150.61
8684.12
'this N is from mimal waste only. Unutrients from other sour= xxh as aerial fatilim era Applied, they Must be aow mted far. N must bc,used 29 W.[ir�icYield eMxAggm,
(1) The applicator is cautioned that Pend K may be over q yAW while mmdarg the N requiremeata. Begixtmg m 1996 the Coastal Zone ManaDmumt Act
vrW require farmers in some eastern vouaties of Nash Carolina to have a nutrient manog tplan that ad&== all nutria tee This plan only addres =
N'drogm.
(2) Reduce the N recomrawdation by 25%due to grazing ofpastare (ex. 50 lb Khan x 0.75) a 37.5 lb N1ton
(3) The produ= has cleared more land than shown on the map. The total amount the land available is estimated to be abed fifty (50) acres. 'The amount of
land cleared to be verified.
(4) Harmst and crop information is provided by Charles Hunt
Table 2: ACRES WITH AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowner must be attached)
(Required only if operator does not own adequate land)
(See Required Specification 2)
Tract
#
Field
#
Soil
Type
Crop
Lbs. N"
Per Ac.
Acres
Lbs. N
Utilized
Month of
Application
TOTAL (NONE REQUIRED)

tASTE UTILIZATION PLAN continued
* See Footnote for Table 1.
ACRES
TOTALS FROM ABOVE TABLES
Lbs. N Utilized
Table 1 50.61. ' 8684.2
Table 2 0 0
TOTAL 56. b 1. - - -5684.2
Amount of N Produced
Surplus or Deficit
7,200
1484 . deficit
NOTE; The Waste Utilization Plan must contain provisions for periodic land
application of sludge at agronomic rates. The sludge will be nutrient rich and will
require precautionary measures to prevent over application of nutrients or other
elements.
See attached map showing the f elds to be used for the utilization of waste water.
APPLICATION OF WASTE BY IRRIGATION
Field No.
(AC)
Soil
Type
Crop
AppL
Rate
hMr.
Max. Appl,
AmtlCycle
Inches
Max
Cycles
Per
Year
Total #
Appi.
AC -In
Travel
Speed
F min
THIS TABLE IS NUTNEEDED IF WAM IS NOT WNG APPLIED BY MUCIAMON, HOWEVER, A SIMH AR TABLE V4LL BE NUM FOR DRY Lrl mKoR SLURRY.
4

•
'ASTE UTILIZATION PLAN continued
Your existing facility, (drystack), contains approximately 180 days of storage and the temporary
storage must be removed on the average of once everyfi MONTHS.
Call the local Natural Resources Conservation Service (formerly Soil Conservation Service) or Soil
and Water Conservation District office after you receive the waste analysis report for assistance in
determining the amount per acre to apply and the proper application rate prior, to applying the waste.
NARRATI VE OF OPERATION. -
REQUIRED SPECIFICATIONS
1. Animal waste shall not reach surface waters of the state by runoff, drift, manmade
conveyances, direct application, or direct discharge during operation or land application.
Any discharge of waste which reaches surface water is prohibited. Illegal discharges are
subject to the assessment of civil penalties of $10,000 per day by the Division of
Environmental Management for every day the discharge continues.
2. The Field Office must have documentation in the design folder that the producer either
owns or has long term access to adequate land on which to properly apply the waste. If
the producer does not own adequate land to properly dispose of waste, he shall provide
NRCS with a copy of a written agreement (sample enclosed) with a landowner who is
within a reasonable proximity, allowing hinvher the use of the land for waste application
for the life expectancy of the production facility. It is the responsibility of the owner of
the facility to secure an update of the Waste Utilization Plan when there is a change in
the operation, increase in the number of animals, method of utilization, or available land.
3. Animal waste shall be applied to meet, but not exceed, the Nitrogen needs for realistic
crop yields based on soil type, available moisture, historical data, climate conditions, and
level of management, unless there are regulations that restrict the rate of application for
other nutrients.
4. Animal waste may be applied to land that has a Resource Management System (RS) or
an Alternative Conservation System (ACS). If an ACS is used the soil loss shall be no
greater than 10 tons per acre per year and appropriate filter strips will be used where
runoff leaves the field. These filter strips will be in addition to `Buffers" required by
DEM. [See FOTG Standard 393 - Filter Strips and Standard 390 (Interim) - Riparian
Forest Buffers.]
5

'PASTE UTILIZATION PLAN (continued)
5. Odors can be reduced by injecting the waste or disking after waste application. Waste
should not be applied when the wind is blowing.
6. When animal waste is to be applied on acres subject to flooding, it will be soil
incorporated on conventionally tilled crop Iand. When applied to conservation tilled
crops or grassland, the waste may be broadcast provided the application does not occur
during a season prone to flooding. [See "Weather and Climate in North Carolina" in
the Technical Reference - Environment file for guidance.]
7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that
runoff does not occur offsite or to surface waters and in a method which does not
cause drift from the site during application. No ponding should occur in order to
contr6l conditions conducive to odor or flies and provide uniformity of application.
8. Animal waste shall not be applied to saturated soils, during rainfall events, or when
the surface is frozen.
9. Animal waste shall not be applied on actively growing crops in such a manner that no
more than 20 to 25 percent of the leaf area is covered.
10. Waste nutrients shall not be applied in fall or winter for spring planted crops on
soils with a high .potential for leaching. Waste nutrient loading rates on these soils
should be held to a minimum and a suitable winter cover crop planted to take up
released nutrients. Waste shall not be applied more than 30 days prior to planting of
the crop on bare soil.
11. Animal waste shall not be applied closer than 25 feet to surface water. This
distance may be reduced for waters that are not perennial provided adequate
vegetative filter strips are present. [See Standard 393 - Filter Strips]
12. Animal waste shall not be applied closer than 100 feet to wells.
13. Animal waste shall not be applied closer than 200 feet of dwellings other than
those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property and public right-of-
ways.
2

0
'PASTE UTILIZATION PLAN continued
15. Animal waste shall not be discharged into surface waters, drainageways or
wetlands by a discharge or by over -spraying. Animal waste may be applied to prior
converted wetlands provided they have been approved as a land application site by a
"technical specialist." Animal waste should not be applied on grassed waterways that
discharge directly into water courses, and on other grassed waterways, waste shall be
applied at agronomic rates in a manner that causes no runoff or drift from the site.
16. Domestic and industrial waste from washdown facilities, showers, toilets, sinks,
etc., shall not be discharged into the animal waste management system.
17. Lagoons and other uncovered waste containment structures must maintain a
maximum operating level to provide adequate storage for a 25-year, 24-hour storm
event in addition to the one (1) foot mandatory freeboard.
18. A protective cover of appropriate vegetation will be established on all disturbed areas
(lagoon embankments, berms, pipe runs, etc.). If needed, special vegetation shall be
provided for these areas and shall be fenced, as necessary, to protect the vegetation.
Vegetation such as trees, shrubs, and other woody species, etc. are limited to areas where
considered appropriate. Lagoon areas should be kept mowed and accessible. Lagoon
berms and structures should be inspected regularly for evidence of erosion, leakage, or
discharge.
19. If animal production at the facility is to be suspended or terminated, the owner is
responsible for obtaining and implementing a "closure plan " which will eliminate the
possibility of an illegal discharge, pollution and erosion.
20. Waste handling structures, piping, pumps, reels, etc., should be inspected on a regular
basis to prevent breakdowns, leaks, and spills. A regular maintenance checklist should
be kept on site.
7

WASTE UTILIZATION PLANAGREEMENT
Name of Farm: Terrel.l.Double TT Charolias
Owner/Manager Agreement
I (we) understand and will follow and implement the specification
and the operation and maintenance procedures established in the
approved animal waste utilization plan for the farm named -above, I
(we) know that any expansion to 'the existing design dapacity of the
waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the
Division of Environment Management (DEM) before the new animals are
stocked. I (we) also understand that there must be no discharge of
animal waste from this system to surface wasters of the state from
a storm event less severe than the 25-year, 24-hour storm. The
approved plan will be filed on -site at the farm office and at the
office of the local Soil and Water Conservation District and will
be available for review by OEM upon request.
Name of Facility
(Ptanse print)
Signature Date:
Name of ManagW differen from owner) a Damond Hanah
Signature: ZDate:
Ham- of Technical Specialist: (please print) Rene
Affiliation: NRCs, usDA
Address (Agency) : 241 S14aset Avenlule,
Asheboro, NC 27203
336-318-M90
Signature: Date:

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AG �J

RANDOLPH COUNTY SOIL AND WATER CONSERVATION DISTRICT
I OPERATION AND MAINTENANCE PLAN I
PROJECT/FARM: Terrell Double TT Charolias
DATE: 02/22/98
• A visual inspection of the waste level spreader will be performed at least once every
month. The inspector should check the condition of the berm and the vegetated area
below the structure. The inspector will need to look for signs of slope failure and
seepage on the back slope and at the toe of the berm. Also, a very close look will
need to be made to check for signs of damage due to varmint (ground hogs, muskrats,
etc.) burrows. A visual inspection should also be made after heavy rainfall events to
ensure that the structure is not experiencing erosion rills or gullies. Any problems
found should be brought to the attention of the technical specialist for repair
recommendations.
+ The down slope area of the berm will be mowed twice a year. All eroded areas shall
be repaired and stabilized. Areas that do not have an adequate ground cover shall be
reseeded to provide a vegetative cover sufficient restrain erosion. The berm and all
constructed slopes will need to be fertilized annually with 500 pounds of 10-10-10 per
acre or its equivalent.
• Maintain all waste handling equipment —pumping, loading, hauling, spreading, etc. --
in accordance with the manufacturers specifications.
• All waste application shall be completed in accordance with the waste utilization plan.
The waste storage pond will be emptied at the end of each design storage period
( 180 days or G months) or as needed due to excess rainfall.
See the attached NC Agricultural Extension Service Agri -Waste Management
Publication by Dr. James C. Barker for information on sampling and testing of the
effluent.

RANDOLPH COUNrY SOIL AND WATER CONSERVATION DISTRICT
EMERGENCY ACTION PLAN
PROJECT/FARM: Terrell Double TT Charolajs
DATE: 02/20/98
Contact the North Carolina Department of Environment, Health and Natural
Resources - Division of Water Quality - Winston-Salem Regional Office at (910) 771-
4600 if the problem occurs Monday through Friday between 8: 00am and 5:00pm. If
the problem occurs outside of those hours contact the State of North Carolina
Department of Crime Control and Public Safety - Division of Emergency Management
- Raleigh at 1-800-662-7956 or [phone]. Provide the following information:
FACILITY NAME: Terrell Double TT Charolias
LOCATION: 3811 Hoover Hill Road Trinity, NC 27370
REGISTRATION/PERMIT # %L. -'.3 b
• If there is danger to human life, downstream residences, roads, etc. call 911 of the
RANDOLPH County Sheriff's Department.
• Begin lowering the liquid level in the pond by applying waste water to nearby
irrigation fields if possible.
• Contact a contractor to begin repair of the problem to minimize off -site damage (list
the names and phone numbers of three below).
, 73, W, .
• Contact the RANDOLPH Soil and Water Conservation District at [phone].
• Contact the technical specialist who certified the waste storage pond . If this specialist
is no longer working or is not available, contact another technical specialist who has
design approval such as the Area Engineer.
NAME
PHONE NUMBER
Shaban Kai PE, CPESC
336 3I8-6490
Jegy Pate, CET
704 637-2400
Daphne Canner EIT
336 771-4600

WASTE UTILIZATION PLAN
(continued)
Soli0jquid:
200 cows x (0.57 ft'Iday-cow) x (365 days/yr) x (12.5 Flo confinement) = 5,170 ft3/year
200 cows x (0.57 ft /day -cow) x (120 days/yr) x (12.5 % confinement) = 1,700 ft3/3-mo.
Run-offfrom feedlot: The nmoff generated from the field lot enters into the open "drystack" and leaves the structure
almost immediately via a 12 inch pipe. The structure (Drystack) will be designed to withstand
a 24-hour, 25-year storm event.
Rainfall for 24-hr, 25-yr storm = 6.2 inches
Lot area (from CAD) = 6,950 ft' (the existing free stalls will be guttered)
Drystack Dimension = $0' long and 12' wide, 80 x 12 = 960 ft'
Total Area =6,950 + 960 = 7,910 ft2
Volume of drystack required = 7,910 ft2 (6.2/12)ft =4,081 fe._
Assume 50% of this flow remains in the structure during the rainfall event
4,087 ft' x (50%) = 2,043 ft
Volume required = 2,043 ft3+ 1,700 ft' = 2143 ft3
Solidlligpdd-, 200 cows x (36 lb PAN/ and-yr) = Z M Lb PA ear,
(PAIN from N,C, Tech. Guide Std 633, table 78, brood cow)
2

NOTES:
1. LEVEL SPREADER SHALL BE CONSTRUCTED ON LEVEL GROUND.
2. OUTLET LIP SHALL BE CONSTRUCTED ON COMPLETELY LEVEL GROUND
IN A STABLE AND UNDISTURBED SO11- NO DEPRESSIONS IN UP ARE
ALLOWED.
3. IMMEDIATELY AFTER ITS CONSTRUCTION. APPROPRIATELY SEED AND
MULCH THE ENTIRE DISTURBED AREA.
NCDOT #5 OR #57 -
COARSE AGGRAGATE
IN GALVANIZED WIRE.
MESH BLANKET
SECURE WIRE TO GROUND
WITH WIRE STAPLES
BURIED 6' MIN.
FILTER CLOTH
6 OZ/SY
WIRE MESH TO TIMBER
6' TREATED TIMBER
#5 RESAR TO SECURE
TIMBER- EVERY 5'
INTERVAL
0
2'
3'
YN - I FTT71 1 M-
LL
z•
LEVEL SPREADER WITH GRID LIP
N.T.S.
DIVERSION HITCH
THE DRAWING
•
9

Sam C C
:J
Lagtions all(] Nui
L-x'cssiv*c Vegetative
Accuum
0 Crust
insect Control :Ghe ck 11 sVO'rAn 1 1- it "a' I
115C
orsonds.7 e
G.' Flush �Ysieju Is.dciif�ibO.wOj "I'a—
'1111Y 10 rCl!`1OVC MMMIAWC(f �QUJ4
SUMCIe
.giitttrs s'desigiied.
Rcniuvbridging of amini I
discharge
0maill(ailt W86ulls"'..iculing bizsiu3 n'lld"
'Lift
put b �Ihi� rec aii Immit:10 '111iftim I
cites over 61 Orsfirfince;
• Decaying vege(aliun Majillaill vedelti(iv'o c6n1rdl albai'linAi'll
a I-Ced
0
—Nomnber It, .1996,.' Page I
Ingoons.alid other UP p1l.1lum ell [&-to provi
acc . uhitiIntion oNkcapi i 1 9 vegetative-RU16
along walers. edge.011 111.1110111, nteijVi.pQr
(10mis,
Wee
Dry Systems
O—Ddsign, operate and
bunkers and -troughs)
pcCumulation of decaying Wasit
BrClehn tip spilinge'ali A routine ,b `sii c r..Ui::
day iiitcrval duillig summer;A 54 Q' . dnyjlj�& al-..
during%V' Let)...
III
of teed fesiducs accuittulatioti-withbi-aii*d."-
areas by Il)S1Tr1l1g{Ir2Ill_.lge n%Vny rboul i4o.
and/or proyr ldfii�wdequnle containment (c;g:;'
-covered bill 116f brcwcr`s. gin, I ild4i
m91slurc. grAln peoducts).-
0 . Antp - e , ct. . Fortind rent - 'or.6ruktip'. I . in . I -. i m4e am
SOEtEfS q f rllCr{strlilS niouiid

Source Cause 11511's to Control htsects Site Specific Practices
Animal I lolding Arcas Accumulations oruniuiat wastes 4Rr' Eliminate low areas that tral) moisture along
and Iced ►vaslage fences and olficr locations where waste
acci umulates and disturbance by animals is
ntinhnul. � -
9' Maintain fence rows and filter strips around
anitual holdi►ig areas to minimize
liccumulatians of wastes (i.e., inspecl rur and
remove or break up necuroulaled solids as
nceded)-
Ury M-,lnurc I IalldIittg Accumulat"suns of animal ►vasics t i uillove spillage on a routine basis (e.g., 7 - 10 4 l ��
Systems Jay interval during sunnier; t 5-30 day inlcrval
duriti6 ►villicr) ►vhele mauurc is Ionlictl for la ld
applicaliun or dispusal.
R' Provide for adequale dmi iitagc around manure
stockpiles.
0 hispect for attd remove or break up accumulated
wastes in filler ships around stockpiles and
numurc handling areas as ucedcd.
For morc itifurntalion contact [tic cunllcrativc Extension Service, Department of iirituriminy, Box 7613, Nutth Carolina State University,
Raleigh, NC, 27695-7613.
t
AN -TIC- November 11, 1996, Page 2
•

SUII1'I:C
Cause
IIAII's to Minimize Odur Silc SlImilic i'ractices ^
Lill slatioils
Agilation during sump lank
O
Sump lulu: covers
tilling and drawdumc
I?nd of drainpipes at
Agilalion during waslewaler
❑
Emend discharge point of pipes undernealln
I:lgoon
conveyance �
-
lagooli liquid level
Laguutl surlilccs
Volatile gals culissiolls;
❑
Proper higoon liquid capacity;
• Biological mixing; .
d
Correct lagoon starlup procedures;
�r
• Agilatioll N
❑
M111iii111111 Spl-fhCC HrCa-lO-V0IUIIlC ratio;
O
Iblillialuili ngitalion while pumping; .
❑
Mechanical acrnlion; '
tl
CI
Proven biulugical additives
Irrigativa sprinkicr
0 11igh I}ressurc agilution;
O
Irrigate on dry days with little or uu wind;
1107-ZICS
0 Wind drift
❑
Mlnimuin recommended opernling procedure;
❑
Plump intake near lagoon liquid surface;
❑
Pulnp from second -stage lagoon
Dead birds
6 Carcass decomposition!
d
Prover dispusitioil ufcarcasses
al Ails • Carcass decomposition, O Complete covering of carcasses in burial pits;
D Proper location/construction of disposal pits;
0 Disposal pil covers light tilling
Sianding water aruund a Ilmpruper drainage; tirade and landsciipe such tint water drains
facilities a Microbial decompositiuli of away from fucililics
organic inaltcr
Mud tracked onto public Poorly inninlaincd access roads Cf farm access road maintenance
roads from farm access
Additional lisfornialiou : Availeblo From
I'ouili Nimun Mailagemmit ; 020U Rule/IIMP packet NCSU, Comity Extension Center
Poultry Layer Production Fncilily Manure IVIntiagenncnt: I nigh Rise, Deep Pit ; UDAE 13I.88 NCSU - BAE
Poultry Layer Production I nicilily Manure M1liaseincal: Uudercagc 1'lusli-Lagoon'I'rcalnment ; MAE 130-88 NCSU - BAE
Lagooln Design and Manugemenl for Livestock Mantire'l'realment and Slorage ; EBAC 103-83 NCSU - BAR
CKlibratiocn of Manure and Wastewater Application t quipment ; L:13AL- Fact Sheet NCSU - BAC
Proper Disposal of Dead Poultry ; I'S&"I' Guide No. 19 NCSU - Poultry Science
Nuisance Concernis ill Animal Manure Managcnicut: Odors and Flics ; PRO107, 1995 Conference Proceedings Florida Cooperalive Cxlclisiun
AMOC - November 11, 1996, 1'ale'7

C�
Mortality Management Methods
(check which methods) are being implemented)
Burial three feet beneath the surface of the ground within 24 hours after
knowledee of the death. The burial must be at least 300 feet from any flowing
stream or public body of water.
0' Rendering at a rendering plant licensed under G.S. 106-168.7
Complete incineration
rJ In the case of dead poultry only, placing in a disposal pit of a size and design,
approved by the Department of Agriculture
Any method which in the professional opinion of the State Veterinarian would.
make possible the salvage of part of a dead animal's value without endangering
human or animal health. (Written approval of the State 'Veterinarian must b-c'
attached)
Deeembe'r IS, 1996

Solluce
ad
:'I tIVVj--14Q1s or [mm alley
.4
C-dry slacks
411, basin sulf. ces
Dairy Farm Waste
1Vlahagelpent.'400 PC .9r.
Cause
11hil's-16 Miniinize Odor -
Dairy ptuductiull
0
'or ivo'O'ded-burk
ve vs
Recoulluclided bcs(.11mlla
91
.(joudj6dgtpch4 pful conlMOM-Schse."
zn
Wei ma.Wirc-coY6 ed sm-llkcs
'CY
-Scunlk-cir. flush -daffy..
cliecks oj,l'
mid mz'11-p1tmjtjjC'C %V
Ic -1 hychaws.'pipes. .46 k Unks,
-Y� Or SI UUgC
sl
IVIallil - M, SAII'l
, )reader Outlets
uncovered manure,
slurry orsludge Ull Ficki
Flush links
0
Pronlofe dfyillg i4fth
•
I -I c -obial (lecululicisilioll
j,
Repkice wei"Eirillififil -'t6ve C', d'u,
•
Partial 60crobial c1ccomimitioa
vitfc:lii"titi,tlr'niii.iLi-fili
7,
Parlint microbial decomposition
0 -,
1)(111uni 'r fi id-lenflo'clii
•
Mikin Willie rilling
El'
Tank C'Ovcri-
-T
Agifullboi wilcil C111131ying,
❑
13,15111 SLU..rncc IlIms 6rsbltds-
Mifflunin 1u41-IulciCfaiicl-114AUddiiiii
0
"L11,ilalc Only pyioeto lllullili� reolov'RV.
0.
UV s or,6xiii. 1
Provell biological adji" 6
•
P-Mfillt MiCrUbilll (ICC0131116shion
0
Liquid dt Ampfirom sciddil iii H
mixilli; while.lilting
JRK.
Itelmove solids rep arty'
•
Agilatiotl MIC11 cillplying
•
A&jj.I(jOjl%VljCjj spreading
0:.
Soil injccflon ufslurry/ijudg
•
Volatile g-LIs Cluissions
0
-
W.-isluesidoal manure-ft-6ni 'prendcr'-n6c(j
s
1 .
m
Rroi 6idl6gicnl ndd,iflves"or ox1 c 1.11is
.0.
Volatile gas C11115sialls while-
0
36il -inject lost oirslqlqylskudges
dryhIg
0
soffincorpomlion within 48 hrs
Prlpreid. hiAl.fln unlro'ri'll HYM r6i, rniiid ctry4jj.
Proven biological additives or oxidants -
Agimliopi ofrecyc1cd hip') -011
13
Flush link,coy.'ers;
liquid while Imiks are filling
0
xtead filijbi6s to near b6twiii of laulct
.
nilli-sip Iml vcII1S-.
(Julside (11,41111 col [CcOull • Agit.111011 (luring waslawnier
or- ip , itaim boxes conveyance
AMOC.—Moveinber 11, 1996, Page I
0. 13OXr co V rS
. . . . . . . . . . .
. . . . . . . . . . .

NM
*4 4r
i Sy
17,
IF
YV�

Name of Farm
Owner(s) Name
Mailing Addres
Ani Waste Management Plan C3tion ■
(Please or print all information that does not regt�eir signature?
Tpleasectrcle ane}, 4
acility No: _--_t 3 (D ,
hone No:M_(9 1 ,5-o 3
"a7r)3r)U
Farm Locdtivn; — County Farm is located in:T=A2 2
Latitude and Longitude: 3
0 ���/ �0� " At-
Integrator:-�-�
Please attach a copy of a county road map with location identified and describe below (Be specific: road
names directions milepost, etc. F'r2o� ,'«s+�i/1� Take 1-b or 11� [ ro l c
p ): � N �� 4
f -
a
Operation Descri lion:
Type of Swine : No. of Animals
O wean to Feeder
❑ Feeder to Finisb
❑ Farrow to Wean
0 Farrow to Feeder
❑ Farrow to Finish
0 Gilts
O Boars
Type of Poultry
Z1 Layer
0 Pullets
No. of Animals
;type of Cattle No. of Animals
IBeef
�y
Other Type of Livestock-. Number of Animals:_
Acreage Available for Application: 1v3.} Required Acreage: 43.3
Number of Lagoons /Storage Ponds, D Total Capacity: — Cubic Feet (fta)
Are subsurface drains present on the farm: YES or NO (please circle one)
If YES: are subsurface drains present in the area of the LAGOON or SPRAY FIELD (please circle one)
Owner I Manager Agreement
I (we) verify that all the above information is correct and will be updated upon changing.- I (we) understand the operation
and maintenance procedures established in the approved animal waste management plan for the farm named above and will
implement these procedures. I (we) know that any expansion to the existing design capacity of the waste treatment and
storage system 'or construction of new facilities will require a new certification to be submitted to the Division of
Environmental Management before the new animals are stocked. I (we) understand that there .must be no discharge of
animal waste from the storage or application system to surface waters of the state either 4i t t-thrott h a. man-made
conveyance or from a storm event less severe than the 25-year, 24hour storm and there mu lfrom the
application of animal waste. I (we) understand that run-off of pollutants from lounging an eavyOY
ust be
minimized using technical standards developed by the Natural Resources Conservation Service.wa6b5w ian will be
filed at the farm and at the office of the local Soil and Water Conservation District. I: (wq.-nnow that ar j edification
must be approved by a technical specialist and submitted to the Soil, and Water Conse?i;itio i,District prior to
implementation. A change in land ownership requires written notification to DEM or a new eertificadU 04r`approved
plan is changed) within 60 days of a tide transfer. r•: .
Name of Land Owner: Dn, 7" 61 ce,ya. _; c rrg-l/
Signature: i„�„ _ Date:_-/? `?
Name of Managgr(if different from owner), a A,4.r4 s
Signature: C,L.L: = ie _ _ Date: 4-17 -77
AWC •- August 1, 1997 1 -

` TOinical Specialist Certifie-on
L As a technical specialist -designated by the North Carolina Soil and Water Conseman Commission=pursuant to 15A
NCAC 6F .0005, I certify th4t the animal waste management system for the farm named above has:an animal waste
management plan that meets or exceeds standards and specifications of the Division of Environmental Management
(DEMO as specified in 15A NCAC 2H.0217 and the USDA -Natural Resources Conservation Service (MRCS) and/or the
North Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 2H.0217 and 15A NCAC 6F .0001-
.0005. The following elements are included in the plan as applicable. While each category designates a technical specialist
who may sign each certification (SD, SI, WUP, RC, 1), the technical specialist should only certify parts for which they are
technically competent.
II. Certification of Resign
A) Collection. Storage. Treatment System
Check the appropriate box
❑ Existing facility without retrofit (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with waste utilization
requirements.
;ti11i11f1/lr r
New, expanded or retrofitted facility (SD) t� ��..•
Animalcollection
waste storage and treatment structures, such as but not limited to colleon systet�p` CA CA
have been designed to meet or exceed the minimum standards and specifications. _•� �•�•i�EES$/[j�!..'9
Name of Technical Specialist (Please Print): r
Affiliation A�,970, b k)i '� .., S�y c n Date Work Completed: ':
Address (Agency): 2 r a7143 Phone No.�'ti
•..N
Signature: - Date: rJN
B) Land APDlication Site (WUP)
The plan provides for minimum separations (buffers); adequate amount of land for waste utilization; chosen crop is
suitable for waste management; hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print): a . RAII 4-- PC, �itrs+f'`
Affilia
Address
C) Runoff Controls from Exterior Lots
Check the appropriate box
❑ Facility without exterior lots (SD or WUP or RC) .
This facility does not contain any exterior lots.
ate Work Completed:
2-7203 Phone No.: 336 (., z 9 - 4gy9
Facility with exterior loth (RC)
Methods to minimize the run off of pollutants from lounging and heavy use areas
accordance with technical standards developed by NRCS.
Name of Technical
O
Address (Agency):
alist (Please Print)
AWC -- August`-, ^ ?
.0'-ZN
Work Complete%;.1v •�V�- r
Date:
No.: ' 6 7-

D). ,Application and HandliftEguipment `
Check the appropriate box s-
Existing or expanding facility with extsting_waste application equipment (WUP or I) -
Animal waste application equipment specified in the plan has been either field calibrated or evaluated in
accordance with existing design charts and tables and is able to apply waste as necessary to accommodate the
waste management plan: (existing application equipment can cover the area required by the plan at rates not to
exceed either the specified hydraulic or nutrient loading rates, a schedule for timing of applications has been
established; required buffers can be maintained and calibration and adjustment guidance are contained as part of
the plan).
rG '
ZI expanded.
orinisting Lacility w'thgut :xisljng waste U12ligation Cgpil2M;if.Qr sprav' (n
Animal waste application equipment specified in the plan has been designed to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the
plan at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of
applications has been established; required buffers can be maintained; calibration and adjustment guidance are
contained as part of the plan).
D New. exoanded, or existing facility T- ithout-exisdrtg waste ano iicauo �ipmens for land snr ading not usin
�=v_imgation. (WUP or I)
Animal waste application equipment specked in the plan has been selected_ to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment'can cover the area required by the
plan at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of
applications has been established; required buffers can be maintained; calibration and adjustment guidance are
contained as part of the plan). ;� f
Name of Technical Specialist (Please Print): lam. jo-� C.
Affiliatinn 1,L c DA — /U R K Date Work Completed:
Address (Agency); _iqf Sic� sJ
2720 S Phone No.: 33 L. 29-y�yq
E) Odor Control. Insect Control. Mortality Management and Emersencv Action Plan (SD.
SI. WUP, RC or n
The waste management plan for this facility includes a Waste Management Odor Control Checklist, an Insect
Control Checklist, a Mortality Management Checklist and an Emergency Action Plan. Sources of both odors and
insects have been evaluated with respect to this site and Best Management Practices to Minimize Odors and Best
Management Practices to Control Insects have been selected and included in the waste management plan. Both the
Mortality Management Plan and the Emergency Action Plan are complete and can be implemented by this facility.
Name of Technical Specialist (Please Print): • 6 "n
Affiliation L.A-5 t)(l -1lj R(S Date Work Cernpleted:
Address (A c ) 74f 5w, n se fAve, AVM- zo3 Phone No.: 336 G29
Sionntilra• _ _ T�ate� '3Lsf n
F) Written Notice of New or Expanding Swine Farm
The following signature block Is only to be used for new or expanding swine farms that begin construction after June
21,1996. H the facility was built before June 21, 1996, when was it constructed or last
expanded
I (we) certify that I (we) have attempted to contact by certified mail all adjoining property owners and all property owners
who own property located across a public road, street, or highway from this new or expanding swine farm. The notice was
in compliance with the requirements of.NCOS 106-805. A copy of the notice and a list of the property owners notified is
attached. 1 .
Name of Land Owner:
Signature:
Name of Manager (if different froth owner)
Date:
Signature:- I - Date:
AWC . -- August 1, 1997 3

1 � z
III. Cent: ication olInstallation = __
A) Collection, Storage. Treatment Installation
New, expanded or retrofitted facility (SI)
Animal waste storage and treatment structures, such as but not limited to lagoons and ponds, have been installed
in accordance with the approved plan to meet or exceed the minimum standards and specifications.
t"Jjjttitrri,p,r
For existing facilities without retrofits, no certification ist £cga
Name of Tech 'cal Specialist (Please Print):
Affiliation Date Wore CV-1
2
Address (Agency): Cr 4,-
Signature: r D1,
B) Laiad Application Site (W TP)
Check he appropriate box
The cropping system is in place on all land as specified in the animal waste management plan.
G Conditional Approval: all required land as specified in the plan is cleared for planting; the cropping system
as specified in the waste utilization plan has not been established and the owner has committed to establish the
vegetation as Specified in the plan by (month/day/year); the proposed cover clop is
appropriate for compliance with the wasteutilization plan.
a Also check this box if appropriate
if the cropping system as specified in the plan can not be established on newly cleared land within 30 days
of this certification, the owner has committed to establish an interim crop for erosion control;
Name of Technical Specialist (Please Print):
Affiliation_,_, &L pA N (ZCS Date Work Completed:
Address (Ag; cy):_ Z 14 1 S_L ,,,s,.J �,� � �c 6 n) _N L_?72-73 Phone No.: 6 -3.3
Si
This following signature block is only to be used when the box for conditional approval in III.. B
above has been checked.
I (we) certify that I (we) have committed to establish the cropping system as specified in my (our) waste utilization plan,
and if appropriate to establish the interim crop for erosion control, and will submit to DEM a verification of completion
from a Technical Specialist within 15 calendar days following the date specified in the conditional certification. I (we)
realize that failure to submit this verification is a violation of the waste management plan and will subject me (us) to an
enforcement action from DEM.
Marne of Land Owner:
Signature: Date:
Name of Manager (if different from owner):
Signature: Date:
AWC -- August 1, 1997

' 'C) Runoff Controls from prior Lots (RC) i 4
Facility with exterior is
Methods to minimize the run off of pollutants from lounging and heavy use ariRhave been inst0led as specified
in the plan. T Rr�.'�'.
For facilities without exterior lots no certification is necess �p4 �1/�,''•
Name of Tech 'cal Specialist (Please Print): 11
Affiliation Date Work Compete: ,/ S
V.
Address (Agency): 2- ZoS PhpneF +� r
Signature:` - Dare: .• P
D) A lication and Handling E ui ment Installation (WUP or 1)
Check the Ippropriate block-
QR
Animal waste application and handling equipment specified in the plan is on site and ready for use;
calibration and adjustment materials have been provided to the owners and are contained as part of the plan.
❑ Animal waste application and handling equipment specified in the plan has not been installed but the owner
has proposed leasing or third party application and has provided a signed contract; equipment specified in
.the contract agrees with the requirements of the plan; required buffers CO be maintained; calibration and
adjustment guidance have been provided to the owners and are contained as.pan of the plan.
❑ Conditional approval: Animal waste application and handling equipment specified in the plan has
been purchased and will be on site and installed by (month/day/year); there is adequate
storage to hold the waste until the equipment is installed and until the waste can be land applied In
accordance with the cropping system contained in the plan; and calibration and adjustment guidance have
been provided to the owners and are contained as part of the plan.
Name of Technical Specialist (Please Print): 8. QfK4v- [�e3
)n a 5 0A - A) QL S Date Work Completed:
Address
Signature:
No.:�334a Gz5-yqfq-
The following signature block is only to be used when the box for conditional approval in III D
above has been checked.
I (we) certify that I (we) have committed to purchase the animal waste application and handling equipment as
specified in my (our) waste management plan and will submit to DEM a verification of delivery and installation
from a Technical Specialist within 15 calendar days following the date specified in .the conditional certification. I
(we) realize that failure to submit this verification is a violation of the waste management plan and will subject me
(us) to an enforcement action from DEM.
Name of Land Owner:
Signature: Date:
Name of Manager (if different from owner):
Signature: Date:
E) Odor Control, Insect Control and Mortality Management (SD, SI. WUP. RC or n
Methods to control odors and insects as specified in the Plan have been installed and are operational. The
mortality management system as specified in the Plan has also been installed and is operational.
Name of Technical Specialist (Please Print): 8AA, pekrr3v+t
Affiliation' 4 - AW S - Date Work Completed:
Address (Age y): 1 5b.,s4r4 AWaro Alt Z zo 3 Phone No.:.r(c 6z9- V9
Signature: Date: a{
7.
AWC .. August 1, 1997 5

Please return the completed form to the Division of Water Quality at th_ c following address:
Department of Environment, Health, and Natural Resources
Division Of Water Quality
Non -Discharge Branch, Compliance Unit
P.O. Box 29535
Raleigh, NC 27626-0535
Please also remember to submit a copy of this form along with the complete Animal Waste
Management Plan to the local Soil. and Water Conservation District Office and to keep a copy
in your files with your Animal Waste Management Plan.
AWC -- August 1, 1997 6 -

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RANDOLPH COUNTY SOIL AND WA'r'ER CONSERVATION DISMCT
EMERGENCY ACTION PLAN
PROJECT/FARM: Terrell Double TT Charolais
DATE: 02/20/98
• Contact the North Carolina Department of Environment, Health and Natural
Resources - Division of Water Quality - Winston-Salem Regional Office at (910) 771-
4600 if the problem occurs Monday through Friday between 8-00am and 5:00pm. If
the problem occurs outside of those hours contact the State of North Carolina
Department of Crime Control and Public Safety - Division of Emergency Management
- Raleigh at 1-800-662-7956 or [phone]. Provide the following infarmati6n.
FACILITY NAME: Terrell Double TT Charolias
LOCATION: 3811 Hoover Hill Road Trinity, NC 27370
REGISTR.ATION/PERMTT 9 740 - 3 6
• If there is danger to human life, downstream residences, roads, etc. call 911 of the
RANDOLPH County Sheriff's Department.
• Begin lowering the liquid level in the pond by applying waste water to nearby
irrigation fields if possible 1
• Contact a contractor to begin repair of the problem to minimize off -site damage (list
the names and phone numbers of three below).
• Contact the RANDOLPH Soil and Water Conservation District at [phone].
• Contact the technical specialist who certified the waste storage pond . If this specialist
is no longer working or is not available, contact another technical specialist who has
desien annroval such as the Area Enizineer.
NAME
PHONE NUMBER
Shaban Ka'i PE CPESC
336 318-6490
Jerry Pate CET
704 637-2400
Daphne Canner EIT
336 7714600

EMERGENCY ACTION PLAN
PHONE NUMBERS
DWQ
EMERGENCY MANAGEMENT SYSTEM
SWCD
NRCS
7g�y.�4
I• $�'°,w Z - orLq1s) 73 3 - YV �
03 - -
-3
This plan will be implemented in the event that wastes fronyour operation are leaking,
overflowing, or running offsite. You should not wait until wastes reach surface waters or leave
your property to consider that you have a problem, You should make every effort to ensure that
this does not happen. This plan should be posted in an accessiblelocation for all employees at the
facility. The followingare some action items you should take.
1. Stop the release of wastes. Depending on the situation, this may or may not be possible.
Suggested responses to some possible problems are listed below.
A. Lagoon overflow -possible solutions are:
a. Add soil to berm to increase elevation of dam.
b. Pump wastes to fields at an acceptable rate. `
c. Stop all flows to the lagoon immediately.
d. Call a pumping contractor.
e. Make sure no surface water is entering lagoon.
B: Runoff from waste application fieldactions include:
a. Immediately stop waste application.
b. Create a temporary diversion to contain waste.
c. Incorporate waste to reduce runoff.
d. Evaluate and eliminate the reason(s) that caused the runoff.
e. Evaluate the application rates for the fields where runoff occurred.
C: Leakage from the waste pipes and sprinklers -action include:
a. Stop recycle pump.
b. Stop irrigation pump.
c. Close valves to eliminate further discharge_
d. Repair all leaks prior to restarting f
December 18, 1996

WmE
tq tJ C 7la0o 3 (x2
D: Leakage from flush systems, houses, solid separators-actioninclude:
a. Stop recycle pump.
b. Stop irrigation pump.
c. Make sure no siphon occurs.
d. Stop all flows in the house, flush systems, or solid separators.
e. Repair all leaksprior to restarting pumps.
E: Leakage from base or sidewall of lagoon. Often this is seepage as opposed to flowing
leaks- possible action:
a. Dig a small sump or ditch away from the embankment to catch all seepage, put in a
submersible pump, and pump back to lagoon.
b. If holes are caused by burrowing animals, trap or remove animals and fill holes and
compact with a clay type soil.
c. Have a professional evaluate the condition of the side walls and lagoon bottom as soon
as possible.
2. Assess the extent of the spill and note any obvious damages.
a. Did the waste reach any surface waters? "
b. Approximately how much was released and for wha� duration?
c. Any damage noted, such as employee injury, fish kills, or property damag2
d. Did the spill leave the property?
e. Does the spill have the potential to reach surface waters?
f. Could a future rain event cause the spill to reach surface waters?
g. Are potable water wells in danger (either on or off of the property)?
h. How much reached surface waters?
3: Contact appropriate agencies.
a. During normal business hours, call your DWQ (Division of Water Quality) regional office;
Phone - - After hours, emergency number. 919-733-3942. Your phone call
should include: your name, facility, telephone number, the details of the incident from item
2 above, the exact location of the facility, the location or direction of movement of the
spill, weather and wind conditions. The corrective measures that have been under taken,
and the seriousness of the situation.
b. If spill leaves property or enters surface waters, call local EMS Phone number - -
c. Instruct EMS to contact local Health Department.
d. Contact CES, phone number - - , local SWCD office phone number - - and
local NRCS office for advice/technical assistance phone number
6 r/ -0
2 December 18, 1996

•
4: If none of the above works call 911 or the Sheriff s Department and explain your problem to
them and ask that person to contact the proper agencies for you.
5: Contact the contractor of your choice to begin repair of problem to minimize off -site damage.
a. Contractors Name: 3 -"n
b. Contractors Address: ' t s 0- Z 7316
c. Contractors Phone:
( 33G
6: Contact the technical specialist who certified the lagoon (MRCS, Consulting Engineer, etc.)
a. Name:
b. Phone:
7: Implement procedures as advised by DWQ and technical assistance agencies to rectify the
damage, repair the system, and reassess the waste management plan to keep problems with
release of wastes from happening again.
December 18, 1996