760057_INSPECTIONS_20171231

Division of Water Quality
❑ Division of Sol I and Water Conservation
❑ Other Agency
Facility Number: 760057 Facility Status: Closed Permit: NC8476057 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Randolph Region: Winston-Salem
Date of Visit: 05/25/2006 Entry Time:12130 PM Exit Time: Q1 � 15 EM-
Faun Name: Bradley Coble Farm
Owner: Betty M Petty
Incident #:
Owner Email:
Phone: [phone]
Mailing Address: 6033 Old Liberty Rd Franklinville NC 27248
Physical Address:
Facility Status: 0 Compliant ❑ Not Compliant Integrator:
Location of Farm:
Latitude:35"50'33" Longitude: "
South of Greensboro, 421 to Hwy. 22. Follow 22 5 miles south of climax to Jesses Hackett Rd. Turn right across from Jesse Hackett
Road. Approximately 113 mile off Rd. Petty address: 6033 Old Liberty Road, Franklinville, NC 27248
Question Areas:
Discharges & Stream impacts
Records and Documents
Certified Operator: Bradley C Coble
Secondary OIC(s):
Waste Collection & Treatment Waste Application
© Otherlssues
Operator Certification Number: 22003
On -Site Representative[s]: Name Title Phone
On -site representative Brad Coble
Phone: [phone]
24 hour contact name Brad Coble Phone: [phone]
Primary Inspector: Melissa Rosebrock Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
Facility was inspected 5/15/06 and 05/25/06 by Melissa Rosebrock to check on closure procedures. Closure was being completed by
Brian Southers. Mr. Southers was instructed on May 15th to remove and land apply additional sludge from the bottom of the lagoon.
Lagoon was re -checked on May 25th and looked good. Kelly Whitaker with Randolph Co. SWCD supervised closure. Lagoon was
closed per NRCS standards.
Page: 1

0 1 0
Permit: NCA476057 Owner - Facility: Betty M Petty Facility Number : 760057
Inspection Date: 06/25/2006 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Wet Poultry
Wet Poultry - Non Laying Pullets I 50,000 1 0
Total Design Capacity: 50,000
Total SSLW: 100.000
Page: 2

•
•
Permit: NCA476057 Owner - Facility: Betty M Petty Facility Number: 760057
Inspection Date: 05/25/2006 Inspection Type: Compliance Inspection Reason for Vlaft: Routine
Discharges & Stream Impacts
Yes
No
NA NE
1. Is any discharge observed from any part of the operation?
❑
■
❑ ❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
■
❑ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
■
❑ ❑
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
■
❑ ❑
Z Is there evidence of a past discharge from any part of the operation?
❑
■
❑ ❑
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
❑
■
❑ ❑
discharge?
Waste Collection, Storage & Treatment
Yes
No
NA NE
4. Is storage capacity less than adequate?
❑
■
❑ ❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.eJ large trees, severe
❑
0011
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑
■
❑ ❑
or closure plan?
7. Do any of the structures need maintenanoe or improvement?
❑
■
❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
❑
■
❑ ❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑
■
❑ ❑
improvement?
Waste Application
Yes
No
NA NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
❑
■
❑ ❑
improvement?
11. Is there evidence of incorrect application?
❑
■
❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
Page: 3

Permit: NCA476057 Owner- Facility: Betty M Petty
Facility Number: 760057
Inspection Data: 05/2512006 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total P2057
❑
Failure to incorporate manurelsludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1
Fescue (Hay)
Crop Type 2
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management ❑ ■ ❑ ❑
Plan(CAWMP)?
15, Does the receiving crop and/or land application site need improvement? ❑ ■ ❑ ❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑ ■ ❑ Cl
17. Does the facility lack adequate acreage for land application? ❑ ■ ❑ ❑
18. Is there a lack of properly operating waste application equipment? ❑ ■ ❑ ❑
Records and Documents Yes No NA NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available? ❑ ❑ ❑ ■
20. Does the facility fail to have all components of the CAWMP readily available? ❑ ❑ ❑ ■
If yes, check the appropriate box below.
WUP? ❑
Page: 4

• 9
Permit: NCA476057 Owner- Facility: Betty M Petty
Facility Number:
760057
Inspection Date: 05125/2006 Inspection Type: Compliance Inspection
Reason for Vlsit: Routine
Records and Documents
Yes
No
NA
NE
Checklists?
❑
Design?
❑
Maps?
❑
Other?
❑
21. Does record keeping need improvement?
❑
❑
❑
■
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
❑
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
❑
Inspections after> 1 inch rainfall & monthly?
❑
Waste Analysis?
❑
Annual soil analysis?
❑
Crop yields?
❑
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
110
■
23. If selected, did the facility fail to install and maintain a rainbreaker,on irrigation equipment (NPDES
only)? ❑
❑
❑
■
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
❑
0
■
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
❑
❑
■
26. Did the facility fail to have an actively certified operator in charge?
❑
❑
❑
■
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
Cl
❑
■
Other Issues
Yes
No
NA
NE
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
❑
■
❑
❑
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑
Quality representative immediately.
Page: 5

Permit: NCA476057 Owner- Facility: Betty M Petty Facility Number: 760057
Inspection Date: 05/25/2006 Inspectlon Type: Compliance Inspection Reason for Visit: Routine
Other Issues Yes No NA NE
31. Did the facility fail to notify regional DWO of emergency situations as required by Permit? ❑ ■ ❑ ❑
32. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ ■ ❑ ❑
33. Does facility require a follow-up visit by same agency?
❑ ■ ❑ ❑
Page: 6

Type of Visit 0 Compliance Inspection BLOperation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 110 Routine C Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival'fime: :('v Departure Time: li County: _� CI�I�� Region:
Farm Name: .P%-,- Owner Email:
Owner Name: 2 Pitt ll Phone:
Mailing Address: > UI F�IO�hlc({ Vi, _� 2.-72L48
Physical Address:
Facility Contact: Title: Phone No: _
Onsite Representative:._ _. __ _ _ ___ ____ __ __ Integrator:
Certified Operator: W Operator Certification Number:
Back-up Operator:
Location of Farm:
Back-up Certification Number:
Latitude: FM � Longitude: ©o F(M' ®��
TYQYyt Ivbu-tO -
4w
Vo ` 11u - N . ijp
0 4 l * R,l .
'T I R., - TB I ldw -4D 5 q 5i
t ,r,
- 7 /
n l 2u,•
r,r,
a�n.osr ,,, pc, u# Z! .
Design Current Design Current Design Current
<, Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
i❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
r.
■ --
1N1� f VI 6 w"M
Dry Poultry
❑ La ers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifei
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
e. What is the estimated volume that reached waters of the State (gallons)?
Number of Structures: FE
d. Does discharge bypass the waste management system'? (If yes, notify DWQ)
2. Is there evidence of a 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?
[]Yes
[)7No
❑ NA
❑ NE
❑ Yes
❑ No
ERNA
❑ NE
❑ Yes
❑ No
[jkNA
❑ NE
&'NA
❑ NE
❑ Yes
❑ No
❑ Yes allo ❑ NA ❑ NE
❑ Yes WNo ❑ NA ❑ NE
12128104 Continued

-70- • •
Facility Number: S7
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
KNo
❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA ❑ NE
Structure l Structure 2 Structure 3 Structure 4
Structure
5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity
f any of the structures observed?
❑ Yes
[ 2 No
❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
97No
❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or
environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
RNo
❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑Yes
M'No
El NA El NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
9 No
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
Qlo
[I NA ❑ NE
maintenance/improvement?
] I. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
�lo
❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN> 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drifl ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
Eld�o
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
E(No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination
-❑ Yes
'ONo
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
RrNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
UfNo
❑ NA
❑ NE
Comments (refer to;�question #}: Explain any YES, answers and/or any recommendations or any other evmmeats.
Use drawings of facility to better explain situations., (use additional pages as necessary):
q. 13VaOak weei ar.�i dIx. &&Y,,. wAj" - (4we.;J&v Ic660-1. 4Z IX CUTA&
Reviewerlinspector Name. ` ,.:. �, . a it ��zbsr y`:I Phone:
MLI
Reviewer/Inspector Signature: �,� Date: I i L2L
12128104 Continued

Facility Number: *of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ❑ No ❑ NA ❑ NE
20. Does the facility fail to have ail components of the CAWMP readily available? If yes, check ❑ Yes RNo ❑ NA ❑ NE
the appropirate box.
❑ WUP El Checklists El Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. []Yes ®No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers []Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1 ° Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes <No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes El No KNA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ❑ No 5j�NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes [51'No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ;R'No ❑ NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes I)�No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
gNA
❑ NE
and report the mortality rates that were higher than normal?
30, At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
W No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
®No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application){
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
t_�No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
E:No
❑ NA
❑ NE
AdditionahComments and/or Drawings:
12128104

41ate
0
Facility Number: -
of Inspection
Technical Assistance Needed
Provided
34. Waste Plan Revision or Amendment
❑
❑
35. Waste Plan Conditional Amendment
❑
❑
36. Review or Evaluate Waste Plan w/producer
❑
❑
37. Forms Need (list in comment section)
❑
❑
38. Missing Components (list in comments)
❑
❑
39.21-1.0200 re -certification
❑
❑
40. Five & Thirty day Plans of Action (PoA)
❑
❑
41. Irrigation record keeping assistance
❑
❑
42. Organ ize/computerization of records
❑
❑
43. Sludge Evaluation
❑
❑
44. Sludge or Closure Plan
❑
❑
45. Sludge removal/closure procedures
❑
❑
46. Waste Structure Evaluation
❑
❑
47. Structure Needs Improvement
❑
❑
48.Operation & Maintenance Improvements
❑
❑
49. Marker check/calibration
❑
❑
50. Site evaluation
❑
❑
51. Irrigation Calibration
❑
❑
52. Irrigation system design/installation
❑
❑
53. Secure irrigation information (maps, etc.)
❑
❑
54.Operating improvements (pull signs, etc.)
❑
❑
55. Wettable Acre Determination
❑
❑
56. Evaluate WAD certification/rechecks
❑
❑
57. Crop evaluation/recommendations
❑
❑
58. Drainage work/evaluation
❑
❑
59. Land shaping, subsoiling, aeration, etc.
❑
❑
60. Runoff control, stormwater diversion, etc.
❑
❑
61. Buffer improvements
❑
❑
62. Field measurements(GPS, surveying, etc.)
Cl
❑
63. Mortality BMPs
❑
❑
64. Waste operator education
❑
❑
65.Operation & maintenance education
❑
❑
66. Record keeping education
❑
❑
67. Crop/forage management education
❑
❑
68. Soil and/or waste sampling education
❑
❑
69. PLATJJ
❑
❑
rr�� �n,
70.Other [�j6Q\, LMJ�• M.-I
❑
List Improvements Made b�� Operation:
1. 4.
2.
43
3. 6. 12128104

Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 760057 Facility Status: Active Permit: AWP760057 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: $Qgtine ._ County: Randolph Region: Winston-Salem
Date of Visit: 07/07/2005 Entry Time:12000 PM Exit Time: 01:00 PM
Farm Name: Bradley Coble Farm _-
Owner: Betty M Petty
Incident M
Owner Email:
Phone
Malling Address: 6033 Old Liberty Rd ECanklinville NC 27246_
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant
Location of Farm:
Integrator:
Latitude:35°50'33" Longitude: 79°42'28"
South of Greensboro, 421 to Hwy. 22. Follow 22 5 miles south of climax to Jesses Hackett Rd. Turn right across from Jesse
Hackett Road. Approximately 113 mile off Rd. Pettyaddress: 6033 Old Liberty Road, Franklinville, NC 27248
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other Issues
Certified Operator: Bradley C Coble
Secondary OIC(s):
Operator Certification Number: 22003
On -Site Representative(s): Name Title Phone
On -site representative Bradley Coble Phone:
24 hour contact name Betty Petty
Primary Inspector: M a M
Inspector Signature:
Secondary Inspector(s):
Phone: [phone]
Phone: [phone]
Ext.383
Date:
Phone:
Phone:
Inspection Summary:
7. Dam has been mowed and most all burrow holes repaired. Looks great.
15. Need to spray for broadleaf weeds in the hay fields. There is a good stand of grass underneath the weeds in the upper fields,
however.
21. 2005 soil samples have been sent and operator is awaiting results.
Waste analyses:
4112/05=0.12
6124/05=0.17 lbs. N11000 gal. and sludge is 2.1 lbs. N/ton
Page: 1

Permit: AWPT60057 Owner - Facility: Betty M Petty Facility Number: 760057
Inspection Date: 07/07/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Wet Poultry }
Wet Poultry - Non Laying Pullets 50,000 , 0
Total Design Capacity: 50,000
Total SSLW: 100,000
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
Lagoon LAGOON 48.00
Page: 2

•
•
Permit: AWP780057
Owner- Facility: Betty M Petty
Faculty Number: 760057
Inspection pate: 07/07/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Qi�,h;;ngfls & Stream Impacts Yes No NAME
1. Is any discharge observed from any part of the operation? ❑ 0 ❑ ❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
000
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
0 ❑
❑
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
■ ❑
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
0 ❑
❑
3. Were there any adverse Impacts or potential adverse impacts to Waters of the State other than from a discharge?
❑
YPs
0 ❑
No NA
❑
NE
Waste rQllertion. Storage & TfQatm ent
4. Is storage capacity less than adequate?
❑
M ❑
❑
If yes, is waste level Into structural freeboard?
❑
5. Are there any Immediate threats to the integrity of any of the structures observed (Led large trees, severe erosion,
❑
0 ❑
❑
seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management or
❑
M ❑
❑
closure plan?
7. Do any of the structures need maintenance or Improvement?
❑
0 ❑
❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits, dry stacks
❑
M ❑
❑
and/or wet stacks)
g. Does any part of the waste management system other than the waste structures require maintenance or
❑
■ ❑
❑
improvement?
Yes
No NA
NE
Waste Ao_nlicatlon
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or Improvement?
❑
M 0 ❑
11. Is there evidence of incorrect application?
❑
0 ❑
❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
PAN?
❑
Is PAN a 10%/10 lbs.?
❑
Total P205?
❑
Failure to Incorporate manurelsludge Into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1 Fescue (Hay)
Crop Type 2
Crop Tyke 3
Crop Type 4
Crop Type 5
Page: 3

• r
Permit: AWP760057 Owner - Facility: Betty M Petty Facility Number: 760057
Inspection Date: 07/07/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management Plan(CAWMP)?
❑
■ ❑
❑
15. Does the receiving crop and/or lend application site need improvement?
N
❑ ❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
❑
0 ❑
❑
17. Does the facility lack adequate acreage for land application?
❑
■ ❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
Yes
E ❑
Nn NA
❑
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
E ❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
❑
❑
If yes, check the appropriate box below.
WUP?
❑
Checklists?
❑
Design?
❑
Maps?
❑
Other?
❑
21. Does record keeping need improvement?
❑
moo
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
❑
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
❑
Inspections after a 1 inch rainfall & monthly?
❑
Waste Analysis?
❑
Annual soil analysis?
❑
Crop yields?
❑
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■
❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
❑
0
❑
❑
24. Did the facility fall to calibrate waste application equipment as required by the permit?
❑
0
❑
❑
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
0
❑
❑
26. Did the facility fall to have an actively cerlified operator In charge?
❑
0
❑
Cl
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
■
Cl
❑
Page: 4

0
Permit: AWP760057 Owner- Facility: Betty M Petty
Inspectlon Date: 07/07/2005 Inspection Type: Compliance Inspection
Facility Number: 760057
Reason for Visit: Routine
Qlburlz.5US5
26. Were any additional problems noted which cause non-compliance of the Permit or CAWMP7
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those mortatity
rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air Quality
representative immediately.
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
32. Did Reviewer/Inspector fail to discuss reviewlinspection with on -site representative?
33, Does facility require a follow-up visit by same agency?
Yes No NA NE
❑ ■ ❑ ❑
❑ ■ ❑ ❑
❑ ■ ❑ ❑
O ■ ❑ ❑
❑ ■ ❑ ❑
O ■ ❑ ❑
Page: 5

Type of Visit Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit yRoutine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: Arrival Time: 4+9 Departure Time: P ounty:�► I Region: 05+—C
Farm Name: 1v.,CD Owner Email: C�
Owner Name: P e Phone:
d 3 L` Fr&r- - 11 h Vi e M(-- a7��
Mailing Address: (P dId t �� Y'`�1 t�-(� • 1 __I_
Physical Address: 4301;6 _�
Facility Contact: e Or Trtle� Phone No: Fired b8S— r 9
Onsite Representai
Certified Operator . - -
Back-up Operator:
Integrator:
Operator Certification Number: .,e1Qs'] 33
Back-up Certification Number:
Location of Farm: Latitude: Mr In I ail Longitude: ER
4)-I 56 � From GSb . +o y a a �o 4- C I� rVt o�X .
jbt �l i f �441 -�y rn r I a'TOS.S -F6r4 R 5S �.f
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
LJ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
Layer
Other
❑ Other
Dry Poultry
❑
La ers
❑
Non -Layers
❑
Pullets
❑
Turkeys
❑
Turkey Poults
❑
Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
Design Current
Cattle Capacity Population
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifer
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocket
❑
Beef Feeder
❑
Beef Brood Cowl
I
c. What is the estimated volume that reached waters of the State (gallons)?
Number of StrActures: al
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
2. Is there evidence of a 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?
❑ Yes
�No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE
12128104 Continued

Facility Number: —7 6 Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
�(No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure
5 Structure 6
Identifier: LAA00n
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
)<No []NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or
environmental
threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
No El NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
o ❑ NA ❑ NE
maintenance or improvement?
I
Waste_ Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
XNo ❑ NA ❑ NE
maintenance/improvement?
11, Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
o ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge
into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drifl ❑ Application Outside
of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes IgNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? Yes ❑ No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination"❑����Yes fN
o El NA ❑ NE
17. Does the facility lack adequate acreage for land application? Elo ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? El Yeso ❑ NA ❑ NE
RC��oest(reVfe`r to question #) 'Explain any YES ainswers'andlaoranyrewciag*mmw'eA' dFsdh ons,ot � anothecomments.
a",W4 inUse' drawingsomacility to betterexplain situadcns:�(nse additional pages as�necessary) �
�R o
Reviewer/Inspector Name a _rb Phone:
Reviewer/Inspector Signature: Date:
12128104 Continued

E
Facility Number: — Dsf Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropirate box. ❑ WDp ❑ Checklists ❑ Design El Maps ❑Other
21. Doe record keeping need im ovement? If yes, chee he appropriate box ow. ❑ Yes ❑ No ❑ NA ❑ NE
Waste A lica 'on Weekl Freeboard Waste Analysis Soil Ana sis
�r Y Y Y
Rainfall Stocking Crop Yield onthly and V Rain Inspections eather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes LJ'No ❑ NA El NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? El Yes No El NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No El NA El NE
25, Did the facility fail to conduct a sludge survey as required by the permit? �b Yes No ❑ NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other issues
❑ Yes
X'o
❑NA
❑NE
[IYes
[INo
)(NA
❑ NE
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than nonnal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (iel discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes
No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
�No
❑ NA
❑ NE
❑ Yes
o
❑ NA
❑ NE
❑ Yes
o
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
Additional Comments and/or Drawings:
1;Z1d5-
12128104

ical Assistance Site Visit Re
DWon of Soil and Water Conservatioill
Natural Resources Conservation Service
Soil and Water Conservation District
Other...
Facility Number 7fi - 57 Date: 1219104 Time: 1 1030 1 Time On Farm: 40 WSRO
Farm Name Bradley Coble Farm County Randolph Phone: [phone]
Mailing Address 6033 Old Liberty Road Franklinville NC 27248
Onsite
Representative Integrator
Type Of Visit Purpose Of Visit
® Operation Review
❑ Compliance Inspection (pilot only)
❑ Technical Assistance
❑ Confirmation for Removal
❑ No Animals -Date Last Operated:
❑ Operating below threshold
❑ Swine ® Poultry ❑ Cattle ❑ Horse
Design Current
Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
O Routine
O Response to DWQ/DENR referral
O Response to DSWC/SWCD referral
O Response to complaint/local referral
O Requested by produce rlintegrator
O Fallow -up
O Emergency
O Other...
Design Current
Capacity Population
❑ Layer
® Non -Layer
O Routine
O Response to DWQ/DENR referral
O Response to DSWC/SWCD referral
O Response to complaint/local referral
O Requested by produce rlintegrator
O Fallow -up
O Emergency
O Other...
Design Current
Capacity Population
❑ Layer
® Non -Layer
1 50000
0?
❑ Dairy
❑ Non -Dairy
I
d
❑ Other
GENERAL _(QUESTIONS:
1. Is waste discharging from any part of the operation and reaching surface waters or wetlands? ❑ yes ® no
2. Is there evidence of a past waste discharge from any part of the operation that waste reached ❑ yes ® no
surface waters or wetlands?
3. Does any problem pose an immediate threat to the integrity of the waste structure (large trees, ❑ yes ® no
seepage, severe erosion, etc.)?
4. Is there evidence of nitrogen over application, hydraulic overloading or excessive ponding ❑ yes ® no
requiring DWQ notification?
5. Is there evidence of improper dead animal disposal that poses a threat to the environment ❑ yes ® no
and/or public health?
6. is the waste level within the structural freeboard elevation range for any waste structure? ❑ yes ® no
Structurel Structure 2 Structure 3 Structure 4 Structure 5
Identifier 1
Level (Inches) +14
CROP TYPES esc2
SPRAYFIELD
SOIL TYPES
7. What type of technical assistance does the onsite representative feel is needed? (list in comment section)
03/10/03

Facility Number 76 - 57 Date:
12/9/04
PARAMETER
O No assistance provided/requested
❑ 8. Waste spill leaving site
TECHNICAL ASSISTANCE Needed
Provided
❑ 9. Waste spill contained on site
[110, Level in structural freeboard
25. Waste Plan Revision or Amendment
❑
❑
❑ 11. Level in storm storage
26. Waste Plan Conditional Amendment
❑
❑
27. Review or Evaluate Waste Plan wlproducer
❑
❑
❑ 12. Waste structure integrity compromised
® 13. Waste structure needs maintenance
28. Forms Need (list in comment section)
❑
❑
29. Missing Components (list in comments)
❑
❑
[114. Over application >= 10% & 10 lbs.
❑
❑
[115. Over application < 10% or < 10 lbs.
30. 2H.0200 re -certification
❑ 16. Hydraulic overloading
31. Five & Thirty day Plans of Action (PoA)
❑
❑
32. Irrigation record keeping assistance
❑
❑
❑ 17. Deficient irrigation records
❑ 18. Latelmissing waste analysis
33. Organizelcomputerization of records
❑
❑
❑ 19. Late/missing lagoon level records
34. Sludge Evaluation
❑
❑
❑ 20. Late/missing soils analysis
® 21. Crop needs improvement
35. Sludge or Closure Plan
❑
❑
❑ 22. Crop inconsistent with waste plan
36. Sludge removal/closure procedures
❑
❑
37. Waste Structure Evaluation
❑
❑
[123. Irrigation maintenance deficiency
❑ 24. Deficient sprayfield conditions
38. Structure Needs Improvement
®
❑
39.Operation & Maintenance Improvements
®
❑
40. Marker check/calibration
❑
❑
Reaulatory Referrals
41. Site evaluation
❑
❑
❑ Referred to DWQ Date:
42. Irrigation Calibration
❑
❑
❑ Referred to NCDA Date:
El
El
❑ Other...
43. Irrigation system designlinstallation
Date:
44. Secure irrigation information (maps, etc.)
❑
❑
LIST IMPROVEMENTS
45. Operating improvements (pull signs, etc.)
❑
❑
MADE BY OPERATION
46. Wettable Acre Determination
❑
❑
1
47. Evaluate WAD certificationtrechecks
❑
❑
48. Crop evaluationlrecommendations
®
❑
2.
49. Drainage work/evaluation
❑
❑
50. Land shaping, subsoiling, aeration, etc.3.
51. Runoff control; stormwater diversion, etc.
❑
❑
❑
❑
52. Buffer improvements
❑
❑
53. Field measurements(GPS, surveying, etc.)
❑
❑
4.
54. Mortality BMPs
❑
❑
55. Waste operator education (NPDES)
❑
❑
5'
56. Operation & maintenance education
❑
❑
57. Record keeping education
❑
❑
6
58. Croplforage management education
❑
❑
59. Soil and/or waste sampling education
❑
❑
03/10/03

Facility Number 76 - 57 Date: 12/9/04
COMMENTS:
*no one on site at time of visit, will try to reschedule to records •
*lagoon - level @ 14in below top peg
- good veg on upper side
- veg on steep sides has been cut recently
**groundhog holes found - 2 on backside near spray field, 2 on steep corner (older), 1 near pump house (20ft to right) - fresh
& large
---->need to eradicate animals and fill holes ASAP
Ids - sprayfld behind lagoon is getting over grown with briars, grass is becoming sparse - need to address
- other sprayflds - good veg cover, minimal weeds
---> spray heads/pipes - look in good condition
*rain gauge - reads 1.4in during visit
*Doesn't appear to be any animals on site
*Talked to Mrs. Petty after visit. Brad got sick & was not able to meet. They have not pumped this year, so no records to
review.
TECHNICAL SPECIALIST 113etsy K. Gerwig
1111C3i1AVj;3A
Date Entered: 12/14/04 1 Entered By: jBetsy K. Gerwi
3 03/10/03

Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
(Reason for Visit *Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 76 57 gate of Visit: 9/13/2004 Time: 1330
Not Operational O Below Threshold
® Permitted ® Certified 13 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: .........................
Farm Name: BradIcy C.019-Egrail............................................................................... County: Ptaaft1pli......................................... WSRQ........
Owner Name: Hrdj .'.MY ................................ ft.tty ............................................................ Phone No:Q3.61.824-5.80-9 .....................
Mailing Address: �U .AId. ik�rzy.�aa.d.................................................................... F..raattiliavi,Ug..NC................................................ 2.7.2.48 .............
Facility Contact: UrAd.C.Qb...or.ftfy.1Petxy.......................Title:................................................................ Phone No: 610,59.19-Hrad ....................
Onsite Representative: Uy#a,Cpbjc..................... . Integrator:..............
Certified Operator:B.rajilcy..0.............................COW ............... ................................. Operator Certification Number:22003 .............................
Location of Farm:
'south of Greensboro, 421 to Hwy. 22. Follow 22 5 miles south of climax to Jesses Hackett Rd. Turn right across from Jesse
Hackett Road. Approximately 113 mile off Rd. Petty address: 6033 Old Liberty Road, Franklinville, NC 27248
❑ Swine ® Poultry ❑ Cattle ❑ Horse Latitude 3S • SO '
33 �' Longitude 79 a 42 ' 28 "
Design
Current Design
Current
Design Current
Swine Capacity,
Population. Poultry. Capacity
Population. Cattle
Capacity Population
❑ Wean to Feeder
❑ Layer
❑ Dairy
❑ Feeder to Finish
® Non -Layer 50000
JEI Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Design Capacity!:
50,000
❑ Gilts
❑ Boars
Total SSLw
F 100,000
Number of Lagoons
1
Spray Field Area
Dischar es & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed,.was the conveyance man-made? ❑ Yes ❑ No
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
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: ..........Lagoon....................................................................... ..........
Freeboard (inches): 22
12112103 Continued

Facility Number: 76-57 1*Date of Inspection 9/13/2004
0
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ® No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes ® No
closure plan?
(if any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ® No
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 ❑ Yes ® No
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes ® No
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
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 ® No
c) This facility is pended for a wettable acre determination? ❑ Yes ® No
15. Does the receiving crop need improvement? ® Yes ❑ No
16. Is there a lack of adequate waste application equipment? ❑ Yes ® No
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ® No
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ® No
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional ❑ Yes ® No
Air Quality representative immediately.
Reviewer/Inspector Name Melissp Rpsebrock n
0
Reviewer/inspector Signature: " VVI,_ VIA Q f a 1I,A A _ I .K'J&41 ,(hJjL,#L__— Date:
12112103 L IContinued

• Facility Number: 7b-57 I of Inspection 9/13/2004
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes ® No
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes ® No
23. Does record keeping need improvement? If yes, check the appropriate box below.
® Yes ❑ No
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ® Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes ® No
25. Did the facility fail to have a actively certified operator in charge?
❑ Yes ® No
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes ® No
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes ® No
28. Does facility require a follow-up visit by same agency?
❑ Yes ® No
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes ® No
NPDES Permitted Facilities
30.
Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
❑ Yes
® No
31.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
32.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
33.
Did the facility fail to conduct an annual sludge survey?
❑ Yes
❑ No
34.
Did the facility fail to calibrate waste application equipment?
❑ Yes
❑ No
35.
Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ Stocking Form ❑ Crop Yield Form []Rainfall ❑ Inspection After V Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
12112103

Type of Visit OLCompliance Inspection O Operation Review O Lagoon Evaluation I
iReason for Visit %Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of visit:
Permitted 13 Certified 0 Conditionally Certified [3 Registered
Farm Name:
Owner Name:
Mailing Addr
Facilitv Contz
Onsite Repres
Certified Operator:.„,.
Location of Farm:
US, 4al 5oxHh, `b �� ;IQ . Vollow 9wJ�
RNTune:
Not Operational O Below Threshold
Date Last Opera or Abo e r old:
County: .. ........ _ _ _
63'�
'Phone No: _ �L
_
Phone No:
Integrator: _.. . __..._._. ..... .___......._.__........_ _.. _.._..
CEBOperator Certification Number:..,....-___,
0_1t
V Latitude ( �®• a « Longitude • 4 [[
[3 Swine Raultry [3 Cattle ❑Flares L,� i � �
Swine
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
El Farrow to Finish
❑ Gilts
El Boars
wOther
r f , ; Total Design Capaaityk,.
]Total �SSL�V
M
i�eldm4Mpende�/:finlui
Discharses & Stream Iruaacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Coliection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate. Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches): d.d+
❑ Yes No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes No
❑ Yes o
❑ Yes No
Structure 6 `` '"'
12112103 A& Continued,

Facility Number: Date of inspection
5. Are there any immediate threats to the Iftity of any of the structures observed? (ie/ treESsevere erosion, ❑ Yes o
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes No
closure plan?
(If any of questions 4.6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes No
8. Does any part of the waste management system other than waste structures require maintenancerimprovement? ❑ Yes /o
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes )�0
elevation markings?
Waste Application
10. Are there any buffers that need maintenance) mprovement? ❑ Yes�To
I 1. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes lW
❑ Excessive Ponding ❑ PAN ❑ HydraulX Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type
13. Do the receiving crops fer with those desi ' d Certified Animal Waste Management Plan (CAWMP)? ❑ Yes o
14. a) Does the facility lack adequate acreage for land application? ❑ YesNo
b) Does the facility need a wettable acre determination? ❑ Yes ` No
c) This facility is pended for a wettable acre determination? ❑ Yes o
15. Does the receiving crop need improvement? NfYes ❑ No
16. Is there a lack of adequate waste application equipment? �❑ Yes No
Odor issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below E3 Ves S
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes o
I9. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes No
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional ❑ Yes No
Air Quality representative immediately.
Reviewer/Inspector
Reviewer/Inspector
Field Cony ❑ Final Notes
Date:
12112103 L v 1 Continued

IMN
Facility Number: — 977 D to of Inspection
Required Records & Documents
21. FaiI to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
No
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
NY
(ie/ WUP, checklists, design, ma s, etc.)
❑ Yes
o
23. Does cord keeping need' vement? If s, check the appropriate box below.
❑ Yes
4'No
Waste Application Freeboard ante Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ YesIN
25. Did the facility fail to have a actively certified operator in charge?
❑ Yes
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
28. Does facility require a follow-up visit by same agency?
❑ Yes29.
Were any additional problems noted,which cause noncompliance of the Certified AWMP?
❑ Yes
NPDES permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
ElYes
No
X
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑Yes
❑ No
32. Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
33. Did the facility fail to conduct an annual sludge survey?
❑ Yes
❑ No
34. Did the facility fail to calibrate waste application equipment? ❑ Yes ❑ No
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit,
03. (2ecArd � ���t.� �4�+' eebo�
a3 . Dec !e4__ a0o3 SO' Is ? . e
/V C_,j A
P �
12112103
v

ision of Water Quality °
ision of Soil and Water Conservation
O Other Agency
Type of Visit OO Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit 0 Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 76 57 Date of Visit: 1Z/1912043 Time: f300
I re Not Operational O Below Threshold
Permitted ■ Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above 'Threshold: 1.> 00/129A.
Farm Name: �Jadley.GQGtle.i?tiCmt............................................................. County: ROMAQWL....................-.......... W.Ei.O.....
Owner Name: Bt'Jty-�---------------- P.ett`1[---•------------------------- Phone NO:(�3St1�4�$9�I11et�Y1--------------------
Mailing Address:4Q33..0Jt1.Llbe.rty..RQ.9d.................................. ........................... ... ... JFr.aixklimyill�..�l�.............................................. ,Z<7.148 ..............
Facility Contact: Jlr�lttCitkllti.P.s.betty.P.ettx.................Title:............................................... Phone No:b,�$.5919.(liitsdll......
Onsite Representative:l k3'_P_Qt----------------------------------------- Integrator:-------------- ---------------------------..
Certified Operator:RrAdjay..C,........................... CQblp.................................................. Operator Certification Mlinher.�ZQQ.3 .............................
Location of Farm:
South of Greensboro, 421 to Hwy. 22. Follow 22 5 miles south of climax to Jesses Hackett Rd. Turn right across from Jesse
Hackett Road. Approximately 1/3 mile off Rd. Petty address: 6033 Old Liberty Road, Franklinville, NC 27248
❑ Swine ® Poultry ❑ Cattle ❑ Horse Latitude 35 • Longitude 79 • 42 28 «
Design Current
Swine Canaeity Ponulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current-'
Poultry Capacity Population Cattle Capacity Po ulation ,-
❑ Layer I I Dairy
® Non -Layer 50000 0 ❑ Non -Dairy
❑ Other
Total Design Capacity 50,000
Total SSLW 100,000
Number of Lagoons i J Jo Subsurface Drains Present JJI..1 Lagoon Area
Holding Ponds I Solid Traps 0 ❑ No Liquid Waste Management System
Disehar~_es & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'?
b. If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
y Field Area
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ® Spillway ❑ Yes ® No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:-------Lin---------------------•-----•--•--•---------------------------........................... ........................... ...........................
Freeboard (inches): 24
05103101 -;iy qo 9 3 / Continued

Facility Number: 76-57 0 Date of Inspection 12/19 22003 •
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ® No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? Yes ®No
(if any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ® Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ® No
Waste Application
10. Are there any buf%r5 that need maintenance/improvement? ❑ Yes ® No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload [ ❑ Yes ® No
12. Crop type Fescue (Hay)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
® No
b) Does the facility need a wettable acre determination?
❑ Yes
® No
c) This facility is pended for a wettable acre determination?
❑ Yes
® No
15.
Does the receiving crop need improvement?
❑ Yes
® No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
® No
Renuired
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
® Yes
❑ No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
® No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
® Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
®No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
® No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
® No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
® No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
® No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ® No
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
❑ Field Copy ® Final Notes
Continue efforts to cut vegetation on the corn of the dam, especially the trees. Dam looks much better this year. Need to repair a
groundhog hole.
19. Per permit, need to record waste level each week.
19. Don't forget to use the acreage from the CAWMP on the IRR-2 forms.
19. Need to obtain soil sample by the end of December for 2003.
21. Conducted inspection with Mrs. Petty. '
Operator wants to close lagoon this year if possible.
Reviewer/[nspector Name iMelissa Rosebrock
0
T
Reviewer/Inspector Signatu
Date:
05103101 . I . Continued

Facility Number: 76-57 1 1) 6
f Inspection 12/19/2003
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover'?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
Al
J
05103101

•
0?_PM
Type of Visit � C mpliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit Routine O Complaint O Fallow up O Emergency Notification O Other ❑ Denied Access
[lute or visit:
Facility Number
Permitted 13 Certified © Condbiti1o_njally Certified [3Registered
Farm Name: t 1r%1 i l l o11 l f151(li P Pti rm
Owner Name: t
f,
Mailing Address: v 3
Facility Contact: P r a d �Dbl e ''
Onsite Representative: 5'
Certified Operator:�'
Location of Farm.
T(nCm nU nll D1 firn ran !A; L s�.-- i,<
Time:
Mr
Date Last Operated or Ab ve Threshold: t�TO
County:
Phone No: 3
�L a
Phone No:33
Integrator: r ~J
Operator Certification Number:
ve a e,
m
�1 Gross prat tGe yeti T ®. ®� c e ta=zn.
❑ Swine ® Poultry ❑ Cattle Horse Latitude
Design Current
twine uapacity o uianon
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
Boars
Design Current Design Current
Poultry Cavacity Population Cattle Ca aci ?ovulation
❑ Layer I JE1 Dairy
Non -La er d ❑ Non -Dal
❑ Other
Total Design Capacity
`'Number of Lagoons ., ..
Holding fonds [Solid Traps
Total SSLW
Subsurface Drains Present ❑❑ LI aeoon A
No Liquid Waste Management
Discharges 8& Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
WasteCollection y Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? [Spillway
Structure l Structure 2 Structure 3 Structure 4 Structure 5
Identifier: StrG)
Freeboard (inches):
05103101
SpraySprny Field Area
❑ Yes KNo
El Yes El No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes �No
❑ Yes No
❑ Yes No
Structure 6
Continued

Facility Number: — S Date of Inspections 3
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(if any of questions 4-6 was answered ves, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do anv stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Annlication
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of ovel application? r ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
13. Do the receiving crfs differ with thos't des'igbaf'ed in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facilitylack 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?
eauired Records & Documents
17. Fail to have Certificate of Coverage &: General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DIN Q of emergency situations as required by General Permit?
(ie! discharge, freeboard problems. over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes XNo
❑ Yes [(Io
Yes ❑ No
❑ Yes A No
❑ Yes �No
❑ Yes No
❑ Yes !!l No
❑ Yes No
❑ Yes ftyNo
❑ Yes No
❑ YeslNo
No
❑ YesNo
❑ Yes
Yes ❑ No
❑ Yes
Yes
/❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
rNNo
o
No
No
No
No
No
X
No
0 No violations or deficiencies.were noted during this visit You will receive no further correspondence about this
tvisit.
y 3;�'..� I .;6'n:X„°..,. ..,,p;�an,�.itd �"' - . :., J9 r� .i ♦t(-� ,..iC�»=,=u wnaii,^Y t€# °"i:�Fi�d a tbt zY"'-w�' ti9a6 °7?::fW�J@ o-?+Rc-si4:�»w•=".�T::tKa�€.�s?^I S..a bi'�!`' at'! !`�i``,iF���?j;�'t## '� '�1�.8�� � L,
ComtAents prefer to goest3oiti ..E plain aay irES answers and/or,any,°reeommendahons
Use drawings of fucility to better explain sttiations:.(use addiEtonaE pages as necessa `ry) t�� Field Copy El Final Notes l;
y
ta•-a"�,.il.:°'�.,.�.�%:+�,.:�I.n«,.s.«a:;�a:�.... _�.''_�'�ils3�.:tam..,.�r��..:��s;,f�.p�''.F<�,�r.a.. �_w�. .a�.,��_a..��...,,,�r.«�..�--�-�-�^-�.--.—•-.»,-,�,,,.,..,...,._-, �!. a�'
�• C.e��.o d� W� LmAz - pu�
fA
.
f
Reviewer/Inspector Name � � r ��� h. � V � 1•
��:.Y~�(.�.:r �
...Y.y�bfL.'psi}1�Fti.�"..17W:1"�����Y.i�.xuf�s'fdt Mi. �i'..,
Reviewer/Inspector Signature. Date:
05103101 v % . i V— v Condnued

Facility Number: Date of Inspection 1141�1
Odor JuM
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
EJ yes lqo
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
*o
J
00. bs, A/ 000 I
1 /6,3 aos lbs. N /Orno
i%ea' t ride a�� enw��pt

o�C;F w A r�, Q
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E., Director
Division of Water Quality
CERTIFIED MAIL
January 9, 2003 EIVED
,'
RETURN RECEIPT REQUESTED
-- , Pt' Of EHNR
Bradley Coble
JAN 1 2003
Bradley Coble Farm
6033 Old Liberty Road
Franklinville NC 27248
Subject: Application for Renewal of Coverage under
the State Non -Discharge General Permit
Dear Permittee:
Your facility is currently approved for operation under one of the Animal Waste Operation General Permits. These permits expire on
April 30, 2003. The Division of Water Quality (Division) staff is currently in the process of renewing these permits and is scheduled
to have the permit reissued by early April 2003. Once the permit is reissued, your facility would be eligible for continued coverage
under the reissued permit.
Although you have informed the Division previously that you are not currently operating your facility, the current permit issued to you
requires that the permit remain active until the animal waste management system (lagoons and/or waste ponds) are properly
permanently closed. Therefore, it will be necessary for you to submit the enclosed form.
The Division has published a public notice regarding these renewed general permits. A copy of the draft animal waste
operation general permits and fact sheets are available at the website http://h2o.enr.state.nc.us/ndpul
or by writing or calling:
Non -Discharge Permitting Unit
NC Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Telephone number: (919) 7334083, ext. 574
Enclosed you will find a Permit Coverage Renewal Application Form. The application form must be completed and returned within
60 days from receipt of this letter. You must include a copy of your most recent Waste Utilization Plan with the application -form.
Failure to request renewal of your coverage under a general permit within the time period specified may result in a civil penalty.
Operation of your facility without coverage under a valid general permit would constitute a violation ofNCGS 143-215.1 and could
result in assessments of civil penalties of up to $25,000 per day.
If you have any questions about the draft general permits, the enclosed application, or any related matter please feel free to contact at
919-733-5083 extension .
Sincerely,
L/
Kim H. Colson, P.E.
Cc: Randolph Soil and Water Conservation District
Winston--Salem'Regi9naLt f ce,Divi! iiin o%Wafe-r-!QJICp
Permit File AWP760057
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Customer Service Center
An Equal Opportunity Action Employer
NCDENIR
Intemet http://h2o.enr.state.nc.us/ndpu
Telephone [phone] Fax [phone]
Telephone [phone]
50% recycled110% post -consumer paper

Type of Visit ® Compliance Inspection O Operation Review O Lagoon Evaluation I
Reason for Visit ® Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 76 57 Uatc nl' Vitiit: 812212UO2 Time,
I♦ Not Operational Q Below Threshold
Permitted E Certified 13 Conditionally Certified [3 Registered Date Last Operated or Above Threshold: 1101.1".0....
Farm Name: DrAdIa.CC.Alzlie..F.arm........................................................ ...................... County: RAjjdMjp1j ......................................... WSEA........
Owner Name: fjr Adjry................................... 'Coble ........................................................... Phone No: Q3,6;Z4-S&A9..RcRty...........................................
Mailing Address: W33.01LIberty-RRaid..................................... . E.�tt�l�i i ilia..N.C............................. . 2.72.48 .............
.............................. ..................
Facility Contact: > rAd.CGctbtico r.Aguy.F.aly....................... Title:................................................................ Phone No: Jab„G8,5.5919.ArAd...........
Onsite Representative: [ r&.UgjjX.d'efty.................... . Integrator: ............................................................................
Certified Operator:JUMWIeXX . ........................... C.Uble.
Location of Farm:
Operator Certification Number:229,}3.............................
south of Greensboro, 421 to Hwy. 22. Follow 22 5 miles south of climax to Jesses Hackett Rd. Turn right across from Jesse
Sackett Road. Approximately 1/3 mile off Rd. Petty address: 6033 Old Liberty Road, Franklinville, NC 27248
❑ Swine ® Poultry ❑ Cattle ❑ Horse Latitude Longitude 79 • 42 28
Design Current
Swine w'"" Ca acit Rap elation
Design "
Poultry Ga acit
Current Design CurM` re t
P,o elation Cattle Ca acit Po u lafion
Feeder
❑ Layer
❑ Dairy
Finish
® Non -Layer
50000
0 ❑ Non -Dairy
o Wean
Othero
Total Design Capacity
Total SSLW
50,000
100,000
rFeedert
o Feeder❑
Finish
g7m—ajLagoons
/Solid Traps
1 ❑ Subsurface Drains Present ❑LagoonArea ® Spray Field AreaEH:61ng�Fonds
® ❑ No Liquid Waste Management System
Discharges 4& 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? (Ii' 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 b
Identifier:..........Lagoan....................................................................................................................
Freeboard (inches): 30
05103101 Continued
7a/ ��

Facility Number: 76--57 Dale of Inspection I gn=0020
,
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes IN No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? El Yes ®No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ® Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ® No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
11, Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ® No
12. Crop type Fescue (Hay) Timothy, Orchard, & Rye
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ® No
b) Does the facility need a wettable acre determination? ❑ Yes ® No
c) This facility is pended for a wettable acre determination? ❑ Yes ® No
15.
Does the receiving crop need improvement?
❑ Yes
® No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
® No
Required
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
® No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
Oe/ WUP, checklists, design, maps, etc.)
❑ Yes
® No
t9.
Does record keeping need improvement? Gel irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
® No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
® No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
® No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
® No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
® No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
® No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
® No
113
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
❑ Field Copy ® Final Notes
7. Could not inspect dam thoroughly due to excessive vegetation. Operator had done a good job of mowing the top and the toe of the
dam, but the outside slopes were still too.heavily vegetated. Slopes need to be mowed or sprayed with a broadleaf herbicide or DWQ
will have to issue a Notice of Violation after next inspection.
19. Per operator, waste has not been applied since October 1998 so no soil or waste records are required. Operator should be aware,
however, that if any waste is removed from the lagoon (for irrigation, gardening, etc.) a waste sample is required and records are to be
kept on IRR-I and II fortes. CAWMP and permit would need to be revised if applying on crops other than those listed in the CAWMP.
IAII oaoerwork was available and freeboard records look eood. I r.l
Reviewer/Inspector Name [M
Reviewer/Inspector Signature:
Rosebrock /}
Date: 19 % a'51-/0
05103101 Continued

Facility Number: '7b-57 D01' lnspcctim, r-8/2-2/2-00-2-1 0
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
's address: 4308 Jess Hackett Rd., Climax, NC, 27233
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
® Yes ❑ No
❑ Yes ® No
❑ Yes ❑ No
J
05103101

q6°jo
Dlrrision°ofeWater Qnellty
g3f,''k
,si>iioaoiSolhand Watertnserr�tion
y, -
O !
4:"
Other _Agetuy
n
- r. a _- . � - ,- ,.., a ..d i .. _ _ � . _ , .. , � .o .... .i, t .a � .. , � 1€ •�, .. � .. €. ,.� .. ,., -�+n � � �.., .; �:....�:'!$ x.w
Type of Visit ?k Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit Routine O Complaint O Follow up 0 Emergency Notification 0 Other
❑ Denied Access
Date of Visit: Time: LY�J
Facility Number �D-E= :j
of O erational 9 Below Threshold
Permitted Certifie 0 Conditionally Certified 0 Registered Date Last Operato or Ab v7hr hold:
Farm Name: Q t� County:
Owner Name:
Mailing Address:
Facility Contact:
On site Representative:
Mrs- & '
Certified Operator: GtlC-& '��d 11try
❑ Swine
Swine :
Poultry
Phone No:
2A rly! 1 N �
Phone No:K573_*
Integrator: NONE t5 raj
Operator Certification Number:
❑ Cattle ❑ Horse Latitude Longitude e
Design Current " . Design Current Design ' Current ,
Ca acitv;''Pa ulatton _ Poultry! �,..� :Cap�cit� Popuiation -Cattle.-_`,.�. �,lCapac�Wi.:Population�p
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
i
❑ Farrow to Finish
❑ Gilts
`
❑ Boars
Nnrnber�'of Lagoons r'.'' - °a Subsurface Drains Present J1E1 Lagoon Are
Holding 'Ponds t.Solid',Traps ,® ❑ No Liquid Waste Management System
Dischar es & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
WWasteCol1kction & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3 XSpillway
Structure 4 Structure 5
Identifier; LM DO
Freeboard (inches): __An
05103101
❑ Yes No
❑ Yes `❑ No
❑ Yes ❑ No
❑ Yes
❑ No
❑ Yes
No
❑ Yes
No
❑Yes
No
Structure 6
Continued

Facility Number: — Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ic/ trees, severe erosion, ❑ Yes VNo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? El Yes No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? X Yes El No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes L]Q Na
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes P(No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes o
11. Is there evidence of over a placation? El Excessive Ponding ❑ PAN ❑ Hydraulic Overload El Yes o
12. Crop typebj�
13. Do the receiving crop differ with those designated in the eertified Animal Waste MaQagement 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
I5. Does the receiving crop need improvement? ❑ Yes No
16. Is there a lack of adequate waste application equipment? ❑ Yes D4No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) / j N � ❑ Yes No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste ad0jsts & soil salple 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 X No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes No
24. Does facility require a follow-up visit by same agency? ❑ Yes No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes iNo
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit,
Comments (ri:ferita.questian #3 Ei Exphlin any Yl?s;attswers and/or any,recommenda ans or azty o er�comments.d'j
Use, °iirawtrt s?oTfacility to b&ter' explain sjtuationis. (alas°adtitttonal,pages as necessary) , „ >+ield Conv ❑ Final Notes '`€
U
t�
Y
-
V iN
LXA
Reviewer/Inspector Name"
Reviewer/Inspector Signature:
•Date: `
05103101 & \ Continued

Facility Number: Q —sU. Date of inspection
dor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes XNo
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) 9Yes ❑ No
3 l . Do the animals feed storage bins fail to have appropriate cover? ❑ Yes )i�No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? -F2��
J�AddifionM "omments!an or.' raWings yr €E �':;-Ir' " t€ ar. E',s �I,rr� 3
.. �¢ !a,.r > rr �;r, .. 6� r-. .r . ,r -.. s. r.. ...-.i:3;, . ,. -Si9
Bradley Coble
4308 Jess Hackett Rd.
Climax, NC 27233
05103101

0 0 Revised April 18, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number
Farm Name: E' Fe ���.� r_xirrY
On -Site Representative: ; 7 ,� IFU t`c)Of
t
Operation is flagged for a wettable
acre determination due to failure of
Part 11 eligibility item(s) F1 F2 F3 F4
InspectorlReviewer s Name:-_..c• �,� r;r�__. Operation not required to secure WA
determination at this time based on
Date of site visit:_ It�1�-�lL ( exemption El E2 E3 E4
Date of most recent WUP: l ! �'t Operation pended for wettable acre
determination based on P1 P2 P3
Annual farm PAN deficit: 5P4, pea�nds L)71; - +;- p ,4_ N ;:
irrigation System(s) - circle #: 1. hard -hose traveler; 2. center -pivot system; 3. linear-rnave system;
4. stationary sprinkler system w/permanent pipe; 5. stationary sprinkler system w/portable pipe;
n. stationary gun system w/permanent pipe; 7. stationary gun system w/portable pipe
PART 1. WA Determination Exemptions (Eligibility -failure, Part 11, overrides Part I exemption.)
E1 adequate irrigation design, including mp depicting �v.�tiabla acres, is complete
and signed by an I or PE. 4"ZZAAL-)
E2 Adequate D, and WD3 irrigation operating parameter sheets, including map
depicting wettable acres, is complete and signed by an I or PE..
Adequate D, irrigation operating parameter sheet, including map depicting
v:t able acres, is complete and signed by a WUP.
w 75% rule exemption as verified in Part II1. (NOTE. E: 75 °o exemption cannot be
applied to farms that fail the eligibility checklist in Part 11. Complete eligibility
checklist, Part 11 : 1c:71 F2 F3, before completing computational table in Part I1f).
PART 11. 75% Rule Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required because operation fails one of the eligibility
requirements listed below-
F1 Lack of acreage which resulted in over application of wastewater (PAN) on spray
feld(s) according to farm's last two years of irrigation records.
F2 Unclear, illegible, or lack of information/map.
F3 Obvious field limitations (numerous ditches; failure to deduct required
buffer/setback acreage; or 25% of total acreage identified in CAWMP includes
small, irregularly shaped fields fields less than 5 acres for travelers or less than
2 acres for stationary sprinklers).
F WA determination required because CAWMP credits field(s)'s acreage in excess
of 75% of the respective field's total acreage as noted in table in Part Ill.

Date fir Visit: / /¢-e7 Time: "661bEtfU/26/2000
Facility Number
10 Not O elation Oel5ir- hi-e47dd
M-Permitted © Certified C] Conditionally Certified 0 Registered Date East Operated or Above Threshold:
Farm Name: .�?G� r .. ..� % ;./n-` County; .....lj �.4.�A..............................................
............ //... ................. .....I..... .......................
Owner Name: .r. rA die �. .... �fi?..�.. ['hone No:...� � ��........�..... 4........ © ,� .................
........ �.............................................
Facility Contact:...% !..:. L...........(-............�t:......... "Title..... �!G.11.JtiY.................................. Phone No:...................................................
Mailing Address: �........v.. .......... !. ../... ....... %
OnsiteRepresentative:..,16.. �a/.,C` ...... .... ?..�.h...................... ........ Integrator: ras.o�.s„� ......��. ........................ .... 5
Certified Operator,....�4� .. ?.�...t/........
....... (!!�1..4A, ............................ Operator Certification Number:•, CO3
Location of Farm:
A/ 2-2 L► ���-,ram �u r�� trs' !—(4 r�J
tr r= A i v 5 S c n1 �1 i.%- r� M r /t- O F t~ 1 :f � 11
-..J
❑ Swine 2-1;oultry ❑ Cattle ❑ Horse Latitude Longitude • �
Design Current
Design Current
Poultry Capacity Population
❑ Layer
❑ Non -Layer " �e�oU
❑ Other
Design Current
Cattle Capacity Population
601 Dairy
Non -Dairy
❑ Farrow to Finish Total Design Capacity SZa p
❑ Gilts
❑ Boars Total SSLW p ��
Number of Lagoons
Holding Ponds / Solid Traps
❑ Subsurface Drains Present ❑ Lagoon Area X Spray Field Area
In No Liquid Waste Manaeement Svstem
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes *No
Discharge originated at: [ILagoon ❑ Spray Field [IOther
a. If discharge is observed, was the conveyance man-made? El Yes ❑ No
h. 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/rain'?
d, hoes 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 JjNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ot> or than from a discharge? ❑ Yes EZNo
Waste Collection &"Treatment
4. Is storage capacity (freeboard plus storm storage) Icss than adequate? N Spillway
JSJtructurri I Struc:tUre 2 Strur;ttru 3 Structure 4
F'A
Identifier: ....
Frechoard (inches):
5100
❑ Yes D�No
Structure 5 Strucwrc 6

Facility Number: Date of Inspection Ll d /� Printed on: 10/26/2000
5. Are there any immediate threats to the Ority of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
g'No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
El Yes
K'1Vo
(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
gNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
Y No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
rul No
_W.iste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
[R'No
11. Is there evidence of over application? []Excessive Ponding ❑ PAN [:]Hydraulic Overload
Cl Yes
5�No
12. Crop type }e ln
13. Do the receiving crops differ 4h those designated in the Certified nimal Waste Ma agement Plan (CAWMP)?
Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
RNo
b) Does the facility need a wettable acre determination?
❑ Yes
Pallo
c) This facility is pended for a wettable acre determination?
❑ Yes
XNo
15, Does the receiving crop need improvement?
❑ Yes
No
16. Is there a lack of adequate waste application equipment'?
❑ Yes
No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
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?
P.
Tq yiQla i$r>is'ei ftflcp ndo's •vvvre 0¢ted. ooiog Ws'vllsit; - Y;oo will -teeoiye ijo 6m, V.-., ' ,
• corres• onden& abauf this visit.: .
Comments {refer to question #): Ezplatn,any YES answers in any recommendations-or;any other comment
Use drawtngs'of to better exP lain situations. (use additional pages.as necessary) a
Ir
.a nlcLv �J,vG / J rr 7.5 �L /%-L4�7 e" a L.X a rf t J``'
—IWYCS yNo
❑ Yes ,Z No
AYes ❑ No
❑ Yes KNo
❑ Yes P'No
❑ Yes P4 No
❑ Yes JE'No
❑ Yes W No
❑ Yes qNo
In
Reviewer/Inspector Name r , j
Reviewer/Inspector Signature: Date:
ter_ s
5100

Facility Number: , — e of Inspection Printed on: 10/26/2000
Odor Issues 16
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below [ -Yes—GNo
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes A No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes P'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 9 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 R'No
iti nal Comments an or rawings:
J
5100

ision of Water Quality
ision of Soil and Water Conservation
Q Other Agency
(Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation I
(Reason for Visit O Routine O Complaini O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number
Date of Visit: 12l4/2001 Time: 0930
76 57
O Not -Operational 0 Below Threshold
Permitted 0 Certified 0 Conditionally Certified [3 Registered Date Last Operated or Above Threshold:.. 711/.2.00.1.......
Farm Name: BrAdley.CQW.E.Orm.................................................................................. County: RAII&IRla................................. ........ W.SRQ........
OwnerName: ftudlgy.................................. C.0ble.............................. .. Phone No: ( 4.:S.SA9................................ ........................... ........................
Mailing Address: �033.t?Id.t~ibl�lt�kx.tiQQ�t.................................................................... Frulkftyllle...N.0 ................................................ 27.20 .............
Facility Contact: H1tadleY.CQkll�.t} .1 1�11:X.1'tikty................. Title:................................................................ Phone No: 33.6.bS5,5019.Anid............
Onsite Representative: titllei'..Coble........................................... ................. Integrator: Urasw.&.Eaods.......................
Certified Operator: l}�Alll�lt. ............................ Coble................................................. Operator Certification Number.22003.............................
Location of Farm:
South of Greensboro, 421 to Hwy. 22. Follow 22 5 miles south of climax to Jesses Hackett Rd. Turn right across from Jesse 0,
Hackett Road. Approximately 1/3 mile off Rd. Farm: 6033 Old Liberty Road, Franklinville, NC 27248 �
❑ Swine ® Poultry ❑ Cattle ❑ Horse Latitude 35 • 50 6 33 4s Longitude 79 • 42 6 F28
Design Current
Swine Cnnnrity Pnnulatinn
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer I ❑ Dairy
® Non -Layer 1 50000 0 ❑ Non -Dairy
❑ Other
Total Design Capacity 50,000
Total SSLW 100,000
Number of Lagoons ❑ Subsurface Drains Present 110LagoonArea IN Spray Field Area
Holding Ponds / Solid Traps E::� ❑ No Liquid Waste Management System
121scharees K Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ® Spillway ❑ Yes ® No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ..........Lagoom.................................................................................................. ................................................................
Freeboard (inches): 31
05/03/01J ! Continued

Facility Number: 7b-57 I)ate of Inspection0 12/4/20111 is
t '
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ® No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes ®No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement? ❑ 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 L%pplication
10. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ® No
12. Crop type Fescue (Hay) Orchardgrass (Hay)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ® Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ® No
b) Does the facility need a wettable acre determination? ❑ Yes ® No
c) This facility is pended for a wettable acre determination? ❑ Yes ® No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records_&_D�►cuments
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.)
l9. 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?
❑ 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
[] No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
❑ Field Copy ® Final Notes
7. Vegetation has been mowed and looks good. Continue efforts to control groundhogs.
13. T-3651 F-4 and T-3656 F-2 are in orchardgrass now. SWCD to change CAWMP when operator converts rest of fields to
14, Waste plan dated 12/19/00 and design by Brian Gannon dated 4/16/99 on wettable acres.
17. Operator needs to obtain copy of Certificate of Coverage and permit.
18. Operator has several revisions of his CAWMP. Needs assistance organizing records.
19, Per operator, waste has not been applied since October 1998. No application records required this visit. Need to keep weekly
Reviewer/Inspector Name !Melifysp Rosebrock
Reviewer/Inspector
Date:
05103101 Continued

Facility' Number: 76-57 1)Inspection 12/4/2001
Odor u
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 driff'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
ALI
05103101

outine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other
Facility Number Date of Inspection t3
Time of Inspection © 24 hr. (hh:mm}
Permitted Certified [3 Conditionally Certified 0 Registered IQ Not O erational Date Last Operated: ,,, „� ,�1,,,,, ���'►�
Farm Name: .....8naj !.�....L blje rat .'Q.................................. County: ... �t�.�'1C�.Q 1..P i'�1.................. .......................
Owner Name: ....... Pi l Pi Phone No: 3�.flLl.:...!. u.?........s9..1. �.M.d
..... ... }
II__ �033 dd (;I low
Facility Contact:.�.]rr! ti.pif..21.l..' .... ........... Phone No: p
AJC
Mailing Address: .... 7aov....�L.e`....46L0_;.1t 4........ ..'.�.... �.+.'.'..l.Ql`,L... ........... ..,.1. ..........................
Onsite Representative: ,...fir �.4A.j......�1�.0 ............................................ Integrator: .....6-raswecA.l. U .\5..........
Certified Operator:...,... � �f�{. ,,,�,a�,.le. Operator Certification Number: a ......
Latitude = •©, ={i Longitude EM• MI, , ®"
De'§ign ;Current Desigia Current . Design _ Current
wine
Ca°aci �Po �ulation Poultry Ca aci ePoeklaaon' t Cantle-,,< ,, Ca'acr�Ro"`'iilation
.,,.. .
[I Wean to Feeder ❑ Layer ❑ Dairy
[]Feeder to Finish Non -Layer Q r.,; ❑ Non -Dairy as'
❑ Farrow to Wean
❑ Other i1 ai
❑ Farrow to Feeder , , ; y ,;, <',,,.,, , 5: `
Farrow to Finish
Total M91g" 'CapacF ty�,a SO Ob a
❑ Gilts
❑ Boars` t Total ssL'wr` j} o oC3 0
s
Number 4 Lagoons ❑ y € , a; Subsurface Drains Present ❑ Lagoon Area 0 Spray Field Area
_t§�.,- .... i ",Y..__._..
HoldingiPonds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes �No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'? ❑Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If ycs, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon system? (Il'ycs, 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 YNO
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 •
Identifier: ton t
,1
Freeboard(inches): ........................................ .................... ................ .......... .......................... ....................................
5. Are there any immediate threat a integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes No
seepage, etc.)
3/23/99 31 Continued n back

Facility Number: -- S *of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes gNO
(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 *o
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes A No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes IgNo
_Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes XNo
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes *o
12. Crop type
13. Do the receiving ops differ with those des noted in the Certified Animal Waste M49agement Plan (CAWMP . 9Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? Yes 1XNo
b) Does the facility need a wettable acre determination? ❑ Yes %No
c) This facility is pended for a wettable acre determination? ❑ Yes XNO
15. Does the receiving crop need improvement? ❑ Yes �No
16. Is there -a lack of adequate waste application equipment? ❑ Yes XNo
Required Records & Documents
IT. Fail to have Certificate of Coverage & General Permit readily available? )(Yes ❑ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
• (ie/ WUP, checklists, design, maps, etc.) ❑ Yes ts:ko
19. Does record keeping need improvement? (ie/ irrigation, E
, 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 A No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes XNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes 4(No
23, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes No
24. Does facility require a follow-up visit by same agency? ❑ Yes No
25, Were any additional problems noted which cause noncompliance of the Certified AWMP? A(Yes )'No
4*16111001is:ot- 00cienpips -wore poled. Ooriog 4IMS SA; • Y:oi w111•teCOW 40'futthgr •
comes o deizce: a 46f this visit
tiettei�, eitpialn�situa!`r
rl
Reviewer/Inspector Name "y �.y rt��g�`
a., ,th e?t x rs, �= ti�� °�k; �s��.�ai iiuo. ±,- sE,P�,9w9= - l4 ;A�` KINi�:n.�s
Reviewer/Inspector Signature. .� A Date: ` a, 14 101

Facility Number: 74 f*f luspection '---f--�f-=+--' 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 : Yor below des --Dies
liquid level of lagoon or storage pond with no agitation?
Are there any dead animals not disposed of properly within 24 hours'? ❑ Yes Po
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? -ilea--9 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
3I. Do the animals feed storage bins fail to have appropriate cover? "-�No
NOfl
32. Do the ush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes
1)
5100

sion of Water Quality
ision of Soil and Water Conservation J*
d Other Agency 11
(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 57 Date or visit: 12/1J2000 Time: 1310 Printed on: 12/4/2000
10 Not Operational O Below Threshold
0 Permitted ® Certified 0 Conditionally Certified © Registered Date Last Operated or Above Threshold: .................
Farm Name: >1xtistltrY. ebl�..kAx�i►x.................................................................. ................ County: Randalph ......................................... 1' .SRA........
Owner Name: UrmdltYy................................... .C.QjbI.g........................................................... Phone No: QJ.6..524:509...............................
Facility Contact: RglkX.,Pe.Uy........................... .... ...........Title: ....................................... Phone No: t4,G .S9)%........................
Mailing Address: 43,9A,.IVm.U8cl eAA.RQAd.................................................................. CAiAt1aX..�1............................................................ 277 ..............
Onsite Representative: Uradley-co'bic......................... ......... ..... Integrator:
....... ............ ..................
Certified Operator:J5.r#.djU.................................. Cgbje ................................................. Operator Certification Number. �2OQ3.............................
Location of Farm:
South of Greensboro, 421 to Hwy, 22. Follow 22 5 miles south of climax to Jesses Hackett Rd. Turn right across from Jesse
Hackett Road. Approximately 1/3 mile off Rd.S : 033 Old Liberty Road, Franklinville, NC 27248
❑ Swine ® Poultry ❑ Cattle ❑ Horse Latitude 35 • 50 11 33 44 Longitude 79 • 42 28 '
Design Current
Swine Canacity Pnnutatinn
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity population Cattle Capacity Population
❑ Layer I 1 1[:) Dairy
IN Non -Layer 50000 0 ❑'Non -Dairy
k— 11 d
❑ Other
Total Design Capacity 50,000
Total SSLW 100,000
Number of Lagoons 10 Subsurface Drains Present ❑ Lagoon Area ICE Spray Field Area
Holding Ponds / Solid Traps © ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge'? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ® Spillway ❑ Yes ® No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:..........Lagaon......................................................................................... ............................
Freeboard (inches): 24 1 p
5/00 V-P> Continued on back

Facility Number: 76-57 Date of Inspection F 12 1/2000 Printed on: 12/4/2000
5. Are there any immediate threats to the Ay of any of the structures observed? (ie/ trees,3'€vere erosion, ❑ Yes ® No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ® No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ® Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ® No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ®No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ® No
12. Crop type Fescue (Hay) Orchardgrass hay
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ® No
b) Does the facility need a wettable acre determination? ❑ Yes ® No
c) This facility is pended for a wettable acre determination? ❑ Yes ® No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily -available?
(iel WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (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?
0; Nd•yiolAtioris:or deficiencies -were noted during•tWK visit.- :You;will receive i>Eo further ;
:: eorresporidence: about this :visit. .: , .:::: ' : :: ' : : ' : .... . ' .....
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
Continue efforts to control vegetation /trees on dam.
3. Field 3 Tract 3656 is still in fescue. Fields 2 and 4 are in orchardgrass now. Per operator, WUP will be revised when all fields
ave been planted in orchardgrass (Fall 2001).
soil testing/sampling info. to Bradley.
1W
Reviewer/Inspector Name 'Melissa Rosebr ck
Reviewer/Inspector Signature: Date: 5100

Facility Number: 76-57
Da t' Inspection 12/1/2000 Printed on: 12/4/2000
d r Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes
❑ No
liquid level of lagoon or storage pond with no agitation'?
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
® No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
® No
roads, building structure, and/or public property)
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
® No
30.
Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes
® No
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
IN No
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes
❑ No
J
5/00

sion of Water Qual►ty, 'IN
Dtvisi,on of'Soil and Water,Conservation , `
i. .Q Other'Agency
Type of Visit Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit -Routine O Complaint O Follow up O Emergency Notification Q Other ❑ Denied Access
Facility Number Date of Visit: 1 C Tiine: f = Printed on: 7/21/2000
Q Not Operational Q Below Threshold
Mermitted Certified 13 Conditionally Certified ❑ Registered Date Last Operated ..o--r Above Threshold:
Farm Name:.... ................................... County:.. Q[ iO............................................
Owner Name:.......�..1r at... ........ �Q...�..................................................... Phone No:. g
aT. $...............Fa flit (:ontact: .. .............. .:. 1'itle:..................................... :. � hod ....S.....................
�, 1 ...
M lin� ddree�........ .. . ............ ....Li..b. ............ .�.... rr..11i t�......�..n..Xa'.�.. .. � ............ ..................
Onsite Representative: tmilty ,......... Mole ,�.......... Integrator:
Certified 'Operator:...,�,.rOAil ....0:....�.Q.�.�.Q�................................... Operator Certification a Number:.... ..................... ..... o0
Location of Farm:
i nW tU rrn rd
,J]C, 41Lai `r rr PL_ast • 7 Irlf IL_ VI 7 e
❑ Swine poultry ❑ Cattle ❑ Horse Latitude ©� Longitude
Design Current Design Current Design `Current
Poultry te CapacityPopulation Ca ac3 Po elation
.',
Wean to Feeder ❑Layer
Dairy
Feeder to Finish Non -Layer ❑Non -Dairy
s' Farrow to Wean
Farrow to Feeder ❑ Other
t Farrow to Finish pUt�e�s Total Design Capacity -o 0
s .t,
Gilts
Boars Total SSLW"
!ao ,
Subsurface Drains Present ❑ Lagoon Area ❑ Spra Field Area
s `, Number; Oi Lagoons ❑ iLn g y
thinAl
g Ponds l: Solid.Tftps � ❑ No Liquid Waste Management System
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation? ❑ Yes XNo
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)
c.' II'discharge is observed, what is the estimated flow in gal/ruin?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? Aspillway
u ucture I StrnCLurc 2 Structurc 3 Structure 4
Identifier• 1'a bbn
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes (No
❑ Yes lyNo
❑ Yes No
Structure 5 Structure
Freeboard (inches): tl
5100
Continued on back

- Facility Number: 76—��j` Date of Inspection printed on; 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed'? (ie/ trees, severe erosion,
[] Yes
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
o
(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
o
P
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
No
Waste Annlication
10. Are there any buffers that need maintenance/improvement?
❑ Yes
No
It. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
No
12. Crop type V (j r
13. Do the receiving crops differ Lth those designaA in the CerG ied Ani l aste Management Plan (CAWMP)?
Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
No
b) Does the facility need a wettable acre determination?
❑ Yes
No
c} This facility is pended for a wettable acre determination?
❑ Yes
No
15. Does the receiving crop need improvement?
❑ Yes
ko
16. Is there a lack of adequate waste application equipment?
❑ Yes
�Ko
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? AJIA
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes gro
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) El Yes %No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes [ No
21, Did the facility fail to have a actively certified operator in charge? ❑ Yes ] No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative'? El No
24. Does facility require a follow-up visit by same agency? ❑ YesNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ® No
1 *iblot- d It cpene ditring fh s;vjisjitT Yoh ii!ii� �ee$iye 0
coriesnoridence: about; this visit:

y Facility Number: DO Inspection +� j�p1 � 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 -No
liquid level of lagoon or storage pond with no agitation? m T
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes )rNo
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)
24. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes N(No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes XNo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes *0
32, Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? Om I T r 0600. -g-y4&--O-NO
Additional omments and/orDrawings:
No i-es : field 3 T- 36S6 rn orCh"oE ra5S Ii6tO h IC4�-e ue
�3. �06 LOb-P be rnd i f 24 -10 5 hoO Ore�ha d3 ra5f)
-For all ields ? air q of 36,5/ a r-e- 'ton cr-e-,K&
Gu o Dui P ,be Q4'5d why, a ! I ho 1ds %awe_ bey,
n 6 rQ+O-'(-J 8 rasS oaf
�Mz
5100

JoRoutine 0 Com laint 0Follow.7upofDWQ inspection Q Follow-up of DSWC review Q Other
Facility Number Date of Inspection
i:1VE Time of Inspection _ l d; 24 hr. (hh:mm)
Permitted 01 Certified © Conditionally C i Ms : O" t O erational Date Last Operated:
Farm Name: �`.c�`�1: :.��'S'?�N�, t::. J.UN..j..2.... 2B11..... County: . ............................................
. 11,
Owner Name:..-4.......L. Phone No ..j.i7?....:,$Q..;�.. . t. 'F�VirrstarrxSat8 -�
FacilityContact:
....................�eMwei1...OX4�.................................. Phone No:........................
Mailing Address:.... s? ........ k::. t �::S.A4............ y-SS.� C7�. �� � :a�.:t.i�x.:. � ��� ,....... .... .... ........
OnsiteRepresentative: ........................................................................................................... Integrator:. ?i ,t�K..L�.�# ..� .....................
Certified Operator:... ;�;:�;;�: ..flzp...................................................... Operator Certification Number:................
Location of Farm:
Ia�... . &4- :........... .... s ... t' ..... �...4—& r...............i........:C.i... 1� ,t. .f�: . ....................
.... .......
Latitude �' ®i 3 3 LG Longitude � • ®1 =11
i;�, K Design
`' Curents�� Desagn `;`Current;K <<; �''E, €' a�i{Destgq :tCarre'nt
Ca act "'Po
ulaaon ` _Poultry - Ca"` aci 'elation ' , tits' Ca"' ace Po ulalzon
C.;Pa , c;,�s'�
r Layer Dairy
N
ean to Feeder
eeder to Finish
PO
;:, Non -Layer Q.. ❑ Non-Dairy1€
. , ........ .� �... s ...,M=.�. 9' a s; x UM, Eff
arrow to Wean
€"if'
❑Other , C� is �G.�4! s € .R s:t dal rrI
'
❑ Farrow to Feeder
Farrow to Finish
, �5 EYaQ! aC s
5' ' �� a, r ,+ .
Tota!'Design apaciEy`"
V 3 ii z 1
❑ Gilts
❑$O ars^€TotaISSLWg
..
�£�,�� 11N1 � 1 ��
1 s. r i 1 ii' �' �ii
NumbeEdItagoons , ,�.
F;1,i{ f
, " ' ❑Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area ;
st S ' .-__. . ... .. ... ... .. - -.... .. .. _..._ _ - ---- -�{ t av a i
'€ Holdin 'Ponds'/ So1�d�Traps�
I �+p�
�,� � ❑ No Liquid Waste Management System t i� g�q { q}
.,.�s�?{,a.M•lt.'u.i„kir7.kd!..ir1S-_.?rE,.,i":a,,.t't�i.Y.;..v�H.s�.........
�;
_.___-- -_.. ,...__sue ^' :'st�.r:46!.�4t<_.,..
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 2 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 ycs, notify DWQ) El 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 G�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 Ed No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: Pia C.. t�e.�riS1a_t`-
Freeboard(inches): ......................... ..................... .................... ................ ....................................
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion, ❑ Yes 56 No
seepage, etc.)
3/23/99 Continued on back

acility Number: `1,e, — �tt1 of Inspection
6. Are there structures on -site which are of properly addressed and/or managed through a waste management or
eNo
closure plan?
❑ Yes
(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
M"No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
Yes
elevation markings?
❑
[s"No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
Eff No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
5No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
[ .'Yes
( 'No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
E� 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?
TD Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
M No
Reguired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
Yes
❑ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes Rf No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes 66 No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes 9No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes Ed No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes Gy No
23• Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes [eNro
24, Does facility require a follow-up visit by same agency? ❑ Yes [�INo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes RfNo
1'Vo y1Olaiioli ' d0f cieni " ry re itgte0• during •this visit;• You ;will ree�iye 06 rui lht e. .
rorresp6fid nee' about this visit:
3JOS � �, •�-��a:r4 1..y A,
1 a �Jt1.1� fiSICLCI�, ,Lr1 Q �1'tiC3Lf-.mod tL-i (`Q-,]lla�i�� �: �1!
�.%._C,1,�'
Ct_\
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date:
3/23/99

J�
Facility Number: — �te of Inspection
Odor Issues
26. Does- fe—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?-- Wv
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes 03/No
28. Is there any evidence of wind drift during land application? (i.e..residue on neighboring vegetation, asphalt, ❑ Yes G� 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 JNo
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 PdNo
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? tJ f ❑Yes ❑ No
.&r

Facility Number
Date of Inspection 22/ 55/9
7b 57
'I'ime of Inspection 1430 24 hr. (hh:mm)
❑ Permitted 0 Certified © Conditionally Certified ® Registered JE3 Not O erational Date Last Operated:
Farm Name: Cclbl0.0µ Ary.................................................................. ........ .............. County: RAA4,qlph ......................................... WSRA........
OwnerName. 110tX..l................................. Retly ............................................................ Phone No: 336!424-5,8199 ................................................
Facility Contact: 9lrAd,.CRI)iv..................................................... Title: MAmM ............................................ Phone No: 33.6..8S.-S919.......................
Mailing Address: fi9JJ.()lsl.t,attt*sty..ltd.L4 Q#..ie �.t1a���tt. d...................... Fra kUayWP,./.Glum xN.C............................... 2.7.24812.723..
Onsite Representative: Urstd..Ctfllic............................................... ..... Integrator:...........
Certified Operator:Djr.qdi&y..0............................. cowe ................................................ Operator Certification Number:22.9.Q3 .............................
Location of Farm:
.42i.tn.l;i»y,.�2,:..1+.Q11.air.2�.S..nailes.snuxlx.��.clixtxa�z.ta.J.�ssrs.11m�k,Ott..R�,...�'tera.�i�fat.a�.rass.ft•Qmt.J.e���...� •
Latitude ' 4 « Longitude • 4 44
Design Current
Swine,_ Canneity Pnnttlatinn
❑ 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 100000 0 ❑ Dairy
❑ Non -Layer I JE1 Non -Dairy
❑ Other
. 3..
Total Design Capacity;, 100,000
K'.
Total SSLW 400,004
Discharges &SIream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State'? (if yes, notify DWQ)
c. if discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard(inches):......3.Q......................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
IV
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
Cl Yes 19 No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
Structure 6
❑ Yes ® No
Continued on back
Printed on 12/16/99
3/23/99

Facility Number: 76-57 1 Dor Inspection
6. Are there structures on -site which are not operly 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 maintenancelimprovement?
11. Is there evidence of over application? []Excessive Ponding []PAN
12. Crop type Fescue (Graze) 'Timothy, Orchard, & Rye
12/15/99
❑ 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?
Relluired 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?
®: Nd violatioris:or deficiencies•wer'e:nbted during this; visit. ;You:v+ill :receive no-f6rthet-
correspondence. about this .visit. . . . . . . . . . . ... . • • . •
to be modified to 52,000 birds.
Reviewer/Ins ector Name 1 W �Wor
p . Corey Basinger Melissa Rosebrock
Reviewer/Inspector Signature: Date:
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
V

Division
of. Ind �Water�'Conservation - 0-1
orRrirI evi.,� ]on,
[3 of nd'WaterCnsex*atJio%opliancehis �i� i
DiAslon of Water Quality Compliance '€ i�Ii3 Edt }filE
3ittt���
� Inspecbon I t� t
E tz 3.Ifl I -
r?x-
Otli'e r�Agency Opiea on,RevieV4
Routine 0 Complaint 0 Follow-u of_DW2 inspection O Follow-n of DSWC review Q Other
Facility Number F"�- Date of Inspection / /S
Time of Inspection 2 24 hr. (hh:mrn)
0 Permitted [3 Certified (] Conditionally Certified lEirRegistered10 Not Operational I Date Last Operated: p ..........................
Farm Name: a &45c i�aLC� y.. County ... >7.I...............................U!S!e[]..,
.................................................................................................. ....
Owner Name: ... .Y.........................Y Phone No: .33G -874- -S�o9
.................... .........................................................................................................
Facility Contact: ..... ap"'34�....,Cor3Le............................... Title • Phone No: (, 36��$$ - S ............
Mailing Address:.. 43osg....e SSe...!...�.�1 Cl,.► X.......... , ........................................ �.1. z 3.�.....
Onsite Representative: .......lzA ...Go. t....... Intel;rator: ,....,.,.,
..........................................
Certified Operator:.... B���......L'.; dSi+ , Operator Certification Number:,,,,,,,,,7z,°,p„3......,.
...............................................
Location of Farm:
¢Fr-C......... .. . ......... ..........2z................. ......... z.r....... .a !: a .rr�... .....s�. . ........
................. 5 ...... a .
..l..r....... Gv %3 ,.%.........�........ � Z.
Latitude Longitude • �' �"
tE Design Current ;r Design Current Design , Current
Swore Capacity Population Poultry Ca acit Po' ulation Cattle Ca acit 1?0 `ulatiori'
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Layer ,$b� o— ❑ Dairy
❑ Non -Layer jr-1 Non -Dairy
❑ Other
t' ,
�I Total De"sign Capacity ,EZ e U d
Total SSLW '
;
1 Lagoons; ,
❑ Subsurface Drains Present ❑Lagoon Area
Spray Feld Area
t •
Holdin P nds
g.Solid
it ."
�
.
'
❑ No Liquid Waste Management System
.Traps
;
Dischart*es & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
[ZNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
RNo
h. If discharge is observed, did it reach Water of the State`? (If yes, notify DWQ)
❑ Yes
❑•No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If ycs, notify DWQ)
❑ Yes
�O No
2. Is there evidence of past discharge from any part of the operation?
❑ Yes
[$No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes
Q'No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
❑ Yes
IgNo
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier:
Freeboard(inches): .......3..0.0...........................................................................................................................................................
.......-........-.............
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
1.No
seepage, etc,)
3/23/99
Continued on back

Facility Number. —rj� Ijeif Inspection
6. Are there structures on -site which are not roperly 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
12. Crop type <c.� _ / 1Jtz7_hnre( 40e-;q .l'- /
13. Do the receiving crops differ with those designated in the Certified An
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?
L
Waste Management Plan (CAWMP)?
Required Reeords & 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?
�'Vo yiola� 0i s ;off ftficieucie .wire .. d• doing Ois� Visit; Y:oi>t will •reet'iye 1i6 furthtf, • ; • ;
6rresjoridence. about. this visit~ ;
lair 6,
Reviewer/Inspector Name
Reviewer/Inspector Signature:
11
❑ Yes PNo
[-]Yes &TNo
❑ Yes XNo
❑ Yes KNo
❑ Yes ® No
❑ Yes [&•No
❑ Yes ® No
❑ Yes Q.No
❑ Yes RNo
❑ Yes 9 No
❑ Yes ® No
❑ Yes IffNo
❑ Yes Eg No
❑ Yes ®' No
[]Yes 10 No
❑ Yes tR No
❑ Yes C97No
❑ Yes JWNo
❑ Yes 6 No
❑ Yes E j No
❑ Yes ® No
commendations or any other comments
,; t i � i ,' 3 I € 11 � '
as;neeessary)
Date:
3/23/99

Facility Number: DorInspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes �No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes DgNo
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ,Q: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 '12�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 5�'iVo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes EKNo
32. Do the flush tanks lack a submerged fill pipe or a permanenUtemporary cover? ❑ Yes 2(No
Ad Itl .. or rawln p : -
_ . o , .. � d� � 01 3a �s I3 � 3�
Orla Bmllle[1 all � . € ,l f ` r' €
3/23/99

lie a C omptarnt a Follow-up of uwy ins
I Facility Number I
onoW-up of u>wc. review a (jiver
Dwe (1I' Inspection
'I ifne of tnspectiou ® 24 hr. (hh:mm)
Registered a Certified 13 Applied for Permit a Permitted a of perational I (late Last Operated:
Farm Name: Cohlc.Paultry...................................................................................... ... County: Randolph WSRO
OwnerName: BkttyAL................................ P.etty............................................................. I'hone No: 33 i-,814:MOO..........................................................
Facility Contact: Hraid-Cable .......................................................Title: owner. ................................... I............ I'lione No: 33fi-A24-6809 .......................
Mailing, Address: 603:3..01tl.Li.bat:ty. Rd.
Onsite Representatdve: Brad..C.Ohle..............
Certified Operator:Rradley.C.......................
Location of Farm:
Latitude 0 1 4,
Cable........
esign. Current
Swine Capacity 'Population
E3 Wean to Feeder
[3 ree3er to Finish
E3 Farrow to Wean
E3 Farrow to ee er
p Farrow to Finish
p Gilts
p Boars
Franklinvalle... C...........
............................ Integrator: ............
.......... Operator Certification Number:22003 .............................
Longitude 0 1 1,
Poultry Capacity Population Cattle Capacity Population
® Layer 1 190000 JE3 Dairy
p Non -Layer ;;;�E3 Non -Dairy
E3 Other
Total DesignCapacity 100,0
Totak SSLW 400,000
Number of Lagoons 1 Ho1dmg Fonds ", p
©;
Subsurface
ace
Drains
m
Presentp
agoon rea
® pray ie rea
»
pN
o
tqut Waste
anagemen
System
General
1. Are there any buffers that need maintenance/improvement?
p Yes
M No
2. Is any discharge observed from any part of the operation?
p Yes
® No
Discharge originated at: p Lagoon (3 Spray Field p Other
a. li'discharge is observed, was the conveyance man-made?
p Yes
M No
b. Ifdischar�ge is observed, did it reach Surface Waler? (Ifyes, notify DWQ)
E3 Yes
®No
c. II'clischan-,c is observed, what is the estimated tlow in gal/min?
d. Does discharge bypass a lagoon system'? (If yes, noliiy DWQ)
C] Yes
M 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?
p Yes
®No
7. Did the facility fail to have a certified operator in responsible charge?
Yes
®No
7/25/97

aci i y um er: _57 1)uIe i spection
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (La�zoons,I-loldint; fonds, Flush Pits, etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Slr{{cl{{rr I SIRICture 2 StMCture 3 SU•ucluril d
ldcnlit7er:
Frechoard(k):................5................................................................................................................
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
l4. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ....................... Eeach ...................... ....Ti( utlay,.Qxchard,.&.R,ye.................................................................
G ra s
16. Do the receiving crops differ with those designated in the Asnimal Waste Management Plan (AWMP)?
l7. 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 0111N'
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'vio�lations.or dellci�enzites-were•noted.dannK this Visit:. You will receive na lurther .' .
. ....... .......
. . . . s. ... . e!' .... t... Ies.. ..:....... .
p Yes M No
C3 Yes M No
p Yes M No
13 Yes M No
p Yes 13 No
p Yes ®No
p Yes ®No
p Yes ® No
p Yes M No
p Yes N No
p Yes ®No
p Yes p No
p Yes © No
0 Yes p No
/"�. "mentspE "r"efcr'.toqy'uestion # : tEzAlaintnn g'X4EES an'swers16nd/dr anY''recommendations or an rother co"mmentsglilieYl'ai§ia+IEe.,,1i +,u'�rya a
r idi4P�6 E5wtA G £Ep %[BR�f'M 't ka�p4i4.°ks 9�,�,�q Jii:Si3i
li ��ixp�&. i .�. fEo,�r$, 9,LFG�BfY r, I..V. ��r!•". �ir84Y�d ,.,. 8.�sit3 Siylli 3t£ t£tt"!!
Usc drawingvoUaciliQito better��ex lam situations use+additional a es as`inecessar..
:,t.,,u�"ds{rrz,. .r::a ri*i+:Pi_lit,';•_,=€"w;,!{aait`,i,,'Illi.l.gl`lyNt',t. fE,<'?_y4
16. SWCD WORKING ON PLAN.
A
FACILITY IN GOOD SHAPE. CURRENLTY WAITING ON SWCD TO COMPLETE PLAN. MARKERS INSTALLED
SINCE OPERATION REVIEW.
E � •" _r ! r sf- r {r{ rn !I w I �^�nn ,-S ' m'Reviewerllnspector Name '' 113 i i ri- i E _,..,
Reviewer/Inspector Signature: Date:

r
Division of SAW Water Conservation 0 Other
Division of Water Quality
J� Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Facility Number Date of Inspection /
Time of Inspection D.D 24 hr. (hh:ntnn}
,M Registered © Certified © Applied for Permit 13 Permitted JE3 Not Operational Date Last Operated: ..........................
Farm Name: 8 P©t t_L Count
.........N?l...........................:�`-�................................................................ y.�-a...�°f��.............................. (..�..... �
Owner Name:.... �e ...... �r......... !.. �.................................................... Phone No: (n�...8Z4'..+.�. .........................
Facilit Contact g/w....J 6y�' Title: ...
y............................ ,,��//��� 624." 9....................................................... ....,l.`a............... ..................e.....`.. Phone No•
Mailing Address: ....(fl .7�3 oC r!.lpn/� Ad �.l�twl1k_AJr, . ............ �.......................................,.......I................I............`..t:......................................................................
Onsite Representative:.,... AA 6O b La. Integrator: :................. .............................................................................I.......................................................................
Io -AG r Operator Certification Number 2� 3
Certified Operator: ............................. �.rZ1.............................................. p..........................................
Latitude =* =, =11 Longitude =• =, = 11
a P z
Design Current
$wiine F Ca acit Po ulation
ri "'
Paultr" , »
Design Current
Ca acit Po ulatton Cattle
Design "Current
'
Ca xacit Po ulat on
[] Wean to Feeder
Layer
❑Dairy
,
❑ Feeder to Finish
on -Layer
,� �Qt 0Non-Dairy3
❑ Farrow to Wean;
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Design Capneity
❑Gilts,
_.
r
Toial SSLW
, 10Boars
r
r
Number of.Lagoons / Holding Ponds
Subsurface Drains Present ❑ Lagoon Area Spray Field Area
❑ g P
❑ No Liquid Waste Management System
�Y
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes �No
2. Is any discharge observed from any part of the operation? ❑ Yes 5�Tio
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ®'No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes RNo
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'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 J;�'No
5: Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes @No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes V'No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes EV*'/No
7/2S/47

_ Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes XNo
Structures (Lagoons.Nolding Ponds Flush Tits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes t5rNo
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(ft): ............-5/............. .................................... ................................... .................................... ................ ..................... ....................................
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?
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 A2plication
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
p type K,.&6 4 llrr h�J �r� ss
15. Crop e...................................................................................................................... .....
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 Faeilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
No.violations, or deficiencies. were noted; during this:visit., :You.wiil ieceive nti ftirtl%er, :
cofrespWW6n e A ou( -this: visit, : :... : :.: : ; :.:: ; . ' .
1,�, SLj Cv War1". ,_ 3 & ,
" y�
4� . 0
❑ Yes E�No
❑ Yes JR No
❑ Yes E�No
❑ Yes RNo
❑ Yes ❑ No
❑ Yes 5�`No
❑ Yes a No
❑ Yes &No
❑ Yes KNo
❑ Yes O'No
❑ Yes Callo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: % Date:L'�'-'�y`` 14

i
a
i
p Division of Soil W Water Conservation p Other AgdW
Division of Water Quality
19 Routine p Complaint p Follow-up of DWQ inspec ton p Follow-up of DSWC review p other
Date of Inspection
Facility Number
Time of Inspection 24 hr. (hh:mm)
N Registered p Certified p Applied for Permit p Permitted 10Not ZlperaZional 1 Date Last Operated:
Farm Name., Coble.Paultry................................................................................................. County: Randolph WSRO
OwnerName: Retty..NL................................ Petty............................................................. Phone No: ........................................ :.................
Facility Contact: Rradl,ey-Cable................................................Title:............................................................... Phone No: 824-5909 ................................
Mailing Address: .6033.C1Isl.Lxbyerty..Rd......................................................................... FrAuldi'liVACANC ................................................ 27248 ..............
Onsite Representative: Uradley-Colalp............................................................................ Integrator: Rrazwell.milling...................................................
Certified Operator: .................................................. .............................................................. Operator Certification Number:
Location of Farm:
Latitude • ' 66 Longitude • 4 «
r- esign urren ;' esignr $ :urren eslgn. urren
A.SWme' e" Gapaclty ' Iso U1Rtlon F 'P,Dultry:! +'E E i�' Ca aClt{�:'`POnulatlon 'Cattle, Capacity,,'pD {llatlonl„
F.....'ij:. p4 •.�<P;° #S
❑ Wean to Feeder ® Layer 1 160000 151300 1. JE3 Dairy
❑ ee er to us p on ayer p on airy
Farrow to canEls
#
❑ :EI
1„
❑ arrow to ee er ❑ ter
❑Farrow to Finish �";' �' �s,�.'s'+ ,#` }'',� ; `TOtdl}Design Gapacity
4 p Gilts
❑Boars ,,# �i + Total SSLW
Y
xf
p�tlilk &�3l. jyi d 1E !-1-I r3� r - - N r lie E! 3^'��}?�,�"Ppi��aNP€ Huid !r�n�"ffbII<Ee§ �ir�`�Iflrofk EElLrgE agoi pfoinip �p€ sE�;�'li;� HrIfI o�11l,9d3 �ini 3g lIllPifI3D1>{tnt
�j.. ❑. Subsurface Drains Presentp 'goon rea ❑ pray
............ .... .........�e re
❑ O 1(Ul Waste anagemen y5em . � x;
'
I. Are there any buffers that need maintenance/improvement?
❑ Yes
® No
2. Is any discharge observed from any part of the operation?
❑ Yes
® No
Discharge originated at: p Lagoon ❑ Spray Field p Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
® No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
❑ Yes
® No
c. If discharge is observed, what is the estimated Flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes
®No
3. Is there evidence of past discharge from any part of the operation?
❑ Yes
® No
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
®No
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
®No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
p Yes
® No
7. Did the facility fail to have a certified operator in responsible charge?
p Yes
® No
7/25/97

f
Vacility Number: 7b_s7
ay 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
Identifier:
Freeboard (ft): ..........�.�L4±� ..........
10. Is seepage observed from any of the structures?
•
Structure 3 Structure 4 Structure 5
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste 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 ... ...................... F.escin.......................... ....................... Ryg......................... ............
Grass
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?
...o.vi ions.or �crenzies•were.not a wring is vtst :. ou. will.receive no: ur er . • .
....
zerc spo)adl ie� aWtWt�ii�.y�s;�;:... .I.
p Yes
R No
p Yes
® No
Structure
6
...................................
pYes
®No
p Yes
® No
p Yes
® No
® Yes
p No
Yes
M No
p Yes p No
p Yes ® No
p Yes ®No
p Yes ®No
p Yes ®No
p Yes ® No
Yes N No
p Yes C3 No
p Yes p No
p Yes p No
Reviewer/Inspector Name 'Corey Basinger
Reviewerllnspector Signature: Date:

0 DSWC AniM Feedlot Operation Review
®DWQ Animal Feedlot Operation Site Inspection
10 Routine O Complaint O Follow -ye of D1VQ inspection O Follow-up of DSWC review O Other
i ui ui�r�rr�i nu � n
Facility Number
Date of Inspection l 2t 4
'}-
Time of Inspection O-� 24 hr. (hh:mm)
© Registered © Certified 0 Applied for Permit [3 Permitted 113 Not Opera Date Last Oj)erated:........................
Farm Name: i oi3LE PdUt�TR t`,ou nty: ,... r4 ti1DD U7t 1....,..�.:.........
'............................................................................................................................
Om,ner Name: .............. .....,,.... ei�7,-.................................................... Phone No:...1 /6� g?� — mot'$
.>'....................................
Facility Contact: ..............................,.,................�..........
B �15t..,��1...�� c'C..................."Citle:....:...,.,................,.................,.................. Phone No: , S$o
Mailing Address: ...... 6.633 0.(a Lj$C�TY °� f�NKt.t!.IJtLtt f,...l!1.� ............I........ ..Z7z48.....
..........................................................................................................
Onsite Representative: ... ✓hr7'................?.............................................
CertifiedOperator;................................................................................................................
Location of Farm:
Integrator: .....................
Operator Certification Number:.............,:...
Latitude ' L 44 Longitude �' �` "
Design Current
Design Current
Design Current
Swine Capacity Population
Poultry
Capacity Population Cattle
Capacity Population
❑ Wean to Feeder
Layer
ODO ❑ Dairy
❑ Feeder to Finish
10 Non -Layer
I I JE1 Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Design Capacity
% go, d Ov
❑ Gilts
❑ Boars
Total SSLW
44D, 09
Number of Lagoons / Holding Ponds L.� ❑ Subsurface Drains Present ❑ Lagoon Area ID Spray Field Area
❑ No Liquid Waste Management System
General
1. Are there any buffers that need mainten ance/improvement'? ❑ Yes b(No
2. Is any discharge observed from any part of the operation? ❑ Yes No
Discharge ori-inated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made' ❑ Yes ®.No
b. if discharw-c is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes Ca No
c. If discharge is observed, what is the estimated flow in ;gal/min`?
d. Dries discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes 18�NO
3. Is there evidence of past discharge from any part of the operation? ❑ Yes jWNo
4. Were there any adverse impacts to the waters of the State other than from a discharge'? ❑ Yes RNo
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes EjrNo
maintenance/improvement'?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes VNo
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes N No
7/25/97
Continued on back

r
Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed'? ❑ Yes Afl;o
Structures (Lagoons,llolding I(_rtuls, Flush Pits, etc.)
9. 'Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes XNo
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (ft): ............. 4. /............. ..................
10. Is seepage observed from any of the structures?
❑ Yes
-KNo
11. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
2(No
12. Do any of the structures need maintenance/improvement?
❑ Yes
JKNo
(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 marker~?
J4 Yes
❑ No
Waste AVV[ication
14. Is there physical evidence of over application?
❑ Yes
JXNo
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
Orr," �'� 41. .......................... X�Tr................................................
15. Crap type .......... ..... .
............
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AW,MP)?
❑ Yes
❑ No
17. Does the facility have a lack of adequate acreage for land application?
❑ Yes
KI'No
18. Does the receiving crop need improvement?
❑ Yes
CKNo
19. Is there a lack of available waste application equipment?
❑ Yes
N No
20. Does facility require a follow-up visit by same agency?
❑ Yes
RkN0
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
Rl%
22. Does record keeping need improvement?
❑ Yes
GR�o
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
No violations or deficiencies were•noted-during this, visit.:You:will receive no further
correspondence about this'.visit:• , - .
13. N�Cs 51A3(_ FOR _1nTJ1R!i P3kA.XR4L t.A.-2� fps Scowl.
lb. tSn taanl, NET.
Z 3 ' t1cs;-::. C �T� �►�A �E i OL� sr r-e 2