010015_INSPECTIONS_20171231

Animal Waste Storage Pond and Lagoon Closure Report Form
(Plelo,pe or print all information that does not requ.signature)
General Information: _
Name of Fann: Facility No: �S
Owner(s) Name: &2 B k OGCPZ
Mailing Address: I` 2n Kerv.AIA-u PI/Ve-- Phone No:
2-7(,U9 _County: AZAII trt-Nc�
Operation Description (remaining animals only):
D Please check this box if there will be no animals on this farm after lagoon closure. If there will still be animals on the site
after lagoon closure. please provide the following information on the animals that will remain.
Operation Description:
Trpe of Swine No. oj'Animals T pe of Poultn No. of r1 morals Tvpe of Dahl A'o. of Aninm(s
Wean to Feeder O Layer U Milking
U Feeder to Finish O Non-Layer ] Dry
Q Farrow to Wean Tvpe of Beef No. of Animals U Heifers
O Farrow to Feeder 'u�rood [/o—��' O Calves
u Farrow to Finish U Feeders
U Gilts J Stockers
U Boars. Other Trpe of Livestock: Number of Animals:
Will the farm maintain a number of animals greater than the 2H .0217 threshold? Yes ❑ No i '
Will other lagoons be in operation at this farm after this one closes'? Yes J No Z-1
How many lagoons are left in use on this farm?: ItfjC,
(Name) MG 1t 55d1- V'O Sts M°(� of the Water Quality Section's staff in the Division of
Water Quality's h)nos f-erro S• Regional Office (see map on back) was contacted on " 12/& Zo?f (date)
for notification of the pending closure of this pond or lagoon. This notification was at least 24 hours prior to the
start of closure, which began on � _Lr�G fo4F (date). je Vo,e a e Mh. A�—s s�� , I Ff' 'k"
NI . Rots 9 y AN/ 4)6-Ud '-
1 verify that the above information is correct and complete. I have followed a closure plan. which meets all NRCS
specifications and criteria. l realize that I will be subject to enforcement action per Article 21 of the North
Carolina General Statutes if I fail to properly close out the lagoon.
Name of Land Owner (Please Print): D /5 r
Signature: lC /�-4 !/Date: la � U
The facility has followed a closure plan which meets all requirements set forth in the NRCS Technical Guide
Standard 993. The following items were completed by the owner and verified by me: all waste liquids and
sludges have been removed and land applied at agronomic rate. all input pipes have been removed, all slopes have
been stabilized as necessary, and vegetation established on all disturbed areas.
Name of Technical Specialist (Please Print):
'Affiliation: RGS
f dress gency): 1—`7r�'—�! PhoneNo.: 336-4.28—/7,5 j
e'o o /f eey t",F .j /VG Z7�-�tv
Date:
nature e tG
ww
�d Return within 15 days Following completion of animal water storage pond or lagoon closure to:
>C y N. C. Division Of Water Quality- Water Quality Section
Compliance Group
t_JV lfa
c-o 0 1617 (Mail Service Center
Raleigh. NC 27699.1617
i
PLC - I July 12. 2000

Subject : Re: Bur-Ko Farms - Alamance County
To: ralncllwsro.enr.state.nc.uslRon_Linville®ralncl.nc.nres.usd
Date sent : Mon, 8 Mar 1999 15 : 10 : 57 -0500 (EST)
From: "Phil Moore Ross" <grahamlpmr®ralncl .nc.nres.usda.gov>
> Phil,
> Jerry Dorsette said you were THE contact for Alamance that could
> get things done ! So here ' s a couple of questions for you :
> 1 . Can you advise about the current status of the Bur-Ko farm?
> For some reason we have not been there in 2 years and we need to do
> an inspection if they are still in business and/or if they have not
> closed out the holding ponds per NRCS standards .
> 2 . Also plan to do some inspections either this month or early
> April . Would you care to go along during these . I did inspections
> with John Andrews in Guilford and it really worked very well for me
> as it saved me a lot of time trying to locate farms . Several times
> it helped the farmer to have NRCS along as a resource and
> consultation, if needed. John would notify farmers that we would be
> in area during a 2-3 day period and we would visit as many as we
> could each day until we were finished.
> The way my work load has been lately, it might be summer before I
> can inspect any; but, I would like to talk to you about scheduling
if
> you are interested in going.
>
> Thanks; Ron
> When all the land becomes a city
> And there are no forest left to
> inspire the poet ' s eye
> When a child can no longer catch
> The scent of wildflowers in the wind-
• To me, that will be a time to die .
> -- Jefferson Spivey
> a
To Ron Linville,
From : Phil Ross, Alamance SWCD
Reply to email
1 . Bur- Ko Farms is still in business, but they dropped below the
threshold for 0200 . Far as I know they sent in a request to be removed
to Sue Homewood.
2 . Our SWCD board does not want us to attend inspections . If you
call us and would like a detailed county map to get to the operations
we would be glad to provide 336-226-0477 .
James Ronald (Ron) Linville -- 1 -- Mon, 8 Mar 1999 16 : 02 : 39

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6:'Is,facility not in compliance with any 41icable setback criteria? • p Yes p No
7. Did the facility fail to have a certified operator in responsible charge(if inspection after 1/I/97)? p Yes p No
8. Are there lagoons or storage ponds on site which need to be properly closed? p Yes p No
Structures fLaaoons and/or Floldine Pondsl
9. Is structural freeboard less than adequate? p Yes p No
Frceboard (Il): Lagoon I Lagoon 2 Lagoon 3 Lagoon 4
....................................... ..............................I........ ...................................... ......................................
10. Is seepage observed from any of the structures? p Yes p No
11. Is erosion, or any other threats to the integrity of any of the structures observed? p Yes p No
12. Do any of the structures need maintenance/improvement? p Yes p No
(If any of questions 9-12 was answered yes,and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adquate markers to identify start and stop pumping levels? p Yes p No
Waste Application
14. Is there physical evidence of over application? p Yes p No
(If in excess of WMP,or runoff entering waters of the State,notify DWQ)
15. Croptype
16. Do the active crops differ with those designated in the Animal Waste Management Plan? p Yes p No
17. Does the facility have a lack of adequate acreage for land application? p Yes p No
18. Does the cover crop need improvement? p Yes p No
19. Is there a lack of available irrigation equipment? p Yes p No
For Certifiezmm�d Facilities Only
20. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? p Yes p No
21. Does the facility fail to comply with the Animal Waste Management Plan in any way? p Yes 13 No
22. Does record keeping need improvement? p Yes p No
23. Does facility require a follow-up visit by same agency? p Yes p No
24. Did Reviewer/Inspector fail to discuss review/inspection with owner or operator in charge? p Yes p No
...........
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........................................................................................................................................
........................................................................................................................................
Aj
Reviewer/Inspector Name
Reviwer/Inspector Signature: Date:

State of North Caroli
Department of Enviro ment A
and Natural Resources
Division of Water Quality +*A
James B. Hunt, Governor NCDENR
Wayne McDevittt,,S Secretary
A. Preston Howard, Jr., P.E., Director NORTH CAROLINA.DE~TMENT OF
ENVIRONMENT AND NATURAL RESOURCE5
March 5, 1999 N.C. Dept. of EH'NR
Robert &Jeanne Koger MAR 2 4 1999
Bur-Ko Farms
1420 Kershaw Drive Winston-Salem
Raleigh NC 27609 p�
Subject: Removal ofRegistrdtibR l' nai 01a9l%�
Bur-Ko Farms
Facility Number 1-15
Alamance County
Dear Robert&Jeanne Koger:
This is to acknowledge receipt of your request that your facility no longer be registered as an animal waste
management system per the terms of 15A NCAC 2H .0217. The information you provided us indicated that your
operation's animal population does not exceed the number set forth by 15A NCAC 2H .0217,and therefore does not
require registration for a certified animal waste management plan.
Under 15A NCAC 2H .0217,your facility is deemed permitted if waste is properly managed and does not
reach the surface waters of the state. Any system determined to have an adverse impact on water quality may be
required to obtain a waste management plan or an individual permit. You are reminded that a discharge of wastes to
the surface waters of the state will subject you to a civil penalty up to$10,000 per day.
Should you decide to increase the number of animals housed at your facility beyond the threshold limits
listed below,you will be required to receive approval from the Division of Water Quality prior to stocking animals
to that level. Threshold numbers of animals are as follows:
Swine 250
Confined Cattle 100
Horses 75
Sheep 1,000
Poultry with a liquid wastes stem 30,000
If you have questions regarding this letter or the status of your operation please call Sonya Avant of our
staff at(919)733-5083 ext 571.
Sincerely,
/ A.Preston Howard,Jr.,P.E.
cc: Winston-Salem Water Quality Regional Office
Alamance Soil and Water Conservation District
Facility File
P.O.Box 29535,Raleigh,North Carolina 27626.0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post-consumer paper

..�_ pN ; ����
O p"Msion of STFand Water Conservation ❑Other ency
ivision of Water Quality
Routhic`.O C63plaint :.0 Follow-u 'of DWQ inspection 0 Follow-up of DSWC review O Other
Date of Inspection r 70
Facildy Number
Time of Inspection 24 hr.(hh:mm)
0 Registered C`eerr ifie/d- 13 Applied for Permit
[i Permitted 0 Not Operational Date Last Operated: ••••„......••,•„•,•„•„
QFarm Name /l' `�� ...... ( .. . ..-....{..�:..0..........<..4 PM .. County:....... lf�((?.AtiC..�
�� q
3 0 Owner Name::....' O.Z.Q R�.�...T �E R nat �........... ....v a Phone N ......1 ...�� ..-:.../ I -3 6V�....
nFacility Contact: ..............................................................................Title:...............................n ��O................................ one o:...................................................
Malting Address: .....�.�,��......ak2t.�GVt.1.S.hIy..&..R.,:�. ./.�.CS/..... ....... i,/J......eAp?' ........ .......
OnsiteRepresentative:......................................................:.................................................... Integrator:......................................................................................
NCertified Operator...........pc,44�rJv...........K..4. ..L��.................................. Operator Certification Number,.........................................
Location of Farm:
�.r. ....e.y....A'i. i.....R. . ....i..:.....uAe• .........._tr.i.=.r,........cz..T.............................................................................. Z./e.:c...../.....�rs .....
�
�L....R.,AL................................................................................................................................. .
Latitude ©�©' oZ07 Longitude �•
Desgn ?';Current Destgn Current z z , �Destgn; Cu�rreyt t
Swme,;, , " R apacity Population Poultryl ,Capacity Population Cattle ,tCapacI Populahbn
❑Wean to Feeder ❑Layer ❑Dairy
�' ❑Feeder to Finish AU Non Layer I I ❑Non Dazry
❑Farrow to Wean
Rr
El Farrow to Feeder ❑Otherz '( +� ,
a ^.�
❑Farrow to Finish / � a .
„ r, ,�� �� � �, Total Design Capacity S
s
10 Gilts
'110 soars 21T'otal sSLW y
rNumber of Lagoons l Holdtng!Po�nds ��❑SubsurFace Drains Present ❑Lagoon Area ❑Spray Freld Area p
��;�� �` � ,Y�� �,:, y �`�,��❑No Liyuid Waste Management System `�, � � -� � 5
General
1. Are there any buffers that need maintenance/improvement? es 91 oo
2. Is any discharge observed from any part of the operation? ❑Yes MX0
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 ❑No
c. If discharge is observed,what is the estimated Flow in gaVmin?
d. Does discharge bypass a lagoon system?(If yes, notify DW'Q) ❑Yes E❑Now
3. Is there evidence of past discharge from any part of the operation? ❑Yes 0 fo
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑Yes Ly'tvo�
5. Does any part of the waste management system(other than lagoons/holding ponds)require ❑Yes O'1Vo
maintenance/improvement? ,��
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes la Jo
7. Did the facility fail to have a certified operator in responsible charge? ElYes .
7/25/97
Continued on back

[racility Number: A — /.
' 8. Are there lagoons or storage ponds on site which need to be properly closed? ❑Yes Eb�
Structures(LaEoous.tloldine Ponds.Flush Pits,etc.) .
9. Is storage capacity(freeboard plus storm storage)less than adequate? ❑Yes B o
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .........�.1l�/ CtA/` .................................... .................................... ................................... ................................... ...................................
Freeboard(fq: .......oS . ............................... .................................... .................................... ....................................
................ ......... ..:................................. ....
10. is seepage observed from any of the structures? ❑Yes Eh"TO'
11. Is erosion,or any other threats to the integrity of any of the structures observed? ❑Yes ONO
12. Do any of the structures need maintenance/improvement? E Y1s' ©No
(If any of questions 9-12 was answered yes,and the situation poses
an immediate public health or environmental threat,notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers? (t YS ❑No
Waste Application
14. Is there physical evidence of over application? ❑Yes EkNlo-
(If in excess of WNT,or runoff entering waters of the State,notify DWQ) /
15. Crop type ............( .4S.L L t..4....�...G.IeC a2G�....�!LC�S..S..,...._CF..J�/Q
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan(AWMP)? ❑Yes ElNo'
17. Does the facility have a lack of adequate acreage for land application? ❑Yes B-N'o
18. Does the receiving crop need improvement? ❑Yes E Ne- �
19. Is there a lack of available waste application equipment? &GPa2 0 No' RCFQ T GO'^ �> ❑Yes B<O
S'PRc+-rA
20. Does facility require a follow-up visit by same agency? ❑Yes iUK6
21. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes ONo'
22. Does record keeping need improvement? ❑Yes EO N6
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
rqo.violpationsor deiciencies.were noted during this:visit: You.wi11 reeive no furfiei :
resondene about this:visit: :
tAre a .vs+wm xrss� �+ zsus> s .roe «• Re+r h wpre .rx axi sw r+ea v .�.:+xv xnaau�ars =e;•
ttments(refer tatipesdon# �Explam�atiyYE5 ape fvere and(ot any recontmenda ton!or an loftier com e is r s )
Us*� ngs f hcl'tytto better,axplm s,tuaftons (use addthonal pages%as r,ecessarya tear
�,. � xa. a ,�« �:.. e r• .7. a ,
7/25/97
Reviewer/Ins ector Name '' '"
P i/i ..60 S " "'a� a�= 'a� fir, r•
Reviewer/Inspector Signature: Date: �t5�a(•'

3 92 Fro
A
„ ton iof Soil and Water f Water Q al y Conservation J Other Agency
4 �vis
Routine OComplaint 0 Follow-u of D\Vl ins ection O Follow-up of DSWC review 0 Other
ate of Inspection
Facility Number -' D
Time of Inspection // od 24 hr.(hh:mm)
0 Registered 0 Ceerrt-ifie/d- E3 Applied for Permit
0 Permitted [3 Not Operational Date Last Operated: ..........................
Q � FarmName: ........../l' `#:�9......43..V ��.......oto..........Fs°M '.. County:.......�Gl/$(.'?./IrvLq'..C...... ....................
...
0 Owner Name:...... 42.� 0.&.77.E....rlNft .t �a........... ....v a PhoneN ......(ehonXoF
...E .. ...1.•.s? .�f.5w ....
d — 3/'S ..Facility Contact: ........................................./.................................-...../..T/itle:...............................n............................... ................. .............................
ry Mailing Address: ..... ......0/eQ... LF�e./4hh.. :e4 ......Re.......cgLLD.w....6,2-L.?yo......... .......
OnsiteRepresentative:........................................................................................................... Integrator:......................................................................................
rj
\/j� Certified Operator*..........Pa. ........... ..1.��.................................. Operator Certification Nutu her,.........................................
`_1hG Location of Farm:
A. r... ....P-.�... lLi.. .l.....R. . ......... ...0 Z. ......... AF.T.....:...rgT.... /`'........................................:.....................................I!z.� .e.J..... kd .... �
...old..'.2.u�. R..t^k................................................................................................................................. ........................................... .
Latitude © Longitude [�• =, 7"
Design Current s Design . Current . Design,, Current'
Swine i . CaIt Jtk-Population Poultry `."Capacity.,Populahon =Cattle Capacity Population
❑Wean to Feeder 10Layer I ❑Dairy BCD
low ❑Feeder to Finish ILI Non-Layer ❑Non-Dairy
❑Farrow to Wean
`E',❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Destgn:Capacity; 5�
max;❑Gilts
❑soars Total SSLW
-0 Number of Lagoons/Iioldmg Ponds, 10Subsurface Drains Present ❑Lagoon Area ID Spray Field Area g
e `3 °� �'�i y_ p_c ^ �. No Liquid Waste Management System
General ��
1. Are there any buffers that need maintenance/improvement? es IJ'No
2. Is any discharge observed from any part of the operation? ❑Yes Mxo
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 ❑No
c. If discharge is observed,what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'?(I]'yes, nolity DWQ) El Yes es Now
3. Is there evidence of past discharge from any part of the operation? El Yes l
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑Yes B-cvo�
5. Does any part of the waste management system (other than laeoons/holding ponds)require ❑Yes BNo
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes L-i"No
7. Did the facility fail to have a certified operator in responsible charge? ❑Yes
7/25/97 Continued on back

Facili y Number: .,-' /
8. Are there lagoons or storage ponds on site which need to be properly closed? ElR Yes lNi
Structures (La2oons,11oldine Ponds.Flush Pits,etc.)
9. Is storage capacity(freeboard plus storm storage) less than adequate? ❑Yes B'No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: :u7A/.' .......:........................... .................................... ................................... .
Freeboard(tt) .......�r.. s ._ ..... .................................... ................................... .................................... .................................... ....................................
10. is seepage observed from any of the structures? ❑ Yes �—
11. Is erosion,or any other threats to the integrity of any of the structures observed? ❑Yes EPto
12. Do any of the structures need maintenance/improvement? E lets ❑No
(If any of questions 9-12 was answered yes,and the situation poses
an immediate public health or environmental threat,notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers? Q�Yes ❑No
Waste Application
' 14. Is there physical evidence of over application? ❑Yes ILJ K
(If in excess of WMPP,or runoff entering waters of the State,notify DWQ)
15. Crop type ............L.. 4 S.LLam..2.....j...0./. Ilia-,ul..... J.....C/ ✓_Q: .....................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan(AWMP)? ❑Yes ff]Dio'
17. Does the facility have a lack of adequate acreage for land application? ❑Yes [}l�o
18. Does the receiving crop need improvement? ❑Yes GLNe---
19. Is there a lack of available waste application equipment? &G J"Z O Ale- ��RG� TO CiOT..sP ad C/ 1 El Yes L�J-No
20. Does facility require afollow-up visit by same agency? ❑Yes Q]-PdU
21. Did Reviewer/inspector fail to discuss review/inspection with on-site representative? ❑Yes ELN,<
22. Does record keeping need improvement? ❑Yes ED-bi -
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
U'Ro deficieitcies.were noted during this.visit. .You'wiR receive no further .
cbrnspbndeiwe about this visit. '
Gommeents�(r ferjo' "an#)' Explain atiy(YES answers and/ai any�recot"i daatrons"ior any,othec comme'nits •'
Use drawingsiof facility to bette, m . . ... ., , n n useaddtnonalpages as i
z
t� Nea Aieoe c 7oor
7/25/97
Reviewer/inspector Name - ..,4 e ` `� ` r•
Reviewer/InspectorSignature: Date: 16— ("

CONFIRMATION FOR REMOVAL OF AGISTRATION
This is to confirm that the following farm does not meet the 2H .0200 registration
requirements..Please inactivate this facility on the registration database.
Facility Number:
Farm Name: UII R — l'U E/+re r'-�
Owner:
Mailing Address: I `17,D KeRShc�w 24
;4 Avr
County: �A rkzc-., r P
Comments:
Operation i
below threshold
out of business/no animals on site
closed out per NRCS standards
Signature:
Agency:
Please return completed form to: DEHNR-DWQ
Water Quality Section
Compliance Group
P.O. Box 29535
Raleigh,NC 27626-0535
RR-3/97

JUL-14-1995 15�34 PROM DEM WATER TER �'I TY SECTION TO WSRO r.ne4ne
A=5:diateoy
�J��Site Require Attention:
Facility No.0 L-7 c—
DMSION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS Sim vISITATION RECORD
DATE: 9" — 9 , 1995
Time //:v
FarmName/Owner•.
Mailing Address: SC,,
County: e
Integratw. Phone:
On Site Representative:
Physical AddressILocation:
Type of Operation: Swine __ Poultry ` Cattle
Design Capacity: IS-0 Number of Animals on Site:
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: �,'� ' -17_' 2 c) " Longitude:' � ' 36 Elevation: Feet
Circl No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot+25 year 24 hour storm event
(approximately 1 Foot+7 inches) !yes or No Actual Freeboard: L t. Inches
Was any seepage observed from the lagoon(s)? Yes.of was any erosion observed? Yes or�g`,-'
Is adequate land available for spray? eslor No Is the cover crop adequate?(.j; or No
Crop(s) being utilized
Does the facility meet SCS minimum setback criteria? 200 Feet from DwelliTYSy0ir'No
or No
100 Feet from Wells?Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or No
Is animal waste discharged into waters of the state by man-made ditch,flushing system,or other
similar man-made devices? Yes or No If Yes,Please.Ezplain.
Does the facility maintain adequate waste management records (volumes of manure,land applied,
spray irrigated on specific acreage with cover crop)? Yes or No
Additional Comments: v- a
�ecto��e gnature
cc:Facility Assessment Unit Use Attachments if Needed.
TOTAL P.02

OPERATIONS BRANCH - WQ Fax:[phone] Jul 24 '95 10:18 P. 12/18 !S
i i • 5ilcRccp�lmaudiatcAttention
Facllity Number:
SITE VIS1TA'11ON MORT7
DATE: ?/,/£� 1995
Owner: f ct x// _�2i1 tCi .s�,. Nartn Nsmt: _. /%I Gl ✓- c_/!✓� rrY
Agent Visiting Site:-J• j{��= -e phone:
7G9B03
2 honOperator: _
On Site ph000:l
Physical Addrt":
MuilinKAddrea�: -- --
. ?j
Type or(y)cmtioa: Swine_ t'oultry
Design Capwily, 5 C_ Number of AnirrKLA nn Sitt: •_
Type;of lnspccdrn: (Imund �- Aeri il
Circle Yes or 140
Dccs the AIu,PAI Waste Lagaan have aaflicient fttebaard of 1 Foot+25yecrV hour storm eveut
(approaimntely I Foat ;-7 incz"PS&or No Ae111al71x110ard;__Z,_ -=• 2�lnchds
Por facilities W1t11 Moro C= cae Iugaaa,llime address the Cllv.r lagooaa' Gccbvard Wet the
cutruncrtts section. �'�
Wns any seepage obser M from I eingoou(s)? Y�ev ar2w:y[inns crosiva of c1-,o dalnl:XC3-L_ )
Is adcxivatc land avapahle for land tp{✓ic u c n?�TC�I itiv is the atvct crop adequ,tc45 or No
rlddiliunal Cutnme t5: �li a;/r,Nr`'v/ '/ ,>' /iJ`'C-S _
/ �-5 .;
�os �w.> ✓Pr b nq ,.cc ✓�' 2- S" ✓'i4 s.2',r`h,- �. _._..�
C71; 'vuvrtis
•��y,. �.?.as � v, � Y•o..mot-- -+�i..��l �' ,
5J • / � .Ti,itre•. (� A t_-.^,••(,l./o-.5c; j. p r a .�'V,
Fat to(919)715-3559 Signature of Agatt alFS
A �I l