540062_slur4053.1_20180310

FORM SLUR-2 Slurry and Sludge Application Field Records
One Form for Each Field per Crop Cycle
Tract # 4053 Field #
Field Size(Wetted Acres)=(A) 19.42 Facility Number
Farm Owner Rodney Smith Spreader Operator
Owner's Address 367 Jonestown Rd, Pink Hill 28572 and Address
Owner's Phone # I I Operator's Phone #
From Animal Waste Management Plan
1
54 62
Triple S Farms and Cleaning
715 E Main St, Beaulaville 28518
Crop Type corn Recommended PAN 148
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8)
****Nutrient
Source
Date
(mm/dd/yr)
Number
of Loads
per Field
Volume of
each Load*
(gallons)
Total Volume
(gallons)
(2) x (3)
Volume per Acre
(gallons/acre)
(4) / (A)
Waste Analysis
PAN**
(Ib/1000 gal)
PAN Applied
(lb/acre)
(6) x (5) / 1000
Nitrogen Balance***
(lb/acre)
(B) - (7)
B= 148
2
3/10/2018
17
6,800
115,600
5,953
6.3
37.50
110.50
Crop Cycle Totals: 115,600 37.50
Owners Signature Rodney Smith Spreader Operator's Signature
Certified Operator (print) Rodney smith Operator Certification No.
* Can be found in operator's manual for the spreader. Contact a local dealer if you do not have your owner's manual.
** See your waste management plan for sampling frequency. At a minimum, waste analysis is required within 60 days of land application events.
***Enter the value received by subtracting column (7) from (B). Continue subtracting column (7) from column (8) following each application event.
***Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.)
17302
12/20/2006