310101_Annual Report_20200601

RECEIVED
JUN 01 2020
ANIMAL EAC11LITY AhTWAL REPORT FORM
NC DEQ/DWR
ATTAUBM T A
Report for (previous) Calendar Year: 20_Ly Central Office Today's Date: Certificate of Coverage or Permit Number'-- �'= l County P� —
Facility Name (as shown on Certificate of Coverage or Permit) L r 1
Operator in (Imp for this Facility &ro Operator Certification # Cl��]
Facility's Integrator, if applicable: a r M S
Part I:_Fa_cillty Information (As of (December 315t of reporting year mess otherwise s'effled):
Land pOication of animal waste as allowed by the above permit occurred during the past calendar year
_. V_ YES NO. If NO, skip Part I and proceed to Part II and Part M. Also, if animal waste was
generated but not land applied, attach an explanation on how the animal waste was managed/disposed.
CANVW SUMMARY
Total number of application Fields or Pulls in the Certified Animal waste
%
Fields or
Management Plan (CAMAP):
zones
Total Useable A esas apprcved in the CAWW _
(,
Acres
Total pounds of Plant Available Nitrogen (PAN) allowed to be land applied
�
Lbs. PAN
annuall• by the CAWMP and the permit:
� �e 3
LAGOON SUAMARY
Number of Permitted jAjoons
# La oons
Number of Permitted Lagoons with a sludge removal or management plan
�
#
per Permit Condition IU 22
ANNUAL OPERATIONS SUADdARY
for all crops with windows that ended during the previous ealendar rear}
Total number of Fields or Palls on which land application occurred during
/f
Fields or
ne
the year:
..
Ades
Total Acres on which animal waste was applied
Total pounds of Plant Available
Permitted Animal Waste
`p
Lbs. PAN
Nitrogen (PAN) applied curing
— —
�" O
the year for all application sites:
Other Nutrient SOUITM (mal Dry Litter)
Lbs PAN
SOIL SAMPLE SUADdARY
Total number of Fields or Pulls for which the most recent soils evaluation
indicated a Soil P (P-index) greater than 400
Total usable acres of Fields or Pulls for which the most recent soils
evaluation indicated a Soil P-(P index] meater than.400
Fields. or
Pu11s/zones
3
l I., AFOAR 4-12-2019

ATTACHN
BSNEFICIAL USE SUMMARY
Estimated amount of total manure, litter and process wastewater sold or
given to other persons and taken off site during the year
PRODUCTION SUMMARY
Annual aWge ziumber o_ f animals b at this facilityduringthe
Tons
d Gallons
revious year
Operation Typej n✓
Number of Animal
Swine
Wean to Finish
Wean to Feeder
Farrow to Finish
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Boar/Stud
Gilts
Other
Cattle
Dairy Calf
Dairy Heifer
Milk Cow
Dry Cow
Beef Stocker Calf
Beef Feeder
Beef Broad Cow
Other,
Dry Poultry
Non -Laying Chickens
Laying Chickens
Pullets
Turkeys
Turkey Pullet
Wet Poultry
Non -Laying Pullet
Layers
Other TvDes
Horses — Horses
Horses — Other
Sheep — Sheep
Sheep - Other
Part H: Facility Status (Respond for activity within the Calendar year of reporting year unless
otherwise specified):
[ENT A
Directions: Check box next to the appropriate answer, for each statement were the answer is "No", provide a
written description of any'action take taken or pending to address the requirements and return the facility to
compliance
1. All "major changes," "revisions," and "amendments" to the CAWW were made 0Yes ❑ No
according to requirements of Condition I.4.
2. There were no freeboard exceedances in any lagoons or storage ponds. 2Yes ❑ No
3. There was no PAN application to any fields or crops at this facility greater than the Yes ❑ No
levels specified in this facility's CAWMP.
4. Sludge Surveys as required in Condition 111.22 have been completed. 12Yes ❑ No
5. For any temporary lagoon lowering event, drawn down restrictions and record [�(Yes ❑ No
keeping requirements in Condition II.29 have been met. 11
ZYes
b. Soils analysis were performed within the last three years on each field receiving animal ❑ No
waste.
2 "OAR 4-12-2019

ATTA,�CHHMENT A
7. All required. monitoring and reporting were performed in accordance with the facility's I�,d' Yes ❑ No
permit during the past calendar year.
8. Crops as specified in the CAWW were maintained during the past calendar, year on all 2! Yes ❑ No
sites receiving animal waste and the crops grown were harvested and removed in
accordance with the facility's permit.
Part III: Affirmation Statement
"I affirm by my signature that this document and all attachments were prepared under my direction or
supervision. The information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the
possibility of civil and criminal penalties."
Lr._ rro ii f . I desfi�+�
Permittee Name and Title (type or print)
ignature of Permittee
Signature of Operator in Charge
(if different from Permittee)
RECEIVED
INN 01 2020
MC DEQ/DWR
Central Office
Date
Date
3 AFOAR 4-12 2019