720012_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Qual

I r' N
0 Division of Water Resources
ElDivision of Soil and Water Conservation
Other Agency
Facility Number:
720012 Facility Status:
Inpsection Type:
Compliance Inspection
Reason for Visit:
Routine
Date of Visit:
0811812017 Entry Time: 11:55 am
Farm Name:
Belvidere Farms
Owner:
Bryant Perry
Active Permit: AWS720012 ❑ Denied Access
Inactive Or Closed Date:
County: Perquimans Region: Washington
Exit Time: 1225 pm Incident 9
Owner Email`
Phone: [phone]
Mailing Address: 334 Icana Rd Tyner NC 27980
Physical Address: 151 Goodwin Mill Rd Hertford NC 27944
Facility Status: Compliant ❑ Not Compliant Integrator: Murphy -Brown LLC
Location of Farm: Latitude: 38' 14' 51" Longitudes 76' 33' 15"
112 mile North of Beech Springs Rd. on the western side of Goodwin and the second location os approx. 112 mile from this on Ithe
Southern side of Beech Springs Rd. SR 1111
Question Areas:
Dischrge & Stream Impacts Waste Col, Stor, & Treat Waste Application
Records and Documents Other Issues
Certified Operator: William B Perry Operator Certification Number: 20352
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
Phone
Primary Inspector: Justin K Davis Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
No pumping since 2010.
page: 1

Permit: AWS720012 Owner- Facility: Bryant Perry Facility Number: 720012
Inspection Date: 08/18/17 Inssection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current promotions
Swine
Swine -Feeder to Finish
2.400
0
SvAne - Wean to Feeder
2.000
0
Total Design Capacity: 4,400
Total SSLW: 384,000
Waste Structures
Disignated Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
Lagoon HP
12,00
26.00
Lagoon
PRIMARY
19.00
3100
page: 2

Permit AWS720012 Owner - Facility : Bryant Perry Facility Number, 720012
Inspection Date: 08/18/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts
Yes
No Na Ne
1. Is any discharge observed from any part of the operation?
❑
M ❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
0 ❑
❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
0 ❑
❑
c. What is the estimated volume that reached waters of the State (gallons)?
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?
❑
M []
❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the
❑
E ❑
❑
State other than from a discharge?
Waste Collection, Storage & Treatment
Yes No Na Ne
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 (l.eJ large
❑
0 ❑
❑
trees, severe erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a
❑
M ❑
❑
waste management or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
❑
❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable
❑
M ❑
❑
to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑
E ❑
❑
maintenance or improvement?
Waste Application
Yes No Na No
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ ❑ ❑
maintenance or improvement?
11. Is there evidence of incorrect application?
❑ M ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
page: 3

Permit: AWS720012 Owner - Facility : Bryant Perry Facility Number. 720012
Inspection Date: 08/18/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Waste Application Yes No Na Ne
Crop Type 1
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
❑
0 ❑
❑
Management Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
0 ❑
❑
16. Did the facility fail to secure andlor operate per the irrigation design or wettable acre
❑
0 ❑
❑
determination?
17. hoes the facility lack adequate acreage for land application?
❑
■ ❑
❑
18. is there a lack of properly operating waste application equipment?
❑
M ❑
❑
Records and Documents
Yes No Na Ne
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
0 ❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
0 ❑
❑
If yes, check the appropriate box below.
WUP?
❑
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
❑
0 ❑
❑
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
page: 4

Permit: AWS720012 Owner- Facility : Bryant Perry Facility Number: 720012
Inspection Date: 08/18/17 Inppection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yes No Na Ne
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
E ❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment
❑
E ❑
❑
(NPDES only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
0 ❑
❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the
❑
❑
❑
appropriate box(es) below:
Failure to complete annual sludge survey
❑
Failure to develop a POA for sludge levels
❑
Non -compliant sludge levels in any lagoon
❑
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑
❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
■ ❑
❑
Otherlssues
Yes
No Na Ne
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑
❑
❑
and report mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes,
❑
E ❑
❑
contact a regional Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
❑
❑
❑
(i_e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility?
❑
E ❑
❑
If yes, check the appropriate box below.
Application Field
❑
Lagoon / Storage Pond
❑
Other
❑
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or
❑
0 ❑
❑
CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑
■ ❑
❑
34. Does the facility require a follow-up visit by same agency?
❑
0 ❑
❑
page: 5

Ae
0 Division of Water Resources
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 720012
Facility Status: Active Permit: AWS720012
❑ Denied Access
Inppection Type: Compliance Inspection
Inactive Or Closed Date:
Reason for Visit: Routine
County: Perquimans Region:
Washington
Date of Visit: 0310212016 Entry Time: 12:20 pm Exit Time: 12:50 pm Incident;
Farm Name: Belvidere Farms
Owner Email:
Owner: Bryant Perry
Phone:
252-221-8750
Mailing Address: 334 learia Rd
Tyner NC 27980
Physical Address: 151 Goodwin Mil[ Rd
Hertford NC 27944
Facility Status: Compliant El
Not Compliant Integrator: Murphy -Brown LLC
Location of Farm:
Latitude: 36' 14' 51" Longitude:
76' 33' 15"
112 mile North of Beech Springs Rd. on the western
side of Goodwin and the second location os approx. 112 mile from this on Ithe
Southernside of Beech Springs Rd. SR 1111
Question Areas:
Dischrge & Stream Impacts
Waste Col, Stor, & Treat Waste Application
Records and Documents
Other Issues
Certified Operator: William B Perry
Operator Certification Number:
20352
Secondary OIC(s):
On -Site Representative(s): Name
Title Phone
Phone
Primary Inspector: Justin K Davis
Phone:
Inspector Signature:
Date:
Secondary Inspector(s):
Inspection Summary:
Waste Report - No Pumping since last Inspection. Since 2010
Lagoon Sludge Survey 11-4-14
Soil Report 2014 - Due 2017.
Zna705
Cu<500
Owner is going through medical treatments.
7.) Last Inspection in September 2015 noted lagoon maintenance needed. Work has been done. Vegetation has been
maintained appropriatley. Continue this practice.
page: 1

Permit: AWS720012 Owner - Facility Bryant Perry Facility Number: 720012
Inspection Date: 03/02/16 inpsection Type: Compliance Inspection Reason for Visit Routine
Regulated Operations Design Capacity Current promotions
Swine
Swine - Feeder to Finish
2,400
0
Swine - Wean to Feeder
2,000
0
Total Design Capacity: 4,400
Total SSLW: 384,000
Waste Structures
Disignated Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
Lagoon
HP
12.00
24.00
Lagoon
PRIMARY
19,00
34.00
page: 2

All
Permit: AWS720012 Owner- Facility : Bryant Perry Facility Number: 720012
Inspection Date: 03/02/16 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts
Yes No Na Ne
I. Is any discharge observed from any part of the operation?
❑
0 ❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
0 ❑
❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
0 ❑
❑
c. What is the estimated volume that reached waters of the State (gallons)?
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?
❑
M ❑
❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the
❑
M ❑
❑
State other than from a discharge?
Waste Collection. Storage & Treatment
Yes No Na Ne
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 (Le./ large
❑
M ❑
❑
trees, severe erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a
❑
M ❑
❑
waste management or 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
❑
M ❑
❑
to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑
M ❑
❑
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?
❑ M [] ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
page: 3

Permit AWS720012 Owner - Facility : Bryant Perry Facility Number.
720012
Inspection date: 03/02/16 Inppection Type. Compliance Inspection Reason for Visit:
Routine
Waste Application
Yes
No Na Ne
Crop Type 1
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
❑
0 ❑
❑
Management Plan(CAWMP)?
15. Does the receiving crop andlor land application site need improvement?
❑
EEIEI
16. Did the facility fail to secure andlor operate per the irrigation design or wettable acre
❑
M ❑
❑
determination?
17. Does the facility lack adequate acreage for land application?
❑
M ❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
M ❑
❑
Records and Documents
Yes
No Na Ne
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
M ❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
M ❑
❑
If yes, check the appropriate box below.
W U P?
❑
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
❑
M ❑
❑
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
page 4

Af
Permit: AWS720012 Owner - Facility : Bryant Perry Facility Number: 720012
Inspection Date: 03/02/16 Inssection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yes No Na Ne
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
M ❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment
❑
E ❑
❑
(NPDES only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
M ❑
❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the
❑
0 ❑
❑
appropriate box(es) below:
Failure to complete annual sludge survey
❑
Failure to develop a POA for sludge levels
❑
Non -compliant sludge levels in any lagoon
❑
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑
M ❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
■ ❑
❑
Other Issues
Yes
No Na Ne
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑
0 ❑
❑
and report mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes,
❑
0 ❑
❑
contact a regional Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
❑
M ❑
❑
(i.e., discharge, freeboard problems, over -application)
31 _ Do subsurface tile drains exist at the facility?
❑
0 ❑
❑
If yes, check the appropriate box below.
Application Field
❑
Lagoon / Storage Pond
❑
Other
❑
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or
❑
E ❑
❑
CAWMP?
33. Did the Reviewer/inspector fail to discuss review/inspection with on -site representative?
❑
❑
❑
34. Does the facility require a follow-up visit by same agency?
❑
❑
❑
page: 5

Division of Water Resources
Division of Soil and Water Conservation
Other Agency
Facility Number: 720012 Facility Status: Active
Inpsection Type: Compliance Inspection
Permit: AWS720012 ❑ Denied Access
Inactive Or Closed Date:
Reason for Visit: Routine County: Perquimans Region: Washington
Date of Visit: 09/28/2015 Entry Time: 10:00 am Exit Time: 115 pm Incident#
Farm Name: Belvidere Farms
Owner: Bryant Perry
Mailing Address: 334 Icana Rd
Tyner NC 27980
Owner Email:
Phone: [phone]
Physical Address: 151 Goodwin Mill Rd Hertford NC 27944
Facility Status: 0Compliant El Not Compliant Integrator: Murphy -Brown LLC
Location of Farm: Latitude: 36' 14' 51" Longitude: 76° 33' 15"
1/2 mile North of Beech Springs Rd. on the western side of Goodwin and the second location os approx. 112 mile from this on Ithe
Southern side of Beech Springs Rd. SR 1111
Question Areas:
Dischrge & Stream Impacts Waste Col, Stor, & Treat Waste Application
Records and Documents Other Issues
Certified Operator: William B Perry Operator Certification Number: 20352
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name Bryant Perry Phone:
Primary Inspector:
Inspector Signature:
Secondary Inspector(s):
Justin K Davis
Inspection Summary:
Waste Report -No pumping since 2010.
Soil Report 2014
Zn<705
Cu<500
Lagoon Sludge Survey 11-4-14
LTZ-5.6
Thickness-1.46
7.) Lagoons need trimming of overgrown weeds and small woody vegetation cleared from banks.
Check up visit in early Spring 2016.
Phone:
Date:
page: 1

z
Permit: AWS720012 Owner -Facility: Bryant Perry Facility Number: 720012
Inspection Date: 09/28/15 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current promotions
Swine
Swine - Feeder to Finish
2,400
0
Swine - Wean to Feeder
2,000
960
Total Design Capacity: 4,400
Total SSLW: 384,000
Waste Structures
Disignated Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
Lagoon
HP
12.00
20.00
Lagoon
PRIMARY
19.00
41.00
page: 2

Permit: AWS720012 Owner - Facility : Bryant Perry Facility Number:
Inspection Date: 09/28/15 1npsection Type: Compliance Inspection Reason for Visit:
720012
Routine
Discharges & Stream Impacts
Yes
No Na No
1. Is any discharge observed from any part of the operation?
❑
❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
M❑
❑
b. Did discharge reach Waters of the State? (i€ yes, notify DWQ)
❑
■ ❑
❑
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
0 ❑
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
0 ❑
❑
3. Were there any observable 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?
❑
0 ❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (Le./ large
❑
0 ❑
❑
trees, severe erosion, seepage, etc.)?
B. Are there structures on -site that are not properly addressed and/or managed through a
❑
M ❑
❑
waste management or closure plan?
7. Do any of the structures need maintenance or improvement?
M
❑ ❑
❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable
❑
00
❑
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 Na
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ M ❑ ❑
maintenance or improvement?
11. Is there evidence of incorrect application?
❑ M ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
gage: 3

Permit: AWS720012 Owner - Facility : Bryant Perry Facility Number 720012
Inspection Date: 09/213/15 Inpsection Type Compliance Inspection Reason for Visit: Routine
Waste Application Yes No Na Ne
Crop Type 1
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?
❑
O ❑
11
16 Did the facility fail to secure and/or operate per the irrigation design or wettable acre
❑
M ❑
❑
determination?
17. Does the facility lack adequate acreage for land application?
❑
M ❑
❑
18, is there a lack of properly operating waste application equipment?
❑
0 ❑
❑
Records and Documents
Yes
No Na Ne
19. Did the facility fait to have Certificate of Coverage and Permit readily available?
❑
M ❑
❑
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?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21, Does record keeping need improvement?
❑
®❑
❑
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
page: 4

r 1 a
Permit: AWS720012 Owner - Facility : Bryant Perry Facility Number: 720012
Inspection Date: 09/28/15 1npsection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yes
No Na Ne
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
[]
Sludge Survey
[]
22. Did the facility fail to install and maintain a rain gauge?
❑
0 ❑
❑
23, If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment
❑
0 ❑
❑
(NPDES only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
E]0
El
❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the
❑
❑
❑
appropriate box(es) below:
Failure to complete annual sludge survey
❑
Failure to develop a POA for sludge levels
❑
Non -compliant sludge levels in any lagoon
❑
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑
E ❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
■ ❑
❑
Other Issues
Yes Na Na Ne
28. Did the facility fall to properly dispose of dead animals within 24 hours and/or document
❑
■ ❑
❑
and report mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes,
❑
E ❑
❑
contact a regional Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
❑
E ❑
❑
(i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility?
❑
■ ❑
❑
If yes, check the appropriate box below.
Application Field
❑
Lagoon / Storage Pond
❑
Other
❑
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or
❑
E ❑
❑
CAWM P?
33. Did the Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑
❑
❑
34. Does the facility require a follow-up visit by same agency?
❑
E ❑
❑
page: 5

Division of Water Quality
f aeility Number �' 0 Division of Soil and Water Conservation
0 Other Agency
Type of visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: ( �� Arrival Time: �', Departure Time: rj County:
Farm Name _ ..� I> Q_— �-i�� Owner Email:
Owner Name: Phone:
Mailing Address:
Region:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: 1�dl I `a b" I Integrator: Aht4aijh
Certified Operator:Certification Number: _'60
Back-up Operator:
Location of Farm:
Design Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Other
Other
Certification Number:
Latitude:
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Poults
Design Current
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
❑ No
❑ NA
ONE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
[:]Yes
[]No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
�
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
o
❑ NA
0 NE
of the State other than from a discharge?
7
Page 1 of 3 21412011 Continued

Facility Number: Zz-- f ;;L— Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
doNo ❑ 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:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): ( _ 3�-
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
To ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
2fNo ❑ NA
❑ NE
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 ; ❑ NA ❑ NE
8. Do any of the structures 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 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes o
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes dNo
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
[:]Yes No
❑ 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
❑ Yes �No❑
NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes Vr
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes O
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes �To
❑ NA
❑ NE
the appropriate box.
❑WUP El Checklists ❑Design [:]maps [-]Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes o ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
D Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections ❑ Sludge Survey
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 VNo ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facili Number: -
Date of Inspection:
24. bid the facility fail to calibrate waste application equipment as required by the permit? ❑'Iles
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes . N ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document [:]Yes ❑ No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern? [::]Yes 2(No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the [:]Yes (o ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application) 7
31. Do subsurface file drains exist at the facility? If yes, check the appropriate box below. ❑ Yes JZ] No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
N❑ NA
�K_ ❑ NA
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes [�To
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes 0"No
34. Does the facility require a follow-up visit by the same agency? ❑ Yes [;3"No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
' a
1 7XVAI�
CAT
y �
to
�/-- <5'
# �-7-- -7,g
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
S �h1f
Phone:
Date/" 21 Z
2141201112011

0
0 Division of Water Quality
n Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 720012 Facility Status: Active Permit: AWS720012 n Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Perguimans Region: Washington
Date of Visit, 09/17/2012 Entry Time: 09:30 AM
Exit Time: 10:00 AM Incident #:
Farm Name: Belvidere Farms
Owner Email:
Owner: Bryant Perry
Phone: [phone]
Mailing Address: 334 Icaria Rd
Tyner NC 27980
Physical Address: 151 Goodwin Mill Rd
Hertford NC 27944
Facility Status: 0 Compliant n Not Compliant
Integrator: Murphy -Brown LLC
Location of Farm:
Latitude: 36°14'51" Longitude: 76°33'15"
112 mile North of Beech Springs Rd. on the western side of Goodwin and the second location os approx. 112 mile from this on Ithe
Southern side of Beech Springs Rd. SR 1111
Question Areas:
W Dischrge & Stream Impacts Waste Col, Stor, & Treat Waste Application
im Records and Documents Other issues
Certified Operator: William B Perry
Operator Certification Number: 20352
Secondary OIC(s):
On -Site Representative(s): Name
Title Phone
24 hour contact name Bryant Perry
Phone:
On -site representative Bryant Perry
Phone:
Primary Inspector: Ronnie T Smith
Phone:
Inspector Signature:
Date:
Secondary Inspector(s):
Page: 1

Permit: AW5720012 Owner - Facility: Bryant Perry Facility Number: 720012
Inspection Date: 09/17/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Inspection Summary:
CoC in records
W U P 12119/00
Sludge Survey 10/12/11
**due again 2012**
thickness = 1.31
L.TZ = 6
Waste Analysis N
11/29/10 .15
**Out of flogs last summer due to roofs being tore off during isabelle.
didn't pump last here
crop yield records reviewed.
Soil Test 2114/11
**due again in 2012**
Cu & Zn levels Min range
irrigation calibration 8/30110
**due again 2012**
Page: 2

Permit: AWS720012 Owner - Facility: Bryant Perry Facility Number: 720012
Inspection Date: 09/17/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Swine
Q Swine - Feeder to Finish
2,400
976
Q Swine - Wean to Feeder
2,000
680
Total Design Capacity: 4,400
Total SSLW: 384,000
Waste Structures
Designed Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
agoon
HP
12.00
24.00
agoon
PRIMARY
19.00
29.00
Page: 3

Permit: AWS720012 Owner - Facility: Bryant Perry
Inspection Date: 09/17/2012 Inspection Type: Compliance inspection
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at:
Structure
Application Field
Other
Facility Number: 720012
Reason for Visit: Routine
Yes No NA NE
n■nn
n
n
n
a. Was conveyance man-made?
n
■
n
n
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
n
■
n
n
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
n
■
n
n
2. Is there evidence of a past discharge from any part of the operation?
n
■
n
n
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the State other than
n
■
Q
from a discharge?
Waste Collection, Storage & Treatment Yes
No
NA
NE
a. Is storage capacity less than adequate?
n
■
n
n
If yes, is waste level into structural freeboard?
n
5. Are there any immediate threats to the integrity of any of the structures observed (Le./ large trees, severe
❑
■
❑
n
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management
❑
■
n
n
or closure plan?
7. Do any of the structures need maintenance or improvement?
n
■
D
n
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
Q
■
Q
n
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
n
■
n
n
improvement?
11. Is there evidence of incorrect application?
n
■
n
n
If yes, check the appropriate box below.
Excessive Pending?
Hydraulic Overload?
n
Frozen Ground? n
Heavy metals (Cu, Zn, etc)? n
Page: 4

Permit: AWS720012 Owner - Facility: Bryant Perry Facility Number: 720012
Inspection Date: 0911712012 inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Application Yes No NA NE
PAN? Q
Is PAN > 10%/10 lbs.?
Total Phosphorus?
Failure to incorporate manuretsludge into bare soil?
Outside of acceptable crop window?
Evidence of wind drift?
Application outside of application area?
Crop Type 1
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?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Records and Documents
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?
Q
Q
n
n
n
0
Fescue (Hay, Pasture)
Corn (Grain)
Soybeans
n■nn
n■nn
n■nn
n■Qn
n ■ n n
Yes No NA NE
nnnn
nnnn
n
Page: 5

Permit: AWS720012 Owner - Facility: Bryant Perry
Inspection Date: 09/17/2012 Inspection Type: Compliance Inspection
Records and Documents
Facility Number: 720012
Reason for Visit: Routine
Yes No NA NE
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
rl
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
n
n ❑ n
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
Crop yields?
n
120 Minute inspections?
❑
Monthly and 1"Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
n
n n n
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
❑
❑ ❑ 0
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
❑ ❑ ❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate
n
n n n
box(es) below:
Failure to complete annual sludge survey
❑
Failure to develop a POA for sludge levels
n
Non -compliant sludge levels in any lagoon
F1
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
F1
n n n
Page: 6

Permit: AWS720012 Owner -Facility: Bryant Perry Facility Number: 720012
Inspection Date: 09/17/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification? 11 n n ❑
Other issues Yes No NA NE
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report n Q n n
mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional n Q I l n
Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? (i.e., discharge, Q n n n
freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? Q 0 ❑ Q
If yes, check the appropriate box below.
Application Field
Lagoon 1 Storage Pond
Other Q
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or CAWMP? n n n n
33. Did the Reviewer/inspector fail to discuss review/inspection with on -site representative? 0 11 ❑ Q
34. Does the facility require a follow-up visit by same agency? n n n Q
Page: 7

r
E Division of Water Quality
n Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 720012 Facility Status: Active Permit: AWS720012 ❑ Denied Access
Inspection Type: Compliance ln§pection
Reason for Visit: Routine County
Inactive or Closed Date:
Perauimans Region: Washington
Date of Visit: 09/22/2011 Entry Time:11:13 AM Exit Time: 12:00 PM Incident #:
Farm Name: Belvidere Farms Owner Email:
Owner: Bryant Perry Phone: [phone]
Mailing Address: 334 Icaria Rd Tyner NC 27980
Physical Address: 1�1 Goodwin Mill Rd Hertford NC 27944
Facility Status: E Compliant n Not Compliant Integrator: Mur2hy-Brawn LLC
Location of Farm: Latitude: 36'14'51" Longitude: 76'33'15"
1/2 mile North of Beech Springs Rd. on the western side of Goodwin and the second location os approx. 1/2 mile from this on Ithe
Southern side of Beech Springs Rd. SR 1111
Question Areas:
Discharges & Stream Impacts
Records and Documents
Certified Operator: William B Perry
Secondary OIC(s):
Waste Collection & Treatment Waste Application
Otherlssues
Operator Certification Number: 20352
On -Site Representative(s): Name Title Phone
24 hour contact name Bryant Perry Phone:
On -site representative Bryant Perry Phone:
Primary Inspector: Ronnie T Smith Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Page: 1

Permit: AW5720012 Owner - Facility. Bryant Perry Facility Number: 720012
Inspection Date: 09/2212011 Inspection "type: Compliance Inspection Reason for Visit: Routine
Inspection Summary:
New CoC in records Sludge Survey 11/25/10
OIC in records thickness = 1.47
WUP 12/19/00 LT'Z = 4.6
pump intake = 5.8
Waste Analysis - only pumping that has been done —due again in 2011**
N
11/29110 = .15 'hadn't had pigs sind June 16th on permises**
irrigation calibration 8/30/10
*'due again 2012**
irrigation records correspond to rainfall and lagoon records
Soil test 2/14/11
**due again in 2012**
Cu Min range
Zn over 1,000 keep eye on in field #2
Page: 2

Permit: AWS720012 Owner - Facility: Bryant Perry
Facility Number : 720012
Inspection Date: 09122/2011 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Swine
Q Swine - Feeder to Finish
2,400
0
Swine - Wean to Feeder
2,000
0
Total Design Capacity:
Total SSLW:
Waste Structures
4,400
384,000
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
agoon
HP
12.00
19.00
Fagoon
PRIMARY
19.00
36.00
Page: 3

Permit: AWS720012 Owner - Facility: Bryant Perry Facility Number: 720012
Inspection Date: 09/22/2011 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? n ■ D n
Discharge originated at:
Structure n
Application Field ❑
Other
a. Was conveyance man-made? ❑ ■ n n
b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ D D
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
n
■
❑
n
2. Is there evidence of a past discharge from any part of the operation?
n
■
n
n
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the State other than
n
■
n
Q
from a discharge?
Waste Collection, Storage & Treatment
Yes
No
NA
NE
4. Is storage capacity less than adequate?
I l
■
n
n
If yes, is waste level into structural freeboard?
n
5. Are there any immediate threats to the integrity of any of the structures observed (Led large trees, severe
n
■
n
0
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management
n
■
n
n
or closure plan?
7. Do any of the structures need maintenance or improvement?
n
■
n
n
B. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
❑
■
D
n
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
0
■
n
n
improvement?
Waste Application Yes
No
NA
NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
n
■
n
❑
improvement?
11. Is there evidence of incorrect application?
Q
■
n
n
If yes, check the appropriate box below.
Excessive Ponding?
Hydraulic Overload?
Frozen Ground?
0
Heavy metals (Cu, Zn, etc)?
Page: 4

Permit: AWS720012 Owner - Facility: Bryant Perry
Inspection Date: 09/22/2011 Inspection Type: Compliance Inspection
Facility Number: 720012
Reason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
n
Is PAN > 10%/10 lbs.?
n
Total Phosphorus?
Failure to incorporate manure/sludge into bare soil?
n
Outside of acceptable crop window?
Evidence of wind drift?
n
Application outside of application area?
0
Crop Type 1
Fescue (Hay)
Crop Type 2
Corn, Wheat, Soybeans
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Torhunta
Soil Type 2
Dragston loamy fine
sand
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
n
■
n
n
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
n
■
n
n
16. Did the facility fall to secure and/or operate per the irrigation design or wettable acre determination?
n
■
n
n
17. Does the facility lack adequate acreage for land application?
n
■
n
n
18. Is there a lack of properly operating waste application equipment?
n
■
n
n
Records and Documents
Yes
No
NA
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
n
■
0
n
20. Does the facility fail to have all components of the CAWMP readily available?
❑
■
n
n
If yes, check the appropriate box below.
W UP? L�
Page: 5

Permit: AWS720012 Owner - Facility: Bryant Perry
Inspection Late: 0912212011 Inspection Type: Compliance Inspection
Records and Documents
Facility Number: 720012
Reason for Visit: Routine
Checklists?
❑
Design?
❑
Maps?
0
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement? ❑ ■ ❑ ❑
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■ ❑ ❑
21 If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
❑
■ f_I Q
24, Did the facility fail to calibrate waste application equipment as required by the permit?
❑
■ D ❑
25, Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate
❑
■ ❑ ❑
box(es) below:
Failure to complete annual sludge survey
❑
Failure to develop a POA for sludge levels
❑
Non -compliant sludge levels in any lagoon
❑
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑
■ ❑ ❑
Page: 6

Permit: AW5720012 Owner - Facility: Bryant Perry Facility Number: 720012
Inspection Date: 09/22/2011 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification? ❑ ■ ❑ !,
Other Issues Yes No NA NE
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report ❑ ■ ❑ D
mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional D ■ D D
Air Quality representative immediately.
30. Did the facility fail to notify regional DWO of emergency situations as required by Permit? (i.e., discharge, ❑ ■ D D
freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? ❑ ■ ❑ D
If yes, check the appropriate box below.
Application Field D
Lagoon 1 Storage Pond D
Other ❑
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or CAWMP? D ■ D ❑
33. Did the Reviewer/inspector fail to discuss review/inspection with on -site representative? ❑ ■ D D
34. Does the facility require a follow-up visit by same agency? ❑ ■ ❑ ❑
Page: 7

E Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number : 720012 Facility Status: Active Permit: AWS720012 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine _ County: Perauimans Region: Washington
Date of Visit: 05/19/2010 Entry Time:10:00 AM _ Exit Time: Incident #:
Farm Name: Belvidere Farms Owner Email:
Owner: Bryant Perry - Phone: [phone]
Mailing Address: 334 Icaria Rd Tyner NC 27980
Physical Address: 151 Goodwin Mill Rd _ Hertford NC 27944
Facility Status: E Compliant ❑ Not Compliant Integrator: Murphy -Brown LLC
Location of Farm: Latitude: 36°14'51" Longitude: 76'33'15"
112 mile North of Beech Springs Rd. on the western side of Goodwin and the second location os approx. 1/2 mile from this on Ithe
Southern side of Beech Springs Rd. SR 1111
Question Areas:
W Discharges & Stream Impacts Waste Collection & Treatment Waste Application
jj Records and Documents Other Issues
Certified Operator: William B Perry Operator Certification Number: 20352
Secondary OIC(sj:
On -Site Representative(s): Name Title Phone
24 hour contact name Bryant Perry Phone:
On -site representative Bryant Perry Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
There has been no irrigation events since 2006 so therefore no waste analysis has been taken. Soil test are current.
#24 since there has been no irrigation there was no way to do the caliberation - hopes to do so this year.
Need to do a sludge survey in 2010.
Page: 1

r
Permit: AWS720012 Owner - Facility: Bryant Perry Facility Number : 720012
Inspection Date: 05119/2010 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Swine
Swine - Feeder to Finish
2,400
920
Swine - Wean to Feeder
2.000
800
Total Design Capacity: 4,400
Total SSLW: 384,000
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
agoon
HP
12.00
15.00
agoon
PRIMARY
19.D0
22.00
Page: 2

Permit: AW5720012 Owner - Facility: Bryant Perry Facility Number : 720012
Inspection Date: 05/19/2010 Inspection Type: Compliance Inspection Reason for Visit: 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?
Cl
01111
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
■
❑ Cl
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
0
w
❑ n
2 Is there evidence of a past discharge from any part of the operation?
0
■
❑ I_l
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
n
■
n n
discharge?
Waste Collection, Storage & Treatment
Yes
No
NA NE
4. Is storage capacity less than adequate?
Cl
■
❑ ❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./large trees, severe
❑
■
❑ ❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑
■
n n
or closure plan?
7. Do any of the structures need maintenance 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
❑
■
n n
improvement?
11. Is there evidence of incorrect application?
n
■
❑ ❑
If yes, check the appropriate box below
Excessive Ponding?
❑
Hydraulic Overload?
Tl
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
rl
Page: 3

Permit: AVVS720012 Owner - Facility: Bryant Perry
Inspection Date: 0511912010 Inspection Type: Compliance Inspection
Facility Number : 720012
Beason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
Is PAN > 10%110 lbs.?
❑
Total P2O5?
El
Failure to incorporate manure/sludge into bare soil?
Outside of acceptable crop window?
Evidence of wind drift?
App€ication outside of application area?
Crop Type 1
Corn (Grain)
Crop Type 2
Soybeans
Crop Type 3
Fescue (Hay)
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
❑ ■ 0 0
Plan(CAWMP)?
15 Does the receiving crop and/or land application site need improvement?
n ■ n n
16, Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? n ■ n Q
17, Does the facility lack adequate acreage for land application?
❑ ■ 1 0
18 Is there a lack of properly operating waste application equipment?
U ■ ❑ 0
Records and Documents
Yes No NA NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
n ■ n p
20 Does the facility fail to have all components of the CAWMP readily available?
❑ ■ ❑ 0
If yes, check the appropriate box below.
WUP?
11
Page: 4

Permit: AWS720012 Owner - Facility: Bryant Perry Facility Number: 720012
Inspection Date: 05/19/2010 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
Checklists? In
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?
❑
0013
23. If selected, did the facility fail to instal{ and maintain a rainbreaker on irrigation equipment (NPDES only)?
❑
■
E!
❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
■
❑
❑
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
■
❑
❑
25. Did the facility fail to have an actively certified operator in charge?
Cl
■
❑
❑
27. Did the facility fail to secure a phosphorous lass assessment (PLAT) certification?
❑
■
❑
❑
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 ❑ ■ [i ❑
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 ❑ ■ li n
Quality representative immediately.
Page: 5

Permit: AVVS720012 Owner - Facility: Bryant Perry
Inspection Date: 05/1912010 Inspection Type: Compliance Inspection
Other Issues
31. Did the facility fail to notify regionaf DUVQ 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?
Facility Number: 720012
Reason for Visit: Routine
Page 6

l
E Division of Water Quality
n Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 7200,12, Facility Status: Active Permit: AWS720012 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Perouimans Region: Washington
Date of Visit: 71 IQ Z 099 Entry Time: 10:30 AM Exit Time:
Farm Name: BelviQgre Farms _
Owner: Bryant Perry
Incident #:
Owner Email:
Mailing Address: 334 Icaria Rd Tyner NC 27980
Phone: [phone]
Physical Address: 151 Goodwin Mill Rd Hertford NC 27944
Facility Status: E Compliant ❑ Not Compliant Integrator. Murphy -Brower LLC _
Location of Farm: Latitude: 36`14'51" Longitude: 76°33'15"
112 mile North of Beech Sprngs Rd. on the western side of Goodwin and the second location os approx. 112 mile from this on Ithe
Southern side of Beech Springs Rd. SR 1111
Question Areas:
Discharges & stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other Issues
Certified Operator: William 8 Perry
Secondary OiC(s):
Operator Certification Number: 20352
On -Site Representative(s): Name Title Phone
24 hour contact name Bryant Perry Phone:
On -site representative Bryant Perry
Primary Inspector:
Inspector Signature:
Marlene Salyer
Secondary Inspector(s):
Inspection Summary:
waste analysis:
no samples taken since no irrigation is needed! Sept. 2007 was last irrigation event.
Phone:
Phone:
Date:
Page: 1

Permit: AWS720012 Owner -Facility. Bryant Perry
Inspection Date: 07/09/2009 inspection Type: Compliance Inspection
Waste Stnlctures
Facility Number: 720012
Reason for Visit: Routine
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
Lagoon HP 12.00
Lagoon PRIMARY 19.00
Page- 2

Permit: AWS720012 Owner -Facility: Bryant Perry Facility Number :
720012
Inspection Date: 07/09/2009 Inspection Type: Compliance Inspection Reason for Visit: 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)
n
BUD
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 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 (Le] large trees, severe
❑
■
❑
❑
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 maintenance or improvement?
❑
■
❑
❑
B. 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
❑
■
0
❑
improvement?
Waste Application
Yes
No
NA
NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
00011
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: AWS720012 Owner - Facility: Bryant Perry Facility Number: 720012
Inspection pate: 07109/2009 Inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Application Yes No NA NE
PAN? ❑
Is PAN 7 10%110 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, Pasture)
Crop Type 2 Soybean, Wheat
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?
❑
■
❑
❑
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

Permit: AWS720012 Owner - Facility: Bryant Perry Facility Number: 720012
Inspection Date: 071D912009 inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
Checklists? ❑
Design? ❑
Maps? ❑
Other? ❑
21. Does record keeping need improvement? n ■ 0 n
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
❑
Weekiy Freeboard?
In
Transfers?
❑
Rainfall?
❑
Inspections after> 1 inch rainfall & monthly?
n
Waste Analysis?
Cl
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)?
❑
■
❑
❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
■
❑
❑
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?
n
■
n
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
■
❑
❑
Other Issues
Yes No
NA
N
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 nominal rates?
30. At the time of the inspection did the facility pose an air quality concem? If yes, contact a regional Air
❑ ■
❑
❑
Quality representative immediately.
Page: 5

Permit: AWS720012 Owner - Facility: Bryant Perry Facility Number: 720012
Inspection Date: 07/09/2009 Inspection Type: Compliance Inspection Reason for Visit: Routine
Otherlssues Yes No NA NE
31. Did the facility fail to notify regional DWQ 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

Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency ________
Facility Number: 720012 Facility Status: Active Permit: AWS720012 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Perauimans Region: Washington
date of Visit: 11/19/2008 Entry Time: 11:41 AM Exit Time: Incident #:
Farm Name: Belvidere Farms Owner Email:
Owner: Bryant Perry
Mailing Address: 334 Icaria Rd Tyner NC 27980
Physical Address:
Phone: [phone]
Facility Status: ❑ Compliant ❑ Not Compliant Integrator: Carroll's Foods of Virginia LLC
Location of Farm: Latitude: 36°14'51" Longitude: 76°33'15"
112 mile North of Beech Springs Rd. on the western side of Goodwin and the second location os approx. 112 mile from this on [the
Southern side of Beech Springs Rd. SR 1111
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other Issues
Certified Operator: William B Perry
Secondary OIC(s):
Operator Certification Number: 20352
On -Site Representative(s): dame Title Phone
24 hour contact name Bryant Perry Phone:
On -site representative Bryant Perry Phone:
Primary Inspector: Eric Newsome Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Page: 1

Permit: AWS720012 Owner - Facility: Bryant Perry
Facility Number : 720012
Inspection Date: 11/19/2008 Inspection Type: Compliance Inspection Reason for Visit: Routine
Inspection Summary:
Saw CoC and Permit.
WUP signed 1211812003.
No pumping has occurred on crops in 2008.
Has obtained and mailed today (11/19108) a soil sample for 2008 testing by NCDA&CS. Will follow up with NCDA&CS and farmer.
Rainfall and lagoon freeboard records were acceptable.
2007 sludge survey results (10129/07): LTZ= 4.9', Thick= 1.42'. Will mail lagoon survey exemption request form to producer.
"Note: Farm still needs to perform biennial irrigation equipment calibration before the end of 2008. Mr. Perry has been advised that
the calibration can be performed, despite having the lagoon freeboard below the stop pump level. Based on 2007 sludge lagoon
survey results, the current sludge levels should not interfere with pumping for calibration purposes.
Crop yields available (500 bales of fescue cut).
Page: 2

Permit: AWS720012 Owner - Facility: Bryant Perry
Facility Number: 720012
Inspection Date: 11/19/2008 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations
Swine
Design Capacity
Current Population
Swine - Feeder to Finish
2,400
1,029
Swine - Wean to Feeder
2,000
833
Total Design Capacity: 4,400
Total SSLW: 384,000
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
agoon
HP
12.00
19.00
agoon
PRIMARY
19.00
49.00
Page' 3

Permit: AWS720012 Owner - Facility: Bryant Perry Facility Number: 720012
Inspection Date: 11/19/2008 Inspection Type: Compliance Inspection Reason for Visit: Houtine
Discharges & Stream Impacts Yes No NA M
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ■ ❑ n
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)
❑
■
❑
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
■
n
❑
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.e./ large trees, severe
❑
■
❑
❑
erosion, seepage, etc.)?
B. 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 maintenance or improvement?
❑
■
❑
Cl
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
Cl
■
❑
❑
improvement?
Waste Application
Yes
No
NA
NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
rl
■
❑
❑
improvement?
11. Is there evidence of incorrect application?
❑
■
n
❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
Page: 4

Permit: AWS720012 Owner - Facility: Bryant Perry
Inspection Date: 11119/2008 Inspection Type: Compliance Inspection
Facility Number : 720012
Reason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total P205?
❑
Failure to incorporate manureisludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1
Corn, Wheat, Soybeans
Crop Type 2
Crop Type 3
Fescue (Hay)
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Icaria fine sandy loam
Soil Type 2
Dragston loamy fine
sand
Soil Type 3
Soil Type 4
Tomotley fine sandy
loam
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 andlor land application site need improvement?
❑
■
❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
n
■
n
n
17. Does the facility lack adequate acreage for land application?
❑
■
❑
❑
18. Is there a lack of properly operating waste application equipment?
n
■
❑
0
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.
Page: 5

Permit: AWS720012 Owner - Facility: Bryant Perry Facility Number: 720012
Inspection Date: 11/19/2008 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
WUP? ❑
Checklists? ❑
Design? ❑
Maps? ❑
Other? ❑
21. Does record keeping need improvement? 0 ■ 0 n
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
❑
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
n
Inspections after > 1 inch rainfall & monthly?
❑
Waste Analysis?
n
Annual soil analysis?
❑
Crop yields?
fl
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
n
■
n
❑
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?
n
■
n
❑
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?
n
■
❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
❑
■
❑
nay__ 4__..__
Yac
Nn
NA
NF
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP? ❑ ■ ❑ D
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?
Page: 6

Permit: AWS720012 Owner - Facility: Bryant Perry Facility Number: 720012
Inspection Date: 11/19/2008 Inspection Type: Compliance Inspection Reason for Visit: Routine
Other ISSUes Yes No NA NE
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air 0 0 0 ■
Quality representative immediately.
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? [I ■ O O
32. Did Reviewer/Inspector fail to discuss reviewfmspection with on -site representative? ❑ ■ Q ❑
33. Does facility require a follow-up visit by same agency?
ONO 0
Page:7

0 Division of Water Quality
n Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 720012 Facility Status: Active
Permit: AWS720012 ❑ Denied Access
Inspection Type: Compliance Inspection
Inactive or Closed Date:
Reason for Visit: Routine
County: Perguimans Region: Washington
Date of Visit: 09/20/2007 Entry Time:10:21 AM
Exit Time: Incident #:
Farm Name: Belvidere Farms
Owner Email:
Owner: Bryant Perry
Phone: [phone]
Mailing Address: 334 Icaria Rd
Tyner NC 27980
Physical Address:
Facility Status: n Compliant ❑ Not Compliant
Integrator:
Location of Farm:
Latitude: 36°14'48" Longitude: 76°32'46"
112 mile North of Beech Springs Rd. on the western side of Goodwin and the second location os approx. 112 mile from this on Ithe
Southern side of Beech Springs Rd. SR 1111
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment ji Waste Application
Records and Documents Other Issues
Certified Operator: Wifliam B Perry Operator Certification Number: 20352
Secondary OIC(s):
On -Site Representatives): Name Title Phone
On -site representative Bryant Perry Phone:
24 hour contact name Bryant Perry Phone:
Primary Inspector: Eric Newsome Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Page: 1

Permit: AW5720012 Owner - Facility: Bryant Perry Facility Number : 720012
Inspection Date: 09/20/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
Inspection Summary:
#9. Erosion and lack of vegetation seen on berm between holding pond and the primary lagoon. Should work to re -seed once
weather will allow. Continue filling any damage from groundhogs and other rodents.
Saw the COC and permit (AWG 100000) dated 10/112004.
Soil test results seen for 914/2007; highest lime required 1.7 TIAc (sample #3), with time to be applied during 2007 per operator. Zn
index is rather high (1064) and needs to be monitored; Cu index is 595 and the Phosphorous index is 650—No deep soil sampling has
occurred on these fields per operator (Bryant Perry).
WUP signed 12/18/2003 for 600 sows (farrow to finish); the lone waste analysis result for the period from 412006 to 9/20/2007 was
unusually low (0.20 IbN11000gal, 11122106). Operator should retest during the next application to crops in his Waste UtiJzaUcn Plan.
Per Mr. Bryant, no waste water pumping events have occurred since the 12/2006 applications and all waste samples are taken from
the 4 acre primary lagoon, not the holding pond.
Saw IRR2s for Field 1 and Field 2 (5 acres each of Fescue); however it was denoted to Mr. Perry that the form dates corresponded to
days AFTER this inspection date (9121/07-11130/07). Mr. Perry stated that these were typographical errors that need correction. PAN
limits upheld and nitrogen levels balanced.
Crop yield records provided for 6MO6 (335 bales of Fescue) and 617107 (38 bales of Fescue).
#21. Rainfall is being measured and recorded; however, it should be recorded daily and not weekly.
Lagoon freeboard levels are being properly recorded weekly.
Reviewed the 2006 sludge survey results (9130/2006): Thick=125', LTZ=6.0'
Next survey is due in 2007, exemption letter from DWQ notwithstanding.
Reviewed the 2006 irrigation calibration of the reel and Nelson gun system: 1.15" nozzle, 200 gpm, Uc=75% ("good" rating). Next
calibration is due in 2008.
Page: 2

Permit: AWS720012 Owner - Facility: Bryant Perry
Inspection pate: 09/20/2007 Inspection Type: Compliance Inspection
Facility Number : 720012
Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Swine
Inl Swine - Feeder to Finish
2,400
1,540
Q Swine - Wean to Feeder
2,000
1,775
Waste Structures
Type Identifier
Total Design Capacity: 4,400
Total SSLW: 384,000
Closed Date Start Date Designed Freeboard Observed Freeboard
agoon
HP
12.00
15.00
agoon
PRIMARY
19.00
48.00
Page: 3

Permit: AWS720012 Owner - Facility: Bryant Perry Facility Number: 720012
Inspection Date: 09/20/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? CI ■ n n
Discharge originated at:
Structure 171
Application Field n
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. Dees discharge bypass the waste management system? (if yes, notify DWQ)
n
■
n
n
2. Is there evidence of a past discharge from any part of the operation?
n
■
n
n
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
n
■
ri
n
discharge?
Waste Collection, Storage & Treatment
Yes
No
NA
NE
4_ Is storage capacity less than adequate?
n
■
0
n
If yes, is waste level into structural freeboard?
11
5. Are there any immediate threats to the integrity of any of the structures observed (Le.! large trees, severe
❑
■
❑
n
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management n
■
n
n
or closure plan?
7. Do any of the structures need maintenance or improvement?
n
■
n
n
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
p
■
n
n
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
■
0
n
n
improvement?
Waste Application
Yes
No
NA
NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
n
■
n
improvement?
11. Is there evidence of incorrect application?
n
■
n
n
If yes, check the appropriate box below.
Excessive Ponding?
n
Hydraulic Overload?
Frozen Ground?
Heavy metals (Cu, Zn, etc)?
❑
Page: 4

Permit: AWS720012 Owner - Facility: Bryant Perry
Inspection Date: 09/20/2007 Inspection Type: Compliance Inspection
Facility Number: 720012
Reason for Visit: Routine
Waste Ap ication
Yes
No
NA NE
PAN?
Is PAN > 10%/10 lbs.?
n
Total P205?
[1
Failure to incorporate manure/sludge into bare soil?
rl
Outside of acceptable crap window?
n
Evidence of wind drift?
Application outside of application area?
n
Crop Type 1
Com,
Wheat, Soybeans
Crop Type 2
Fescue
(Hay)
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
n
■
n n
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
■
n n
16, Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑
■
n
17. Does the facility lack adequate acreage for land application?
❑
■
fl n
18. Is there a lack of properly operating waste application equipment?
n
■
n n
Records and Documents
Yes
No
NA NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
n
■
n n
20. Does the facility fail to have all components of the CAWMP readily available?
n
■
n n
If yes, check the appropriate box below.
WUP?
Page: 5

Permit: AWS720012 Owner - Facility: Bryant Perry Facility Number: 720012
Inspection Date: 09/20/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
Checklists?
Design?
Maps? n
Other?
21, Does record keeping need improvement? ■ ❑ f_1
If yes, check the appropriate box below.
Waste Application?
120 Minute inspections?
Weather code?
rl
Weekly Freeboard?
1_l
Transfers?
Rainfall?
■
Inspections after > 1 inch rainfall & monthly?
n
Waste Analysis?
n
Annual soil analysis?
Crop yields?
n
Stocking?
n
Annual Certification Form (NPDES only)?
22. Did the facility fail to install and maintain a rain gauge?
n
■ n n
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
n
n ■ n
24. Did the facility fail to calibrate waste application equipment as required by the permit?
n
■ ❑ n
25, Did the facility fail to conduct a sludge survey as required by the permit?
n
■ n n
26. Did the facility fail to have an actively certified operator in charge?
n
■ n n
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
n
n ■ n
Other Issues
Yes
No NA NE
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
n
■ n n
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those
❑
■ n n
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
n
n n ■
Quality representative immediately.
Page: 6

Permit: AWS720012 Owner - Facility: Bryant Perry Facility Number. 720012
Inspection Date: 09/20/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
rtt" . Yes No NA NE
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? ❑ D ❑
32. Did Reviewerllnspector fail to discuss reviewlinspection with on -site representative? ❑ 0 0
33. Does facility require a follow-up visit by same agency?
l=000
Page: 7

0 Division of Water Quality
(� Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 720012 Facility Status: Active Permit: AWS720012 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Perguimans Region: Washington
Date of Visit: 04/13/2006 Entry Time:10:25 AM Exit Time: Incident #:
Farm Name: Belvidere Farms Owner Email:
Owner: Bryant Perry Phone: [phone]
Mailing Address: 334 Icaria Rd Tyner NC 27980
Physical Address:
Facility Status: ❑ Compliant n Not Compliant Integrator:
Location of Farm: Latitude: 36°14'48" Longitude: 76°32'46"
112 mile North of Beech Springs Rd. on the western side of Goodwin and the second location as approx. 112 mile from this on Ithe
Southern side of Beech Springs Rd. SR 1111
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment jj Waste Application
Records and Documents Other Issues
Certified Operator: William B Perry Operator Certification Number: 20352
Secondary OIC(s):
On -Site Representative(s): Name
On -site representative Bryant Perry
24 hour contact name Bryant Perry
Title
Phone:
Phone:
Primary Inspector: Joseph Gyamfi Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Phone
Page: 1

Permit: AWS720012 Owner - Facility: Bryant Pent' Facility Number : 720012
Inspection Date: 0411312006 Inspection Type: Compliance Inspection Reason for Visit: Routine
Inspection Summary:
CoC & Permit available on site
WUP revised on 12/18/03 for 600 sows farrow to finish
Waste Analysis:
12/16/05 = 0.19
3/10105 = 0.37
Last soil test report dated 7/29/04 => Failed to pull soil sample in 2005
Reviewed IRR1 & IRR2 records:
-waste analysis dated 12/16/06 was puuled on 11/1105 (indicated on submittal sheet), and therefore used for pumping on 9/14105
through 1016105.Weather codes and inspection initials completed.
Rainfall recorded and initials completed.
Lagoon levels recorded weekly. Please make necessary changes to reflect the 19" freeboard in the larger lagoon. Producer has used
12" freeboard in his freeboard records
Please secure irrigation calibration & sludge survey by 9/30/2006
Stocking & mortality records available
(95). Please continue to work on eradicating rodents/groundhogs. Refill holes with dirt and compact.
(#1`7.) Try to mow the lagoon dike
(##21.) Need to keep crop yield records
- Producer is given new IRR2 and CROP1 forms_
Page: 2

Permit: AWS720012 Owner - Facility: Bryant Perry
Inspection Date: 0411312006 Inspection Type: Compliance Inspection
Facility Number : 720012
Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Swine
Swine - Feeder to Finish
2,400
875
Swine - Wean to Feeder
2,000
1,800
Total Design Capacity: 4,400
Total SSLW: 384,000
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
agoon HP 15.00
agoon PRIMARY 32.00
Page: 3

Permit: AW5720012 Owner - Facility: Bryant Perry
Inspection Date: 04113/2006 Inspection Type: Compliance Inspection
Facility Number : 720012
Reason for Visit: Routine
Discharges 8 Stream Impacts
Yes No
NA
NE
1. Is any discharge observed from any part of the operation?
❑ ■
D
0
Discharge originated at:
Structure
Application Field
Other
a. Was conveyance man-made?
n ■
n
n
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
n ■
n
n
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
n
■
n
n
2. Is there evidence of a past discharge from any part of the operation?
n
■
n
n
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
U
■
n
n
discharge?
Waste Collection, Storage & Treatment
Yes
No
NA
NE
4. Is storage capacity less than adequate?
n
■
n
11
If yes, is waste level into structural freeboard?
5. Are there any immediate threats to the integrity of any of the structures observed (LeJ large trees, severe
■
n
n
Cl
erosion, seepage, etc.)?
6_ Are there structures on -site that are not properly addressed and/or managed through a waste management n
■
n
n
or closure plan?
7. Do any of the structures need maintenance or improvement?
■
n
n
n
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
(=1
■
n
n
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
n
■
n
n
improvement?
Waste Application
Yes
No
NA
NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
n
■
n
n
improvement?
11. Is there evidence of incorrect application?
n
■
n
n
If yes, check the appropriate box below.
Excessive Pending?
rl
Hydraulic Overload?
n
Frozen Ground?
,Heavy metals (Cu, Zn, etc)? n
Page: 4

Permit: AWS720012 owner- Facility: Bryant Perry
Inspection Date: 04/13/2006 Inspection Type: Compliance Inspection
Facility Number: 720012
Reason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
Is PAN > 10%I10 lbs.?
rl
Total P2O5?
n
Failure to incorporate manure/sludge into bare soil?
Outside of acceptable crop window?
n
Evidence of wind drift?
ri
Application outside of application area?
n
Crop Type 1
Corn, Wheat, Soybeans
Crop Type 2
Small Grain Cover
Crop Type 3
Fescue (Hay)
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
lcaria
Soil Type 2
Tomotley
Soil Type 3
Cragston
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
n ■ n n
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑ ■ n Q
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? n ■
17_ Does the facility lack adequate acreage for land application?
n ■ n n
18. Is there a lack of properly operating waste application equipment?
n ■ n n
Records and Documents
Yes No NA NE
19, Did the facility fail to have Certificate of Coverage and Permit readily available?
n ■ n n
20. Does the facility fail to have all components of the CAWMP readily available?
n ■ n n
If yes, check the appropriate box below.
WUP?
n
Page: 5

Permit: AWS720012 Owner - Facility: Bryant Perry Facility Number: 720012
Inspection Date: 0411312006 Inspection Type: Compliance Inspection Beason for Visit: Routine
Records and Documents Yes No NA NE
Checklists? n
Design? n
Maps? 171
Other? n
21. Does record keeping need improvement? ■ n n 0
If yes, check the appropriate box below.
Waste Application? r!
120 Minute inspections?
Weather code?
n
Weekly Freeboard?
n
Transfers?
n
Rainfall?
n
Inspections after > 1 inch rainfall & monthly?
n
Waste Analysis?
Annual soil analysis?
n
Crop yields?
■
Stocking?
n
Annual Certification Form (NPDES only)?
n
22. Did the facility fail to install and maintain a rain gauge?
n
■
n
n
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
n
n
■
n
24. Did the facility fail to calibrate waste application equipment as required by the permit?
n
n
Q
■
25, Did the facility fail to conduct a sludge survey as required by the permit?
n
❑
n
■
26. Did the facility fail to have an actively certified operator in charge?
n
■
n
n
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
n
n
■
n
Other Issues Yes No NA N
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP? n ■ ❑
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ n ❑
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 n ■ ❑ n
Quality representative immediately.
Page: 6

Permit: AW5720012 Owner -Facility: Bryant Perry
Facility Number : 720012
Inspection Date: 04/13/2006 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Other lssues
Yes
No
NA
NE
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
n
■
n
n
32. Did Reviewerllnspector fail to discuss reviewlinspection with on -site representative?
n
■
n
Cl
33. Does facility require a follow-up visit by same agency?
n
■
n
n
Page: 7

r
Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 720012 Facility Status: Active Permit: AWS720012 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Perauimans Region: Washington
Date of Visit: 06/03/2005 Entry Time: Q9:30 AM Exit Time:
Incident #:
Farm Name: Belvidere Farms Owner Email:
Owner: ,Bryant Perry
Mailing Address: 334 Icaria Rd Tyner NO 27980
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator: Carroll`s Foods of Virginia LL
Location of Farm: Latitude: 36'14'48" Longitude: 76'32'46'
112 mile North of Beech Springs Rd. on the western side of Goodwin and the second location os approx. 112 mile from this on Ithe
Southern side of Beech Springs Rd. SR 1111
Question Areas:
0 Discharges & Stream impacts Waste Collection & Treatment Waste Application
M Records and Documents M Other Issues
Certified Operator: William B Perry Operator Certification Number: 20352
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name Bryant Perry Phone:
On -site representative Bryant Perry Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: —
Secondary Inspector(s):
Inspection Summary:
Waste analysis: 9-15-04 = 0.24
Soil test 7-29-04 don't forget to pull a soil sample for year 2005.
#7 Remember to repair the lawnmower and get the banks of the lagoon mowed ASAP.
Note: If you are going to continue to graze the hay fields, then please get your WUP amended.
Date:
Phone:
Phone:
Page: 1

r
Permit: AWS720012 Owner -Facility- Bryant Perry
Inspection Date: 0610312005 Inspection Type: Compliance Inspection
Facility Number: 720012
Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Swine
® Swine -Feeder to Finish
2,400
1,850
Swine - Wean to Feeder
2,000
2,000
Total Design Capacity: 4,400
Total SSI.W: 384,000
Waste Structures
Type Identifier Closed Hate Start Date Designed Freeboard Observed Freeboard
Lagoon HP 16.00
Lagoon PRIMARY 24.00
Page: 2

t
Permit: AW5720012 Owner -Facility: Bryant Perry
Facility Number: 720012
Inspection Date: 06l0312005 Inspection Type: Compliance Inspection Reason for Visit: Routine
i?i
5cflarnes IS 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? 0000
b. Did discharge reach Waters of the State? (if yes, notify DWQ) 0000
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
0 ❑ ❑
2. Is there evidence of a past discharge from any part of the operation?
00
❑ ❑
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a discharge?
00
❑ ❑
Waste Collection. Storage & Trpalment
Yes
No NA NE
4. Is storage capacity less than adequate?
❑
0 ❑ ❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.e.1 large trees, severe erosion,
❑
■ ❑ ❑
seepage, etc.)?
8- Are there structures on -site that are not properly addressed and/or managed through a waste management or
❑
0 ❑ ❑
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
❑
0 ❑ ❑
and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑
0 ❑ ❑
improvement?
Yes
No NA NF
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement?
❑
0 ❑ ❑
11. Is there evidence of incorrect application?
❑
M ❑ Cl
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, 2n, etc)?
❑
PAN?
❑
Is PAN > 10%/10 €bs,?
❑
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
Com, Wheat, Soybeans
Crop Type 2
Coastal Bermuda Grass
(Pasture)
Crop Type 3
Fescue (Hay)
Crop Type 4
Small Grain (Wheat,
Bartey, Oats)
Page: 3

n
Permit: AWS720012 Owner - Facility: Bryant Perry
Facility Number: 720012
Inspection Date: 0610312005 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Waste ppjication
Crop Type 5
Yps
No NA
NIF
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)? ❑
0 ❑
❑
15. Does the receiving crop and/or land application site need improvement?
130
❑
❑
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?
❑
0 ❑
❑
18. Is there a lack of properly operating waste application equipment?
Documents
❑
Yes
■ ❑
No NA
❑
NE
Records and
19. Did the facility fail to have Certificate of Coverage and Pen -nit readily available?
❑
0 ❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
0 ❑
❑
If yes, check the appropriate box below.
WUP?
❑
Checklists?
❑
Design?
❑
Maps?
❑
Other?
❑
21. Does record keeping need improvement?
❑ E
❑
❑
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?
❑ 0
❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
❑ ❑
E
❑
24, Did the facility fail to calibrate waste application equipment as required by the permit?
❑ ❑
❑
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?
❑ moo
Page: 4

Permit: AWS720012 Owner - Facility: Bryant Perry
Inspection date: 06/03/2005 Inspection Type: Compliance Inspection
ords and Onruments
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
Facility Number: 720012
Reason for Visit: Routine
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.
31- Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
32, Did Reviewer/Inspector fail to discuss reviewhnspection with on -site representative?
33. Does facility require a follow-up visit by same agency?
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❑ ■ ❑ ❑
❑ M ❑ ❑
❑ ■ ❑ ❑
Page: 5

r -
Lo61c - 6.
WAr�RQ Michael F_ Exley
�O G Governor
r William G. Ross Jr_, Secretary
c� r �
7 —{ Department of Environment and Natural Resoun es
Gregory J. Thorpe, Ph-D., Acting Director
Division of Water Quality
To: Producer
b"—
From: Daphne B. Callon
Environmental Specialist
Washington Regional Office
Subject: Animal Compliance Inspection
Year 2001
Enclosed please find a copy of the Compliance Site Inspection (as viewed in the DWQ database) conducted at the referenced facility
by the Division of Water Quality from the Washington Regional Office. Please read this inspection and keep it with all other
documents pertaining to yonr animal operation for future inspections.
In general, these inspections included verifying that: (1) the farm has a Certified Animal Waste Management Plan (CAWMP); (2) the
farm is complying with requirements of the State Rules I5 NCAC 2110217, Senate Bill 1217, and the Certified Animal Waste
Management Plan; (3) the farm operation's waste management system is being operated properly under the direction of a Certified
Operator, (4) the required records are being kept; and (5) there are no signs of seepage, erosion, and/or runoff.
As a reminder, please note the following comments, which are conditions of the Certified Animal Waste Management Plan and the
General Permit; therefore, these items must be implemented:
op The maximum waste level in lagoons/storage ponds shall not exceed that specified in the CAWMP. At a minimum, maximum waste
level for waste for lagoons/storage ponds must not exceed the level that provides adequate storage to contain 25 year, 24 hour storm
event plus an additional foot of structural freeboard.
cp An analysis of the liquid animal waste from the lagoon shall be conducted as close to the time of application as practical and at least
within 60 days (before or after) of the date of application. This analysis shall include the following parameters: Nitrogen,
Phosphorus, Zinc and Copper.
<p Soil analysis is required annually. Lime is to be applied to each receiving crop as recommended by the soil analysis.
op The following records are required: off -site solids removal, maintenance, repair, wasteJsoil analysis and land irrigation records.
These records should be maintained by the facility owner/manager in chronological and legible form for a minimum of three years.
rp Land application rates shall be in accordance with the CAWMP. In no case shall land application rates exceed the Plant Available
Nitrogen (PAN) rate for the receiving crop or result in nmoff during any given application.
(p All grassed waterways shall have a stable outlet with adequate capacity to prevent ponding or flooding damages. The outlet can be
another vegetated channel, an earth ditch, stabilization structure, or other suitable outlets.
q) It is suggested, not a reotuirern to keep crop yield information for future use to update your waste management plan. You will
need three years of crop yield data before your plan can be updated.
For your information, any swine facility that has a discharge to surface waters of the State will have to apply for a National Pollutant
Discharge Elimination System (NPDES) permit with the Division of Water Quality, effective January 1, 2001.
Thank you for your assistance and cooperation during the inspection. If you have any questions, please contact me at 252-946-6481, ext.
321 or your Technical Specialist.
Cc: _wa
eo
DBC Files
943 Washington Square Mall Washington, NC 27889 252-946-6481 (Telephone) 252-946-9215 (Fax)

r I
IType of Visit p Compliance Inspection p Operation Review p Lagoon Evaluation
on for Visit p Routine p Complaint p Follow up p Emergency Notification p Other ❑ Denied Access
Facility Number Date of Visit: 11/612001 Time: 2:00 pm
p of Operational p Below Threshold
Permitted E Certified p Conditionally Certified p Registered Date Last Operated or Above Threshold: ............
Farm Name: Belvidere Farms
Owner Name: Bryant Perry
County: Prrquimains....................................... .A.RU......
Phone No: 252-221-8750
Mailing Address: 7.15Z.GoadwJ&A a11..Raad ............................................................... Herfford.NC .......................................................... 279.44 ..............
Facility Contact: 334.1cacia.Road.......... ............. _ ..................Title: 1ynm',.NC...Z7.9,80 ................._..._... Phone No:
Onsite Representative: Bryant.P.err}+..._..........._............................................. Integrator: Ca.rroll's_Eoiads._0f..Ya.Inc ...............................
Certified Operator: William.B...W. _ _... E�erry.............. Operator Certification Number:20352.
Location of Farm:
1/2 mile North of Beech Springs Rd. on the western side of Goodwin and the second location os approx. 1/2 mile from t is on
Ithe Southern side of Beech Springs Rd. SR 1111
N Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ®• ®_ ®�� Longitude
Design Current
Swine Capacity Population
® Wean to Feeder
2000
® Feederto Finish
p Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ ayer p airy
p on- ayer ❑ on-Dan-y
pOther
Total Design Capacity 4,400
Total SSLW 384,000
Number of Lagoons
Fa
u surface
rams
resent p
agoon Area 'pray �e rea
Holding Ponds / Solid Traps
[3
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 p Spray Field p Other
a. If discharge is observed, was the conveyance man-made? p 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 p No
2. Is there evidence of past discharge from any part of the operation? p Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? © Yes N No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? p Spillway 13 Yes ® No
Structure I Structure 2 Structure 3 Structure 4 Structure S Structure 6
Identifier: Tzart ferred.to.;# .....................
Freeboard (inches): .............. 19+.............. .... I— ...... SQL .............. ............

•
Facility Number: 72-12 Date of Inspection
5_ Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
N No
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 yes, and the situation poses an
❑ Yes
N No
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
N No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
® No
11. Is there evidence of over application? ❑ Excessive Ponding p PAN ❑ Hydraulic Overload
❑Yes
®No
12. Crop type Corn Fescue
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWW)?
p Yes
N 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
Re uired 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) [:I Yes N No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? p Yes N 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
In No violations or deficiencies were noted during this visit You will receive no further correspondence about this visit.
Comments (refer to question #)!T Ezplarn an�I s �swe-is_an�r iar any recommendations or any other comments.
Use drawings of facility to better explain situattc ns. (use additional pages as necessary): ❑Field Copy 0 Final Notes
Freeboard level adequate. Lagoon # 1 is transferred to 42.
Irrigation records complete with nitrogen balance.
Waste analysis 0.22 Ibs/1000 gals. 9/4/01
Freeboard levels recorded weekly.
Soil analysis - sample for fa1l 2001.
Reviewer/Inspector Name Daphne B. Cullom'... entered by Ann Tyndall
Reviewer/Inspector Signatur Date:

r
1.
O5103101
.�Om".w _,
L.Vrr�rrruCY
Date of Inspection
Facility Number: 72_12
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes
p No
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposed of properly within 24 hours?
p Yes
® No
28.
Is there any evidence of wind drift during land application? (Le. residue on neighboring vegetation, asphalt,
y
p 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?
L3 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.)
p Yes
® No
31.
Do the animals feed storage bins fail to have appropriate cover?
p Yes
® No
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
p Yes
p No

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