260042_INSPECTIONS_20171231

, 1
Division of Water Resources
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 260042 Facility Status: Active
Permit: AWS260D42] Denied Access
Inppection Type: Compliance Inspection
Inactive Or Closed Date:
Reason for visit: Routine County:
Cumberland Region: Fayetteville
Data of Visit: 10/10/2017 Entry Time: 08:00 am Exit Time: 9:00 am Incident 0
Farm Name: J & D Farm
Owner Email:
Owner: Jasper W Lewis
Phone: [phone]
Mailing Address: 6838 Tabor Church Rd
Fayetteville NC 283017252
Physical Address: 6838 Tabor Church Rd
E Fayetteville NC 28301
Faciltty Statue: Compliant ❑ Not Compliant Integ►ator.
Location of Farm: Latitude:
34' 53' 59" Longitude: 78' 47' 43"
From Cedar Creek xroads, SW on Tabor Church Rd 4.6 mi. Farm on right (W) behind
gray house, trimmed in white or black
with black metal roof , 0.3 mi.S of Savannah Church and 0.2 mi. N of Johnson Rd (2228). No sign. Records in house (no office).
Question Areas:
Dischrge & Stream Impacts Waste Col, Stor, & Treat
Waste Application
Records and Documents Other Issues
Certified Operator: Operator Certification Number:
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name Debbie Lewis Phone
On -site representative Debbie Lewis Phone
Primary Inspector:
Inspector Signature:
Secondary Inspector(s):
Bill Dunlap
Phone:
Date:
Inspection Summary:
No hogs for several years, do not really need a permit since the never have had more than 80 head. No pumping but do have
rainfall and lagoon level records.
A very neet clean farm.
page: 1

r
Permit: AWS260042 Owner - Facility : Jasper W Lewis Facility Number 260042
Inspection Date: 10/10/17 Inppection Type: Compliance Inspection Reason for Visit: Routine
Discharges_&_Stream Impacts
You
No No No
1. Is any discharge observed from any part of the operation?
❑
0 ❑
❑
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. 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?
❑
❑
❑
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_ No
4. is storage capacity less than adequate?
❑
M ❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (Led large
❑
� ❑
❑
trees, severe erosion, 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? -
❑
❑
❑
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?
Waft II O
Yea No Na Na
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ No ❑
maintenance or improvement?
11. Is there evidence of incorrect application?
❑ ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, zn, etc)?
❑
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: AWS260042 Owner - Facility : Jasper W Lewis Facility Number: 260042
Inspection Rake: 10/10/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yea
No Na Na
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
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. 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 certfied operator in charge?
❑
❑ ❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
❑ ❑
Qjher Issues
Yea
No Na No
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,
❑
0 ❑
❑
contact a regional Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
❑
0 ❑
❑
(i.e., discharge, freeboard problems, over -application)
31. Do subsurface the drains exist at the facility?
0
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
❑
N ❑
❑
CAWMP?
33. Did the Reviewer/Inspector fail to discuss reviewlinspection with on -site representative?
❑
0 ❑
❑
34. Does the facility require a follow-up visit by same agency?
❑
0 ❑
❑
page: 5

� Q frns �t atf C-
Division of Water Resources
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number:
260042 Facility Status:
Inpsectlon Type:
Compliance Inspection
Reason for visit:
Routine
Date of Via It:
12/22/2016 Entry Time: 10:15 am
Farm Name:
J & D Farm
Owner:
Jasper W Lewis
Mailing Address:
6838 Tabor Church Rd
Active
Permit: AWS260042 ❑ Denied Access
Inactive Or Closed Date:
County: Cumberland Region: Fayetteville
Exit Time: 10:50 am incident 0
Owner Em
Phone: [phone]
Fayetteville NC 283017252
Physical Address: 6838 Tabor Church Rd E Fayetteville NC 28301
Facility Status: Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 34° 53' 59" Longitude: 78' 47' 43"
From Cedar Creels xroads, SW on Tabor Church Rd 4.6 mi. Farm on right (W) behind gray house, trimmed in white or black
with black metal roof, 0.3 mi.S of Savannah Church and 0.2 mi. N of Johnson Rd (2228). No sign. Records in house (no office).
Question Areas:
Dischrge & Stream Impacts Waste Col, Stor, & Treat Waste Application
Records and Documents Other Issues
Certified Operator: Operator Certification Number:
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name Debbie Lewis Phone
On -site representative Debbie Lewis Phone
Primary Inspector:
Inspector Signature:
Secondary Inspector(s):
Bill Dunlap
Phone:
Dale:
Inspection Summary:
No hogs in several years. Still raises a few for feeder pig show from time to time. Really did not need a permit. Never pumped
from lagoon and has more than 5 feet of freeboard.
page: 1

L
Permit: AWS260042 Owner - Facility : Jasper W Lewis Facility Number: 260042
Inspection Date: 12/22/16 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current promotions
Swine
Swine - Farrow to Feeder. 80 I 0
Total Design Capacity: 80
Total SSLW: 41,760
Waste Structures,
Disignated Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
Lagoon 1 20.40 60.00
page: 2

Permit: AWS260042 Owner- Facility : Jasper W Lewis Facility Number: 260042
Inspection Date: 12/22/16 Inppection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts
Yes
No Na Na
1. Is any discharge observed from any part of the operation?
❑
01313
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. 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?
❑
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 No
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
❑
M ❑
❑
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?
❑
❑
❑
6. 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
❑
0 ❑
❑
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?
❑ ❑ ❑
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: AWS260042 Owner - Facility : Jasper W Lewis Facility Number:
260042
Inspection Date: 12/22/16 Inpsection Type: Compliance Inspection Reason for Visit:
Routine
Waste Application
Yes No Na Ne
Crop Type 1
Corn, Wheat, Soybeans
Crop Type 2
Crop Type 3
Crop Type 4
Crop Type 5 i
Crop Type 6
Soil Type 1
Norfolk
Soil Type 2
Goldsboro
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
❑ E ❑
❑
determination?
17. Does the facility lack adequate acreage for land application?
❑ ❑
❑
18. Is there-alack of properly operating waste application equipment?
❑ 0 ❑
❑
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.
WU P?
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?
Yes No Na Ne
❑ ❑ ❑
❑ E ❑ ❑
page: 4

Permit: AWS260042 Owner - Facility : Jasper W Lewis Facility Number: 260042
Inspection Date: 12/22/16 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yes
No Na No
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
❑M
❑
❑
(NPDES only)?
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 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($) 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?
❑
M ❑
❑
Other Iss4es
Yee
No Na No
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,
❑0
❑
❑
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?
❑
No
❑
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?
❑
0 ❑
❑
34. Does the facility require a follow-up visit by same agency?
❑
0 ❑
❑
page: 5

Ii ype or visit: tv t.;ompnance inspection v vperatnon meview v structure n,vaivation V i ecnn]cai Assistance
Reason for Visit: 12Moutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: f I Arrival Time: Departure Time: County:fAyk,6 Region: 2ro
Farm Name: ry� i] T-4-em Owner Email:
Owner Name: Sid S PC r 4.q_ ty (c Phone:
Mailing Address: �j �� �0.1i� �� G vri f zo aq
Physical Address: av ��� Zr30l
Facility Contact: _ U �� 3 Title:
Onsite Representative: ^�
Certified Operator:
Back-up Operator:
Phone:
Integrator:
Certification Number:
Certification Number:
Location of Farm: Latitude: Longitude:
Design Current
Design
Current
Design Current
Swine Capacity Pop.
Wet Paultry
Capacity
Pop,
Cattle Capacity Pop,
Wean to Finish
La er
Dai Cow
Wean to Feeder D O
airyCalf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder
Dr, F■oultr,
Ca aci
Pao
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
©,then
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
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 DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes R2'Ro ❑ NA ❑ NE
❑ Yes
❑ No
2fNA
❑ NE
[:]Yes
[:]No
�A
❑ NE
❑ Yes ❑ No
❑ Yes 0No
[]Yes Vio
YNA
❑ NE
❑NA
❑NE
[DNA
❑NE
Page I of 3 21412014 Continued

[facility Number: 26-qft
Z jDate of Inspection:. r c_
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes [a]'Ro ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ['l i�A ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
0'1 l�o
❑ 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
[a'Flo
❑ 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 DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
[]'No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
[]Yes
[fNo
❑ 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
['Ro
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
[311�o
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes dNo ❑ NA
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window [] Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop TYpe(s): is e Yn W4"t f_
13. Soil Type(s):
A
❑ NE
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
[G]-3Ga
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
0
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
[2,IQo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
[R'No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
�o
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
[E'Ro
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
[jNo
❑ 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 F.,--rNo
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections []Monthly and V Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes eNo
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [!fNo
❑NA ❑NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412014 Continued

Facilit Number: - Lf
I Date of Inspection':
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [g-Nv ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes Q o ❑ NA ❑ NE
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 �o ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [31Mb ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes [.�<o ❑ 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?
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
permit? (i.c., discharge, freeboard problems, over -application)
31. Do subsurface the drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
[] Yes ❑'lGo ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes M<o ❑ NA ❑ NE
❑ Yes P1110
❑ Yes �o
❑ Yes [Z'No
[3 NA [3 NE
❑ NA ❑ NE
❑NA [3 NE
Comments (refer to question ##): Explalwany YES answers and/or any additional recommendations or any:other comments
Use drawines of facility to better explain situations` (use additional paces as necessaev). °
Reviewer/Inspector Name:
+ C r
Reviewer/Inspector Signature:
Page 3 of 3
Phone: �3� 333
Date: Y r
21412014

r .rz t vU s
Type of Visit: I�Comppliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: G40utine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: nt Arrival Time: ip Departure Time: < County: *-1 Region:
Farm Name: �J ,��+ Owner Email:
Owner Name: �.cCir`{—L� tr�, C�l,� ��.s Phone:
Mailing Address:
Physical Address:
Facility Contact: IV Title:
Onsite Representative:
Certified Operator: I
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Swiue
Wean to Finish
Design Current Design Current
Capacity Pop. Wct Poultry Capacity Pop.
Layer
Design Current
Gat#le C►apacity Pop.
DairyCow
Wean to Feeder[EINon-Layer
DairyCalf
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Design Current
Y6�� Dr, uultr Ca act P■o
DairyHeifer
Dry Cow
Non -Dairy
Farrow to Finish
La
Beef Stocker
Gilts
Non] -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
OtherL
Other
Turke s
Turke Pouits
Other
Discharees_and _Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes ITAVu ❑ NA ❑ NE
❑ Yes []No �A' ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
[]No
[-NA
❑ NE
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 DWR)
❑ Yes
[:]No
A
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
❑'No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
[�No
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412014 Continued

Facili Number: jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes &Na-❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No [g.ArF-,Or- ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes M>w— ❑ 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
[-moo ❑ 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 DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
�I _ ❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
[2jbLa- ❑ 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
[D W o ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
[3"90 ❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals
(Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or l0 lbs. ❑ 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): sm y
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes(
�-
e3' ih o ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
[ -<o ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
<o ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[310 ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
[5-?To- ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
0 o ❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes [jKo— ❑ NA [] NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall [DStocking [❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
00,
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes LJ� ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? []Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412014 Continued

Facility Number: L- Date of Inspection:
24 *Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [3-No, ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes [2N9__ ❑ NA ❑ NE
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 phosphorus loss assessments (PLAT) certification?
❑ Yes
E�N6
❑ NA
❑ NE
❑ Yes
CRI<o
[DNA
❑ NE
Other Issues
28. Did the facility fail to property dispose of dead animals with 24 hours and/or document
❑ Yes
/
Q Ko
❑ 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
❑•?d6
❑ 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
To
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
3 1. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
[] N
❑ NA
❑ NE
❑ Application Field [3 Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
No
❑ NA
❑ NE
33. Did the Reviewer/]nspector fail to discuss review/inspection with an on -site representative?
❑ Yes
No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
n No
❑ 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 exnlain situations (use additional pages as necessarv).
Xca "T
to
�j -'tk 5 "A, of 4o tu SLJG
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
e
Phone: q93 5 ST
Date: 3
21412014

NH5
�Ps
i ype or visit: %9.c,nmpuance inspection v uperatton xeview V Ntructure r vawanon V 1 ecnnicai Assistance
Reason for Visit: 0 Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: ,Qrj Departure Time: County:
Farm NameZ o P%47 Owner Email:
Owner Name: _1.I6ta- Leidi Phone:
Mailing Address:
Physical Address:
Facility Contact: Ubbl e Ley-6 Title: QWh,- Phone:
Onsite Representative: AU Integrator: I rd p
Certified Operator: jj t- Certification Number:g'
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Region:�
Design
W,
Design
Current
Desi n C•urrent
Swine Capacity Pop.
1Vet Poultry
Capacity
Pop.
Cattle Capacity Pop.
Wean to Finish
La er
Dajg Cow
Wean to Feeder
I INon-LaXer
Dai Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design
Currcnt
D Cow
Farrow to Feeder
Dr, P■sultry
C_a aci
P,o
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Nan -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Otle
ITurkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State'? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
❑Yes `®No ❑NA ❑NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes ❑ No
❑ Yes Eff No
❑ Yes � No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page I of 3 21412011 Continued

Facilit Number: {y - Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
❑ No
[DNA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): D,
Observed Freeboard (in): _71
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
® No
❑ 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
® No
❑ 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
a
7. Do any of the structures need maintenance or improvement?,
Yes
No
❑ 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 Al2plication
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
2 No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
® NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge
into
Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind 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?
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
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
[5NE
❑ Yes
❑ No
❑ NA
g NE
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA to NE
❑ Yes ❑ No ❑ NA & NE
❑ Yes ❑ No ❑ NA [�j NE
❑ WUP []Checklists ❑ Design ❑ Maps ❑ Lease Agreements []Other-.
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking []Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes ❑ No
❑ NA 5'NE
❑ Weather Code
❑ Sludge Survey
❑ NA aNE
aNA ❑ NE
Page 2 of'3 21412011 Continued

Facili Number: - Date of Inspection: 30
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No ❑ NA NE
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 provide documentation of an actively certified operator in charge? j'Yes ❑ No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No [RNA ❑ 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 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 [?TNo ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application) }}
31, Do subsurface the drains exist at the facility? Ifyes, check the appropriate box below. ❑ Yes 1W No ❑ NA RNE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
5
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 19 Yes [Z No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
M Yes ❑ No ❑ NA ❑ NE
'Yes ❑ No ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any add Idon aI-eecom'tnendati6hs or.:'any nth0 comments i
Use drawings of facility to better ex lain'situations(use add Won al;_pages as pecessa
��yo�► b ks h a-e rpolo� co�� anal ha �� 6 �� rAr►�e
1 rf VG{l46t�&)
a�d U-P7 e 10w if �1cr� fns;d-
'ele- ,bays �,zhe 1aOk
c0� �d V'n & on AcF a pro
, iC i cease 111 v'aila fir sever a1 ezrr) Ptr I MS,
+e 61yt f sang �!� Ira"e-. c In 01 a�-�-s1' de n� �a�a o2 n
�'e il��'e nA S1 � �J`/� C141 d vrt� 1 is l�ls�7�c�14'1,
r of Small a1 c1-hies , field1,
13, �oo�c o� ,y� � � s - ,�►s rnal� �i31�a.
a S.?eja-� d yr�10 � of c'No �'h�r �rst� w .9 �'
y, col low vp nf�4
4p P_vaIto&feqfffwor
FVrp ptef/180i y S(-h ed (, W inyeet- ov Yye e- come [k by
Q v
�(Is h� n� befn r�fi
Ms, Lew is al l r��
/ 01A Pd,, / a�Ad� cat/ me a� 9ro-433-33 3 .`gyp sc�1 �1� a f���aw��pj ar saw ar
oe oe*cienc or N0`4e of Viol0$'r, `Fo be iss' , i-�-1�Is does nod hae fen
y
Reviewer/Inspector Name: 1005 1?f �(' — Phone: 210 _q,33illj?
Reviewer/inspector Signature: Date: Z0 0
Page 3 of 3 21412011

Facility No.a&1), Farm Name ZIP Date f�t7
Permit COC OIC_ NPDES (Rain breaker PLAT Annual Cert )
FB
Drops
Lagoon
1
2
3
4
5
6
7
Spillway
Design freeboard
Observed freeboard in
Sludge Survey Date
Sludge De th ft
Liquid Trt. Zone ft
Ratio Sludge to Treatment Volume
Design Width
.---�---
Soil Test Date
.�urcK
�0
DidJA Frhr
>
Wettable Acres
pH Fields
WUP
Lime Needed
Q0 60,(
_
Weekly Freeboard
Lime Applied
✓�
1 in Inspections _
Cu-I Zn-1
120 min Insp.
Needs P
'
Weather Codes
Grop rieia i ransrer sheets
Waste Analysis Date
- 60 Da
+ 60 Da
N Amt Ib/1000 Gal
H
RAIN GAUGE
Dead box or incinerator
Mortality Records
:.
..
RAIN P �.
Verify PHONE NUMBERS and affiliations
Date Est WUP FRO Date last WUP at farm
Y)-op
FRO or Farm Records
Lagoon #
Top Dike
Stop Pump
Start Pump
Conversion- Cu-1 3000= 108 Iblac; Zn-I 3000= 213 lblac
App. Hardware

n
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 , ,❑ Denied Access
Date of Visit: rrivul Time: , t�) Departure Time: DI County: �'�"����r'�• Region:
J
Farm Name: --77-� r 2� fi�r"/✓? Owner Email:
Owner Name: ✓��2 L1.1/rj Phone:
Mailing Address:
Physical Address: / /
Facility Contact: �l�bt�/Y� GE'ccll_S Title:
Onsite Representative: 2%-Z&-
Certified Operator:
Back-up Operator:
Location of Farm:
Phone No '_ 6 1113 `Cj
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: = o ❑ i =11 Longitude: = ° = 1 =
ig
Design Current
Design Current
Design Current
Swine
Capacity Population
Wet Poultry Capacity Population
Cattle Capaci#y Paptrlatian
❑ Wean to Finish
❑ Layer
❑ Dai Cow
❑ Wean to Feeder
-Non-Layer
❑ Dai Calf
❑ Dairy Heifer
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
El Farrow to Finish
Gilts
PE]Boars
Dry Poultry
!�
El Layers
ElNon-La ers❑ Pllt
ues
❑ Turke s
❑ Dry Cow
El Non -Dairy
❑ Beef Stocker
ElBcef Feeder
❑ Beef Brood Cow
Other
❑ Other
❑ Turkey Puults
NOOther
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
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?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
[I Yes 20 ❑NA El NE
❑ Yes
❑ No
©'IAA
❑ NE
❑ Yes
❑ No
2-IAA
❑ NE
EWA
[I NE
❑ Yes
El No
El Yes
L—�,,Noo
El NA
❑ NE
El Yes
�I o
❑ NA
❑ NE
12128104 Continued

Facility Number: Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes to ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 2<o ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.) �,/
6. Are there structures on -site which are not properly addressed and/or managed El Yes 2 ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental) threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ElYes LL -K-at❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? El Yes No ❑ NA El NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes Ldl"O ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Arc there any required buffers, setbacks, or compliance alternatives that need ❑ Yes <o ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes 015o ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
E No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
9J'lVo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
E3-1qo
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
UXo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
2<o
❑ NA
❑ NE
jE"ziID-�zX5:€ sg !'s J`
Comments (refer to queshon4) Explain any YES answers and/or any recommendations or ariylother.'comments", � f ,'4':
#,..
Use drawings of facility to better explain; situations. (use additioni l page's as necessary)?'
Reviewer/Inspector Nam T
1 Phone:
Reviewer/Inspector ignature:
Date:
// // I2/28/,04 Continued

Facility Number:,24 Zj22& Date of Inspection
Reaulred Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP El Checklists El Design El Maps [I Other
❑ Yes @Io ❑ NA ❑ NE
❑ Yes @IK ❑ NA ❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below. es ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers [:]Annual Certification
❑ Rainfall ❑ Stacking ❑ Crop Yield ❑ 120 Minute Inspections 5[onthly and 1" Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
12 A
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
El Yeses
[I No
❑ NA
25.
Did the facility fail to conduct a sludge survey as required by the permit?
B Yes
NNoo'
El NA
El NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
�❑
o
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
<A
❑ NE
Other issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
F. to❑
NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
El yes
Ui<o
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
OAS
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
M<o
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
Yes
ElL4
,.,
'No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
0114
❑ NA
❑ NE
Aii1[til Comments and ar Drawin s:
ii
I N 5� vus -- , c� �`^ `-C�- LS L 5 5 u- e 1�-*� a � � I 1 � t �� � 40 r-ec�cr z�
V-y'," r 64A-d t 6 �
Yet! SLR- V A-> IJ 6 T deE..1 Qw�fKC�C-f'�(Q
�! be
5a it �.s I��' 'tr
W.11 IJ D /4�► I'� A��
coo a r
l
12128104

e I MS %-13010? L7-1
WDivision of Water Quality
Facility Number Q Division of Soil and Water Conservation
Q Other Agency
Type of Visit (�5Compliance Inspection O Operation Review O Structure Evaluation Q Technical Assistance
Reason for Visit Routine O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
PRO
Date of Visit: Olq Arrival Time; io�i Departure Time: ' 04 h County: w 1 Region:
Farm Name: 4 U RQ/M Owner Email;
Owner Name:. 123 Phone:
Mailing Address:
Physical Address: _
wFilityContact: hh'c1Ue. Lewis Title:
o��ite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Phone No: 6 G
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: =e = � Longitude: 0 ° = ' =
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ La er
II ❑ Non-Layet
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ urkey Poults
❑ Other
Discharges & Stream impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Cattle
Design Current
Capacity_. Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifej
❑ Da Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? (If 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)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes 'R No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
'R No
❑ NA
❑ NE
❑ Yes
Wo
❑ NA
❑ NE
12128104 Continued

Facility Number: a — Date of Inspection
Waste Collection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 15JNo ❑ 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): Q0
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
KNo
❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes
�jNo
❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat,
notify DWQ
7. Do any of the structures need maintenance or improvement? ('Yes
❑ No
❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit'? ❑ Yes
No
❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes
No
❑ NA ❑ NE
maintenance or improvement?
Waste Apolication
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
C9No
❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes
ERNo
❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14, Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
CRNo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
R No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre dctermination?❑ Yes
5No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
N No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
RNo
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/inspector Name S eA_ Phone:gID `33-3.3n
Reviewer/Inspector Signature: Date: OPLAR

a? ,
Facility Number: — Date of Inspection EEIKEI
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? CKyes ❑ No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes [T10 ❑ NA ❑ NE
the appropirate box. ❑ WUp ❑ Checklists ❑ Design [I Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. {Yes ❑ No El NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
® Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections 9 Monthly and 1" Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
[RNo
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
NA
❑ NE
24,
Did the facility fail to calibrate waste application equipment as required by the permit? QE41';jA" aYes
❑ No
❑ NA
IN NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
[5Yes
❑ No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
Eg Yes
❑ No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
MNA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes 5kNo ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
tgNo
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
116 No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
�rNo
❑ NA
❑ NE
General Permit? (iel discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
pper�,,�
L No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
XONo
❑ NA
❑ NE
Additional Comments and/or Drawings:
I1ae tot }a'13i de of la�061 a/;I bwhb p1vs 00+1ve ode
Q. la-0th Ill ma 111 r VprA
al. sal l+ o e),F4r_1 v - j 1�g�e NK11 rtc&d-r vA recor&
,n
01-80;1 r"P
a5"0fa4. FQcS I1-� rey v­'La tO 9 o ,n 6 sell vedJ a %oL* +his~ wor
not d 1Q y U9
�+� rA a��� h s 0 to ied .
FacSl` h y � e. SLrUP�► no�}-d a��
a�- n��fr- r,PoL .�'h Ick r►'lclri-o-� d �� /CL 01 a Coo
Ply mat a^dMtor � � l/iadlye- +p
�
N C Dw Q Plejyeprw l cod -�o F611 We
An'wa Un i+ NG DP_►/ ►Z yF A J`o
m3 Mal ce
� a 830
QalfIyh NC_ a76 qg- )0o Pad Re i 1� �C. it /
T
12a8104

Facility Number: 'q} —�) Date of Inspection
aR�✓i � i a 13 r )V t
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? [3Yes ❑ No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes 151'No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design [I Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below.
Sries ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections [5kMonthly and V Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
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?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
Additional Comments and/or Drawings:
❑ Yes
f'No
❑ NA
❑ NE
❑ Yes
❑ No
WNA
❑ NE
ffYes
❑ No
❑ NA
❑ NE
BYes
❑ No
❑ NA
® NE
E Yes
❑ No
❑ NA
❑ NE
grYes
❑ No
❑ NA
❑ NE
11
❑ Yes
9No
RNA
❑ NE
❑ Yes
J'No
❑ NA
❑ NE
❑ Yes
C No
❑ NA
❑ NE
❑ Yes
[R'No
❑ NA
❑ NE
❑ Yes
9No
❑ NA
❑ NE
❑ Yes CTNo ❑ NA ❑ NE
-7, Pkh e t.- jA S id2 Of- 1 &-70M F ato oob;d� bt*1eJ10e, will sl d-ear bo hl!
1R, Ctr(� coca- ��^�� rno�le�L is13)/o
SO; rtpjf 00j- 1)
Rai I i+ wi 11 AP+ kfe p h rdA 11 a -id 07e inch rail IIc* 7 rerrrd , Fdm
y , pleg. ca l; ree I b,► V-m va,U 31 aoo q.
ds, �lege C0% mac.+ s 1 vd�Jes L�K�i b � `7�i 3 j aoa T ,
pla,rdes► nA a[ Va IM 0 rc 0r f ass ©]c +.ej+» Mal✓h aooq.
Irh
Facjli�ha, new srpled,-T�lck mahD d & we'v ol /a�001,
AdJ hw I corhmsn j i1 ai-o& fail copy: rvrm wo.r hary soy bean! whio/I Jar , N0 wr'gjrC"j, r1414d a007-�JOMJ Croy yi eV *,-),i
Iti-wi-l� P41 r1w,
12128104

Facility No. 4004?., Farm Name Date
Permit COC OIC_ NPDES (Rainbreaker PLAT Annual Cert )
Pop.Type Desi n Current FB Drops
Lagoon
1
2
3
4
5
6
7
S illwa
Design freeboard
Observed freeboard in
Sludge Survey Date
-Sludge- De th ft & %
Liquid Trt. Zone ft
Calibration Date
.►3f r •ote �f-1► Mu" Ow N01@,X .ac�-lapoe
Soil Test Date � CYield 1 in Inspections
Crop pH Fields ,� 120 min Inspections
Lime Needed Wettable Acres Weather Codes
Lime Applied WUP Transfer Sheets lYla
Cu Zn Weekly Freeboard RAIN GAUGE''
Needs P7 Rainfall >1"
Pull/Field
.►3f r •ote �f-1► Mu" Ow N01@,X .ac�-lapoe
Soil Test Date � CYield 1 in Inspections
Crop pH Fields ,� 120 min Inspections
Lime Needed Wettable Acres Weather Codes
Lime Applied WUP Transfer Sheets lYla
Cu Zn Weekly Freeboard RAIN GAUGE''
Needs P7 Rainfall >1"
Pull/Field
Soil
Crop
RYE
PAN
Window
Max Rate
Max Amt
0. 36`
1.0
N
3
A
Verify PHONE NUMBERS and affiliations
Date last WUP FRO Date last WUP at farm App. Hardware
FRO or Farm Records cal— 30Q— (Q0 �71e. f"
Lagoon #
Top Dike
Stop Pump _q jrOp - 3ro t
Start Pump 47,30

01MS Ib101 U-Vl
W Division of Water,Quality
Facility Number ( 0-Division of Soil and Water Conservation
O Other Agencyy
Type of Visit Compliance Inspection O Operation Review O Structure Evaluation 0 Technical Assistance
Reason for Visit 3WRoutine Q Complaint O Fallow up 0 Referral O Emergency O Other ❑ Denied Access
Date of Visit: b 7 Arrival Time: , a Q Departure Time: I g90A F1 I County: y Region: -3L
Farm (Same: C4-h P'M Owner Email:
Owner Name: � �r L8,j 5 Phone: t
Mailing Address: �szIF Ta�O" +-a'x ul ►C0. � � N�' _ __
Physical Address:
Facility Contact: D2b9h1Q Lewir Title:
Onsite Representative: n_44 L`QWI,S
4
Certified Operator: .
Back-up Operator:
Location of Farm:
Phone No:
Integrator: n1 a-,
Operator Certification Number:
Back-up Certification Number:
Latitude: 00 ❑ 1 ❑ Longitude: 0 ° = 1
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population;
❑ Layer
❑ Non -La er
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation'?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Da Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? (If 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)
Z. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
HI
�I
❑ Yes CRNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
[3 No
❑ NA
❑ NE
❑ Yes
9 No
❑ NA
❑ NE
12128104 Continued

Facility Number: a —OoLftj Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ❑ No ❑ NA ERNE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA RNE
the appropirate box, ❑ WUP ❑ Checklists ❑ Design El Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA CKNE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1 ° Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
❑ NA
NNE
23,
if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
® NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NA
12 NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ No
❑ NA
ERNE
26.
Did the facility fail to have an actively certified operator in charge?
Yes
❑ No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
® NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
ER No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
RNo
❑ NA
❑ NE
and report the mortality rates that were higher than nonnal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
ZNo
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
[3No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
9Yes
❑ No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
9[Yes
❑ No
❑ NA
❑ NE
Comments and/or
3a 33- gV240 Vmvjuql 0Iryr('e1 'M rva-cb rVe'f.' fteora-I ly via'.00,761-2
why., ii s" - , A- -Po II ow y hvfl t b,e s'r-hPdtAj I�n -Ne nva�-�L-e �-0 lock fo ffr f-�
�� f vo" ! of R`%a�l �f aill
a�- L-ejq I oic *','n rims--o bed tytvud d wl"rj ~fioirowup.
f::acl'4Y has �?ter sf[o74} F& rodvoo- ohd, 0wa rerav[.r, A tad -c vlef6bal ®&rP%tt
f;
V� -fiewh!fr are s;-fie a-J-h *form hou low al �o�. brad �4 r'� k
ry -b M a InTo a^ a cfi e
12128104

.Facility Number:a —00 Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):j-
❑ Yes ®'No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
1,2 No
❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
f? No
❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
RNo
❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
[]Yes
CRNo
❑ 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
CTNo
❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application`? If yes, check the appropriate box below.
❑ Yes
RNo
❑ 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 Drifl ❑ Application Outside of Area
12. Crop type(s) C'nrn l t rrt� I SN S ' S'MQ1� 6al), (,&L
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
CRNo
❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
9 No
❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑
Yes
RNo
❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
® No
❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[9 No
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/inspector Name • l Phone: ft-433 33A6
i
Reviewer/inspector Signature: Date: tia I l d n-7 -
V 12128104 Continued

Type of Visit
ompliance Inspection
0 Operation Review 0 Structure Evaluation
0 Technical Assistance
Reason for Visit
outine 0 Complaint
0 Follow up 0 Referral 0 Emergency
0 Other ❑ Denied Access
Date of Visit: Arrival Time: �. c3�O Departure Time: ��� County: Region: L�
Farm Name: j„J __dyY+�t Owner Email:
Owner Name: ?ra r--Y' L W ; ..S Phone:
Mailing Address:
Physical Address:
Facility Contact: _Leja! .5 Title:
Onsite Representative:
Certified Operator: Sit _
Back-up Operator:
Phone No.
Integrator: :~
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: 0 0 0 ` = "` Longitude: ❑ ° = 6 ❑ H
Swine v`
Des�gn�
;;Capacity
Current
"P�opulatin
Design Current
Wet Poultry Capacty Popu� l lion
❑ Layer
on-Layet
Dry Poultry
❑ Layers
❑ Non -Layers
El Pullets �
❑ Turkeys
IOTurkey Poults
❑Other
g Design-urrent
. Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
ElNon-Dairy
❑Beef Stocker
❑Beef Feeder
❑ Beef Brood Cowl i
Number of Structures:
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
LaFarrow to Feeder
p
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other ,;to
❑ Other
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
HA
El NA
El 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
❑ NE
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)
❑ Yes
[K No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
allo
❑ NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
No
❑ NA
❑ NE
other than from a discharge?
12128104
Continued

Facility Number: A — Y2= 1 Date of Inspection (v
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 5?No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes %No ❑ NA ❑ NE
-Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): t t�
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ yes ERTNo ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes KNo ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes 0 No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes JZ 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 CKNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes � No El NA El NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes IR No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > l0% or 10 ]bs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
allo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
LKNo
❑ NA
❑ NE
16, Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination',[:]
yes
9LNo
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
®,No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
M.No
❑ NA
❑ NE
4i's r-4t errL 615 Nlpv�- P474
Reviewer/Inspector Name -- v 'w �'�'"`' Phone:
Reviewer/Inspector Signature: Date: �r�/1rB. VC)
12128104 Continued

Facility Number: — Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ® No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ® No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes MNo ❑ NA ❑ NE
❑ Waste Application [:]Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
® No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
'o
® NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
RI No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
.q No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
EzNo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
g,NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
R No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
[3 No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air duality concern?
❑ Yes
®No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
Z No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
[R No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
[RNo
❑ NA
❑ NE
Additional Comments and/orDrawin s
­01W it
144
12128104

\1
Date of Visit: c? Time:
Facility lumber 6
10 Not Operational 0 Below Threshold
® Permitted ® Certified 0 Condition0v Certified © Registered Date Last Operated or Above Threshold:
.r 1
Farm Name: T i-A 6aam County: ".,,�.af' [r.., d
Owner Name: IT& fir �,,,VA"I Phone No: 1,014 a - 4 �P1
Mailing Address: ,tn 939 _ 1_4%60r_ _ 0-ILIMI-11 eta L. ZS301
Facility Contact: — 4 <'A ��J�S, Title: Phone No:
Onsite Representative:i4hr� ij �' Integrator: fie-
Certified Operator: (h�.r,,— Lcac Operator Certification Number: Dbd-1'1
Location of Farm:
® Swine ❑ Poultry ❑ Cattle ❑ Florse Latitude a 4 0` Longitude • 1
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder 10 Laver ❑ Da'
❑ Feeder to Finish ILI Non -Laver ❑ Non -Dairy
❑ Farrow to Wean
® Farrow to Feeder i] ❑Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons l_j 10 Sul
.Holding Ponds I Solid Traps , ,f ❑ Na
Discharges 8 Stream Impacts
l . Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a, If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any -adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: f
J 5 rati Field Area
❑ Yes Ig No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes [S� No
❑ Yes ® No
❑ Yes No
Structure 6
Freeboard (inches): 5L
05103101 Continued

Facility Number: 22.— Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (icl trees, severe erosion,
Yes
i 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
� No
Immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
�j No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
No,
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
No
Waste AUnlication
10. Are there any buffers that need maintenance/improvement?
❑ Yes
PNo
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
® No
12. Crop type 0►n Cn . (�,� a,/] •� �t.er�c$'
T U
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
No
14, a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
ZkNo
16. Is there a lack of adequate waste application equipment?
❑ Yes
5 No
Required .Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
[V 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
PQ No
19. Does record keeping need improvement? (ic/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
9) No
20, Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
ER 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?
❑ Yes
50 No
(ie/ discharge, freeboard problems, over application)
23. Did Reviewed] nspector fail to discuss review/inspection with on -site representative?
❑ Yes
[%1No
24, Does facility require a follow-up visit by same agency?
❑ Yes
PNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
cpgo
© No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
3 .;. :. >: ?Pl � i£; ;.-. ' . - i 1, 4�-tIF',u':Y .. j.. y
Comments (rMer to'gticstion #} Fzplainsany YES answers and/or any recommendations or any other comments.''
-;
"wgaityField C
to better explain`satuations (use additional pagA y) ,: , ❑ opys��
,,�,
S ►w F h&A S� t'�-S 5 l.��e �c. •. s Se o v-er f( z e j n ck kj6X_r_
6 c,-_wrrj
ReviewerlInspector Name ' �� ': as ;' � _#. _ ,
Reviewer/Inspector Signature: Date:
05103101 Continued

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

w Facility Number Date of Visit: P Time: O : 0 a
10 Not O eratlonal 0 Below Threshold
® Permitted ® Certified E3 Conditionally Certified 0 Registered pate Last Operated or Above Threshold:
Farm Name: 4' t7 1--r: f`.Y, County: Cu rv,_t- I f__n Ol.
Owner Name: J r. Cn pr ,�_ P..S. S Phone No:
Mailing Address: _a, Qt7k ASS- n Q{j•r_►i', lie rJ � C. 183af
Facility Contact: - s t=br4 Title: _ n i, eJ" Phone No:
Onsite Representative: LZ .I C. Integrator: _ ___ l ndn ,n e.'. oL
Certified Operator: Del,,C, — �-. e+� S Operator Certification Number: Z 1364 �
Location of Farm:
® Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 4 0 u Longitude • • u
Design Current
Swine C anneity Pnnulatinn
❑ Wean to Feeder
❑ Feeder to Finish .
❑ Farrow to Wean
® Farrow- to Feeder
Q
❑ Farrow• to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Ca aciht Po uladon
❑ Laver ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ ha oon Area ❑ 5 rav Field Area
:Holding Ponds / Solid Traps " ❑ No Li uid Waste Management Svstem
ffisch-argis 8 5trealD Impacts
3. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Laeoon El Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. if discharge is obsen ed, did it reach Water of the State? (if yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
WuLe Collgetion & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches):
05103101
I ❑ Yes Q�No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes RNo
❑ Yes 1Z No
Structure 6
Continued

1
Facility Number: Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion,
❑ Yes
M 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
El Yes
E No
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
E4 No
S. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
[:YNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
�] No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
[PNo
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
[F[ No
12. Crop type
13. Do the receiving crops differ with those de, gnated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
m No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
® No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15, Does the receiving crop need improvement?
❑ Yes
® No
16. Is there a lack of adequate waste application equipment?
❑ Yes
&No
Required Regards & Documents
17. Fail to have Certificate of Coverage & General Permit or other Pen -nit 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? (ic/ 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
Q No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
RNo
22, Fail to notify regional DWQ of emergency situations as required by General Permit?
(ic/ discharge, freeboard problems, over application)
❑ Yes
® No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
[�j 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
SNo
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (refer to question #) Explain any,tYES answers and/or a'recommendations or any" other comments.
VUse `drawity of facility to better explain situations: (use additional page"st`i snecessary). ❑Field Copv
❑ Final Notes
r ;
t M If'Q. C4 rOko 4—f6-Ci30 In 6 (0� •fir t1 atQ
0(-S 'f-& - S'Y; l
v, -r LU
&- C tom..,
+A;00
� e cP .
Reviewer/Inspector Name C
Reviewer/Inspector Signature: Date:
05103101 Continued

L
Facility Number: (d —4.a, Date of Inspection
9dU Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
05103101
❑ Yes ❑ No
❑ Yes PNo
❑ Yes ® No
❑ Yes ® No
❑ Yes [E No
❑ Yes El No
❑ Yes FX] No

Type of Visit Mcompliance Inspection 0 Operation Review 0 Lagoon Evaluation I
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facility Number e'Z Date of Visit:
Permitted [A Certified 13 Conditionally Certified 0 Registered
Farm Name:
Owner Name: 4 O S' w• 4e,,0,t1
Mailing Address:
S e� Time: IF; eo
�NQRSrgtlongl Q B low 1hreshold.
Date Last Operated or Above Threshold:
County: Cu. , be L,f 1�U
Phone No: 44E3 —4? kr<-
Facility Contact: _.. Wn-e r- Title: Phone No:
Onsite Representative: AA-1 tS key+s Integrator: ---nA. +��
Certified Operator: (e.�M �. JItuJ 1 Operator Certification Number: tx 0 O %
Location of Farm:
It Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 • �` 0 66 Longitude • 4 0 K
Design, i'
rI,x, Ca aci -
r6:W:e:a:nto Feeder
Cur ent i"°
P.o ulat€on P,oultr,
❑ La er
Design
tea acl
Current V" ! I Design Current
A.o ulatlon CattleCa aci Ra ulation
airy
Feeder to Finish
❑Non -La er
❑ Non-Dai
Farrow to Wean
El Other
'"' Total Design Capacity
Total SSLW
A
Farrow to Feeder
$ "J
❑ Farrow to Finish
El Gilts
Boars
Number of Lagoons ❑ Subsurface Drains Present Lagoon Area ❑ Spray Field Area
Holding Ponds 1 Solid Traps ��❑ No Li uid Waste Management System
Discharges 8 Stream impacts
1. Is any discharge observed from any part of the operation? ❑ Yes $ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (if yes, notify DWQ) ❑ Yes ❑ No
c. if discharge is observed, what is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes No
Waste Colleclign & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches): /0
05103101 Continued

Facility Number: a (C — qq,
Date of inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ic/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(if any of questions 4-6 was answered yes, and the situation poses an
Immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste ADDlication
❑ Yes $ No
❑ Yes 1 . No
❑ Yes V No
❑ Yes C�No
El Yes �No
t0. Are there any buffers that need maintenance/improvement? ❑ Yes O.No
11. Is there evidence of over application? /❑ Excessive Ponding [I PAN [I Hydraulic Overload ❑ Yes P No
12. Crop hype Lei r-ry W t 1Ctt-t ! SO sF heo4 5
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes 1% 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 W No
16. Is there a lack of adequate waste application equipment? ❑ Yes M No
Required
Records & Documents
17.
Pail 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
[A No
19.
Does record keeping need improvement? (ic/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
to No
20,
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
N No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
4 No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes 1�9 No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes ® No
24. Does facility require a follow-up visit by same agency? ❑ Yes No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes No
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
s''Wm��:y - � a^'�' 4 i"'isTrn�h�' �6 '.�,�
Cotninents,(refer to questloo #) Exp aln any�YES aoswcr'sand/or'any recommendal1,teions or anyother comments
be'drawings.of facility to better. explain sltuations� (u§e7additlonal Field Copy ❑ Final Notes
`^ oci llS CIYV-- 4E.'
rYf-^ eelIelaet lna+n�a,`nedr,
J
Gr4 Iy.CLC A S ,
�}
Reviewer/Inspector Name aij
Reviewer/inspector Signature: Date: Mo a
05103101 Continued

Facility Number: — ;Z Date of inspection
Odor Issues
26, Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
29. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32, Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
Additional Comments and/or Drawings:
05/03/01
❑ Yes [:]No
❑ Yes [;4No
❑ Yes Y No
❑ Yes 0 No
❑ Yes [V No
❑ Yes 5d No
❑ Yes ❑ No

t
Facility Number Date of Visit:Time: 4
O Not O erational Below Threshold
)PIPermitted 0 Certified © Conditionally Certified 13 Registered Date Last Operated or Above Threshold: .........................
FarmName: .......... '� .....,...rl.!Fram............................. ........................... County: ...(..1.r1. .............................
OwnerName:....... 5 !J..................... GcJ [........................................ I... Phone No:.............. L.. ,3.22&......................................
FacilityContact: .......... ACa.A.R1........................................ Title: ................ ............,........,........,.......,.f,..,.., Phone No:...................................................
Mailing Address: ..... ,l.C........ ...... �.�....�Jl..r.�-B....................................... ..../(lG.<!L f... .�............... .2`.��.
OnsiteRepresentative: ......L .4ff.ef✓............................................................... Integrator:...................................................................
Certified Operator:...... ram ............................ 'w! s..,.............................,. Operator Certification Number:... ZQ �............
Location of Farm:
Swine ❑ Poultry ❑ Cattle [3 Horse
� C ftDesigq Curr
Swine Ca acl ` . ;Po uls
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
ffrarrow to Feeder
❑ Farrow to Finish
❑ Gilts
1Number,of Lagoons '
i
Latitude s 66 Longitude • 4 66
i,, .Poultry :,.Rapacity,.]
uw�Sal, -.
aci
❑ Dairy
tv . - �.J" 1 I I P--i . `J.l L I
Other I
Total Design Capacity
T6tAl SSLW,
Present
"Hol�ing�Ponds�l Solid Traps; ��;�J❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in galhnin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
Spray Field Area
i
71- - EE It Jl
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure i Structure 2 Structure 3 Structure 4 Structure 5
Identifier: ............................................................................................................................................................................
Freeboard (inches): 72-
5/00
❑ Yes )fNo
❑ Yes o
❑ Yes No
❑ Yes No
❑ Yes I
❑ Yes -No
❑ Yes PNo
Structure 6
Continued on back

1 i
Facillty Number:.2 (o — L/Z71 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, [:]Yes )No
seepage, etc.) `\
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes 1P
8. Does any part of the waste management system other than waste structures require maintenancelimprovement? ❑ Yes kNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes #No
11. Is there evidence of over application? Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes pNo
12. Crop type ( 41- K / 1A) H Pa!/ _)d'-ra V eo vi-S----....
13. Do the receiving crops differ with thoseQesignateff in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes MNo
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
No
b) Does the facility need a wettable acre determination?
❑ Yes
No
c) This facility is pended for a wettable acre determination?
❑ Yes
No
15. Does the receiving crop need improvement?
❑ Yes
No
16. Is there a lack of adequate waste application equipment?
❑ Yes
No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
YINo
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
0 No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard. problems, over application)
❑ Yes
No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
No
24. Does facility require a follow-up visit by same agency?
❑ Yes
No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
49A10
1 •Yi01AU00S.o#� 0004 AoiN *rC R4te$ �Urif WS'VISIt; • Yol� 0-Notiye i) rpttho
corres o d66e: A6I]if this :visit:
Com`nients' (refer to question #} ;. Explain any, YES answers and/or any recommendations or any other comthents.
p
3
Use;dr`awings of facilfty to better 'fot expIain'sittiaty es as3n(use additional pagecei.ssaiy)i
a x•.>t. .., .r ♦ . >,>. runs .. r f:_ .-. .� a r l
L eve CjGcG�a ks
•// be
�� l pcwe 7k, ; s r.jeeKe�d,
Reviewer/InspectorName%S�.€,
Reviewer/InspectorSignature: Date: %Too -- 7 5/00.

J
•1 i
Facility Number: Z(o — Z Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge aUor below �Ies ❑No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ' ❑ Yes J -No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes #No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes �Po
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) - ❑ Yes o
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
anwi ; ommen ' an ar, ra r►g�• T
5/00

.,o
IType of Visit p Compliance Inspection p Operation Review p Lagoon Evaluation
Reason for Visit O Routine p Complaint p Follow up p Emergency Notification p Other ❑ Denied Access
Facility Number Date of Visit: 10/171Z000 Time: 10:41 Printed on: 10/17/2000
p Not Operationalp Below Threshold
Permitted N Certified p Conditionally Certified p Registered Date Last Operated or Above Threshold: .........................
FarmName:J.&.UFArin.................................................................................................... County: Cumbedand .................................... ERO............
OwnerName:Jasper..W ............................... Lewis ........................................................... Phone No: 9.10. 4i1:4.7.&h..........................................................
FacilityContact:...............................................................................Title:............................................................... Phone No:....................................................
MailingAddress: .................................................................... 1~ayatteville.r[C......................................... ............ 2$39j...............
Onsite .Representative: 00ra.Lewia............................................................................... Integrator: lude[tend.ttt............................................................
Certified Operator:Debra..................................... Lewis ................................................. Operator Certification Number: zl10.7.1.............................
Location of Farm:
From 33-e—a-s-f—of Fayetteville go I I miles turn right at taut on light go miles Farm is on right e n a gray house.
® Swine p Poultry p Cattle ❑ Horse Latitude ®e Longitude ®o ® ®
ill I' Jjll 1}esi nn .iCurrent �' '' 1.1'i ][)esi nl' I �iCurrent LI! i I' H w 'Ili! Desi n Current
f 9 I Irl � >�; i I g � „uol,,,i �� '� I i � l g
{ Capacity Population Poultry', Capacity Piipulatioa Cattle Capacity Population
❑ Wean to Feeder
❑ Feeder to finis
❑ Parrow to Wean
® arrow to FeeRer
p Farrow to Finish
p Gilts
❑ Boars
❑ Layer
❑ Non -Layer
❑ Dairy
❑ on airy
❑Other
Total Design, Capacity 80
:''Total SSLW ` 41,760
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon p Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ® No
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ® No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ® No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ® No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
.......................................................................................................................................................................................................................
Freeboard(inches): ............ 6.0" t.............................. ............ ..... ... ................................. ....... I........................... ......................................................................
i/nn d-nntinuvd nn hark

„5/00 Continued on back
Facility Number: 26_42 Date of Inspection ® Printed on: 10/17/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ® No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ® No
(If any of questions 4-6 was answered yes, and the situation poses an
Immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
p Yes
® No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
p Yes
® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waite Ataplicatim
© Yes
® No
10. Are there any buffers that need maintenance/improvement?
❑ Yes
® No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
® No
12. Crop type Soybeans Wheat Corn
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
® No
14. a) Does the facility lack adequate acreage for land application?
p Yes
®No
b) Does the facility need a wettable acre determination?
p 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?
p Yes
® No
Required Records & Documents
17, Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
® No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
H No
19, Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
p Yes
® No
20, Is facility not in compliance with any applicable setback criteria in effect at the time of design?
p Yes
® No
21. Did the facility fail to have a actively certified operator in charge?
p Yes
® No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
p Yes
® No
23, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
® No
24. Does facility require a follow-up visit by same agency?
© Yes
® No
25, Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
®No
It • NoMolations-or. xleficieu•cies-were•nnted during. t4> visit. -You- will -receive no further.
............................... ......................
. • icorrespvpdekc ab:oitt� this:visit:................... . .............. .
IV
Reviewer/Inspector Name Crudy Dobson
)�r wwswsn_,d N ..rFrrs
Reviewerllnsnector Signature. ' I ,� Date: emn

• : f,Rey iewer/Inspector Signature: Date: 51001
Facility Number: 26_42 Date of Inspection ® Printed on: 10/17/2000
Odor Issues
26, Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below p 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? Cl Yes ® No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
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?
p Yes
® No
30.
Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
[]Yes
® No
31.
Do the animals feed storage bins fail to have appropriate cover?
[]Yes
® No
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
[]Yes
p No
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'►
5100

State of North Carolina IT r WW
Department of Environment •
and Natural Resources A4
Division of Water Quality
James B. Hunt, Jr., Governor -
Bill Holman, Secretary NCDENR
Kerr T. Stevens, Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
February 7, 2000 RECV-117
1 f)
JASPER W. LEWIS
J & D FARM FEB 9 2000
RT 2 BOX 358-B
FAYETTEVILLE NC 28301 A ET(IZVILLE
REr;Subject: Application No. A'M E
Additional Information Request
J&DFarm
Animal Waste Operation
Cumberland County
Dear Jasper Lewis:
The Non -Discharge Permitting Unit has completed a preliminary engineering review of the subject application.
Additional information is required before we can continue our review. Please address the following by March 8, 2000:
I. Your waste utilization plan appears to have been written for a two-year corn -wheat -soybean rotation. Please have your Table I
revised to show the nitrogen balance for individual years. Make sure that proper nitrogen credit is given to crop following soybeans
to account for residual nitrogen from a soybean crop.
2. The irrigation parameters listed in your Waste Utilization Plan (WUP) exceed current recommendations. Irrigation events are to be
listed in the WUP as the maximum application allowable for that soil type from the time the pumps are turned on until the time they
are shut off. The application events listed in your WUP appear to be out of the Sprinkler Irrigation Guide. The Application
Amounts listed in this guide have not been adjusted for the application of animal waste. It is currently recommended that total
application amounts not exceed one inch in any application event for any soil type. If your application rates need to be adjusted for
the application of animal waste, please have your Technical Specialist revise your WUP to reflect the appropriate application
amount per event. If the rates exceed the recommended one inch, please have your Technical Specialist justify the increased
application rate in the narrative of your WUP.
Please note that all WUP revisions must be signed and dated by both the owner and the technical specialist.
Please reference the subject permit application number when providing the requested information. All information should be
signed, sealed, and submitted in duplicate to my attention at the address below. The information requested by this letter must
be submitted on or before March 8, 2000 or the Division will return your application as incomplete in accordance with 15A
N.C.A.C. 2H ,0200 and your facility will be considered to be operating without a permit.
Please be advised that operation of the subject animal waste management system without a valid permit is a violation
of North Carolina General Statute 143-215.1 and will subject you to the enforcement authority of the Environmental
Management Commission.
If you have any questions regarding this request, please call me at [phone], extension 363.
Sincerely,
JR Joshi
Non -Discharge Permitting Unit
cc: Fayetteville Regional Office, Water Quality
Permit File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Division of Soil and'Wat'
z � •E� � •. 0 ' ' er Conservation - OperationiReview � • .
.'[3 Division of Soil and Watei lConsei•�ation -.Compliance Inspection
` Division of Water ;
Quril�ty Compliance Inspection it a
F�©;Other!Ageney OperationRevieW� �, ' �.
4 •31d,.. i= � ,ai�i, �. r� 1 ,n� , ,,,<.�.e .o-. s�-e >�€§,:•' is .E,1� EP, _,i ,_. ,E.. r� .�f,. �1�,
e Routine 0 Complaint Q Follow-up of DWQ inspection O Follow -tip of DSWC review Q Other
Facility Number
Date of Inspectioii
Time or Inspection 24 hr. (hh:mm)
[j Permitted p Certified © Conditionally Certified E3 Registered Not O erational Date Last Operated:
01f—
Farm Name: J ..lG./ /i�J2iw ................I. .............................. County:.........i1�. �i! / .......................
jP
Owner Name:.........�, ft .....fN ...�1 /.5.............. Phone No: �'/d �'�.77v �...............
�.
Facility Contact: .........A.....%...... . Title Phone No :...................................................
..................................................
p
Mailing Address: ....,.. ...2......��x x-... t3rQ..ne .,¢.�j �1�� �.�;r..............`......... ......................
Onsite Representative:........%,! ...,w , Integrator: -L ✓�''�+......................
Certified Operator:....
j!9,,,,,,,,,, L'�'&'sOperator Certification Number:,,,`Zd.d
......... ........................................................f ..........
Location of Farm:
e..2..�..3..................... I............................................................................................... ................................................................................ -
Latitude • At Longitude ' 6 64
Design Current }'' Design Current Design Current
Swine Capacity Population' Poultry Capacity Population Cattle Capacity Po 'ulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
arrow to Feeder
f
❑ Farrow to Finish
❑ Gilts
❑ Boars
`•, ❑ Layer ❑Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
' Total Design Capacity
i'' •Total'''SSLW
❑ Subsurface Drains Present a Spray Field Area
Ni� ber of: Lagoons ❑ Lagoon Are❑ 0 ";
HokkiPonds Solid Traps !' ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No
Discharge originated at; ❑ Lagoon ❑ Spray Field ElOther
a. If discharge is observed, was the conveyance man-made? ❑Yes No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes No
c. if discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon s stem'? (Ifyes, notify DW .) ❑ Yes VNo
2. Is there evidence of past discharge from any part of the operation? ❑ Yes la -No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes XNo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ YesVNo
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: p
Freeboard(inches): ...............�D.....�........................................................... .....................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes No
seepage, etc.)
3/23/99 Continued on back

Facilhy Number:.26 — z hate of Inspection
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
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14, a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19, Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
Io viol'alticjrjs ;off- dgficpezi ;ie wire ppfed• dtw h9 •this•visic. Y;oO ;wili•te'Oiye 46 futtiio
correspondence. A6U' f this Asit..
❑ Yes P No
❑ Yes Wo
[]Yes kNo
❑ Yes SjNo
❑ Yes ® No
❑ Yes No
❑ Yes JrNo
❑ Yes Z'No
❑ Yes KNo
❑ Yes XNo
❑ Yes No
❑ Yes No
❑ Yes rIo
❑ Yes ?Q No
❑ Yes I'&No
❑ Yes �Po
❑ Yes {ZNo
❑ Yes t$No
❑ Yes %No
❑ Yes 9 No
❑ Yes �&No
� L I t l: F
,Comments (refer td.question4#) , Ezp1Am any YES answers and/orany recommendations or any other comments
IIJse'drawrngs of factltty to better explatn'situattons (use add�honal pages as neccssAry}
;.If :'1.;:. €. R >. , . n><•cL.�. ,, ,Ey.y'317f" . , �E.. €�.al eete�d ._ .J I! a.. "r . i. S _r€: �c, t�.fl .. : _
A.
Awel,�,,,.,.1/ d�,..-� � ,�, g,E '4'e - X 02.< ova tr"- !iA / ,�0
3/23/99

" 1[] Division of Soil and Water Conservation ❑ Other Agency
Ml
' ivision of Water Quality
taRoutine O Contplaint O Follow-up of DAVQ inspection O Follow-up of I)SEWC review O Other
Date of Inspection
Facility Number Z I ,
// Time of inspection ' ^ 24 hr. (hh:mm)
0- egistered B Certified Applied for Permit ©Permitted d Not O eratir►nal . Date Last Operated:
Farm Namc:....... k% .......... .• rr.S........1-rir ..... ...mt.l .l.' », County :............ .+i�Fn,ka J�� x-....................................
Gau,� .9/.a5!,�-7Li
Owner Name: ............ �k ..h4.t.�........¢:... ..f�.eta.�............................�.................. Phone No: ..... J........................... ......,.........
Facility Contact:... s....rk...i� 4,c�... �,uas............. Title:.......... , Phone No: ... .
Mailing Address
Onsite Representative:.......: , r..R.....! ".1. ..6 r .....5 !.tS.................... Integrator............ .. i ......................
Certified Operator, ........... D-e-461-w......................................................................1.... Operator Certification Number:.........................................
.ocation of r arm: , r ,Iafa'•v R S'.� 20 Z
1
.....................................
Latitude • �4 44 Longitude • ' 44
General
I. Are there any buffers that need maintenance/improvement?
❑ Yes
01qo
2. Is any discharge observed from any part of the operation?
❑ Yes
[2- o
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?.
❑ Yes
B No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
❑ Yes
No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes
0,9-0
3. Is there evidence of past discharge from any part of the operation?
❑ Yes
4. Were there any adverse impacts to the waters of the State other.than from a discharge?
❑ Yes
�o
0 0
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
2'No
maintenance/improvement?
b. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
No
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
01K
7/25/97
Continued an hack

Facility NuMlkr:
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes co
Structures (La=oons.Ilolding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes ❑ No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(ft):..[x' ......7.........................................................................
10. Is seepage observed from any of the structures'? ❑ Yes No
11. Is erosion, or any other threats to the integrity of any of the structures observed'?
12. Do any of the structures need maint(:n,ince/iml-)rovement'?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13, Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering wafers of the State. notify DWQ)
C
15. Crop type .......cr,ri ........... ....... ...................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did ReviewerlInspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Wyre`any additional problems noted which cause noncompliance of the Permit'?
❑ Yes [I -NO
❑ Yes t'.xo
❑ Yes L'f 0
❑ Yes o
......................................................
❑ Yes
i o
❑ Yes
i o�
❑ Yes
,,
L�l"No
❑ Yes
❑ Yes
❑ Yes
❑ Yes
0<0
No
No
No
allo.violations or deficiencies. were noted during this: visit..You.wi11 receive no further
correspimdence Aoitt this:visit,.
❑ Yes 04.0
❑ Yes ;�X�o
Cl Yes GKO
Comments (refer tq question #): 1 icplain any YI±S'answers andlor`any recominendations ar ariyrither caniments: y
UseArawmas', facility to better explain situations.`(use additional pages�ti necessary)
L � ,/�CAX A
,.
�,,,,,,,., urn'-•" cs-�� t/✓—�" `n 1:0 rtu
`d J AA-,,
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date:

.YM. M
❑Division of Soil and Water Conservation ❑ Other Agency
,. F
tvision of Water Quality qeft
le-Itouline O Complaint O Follow-up of MV'Q inspection O Follow-up of.l)SWC review O Other �
Date of Inspection
Facility NumberZ.
Time of Inspection �24 hr. (hh:mm)
egistered © Certified [3 Applied for Permit 13 Permitted JE3 Not Operational Date Last Operated; ..........................
L%CZA4 -E
Farm Name: Awi ., ,., ,/ .5 .¢ v .:. *"'t.... County :....:........9ti:!;....... 1............. .......................
............................. `' �" !"
Owner Name: ............"' n b. LQwi .. Phone No:....... x4? S/83: t>F8 .........................
Facility Contact : .............a,K ... ... .a661. ....`�'!a. Title:.,......... .......................... Phone No:..................
i4faiiirtg Address:........../ L�..Z,..1..P' '?1...... , ....'". ........................... .............................L��....... f..I......I......... ..........................
wC �3d
Onsite Representative:....................� ...... Integrator: .............. 1:;;7��
...............
Certified Operatorz....................... .................. Operator Certification Number;.........................................
Location of Farm: �QI�, 4 sA s ��. r VC-5-3 c+K -Z—a r C 41' .
Latitude Longitude
Desrgn :,..Current
;Design Gurtrent Design urrent
Swine Capacity Population
Poultry Capacity Population Cattle Capacity P.opulatiott ',
❑ Wean to Feeder
10 Layer
❑ Dairy
❑ Feeder to Finish
❑ Non -Layer
❑ Non -Dairy
❑ Farrow to WeanGo
arrow to Feeder
qe
❑ Other ;4.
Total Design Capacity.,, F&F V
❑ Farrow to Finish
�5aklf
w :r Total SSLW.
JZ Boars
Number. of Lagpon5 / Holding Ponds
❑Subsurface Drains Present
❑ Gegoon Ares ❑Spray Field Are a
t
,5,`.
xt �.
❑ No Liquid Waste Management System
t:
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If diseharge is observed, did it reach Surface Water? (If yes, notify DWQ)
• c. If discharge is observed, what is the estimated flow in gallmin?
A. Does discharge bypass a lagoon system? (Il' yes, notify DWQ)
3. is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste Management system (other than lagoons/holding ponds) require
maintenance/improvement?
5. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
❑ Yes B IC—
❑ Yes lam'
❑ Yes Ci<o-
❑ Yes 21q-0
❑ Yes L7 lvo
❑ Yes l-Tqo­-
❑ Yes
❑ Yes ❑- T
❑ Yes iT I o
❑ Yes tt4110
Continued on back

Flfcility Dumber:
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes To
Structures (Lagoons.Holding Ponds __Flush fits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes ❑. W—'
Structure I Structure 2 Structure 3 Structure 4 Structure S Structure 6
Identifier:
Freeboard(ft):......... ..............,..................................................................................
10. Is seepage observed from any of the structures? ❑ Yes
11. is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes 0—o
12. Do any of the structures need maintenance/improvement? • ❑ Yes Q'K'O
(If any of questions 9-.12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ) T
13. Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes ®150
Waste Application
14. Is there physical evidence of over application? ❑ Yes ❑ No
(If in excess of.WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ...��........t.... ............err a........ .......... .... ...................................................—..
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes 21vo
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes EI.N '
18. Does the receiving crop need improvement? ❑ Yes U-M
19. Is there a lack of available waste application equipment? ❑ Yes
20. Does facility require a follow-up visit by same agency? ` . ) ❑ Yes LJ-?O'
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes [34qtb
22, Does record keeping need improvement? ❑ Yes Ergo,
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑ Yes ❑ No
24. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
25. W any additional problems noted which cause noncompliance of the Permit? ❑ Yes ❑ No
o.vitilations. or. deficiencies. were; noted -during this:visit.- You:will receive no• tirther, :
correspondence about this:visit.: ; ; ...
GLtiCt.0-&y �
-ro nft4za-4�'O
tzc �
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: Dale: I Z.J ;

Site Requires Immediate Attention: - Ilia_
Facility No.
DMSION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: 2 , 1995
Time:
Farm Name/Owner: l 0. s 'U" 4,4,00 e
Mailing Address: Liv
County:
Integrator: Phone: d y
On Site Representative: Dabhl Phone:
Physical Address/Location:
Type of Operation: Swine .� Pou'Jtryv Cattle
Design Capacity: 37 Soap , Number of Animals on Site: 46
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude• ° ' M Longitude. 0 , M
Circle Yes or No
Does the Animal Waste Lagoon hM sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) or No Actual Freeboard:.yy Ft, Inches
Was any seepage observed from the lnor
n(s)? Yes or� Was any erosion ob ed? Yes or I�
Is adequate land available for spray? No Is the cover crop adequate? es r No
Crop(s) being utilized: 4LA;r—
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? Y10 or No
100 Feet from Wells? 2es
or o
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? r
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line: Yes or I9
Is animal waste discharged into water of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or 19 If,,Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of mapure, land app
spray irrigated on specific acreage with cover crop)? Yes or Qy we? ��
Additional Comments: CUMA.Aq %Ao _ %W ""Go." f
AM Q­ 9 7 'ZA.Al 4-2..I- V4.1 .. ►�.. __ ,Lm.,.�.... eta 47 A04A. W
lwa� Z4'4e,
Inspector Name
24�j 4;IAI
Signature
cc: Facility Assessment Unit Use Attachments if Needed.

a`r P�rrF" qs 1 P
DIVISION OF WATER QUALITY
—
CI��VL14..wW�
CArniisi
n• Laborarary Report /water Qva]nty
SAMPLETYPP
Q �
Yy�[
Lab Nwnbcf O
Date Rccciv 14 1 "4
CVUNT'Y
RIVER BASIN:
PREOR;'rY
AMBIENT
Q OA
(j irMEAM
CFFLVI"N'f
T, tnc Keeuved : .n �:
Recciveddy
REPORT TO 1i lt�+� Regional Otricc
COMP1,1ANCr
Ej CHAIN Of CUSTODY
LAIC[
INPWENT
vvw_—
Other
FMCRGHNCY
vwno -
ESTUARY
Data Released
COLLECTOR(S) : Jf /�+ (�AL7 tr_
F—�-
Date Reported,
Estimated PAD Range:
Simi— Lacafwn.
$Ned: Chlonnared:
Hans rks: JP +>UD
Station 41Lo tinn Cvde
4 Z
Date Be 'n (yyl mldd}
Ilan EnJ (y.ylmm/dd)
Trmr ikFia
Time EnJ Ilrplii - ❑M, Dil, D8M
value Type - A. li, L
Compnisde-T, S, 8
Sample Tyltr
GbZ Aw5-2&00
Iy o
----
: 90
---�
-`
~r
^-
--
Roo 340 mrA
COD 1Geh 340 ,nglL
COD Lo- 335 m f.
COlnrorin: MI: Fecal 3 1616 _ 1100m1
Colirorm: MF Tidal 31504 1100ml
Col iram+- tube Fecal 3 16t5 ;100na1
(Alilixan Fecal Strop 31613 11M.1
Raiduc: Tnlll 500 mg/1.
Vnlat.k 505 mglL
Fixed Sit) a:glL•
Residue:Suspended 530 inWL
votali& 535 me/L
Fixed-540 ntglL
p11 403 units
Acidity no pH 4.5 436 mgfi-
Acidily to pi 1 9.3 435 melL
A lkalnnty to pH SJ a 15 MgA-
A lkahmty to p11 4.5 d10 MrA.
TOC 6S0 mglt.
Tnrb,d:t5. 76 NTU
Coliform Total 7 ubc 1100 nil
COMMENTS:
Chloride 940 mg/L
Chlorophyll a ETA 445 0 mndified Opinon uRlL
Caler- True 90 c u_
cMan: (pH) U pH- c u
Cotes. pH 7 6 92 c -
Cyamdc 730 mg/1.
rlumide 951 mgry
Formaldehvile 71360 m
Grease and MIS 556 MS11-
Hadncrs Total M and
Spccrfc Cond.95 wnhdslcm
MBAS 35260 myL
Phenols 32730 ugIL
sulfate 945 me1L
Sulfide 7a5 m
Boron
Tannin R UFoin uglL
I Ieaavalent Chi runium uglL.
Bicalbonaic m
Carbonate mg11.
Tedat Di=Wcd Solids .�,IL
NH3 as N 610 mgA-
TK N an N 635 mel1-
02 plus NO3 as N 630 mglL
P: 1'0121 22 P 665 melt.
1104 asp 70507 mRlL
Dlssalved asp 666 mFjL
-Potaasitari ME&
'd- Cadmium 1027 UO,
Cr-Chrom+wn-Tatal 1034 ugA
Cu-capper 1042 ug/L.
N+-Nickel I061 ue/L
pb- Lead 1051 vgIL-
-Ln- zinc 1097 u
V-vanadium URIC
.Ag- Sd.'er 1077 lr l
AI- Aluminum 1 t05 ue/L
13e- Bm'llium 1012 ug/L
Ca- Calcium 916 mg/L.
Co- Cobalt 1037 ug/L
Fe- ton 1045 .2&
A40-M0lybde1'um v
Sb-Antimony uglE.
Sn-Tm gfL
TI-Thallium ug/L
TI-Tiianivm u
I Ig-1631 ngli.
Ln-Lahium 1132 uglL
q. Ma ncv.m 927 m¢_ft.
n-Man%Artsc 1055 upfL
Na. Sodium 929 -PA-
ArScmc Total 1002 ue/1.
Sc- Sclrnitiui 1147 - UB&
Flg- Maury 71900 ur
fla-Barmm ugn-
Oftanprhtat+ne Ptsuudus
Or anophosphotas Pesircndes
O+ non+anecn Prsne•des
Ac+d I Ire tides
BaselNcuttal&Aenl LSknac+nble O+ anms
TPH 13 cuel Range
Purccable Ongamcs (VOA battle req'd)
TPFI Gasohne Ranet,
TPH/BT£7C Gasoline Range
Phrroplankrai
Temperafum art.-.F(qc/ - -

AC14981 XC D$VF, Water Sciences Section -Chemistry Laboratory Resurts
County:
CUMBERLAND
Sample ID:
AC14981
River Basin
CAPE FEAR
PO Number #
14W20843
Report To
FROSP
DWR
Date Received:
12/0412014
Time Received:
08:00
J BARBER
LabworksCollector:
SWIFT
Region:
FRO
Division of Water Resources
Final Rep rt Date
Final Report Date:
1/7/15
1I7115
Sample Matrix:
SURFACEWATER
Final Report
Report Print Date:
01/08/2015
Loc. Type:
RIVER/ IREAMI
Emergency Yes/No
VisitlD
CDC Yes1No
Loc. Descr.: PO DES MLE
Location ID:
6P026AWS260042
Collect Date: 12/0312014
Collect Time: 13:60 ,
Sample Depth
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
Result/
Method
Analysis
CAS # Analyte Name
PQL
ualifier
Units
Reference
Date
Validated by
LAB
Sample temperature at receipt by lab
3.8
°C
1214114
MSWIFT
NUT
NH3 as N in liquid
0.02
0.04
mg1L as N
EPA 350.1 REV 2
1215/14
CGREEN
Total Kjeldahl N as N in liquid
0.2
5.9
mg1L as N
EPA 351.2 REV 2
12/10/14
CGREEN
NO2+NO3 as N in liquid
0.02
0.10 U,P
mg1Las N
EPA353.2 REV 2
1215114
CGREEN
Phosphorus total as P in liquid
0.02
6.0
mg/Las P
EPA365.1 REV 2
1211011i
CGREEN
MET
7440-22-4
Ag by ICPMS
1.0
1.0 U
ug/L
EPA200.8
1211011,
ESTAFFORD1
7429.90-5
Al by ICP
50
200
ug/L
EPA200.7
1211611,
ESTAFFORD1
7440-36-0
Antimony by ICPMS
10
IOU
ugh.
EPA200.8
12/10/14
ESTAFFORD1
7440-38-2
As by ICPMS
2.0
2.0 U
ug1L
EPA200.8
1211011,
ESTAFFORD1
7440-38-3
Ba by ICP
10
16
ug1L
EPA200.7
1211611,
ESTAFFORDI
7440-41-7
Be by ICP
5.0
5.0 U
uglL
EPA200.7
1211Oil i
ESTAFFORD1
7440-70-2
Ca by ICP
0.10
5.6
mg1L
EPA200.7
12/16/11
ESTAFFORD1
7440-43-9
Cd by ICPMS
0.50
0.50 U
ug/L
EPA200.8
1211011-
ESTAFFORD1
7440-47-3
Cr by ICPMS
10
IOU
tig1L
EPA200.8
12/10/11
ESTAFFORD1
7440.50-8
Cu by ICPMS
2.0
8.9
uglL
EPA200.8
12110111
ESTAFFORD1
7439-89-6
Fe by ICP
50
9500
ug1L
EPA200.7
12116/1j
ESTAFFORD1
7440-09-7
K by ICP
0.10
12
mg1L
EPA200.7
12116/1,
ESTAFFORD1
7439-95-4
Mg by ICP
0.10
1.5
mg1L
EPA200.7
12/16/14
ESTAFFORD1
7439-96-5
Mn by ICP
10
43
uglL
EPA 200.7
12116/1,
ESTAFFORD1
7439-98-7
Mo by 1CPMS
10
IOU
uglL
EPA200.8
12/10/14
ESTAFFORD1
7440-23-5
Na by ICP
0.10
1.8
mg1L
EPA200.7
12116/1,
ESTAFFORD1
7440-02-0
Ni by ICPMS
2.0
2.0 U
ug1L
EPA200.8
12110/1
ESTAFFORD1
7439-92-1
Pb by ICPMS
2.0
2.0 U
ug1L
EPA200.8
1211011
ESTAFFORD1
7782-49-2
Se by ICPMS
5.0
5.0 U
uglL
EPA200.8
1211011
ESTAFFORD1
7440-62-2
V by ICP
25
25 U
uglL
EPA200.7
1211611
ESTAFFORD1
7440-66-6
Zn by ICPMS
10
37
uglL
EPA200.8
.12110/1
ESTAFFORD1
WSS Chemistry Laboratory» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed deacdmien of the auahrier codes refer to <httD://portal. nedenr. orv-/web/wolops/methods-and-Dal s>
Page 1 of 1

Web Soil Survey
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Map Unit Legend
Cumberland County, North Carolina (NCOSI)
Map Map Unit Narne
Acres Percent
Unit
in of AOI
Symbol
AOI
Ro Roanoke and Warne soils, 0
9.4 ' 100.0%
to 2 percent slopes,
occasionally flooded
Totals for Area of Interest
9.4 100.0%
Soil Map �A� �,rqj a
ly' rLA r101Lie !w SD J J Scale (not to scale) �I
1. 0
, Warning: Soil Map may not be valid at this scale. J
You have zoomed in beyond the scale at which the soil map for this area is intended to be used. Mapping of soils is done at a
particular scale. The soil surveys that comprise your AOI were mapped at 1:24,000. The design of map units and the level of
detail shown in the resulting soil map are dependent on that map scale.
Enlargement of maps beyond the scale of mapping can cause misunderstanding of the detail of mapping and accuracy of soil
line placement. The maps do not show the small areas of contrasting soils that could have been shown at a more detailed
scale.
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Map Unit Description: Roanoke and Warne soils. 0 to 2 percent slopes, occasionally flooded ---
Cumberland County, North Carolina
Cumberland County, North Carolina
Ro—Roanoke and Warne soils, 0 to 2 percent slopes,
occasionally flooded
Map Unit Setting
National map unit symbol: w71 w
Elevation: 80 to 330 feet
Mean annual precipitation: 38 to 55 inches
Mean annual air temperature: 59 to 70 degrees F
Frost -free period. 210 to 265 days
Farmland classification: Farmland of statewide importance
Map Unit Composition
Warne and similar soils: 40 percent
Roanoke, undrained, and similar soils: 40 percent
Roanoke, drained, and similar soils: 10 percent
Estimates are based on observations, descriptions, and transacts of the
mapunit.
Description of Roanoke, Undralned
Setting
Landform: Backswamps on stream terraces, depressions on stream
terraces
Landform position (three-dimensional): Flat
Down -slope shape: Concave
Across -slope shape: Linear
Parent material: Old clayey alluvium derived from igneous and
metamorphic rock
Typical profile
A - 0 to 8 inches: loam
BE - 8 to 90 inches: loam
Btg - 10 to 43 inches: clay
BCg - 43 to 52 inches: clay
Cg - 52 to 80 inches: gravelly sandy clay loam
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: More than 80 inches
Natural drainage class: Poorly drained
Runoff class: Negligible
Capacity of the most limiting layer to transmit water (Ksat):
Moderately low to moderately high (0.06 to 0.20 inlhr)
Depth to water table: About 0 to 12 inches
Frequency of flooding: Occasional
Frequency of ponding: Rare
Available water storage in profile: Moderate (about 8.7 inches)
Interpretive groups
Land capability classification (irrigated): None specified
USnA Natural Resources Web Soil Survey 1/16/2015
Conservation Service National Cooperative Soil Survey Page 1 of 3

Map Unit Description: Roanoke and Warne soils, 0 to 2 percent slopes, occasionally flooded —
Cumberland County, North Carolina
Land capability classification (nonirrigated): 4w
Hydrologic Sail Group: CID
Description of Warne
Setting
Landform: Flats on stream terraces
Down -slope shape: Concave
Across -slope shape: Linear
Parent material: Old clayey alluvium derived from igneous and
metamorphic rock
Typical profile
A - 0 to 9 inches: loam
Big - 9 to 42 inches: clay
Cg - 42 to 80 inches: loamy sand
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: More than 80 inches
Natural drainage class: Somewhat poorly drained
Runoff class: Very high
Capacity of the most limiting layer to transmit water (Ksat):
Moderately low to moderately high (0.06 to 0.20 inlhr)
Depth to water table: About 6 to 18 inches
Frequency of flooding: Occasional
Frequency of ponding.• None
Available water storage in profile: High (about 9.4 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 2w
Hydrologic Soil Group: CID
Description of Roanoke, Drained
Setting
Landform: Sackswamps on stream terraces, depressions on stream
terraces
Landform position (three-dimensional): Flat
Down -slope shape: Concave
Across -slope shape: Linear
Parent material. Old clayey alluvium derived from igneous and
metamorphic rock
Typical profile
A - 0 to 6 inches: loam
B1= - 8 to 10 inches: loam
Big - 10 to 43 inches: clay
BCg - 43 to 52 inches: clay
Cg - 52 to 80 inches: gravelly sandy clay loam
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: More than 80 inches
L_Snq Natural Resources Web Soil Survey 1/16/2015
Conservation Service National Cooperative Soil Survey Page 2 of 3

Map Unit Description: Roanoke and Warne soils, 0 to 2 percent slopes, occasionally flooded —
Cumberland County, North Carolina
Cumberland County, North Carolina
Ro--Roanoke and Warne soils, 0 to 2 percent slopes,
occasionally flooded
Map Unit Setting
National map unit symbol: w7lw
Elevation: 80 to 330 feet
Mean annual precipitation: 38 to 55 inches
Mean annual air temperature: 59 to 70 degrees F
Frost -free period: 210 to 265 days
Farmland classification: Farmland of statewide importance
Map Unit Composition
Warne and similar soils: 40 percent
Roanoke, undrained, and similar soils: 40 percent
Roanoke, drained, and similar soils: 10 percent
Estimates are based on observations, descriptions, and transects of the
mapunit.
Description of Roanoke, Undrained
Setting
Landform: Backswamps on stream terraces, depressions on stream
terraces
Landform position (three-dimensional): Flat
Down -slope shape: Concave
Across -slope shape: Linear
Parent material: Old clayey alluvium derived from igneous and
metamorphic rock
Typical profile
A - 0 to 8 inches: loam
BE - 8 to 10 inches: loam
Btg - 10 to 43 inches: clay
BCg - 43 to 52 inches: clay
Cg - 52 to 80 inches: gravelly sandy clay loam
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: More than 80 inches
Natural drainage class: Poorly drained
Runoff class: Negligible
Capacity of the most limiting layer to transmit water (Ksat):
Moderately low to moderately high (0.06 to 0.20 inlhr)
Depth to water table: About 0 to 12 inches
Frequency of flooding: Occasional
Frequency of ponding: Rare
Available water storage in profile: Moderate (about 8.7 inches)
Interpretive groups
Land capability classification (irrigated): None specified
la_ Sf�9 Natural Resources Web Soll Survey 1/16/2015
Conservation Service National Cooperative Soil Survey Page 1 of 3

Map Unit Description: Roanoke and Warne soils, 0 to 2 percent slopes, occasionally flooded --
Cumberland County, North Carolina
Natural drainage class: Poorly drained
Runoff class: Very high
Capacity of the most limiting layer to transmit water (Ksat):
Moderately low to moderately high (0.06 to 0.20 inlhr)
Depth to water table: About 0 to 12 inches
Frequency of flooding: Occasional
Frequency of ponding: None
Available waterstorage in profile: Moderate (about 8.7 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 3w
Hydrologic Soil Group: CID
Data Source Information
Soil Survey Area: Cumberland County, North Carolina
Survey Area Data: Version 14, Sep 12, 2014
1�5D9 Natural Resources Web Soil Survey 1/16/2015
Consorvatlon Service National Cooperative Soil Survey Page 3 of 3

Nutrient Management in North Carolina Page 1 of 1
Realistic Yield Expectations for North Carolina Soils
The North Carolina Reallstic Yield Database Is the product of an extensive data gathering and review process conducted by NC State
University, the Natural Resource Conservation Service, the North Carolina Department of Agriculture and Consumer Services, and
the North Carolina Division of Soil and Water Conservation. in 1999, county -based representatives of each of the above -named
organizations were asked to collect yield data and make a reasoned judgement of the yields for various crops on each of the solls
occurring In their county. These data were collected from 87 responses, representing 93 counties. The data were then compared
with available research data and intensively reviewed by a panel of field agronomists, soil scientists and researchers familiar with the
soils, crops and climatic conditions In each region. In reviewing the data, the following assumptions were made:
1. Realistic Yield Expectations should be based on the average of the best 3 years in a 5 year period which could be achieved with
a high level of management (top 20% of growers)
2. For soils that may be mapped In multiple regions or in slightly different landscapes (for example, flood plains or stream
terraces), the Realistic Yields are based on the most common prevailing conditions for that soil rather than the most Ideal site
for agricultural production.
3. For solls that are Somewhat Poorly, Poorly, or Very Poorly Drained, effective artificial drainage MUST be In place to achieve the
yields shown In the RYE tables.
4. For tobacco production in the Piedmont physlographic, Irrigation was assumed to be available, whereas no Irrigation was
assumed in the Coastal Plain physlographic region. This is in accordance with numerous surveys which show less than 15%
-20% of tobacco in the Coastal Plain Is Irrigated, while 70 to 800/a of tobacco in the Piedmont receives some Irrigation
Citation: North Carolina Nutrient Management Workgroup. 2003. Realistic yields and nitrogen application factors for North Carolina
crops. htto://nutrients,soil,ncsu.edu/vlelds/ North Carolina State University, North Carolina Department of Agriculture and Consumer
Services, North Carolina Department of Environment and Natural Resources, Natural Resources Conservation Service. Raleigh NC.
To access the database, select a county and at least one crop. Multiple crops may be selected by holding the Ctrl key when selecting
crops. A report will be generated showing a summary of currently available data for the county you selected,
Additional Guidance for speciality crops can be found at: htto,./Inutrlents,soll.ncsu.edu/cror)s/
Select Your County lCumberland v
Ru: Roanoke -Urban land complex
Select Your Soil St: Stallings loamy sand .
v
ITaB: Tarboro loamy sand 0 to B percent slopes
O Use Representative Slope Typical of the Soil Mapunit
Correct for Slope
O Use my slope 10
Submit Reset
There is currently no realistic yield data for the selected soil
Dr. David Crouse Is responsible for the development and maintenance of the Realistic Yield reporting tool.
http://nutrients.soil.ncsu,edu/yields/index.php 1 /16/2015

Nutrient Management in North Carolina Page 1 of 2
Realistic Yield Expectations for North Carolina Solis
The North Carolina Realistic Yield Database is the product of an extensive data gathering and review process conducted by NC State
University, the Natural Resource Conservation Service, the North Carolina Department of Agriculture and Consumer Services, and
the North Carolina Division of Soil and Water Conservation. In 1999, county -based representatives of each of the above -named
organizations were asked to collect yield data and make a reasoned judgement of the yields for various crops on each of the soils
occurring in their county. These data were collected from B7 responses, representing 93 counties. The data were then compared
with available research data and Intensively reviewed by a panel of field agronomists, soil scientists and researchers familiar with the
soils, crops and climatic conditions In each region, In reviewing the data, the following assumptions were made:
1, Realistic Yield Expectations should be based on the average of the best 3 years in a 5 year period which could be achieved with
a high level of management (top 20% of growers)
2. For soils that may be mapped in multiple regions or in slightly different landscapes (for example, Flood plains or stream
terraces), the Realistic Yields are based on the most common prevailing conditions for that soil rather than the most Ideal site
for agricultural production.
3. For soils that are Somewhat Poorly, Poorly, or Very Poorly Drained, effective artificlal drainage MUST be In place to achieve the
yields shown In the RYE tables.
k. For tobacco production In the Piedmont physiographic, Irrigation was assumed to be available, whereas no Irrigation was
assumed in the Coastal Plain physiographlc region. This Is In accordance with numerous surveys which show less than 15%
-20% of tobacco In the Coastal Plain Is Irrigated, while 70 to 80% of tobacco in the Piedmont receives some irrigation
Citation: North Carolina Nutrient Management Workgroup. 2003. Realistic yields and nitrogen application factors for North Carolina
crops, htta:I/nutrlents.Sol1.nGSy.edu/yields/ North Carolina State University, North Carolina Department of Agriculture and Consumer
Services, North Carolina Department of Environment and Natural Resources, Natural Resources Conservation Service. Raleigh NC.
To access the database, select a county and at least one crop. Multiple crops may be selected by holding the Ctrl key when selecting
crops. A report will be generated showing a summary of currently available data for the county you selected.
Additional Guidance for speciality crops can be found at: hltp;/lnutrients.soil.ncsu.gdulcrops/
Select Your County lCumberland v
Select Your Soil St: Stallings loamy sand
TaB: Tarboro loamy sand, 0 to 8 percent slopes V
ITIR: Torhunta and Lynn Haven soils
S Use Representative Slope Typical of the Soil Mapunit
Correct for Slope
O Use my slope IO
Submit Reset
http://nutrients.soil.ncsu.edu/yields/index.php 1 / 16/2015

Nutrient Management in North Carolina
Page 2 of 2
Realistic Yields for Ru: Roanoke -Urban land complex in Cumberland County
Realistic
Estimated Phosphorus
Nitrogen
Nitrogen
Removal
Crop
Yield
Factor
Rate (Ibs/acre)
(Ibs Pxos/acre)
Barley (Grain)
74..Bushels....._.......1.47......._
........................................
............................................
.....................................................................................
Corn {Grain}
144 Bushels
0.91­1
...................1.0g.......,.,.,,,.,..........................................28
134
63
Corn (Silage)
..................................................................................................................
0 Tons
................................................................
10.7
0
,,......................................................:......................
0........................... ..............
.............. .................
Cotton
750 Pounds
0.073
55
22
.......................................................................................................................................................................
Sorghum tSila.e} ..................................................................................................
.........................................................................
0 Tons .........................
7.5 _..............,.....................................................................................................,...,....,.,...,
.....................................................................................
0
0
Oats (Grain}
94 Bushels
..............................._
1.1
...........,....,............................................................................................................................................
103
24
Peanuts........2600
Pounds............................................�..............................................................la.......................................
Rye (Grain)
55 Bushels
1.93
106
18
.....................................................................................................................................................................................................................................................
Small Grain (Silage)
9.Tons......................10.:a.
...... ............
,........9.2.................... .......................................44,,...
........... I.....................
Sorghum (Grain)
55 CWT
1.67
92 .......................I................
41
,............................................
..............................................................................................................................................................................................
Soybeans (Double Cropped)
,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
37 Bushels
0
0
30
Soybeans (Full Season)
...............................................................................................................................................................
44 Bushels
0 _...........................................................................,....,...................................................
0
35
Soybeans (Double Cropped - Manured)
37 Bushels
3.87
143
30
............................................................................................................................................
Soybeans (Full Season - Manured)
44 Bushels
.....................................................................................................................................
3.87
,..,,170
35..
..................,..,,,.,.,.................................
........................................................................................
Tobacco {Burley}
......
.................
0 Pounds ............
...,..,..,..,.,..,......
,.....,............
0.06
*2 ........
......................................................
0
.................... ..,.......,.....,................................................
0
......ac...Fluco ...........,e..........re......d................................................................................
Tob(Cu)
Pun
2000 o ds
0.02....0"
7
54
1...0.......................................,..
Triticale (Grain)
77 Bushels
1.5
116
26
........................ ............ .............................................................................................................................................................._.....,........................................
Tropical Carn (Silage) ......................................................................................"I.............
0 Tons ,.,,...................................................................,....,..,.............................................................................................
6.4
........
0
.................,.....,....,.,..,,,..,...................:...................
0
Wheat (Grain)
55 Bushels ..............................................................................................................................................................
1.93
106
28
"I ................................................. ..........................................................................................................
Bahlagrass (Hay)
2.5 Tons
43
108
..................... ..................
29 .
...................,....................................
................ .............................................................................................................................................................................................
Caucasion/Old World Bluestein (Hay)
.............................................................................................................................................................................................,.....,.,.,,,,..,.......................................................,,............,30.........................................
2.8 Tons
43
............................
118
33
Commpn Bermudagrass (Hay)
2.5 Tons
43
108
30
Dailisgrass (Hay)
...................................................................................................................................................................................................................................................................................................
2.5 Tons
43
108
33
Fescue.{Hay)
.......... ..............1..
3;5Tons
..... .,.....,.,.....................................................................,..,.,..,.....................................................................................
43
151
55
Hybrid Bermudagrass (Hay)
........................................................................................................................................................................................................................................................................................................................................
3.5 Tons
43
151
43
Hybrid Bermudagrass overseeded wlth Rescuegrass
4.3 Tons
43
183
58
(Hay)
...... ..................................................................................... .............................................................
I'll .......................................................
.............................. .......................
.............................................,..,........... ..
MixedCool Season Grass ...(HAY) ............................
2.5 Tons....................43.....................,.,,,,,.1.08.............................................,.........,,,36.......................................
Orchardgrass (Hay)
... ........................................................................................................................................................................_.....,..,.,...........................................................,........,.....,.......................................................................
2.5 Tons
43
108
37
Pearl Millet (Hay)
3 Tons
48
144
40
...........................................
...........................................................................................................................................................................
Rescuegrass(Hay)
.........................
2 Tons
.........
43
_.............................
86
23
........................................................................................................................................................................................................................................................................................................................................
Sorghum Sudan (May}
........................................................................................................................................................................................................................................................................................................................................
3.3 Tons
48
15fi
45
Timothy Grass (Hay)
0 Tons
431­1
0
0
Dr. David Crouse is responsible for the development and maintenance of the Realistic Yield reporting tool.
http://nutrients.soil.ncsu,edu/yields/index.php 1 /16/2015

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State of North Carolina
Department of Environment
and Natural Resources
Division.of Water Quality
fJames B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Jasper W. Lewis
J & D Farm
Rt 2 Box 358-B
Fayetteville NC 28301
IT - V
1 • •
now
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
March 17, 2000 RECEIVED
WR 2 4 2000
FAYETTEVILLE
REG. OFFICE
Subject: Certificate of Coverage No. AWS260042
J & D Farm
Swine Waste Collection, Treatment,
Storage and Application System
Cumberland County
Dear Jasper Lewis:
In accordance with your application received on January 14, 2000, we are forwarding this
Certificate of Coverage (COC) issued to Jasper W. Lewis, authorizing the operation of the subject
animal waste collection, treatment, storage and land application system in accordance with General
Permit AWG100000. This approval shall consist of the operation of this system including, but not
limited to, the management of animal waste from the J & D Farm, located in Cumberland County, with
an animal capacity of no greater than 80 Farrow to Feeder and the application to land as specified in the
Certified Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until April 30, 2003. Pursuant to this COC,
you are authorized and required to operate the system in conformity with the conditions and limitations
as specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of wastes to
surface waters. An adequate system for collecting and maintaining the required monitoring data and
operational information must be established for this farm. Any increase in waste production greater than
the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the CAWMP and this COC and shall be completed prior to
actual increase in either wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the General
Permit or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS
143-215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This
request shall be made within 30 days of notification by the Division.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone]. FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Certificate of Coverage AWS260042
J&DFarm
Page 2
This COC is -not automatically transferable. A name/ownership change application must be _
submitted to the DWQ prior to a name change or change in ownership.
t R
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the =
right to apply for an individual non -discharge permit by contacting the engineer listed below for
information on this process. Unless such a request is made within 30 days, this COC shall be final and
The subject farm is located in the Fayetteville Regional Office. The Regional Office -Water
iA
Quality Staff ma"'y' td 'reached at [phone]. If you need additional information concerning this
COC or the General.Permit, please contact JR Joshi at [phone] ext. 363.
Sincerely,
Kerr T. Stevens
cc: (Certificate of Coverage only for all cc's)
Cumberland County Health Department
�Fay_ett lle_Regiorial-Office, Water Quality Section
Cumberland County Soil and Water Conservation District
Permit File
NDPU Files

State of North Carolina
Department of Environment and Natural Resource E C E I V E D
Division of Water Quality WATER QUALITYSECTION
Non -Discharge Permit Application Form
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) FAN 14 2000
General Permit - Existing Animal Waste Operations
01I,Dlscharge PermitUng
The following questions have been completed utilizing information on file with the Division. Please review the
information for completeness and make any corrections that are appropriate. If a question has not been completed by
the Division, please complete as best as possible. Do not leave any question unanswered.
1. GENERAL INFORMATION:
1.1 Facility Name: J & D Farm
1.2 Print Land Owner's name: Jasper W. Lewis
1.3 1`;ailing address: Rt 2 Box 358-B
City, State: Fayetteville NC Zip: 28301
Telephone Number (include area code): 910-483-4788
1.4 County where facility is located: Cumberland
1.5 Facility Location (Directions from nearest major highway. Please include SR numbers for state roads. Please include a copy
of a county road map with the location of the farm identified): From 53 east of Fayetteville go l 1 miles turn right at caution
light =o 4 1/2 miles Farm is on right behind a gray -house.
1.6 Print Farm Manager's name (if different from Land Owner):
1.7 Lessee's / Integrator's name (if applicable; please circle which type is listed): Independent
1.8 Date Facility Originally Began Operation: 01/01/80
1.9 Date(s) of Facility Expansion(s) (if applicable):
2. OPERATION INFORMATION:
2.1 Facility No.: 26 (county number); 42 (facility number).
2.2 Operation Description: Swine operation
Farrow to Feeder
80- Certified Design Capacity
Is the above information correct? yes; [:] no. If no, correct below using the design capacity of the facility
The "No. of Animals" should be the maximum number for which the waste management structures were designed.
Type of Swine No. of Animals Type of Poultry No. of Animals Tyve of Cattle No. of Animals
0 Wean to Feeder 0 Layer 0 Dairy
0 Feeder to Finish 0 Non -Layer 0 Beef
0 Farrow to Wean (# sow) 0 Turkey
0 Farrow to Feeder (# sow)
0 Farrow to Finish (# sow)
Other Type of Livestock on the farm: No. of Animals:
FORM: AWO-G-E 5128/98 Page 1 of 4 26 - 42

3.
2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
system): 19.3 . Required Acreage (as listed in the AWMP): 5.5
2.4 Dumber otja o storage ponds (circle which is applicable): a!
2.5 Are subsurface drains present within 100' of any of the application fields? YES or (please circle one)
2.6 Are subsurface drains present in the vicinity or under the lagoon(s)? YES or @ (please circle one)
2.7 Does this facility meet all applicable siting requirements? (Swine Farm Siting Act, NRCS Standards, etc.) (Swine Only)
40 or NO (please circle one)
What was the date that this facility's swine houses aad4agowr were sited? `7
What was the date that this facility's land application areas were sited? 3 - 2.4 - iq
REQUIRED ITEMS CHECKLIST
Please indicate that you have included the following required items by signing your initials in the space provided next to each
item.
Applicants Initials
3.1 One completed and signed original and one copy of the application for General Permit - Animal
Waste Operations;
3.2 Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is land applied;
3.3 Two copies of the entire Certified Animal Waste Management Plan (CAWMP). If the facility
does not have a CAWMP, it must be completed prior to submittal of a general permit application
for animal waste operations.
The CAWMP must include the following components. Some of these components ma'v not
have been required at the time the facility was certified but should be added to the
CAWMP for permitting purposes:
3.3.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available
Nitrogen (PAN) produced and utilized by the facility.
3.3.2 The method by which waste is applied to the disposal fields (e.g. irrigation.
injection, etc.)
3.3.3 A map of every field used for land application.
3.3.4 The soil series present on every land application field.
3.3.5 The crops grown on every land application field.
3.3.6 The Realistic Yield Expectation (RYE) for every crop shown in the WUP.
3.3.7 The PAN applied to every land application field.
3.3.8 The waste application windows for every crop utilized in the WUP.
__r313.9 The required NRCS Standard specifications.
,33.3.10 A site schematic.
-3.3.11 Emergency Action Plan.
-3.3.12 Insect Control Checklist with chosen best management practices noted.
.-3.3.13 Odor Control Checklist with chosen best management practices noted.
-3.3.14 Mortality Control Checklist with the selected method noted.
3.3.15 Lagoon/storage pond capacity documentation (design, calculations, etc.). Please be
sure to include any site evaluations, wetland determinations, or hazard classifications
that may be applicable to your facility.
3.3.16 Operation and Maintenance Plan.
If your CAWMP includes any components not shown on this list, please include the
additional components with your submittal.
FORM: AWO-G-E 5/28/98 Page 2 of 4 26 - 42

« Facility Number: 26 - 42
Facility Name: J & D Farm
4. APPEICANT'S CERTIFICATION:
RECEIVED
WATER O!J.ALITY SFC-ION
WN 14 2000
N0110schi rage p&M1j tng
I, JASPER W. LEWIS (Land Owner's name listed in question 1.2), attest that
this application for J & D ,FARM (Facility name listed in question 1,1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application package
will be returDed to me as incomplete. A
Signature
Date / —/f —DU _
5. MANAGER'S CERTIFICATION: (complete only if different from the Land Owner)
(Manager's name listed in question 1.6), attest that this
application for (Facility name listed in question 1,1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application package
will be returned as incomplete.
Signature
Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON -DISCHARGE PERMITTING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
FAX NUMBER: [phone]
FORM: AWO-G-E 5/28/98 Page 3 of 4 26 - 42

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RECEIVE©
WATER0UA! VSEf:1I0N
�g" 14 2000
691r Non- Discharge Permitting
ANIMAL WASTE
LAGOON DESIGN
JASPER LEWIS

UNITED STATES SOIL CHARLIE-F E AGRI-EXPO CENTER
DEPARTMENT OF CONSERVATION 121 E. MOUNTAIN DRIVE, RM 229
iAGRICULTURE SERVICE FAYETTEVILLE, N. C. 28306
Telephone: [phone]
---------------------------------------------------------------------
February 22, 1993
Jasper Lewis
Route 2, Box 358-B
Fayetteville, N.C. 28301
Dear Mr. Lewis:
Please review the attached plan and specifications carefully. Retain
this plan for your use and records. It is required that you, your
contractor and Soil Conservation Service personnel are in complete
agreement as to how the waste lagoon will be constructed. The Soil
Conservation Service can not be responsible without a pre -construction
conference. SCS personnel will stake out and discuss any questions you
and your contractor have regarding design, layout, and construction of
your lagoon. Given adequate notice, SCS personnel will be available
during construction, should questions arise, but the contractor will be
responsible for checking all cuts and fills. Upon completion of the
lagoon, SCS will do a construction check to determine if lagoon meets
SCS plans and specifications.
The actual amount of material required for the dike, cut-off trench and
any pads to be built may vary from the estimates. The design has
attempted to balance cuts and fills as closely as possible. Also, an
adequate amount of topsoil should be stockpiled, then replaced on the
finished dike and other areas where seeding will be done. If additional
fill material is needed after excavation is complete, the owner and
contractor will negotiate price and location of borrow.
Note: Estimate of lagoon excavation: 2,169 cu.yds.
Estimate of cutoff trench: -0- cu.yds.
Total excavation: 2,169 cu.yds.
Fill for dike: 1,469 cu.yds.
Settlement allowance: 147 cu.yds.
Total fill: 1,616 cu.yds.
Cut -Fill ratio: 1.3 : 1
If you have any questions, please call us at 484-8479.
Yours truly,
Larry E. Simpson
District Technician

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Operator:Jackie Lewis County: Cumberland Date: 02-05-93
Distance to nearest residence (other than owner):
750 feet
• 1. STEADY STATE LIVE WEIGHT
0 Saws (farrow to finish) X 1417 lbs.
= 0
' 80 Sows (farrow to feeder) X 522 lbs.
-- 41760
0 Head (finishing only) X 135 lbs.
- 0
0 Sows (farrow to wean) X 433 lbs.
= 0
0 Head (wean to feeder) X 30 lbs.
-- 0
TOTAL STEADY STATE LIVE WEIGHT (SSLW)
- 41760
2. MINIMUM REQUIRED TREATMENT VOLUME OF LAGOON
Volume = 41760 lbs. SSLW X Treatment Volume CF/lb. SSLW
Treatment Volume CF/lb. SSLW= 1.0
CF/lb. SSLW
Volume = 41760 cubic feet
3. STORAGE VOLUME FOR SLUDGE ACCUMULATION
Volume = 0 cubic feet
4. TOTAL DESIGN VOLUME
Inside top: length 170 feet width
100 feet
Top of dike at elevation 50.00 feet
Freeboard 1.0 feet Side slopes
3:1(inside)
Total design lagoon liquid level at elevation
49.00 feet
Bottom of lagoon at elevation 41.00
feet
Seasonal high water table elevation 44.60
feet
Total design volume using prismoidal formula:
SS/END1 SS/END2 SS/SIDEI SS/END2 LENGTH
WIDTH DEPTH
3.0 3.0 3.0 3.0 164.0
94.0 8.00
AREA OF TOP
LENGTH X WIDTH
164 94 15416 (Area of Top)
AREA OF BOTTOM
LENGTH X WIDTH =
116 46
5336
(Area of
Bottom)
AREA OF MIDSECTION
LENGTH X WIDTH X 4
140 70
39200
(Area of
Midsection X 4)
CU. FT. = [Area top+(4XArea
Midsection)+Area
Bottom] X Depth/6
15416
39200
5336
1
VOL. OF LAGOON AT TOTAL DESIGN LIQUID
LEVEL =
79936 CU. FT.

5. TEMPORARY STORAGE REQUIRED
Drainage Area:
Lagoon (top of dike)
• Length X Width =
170 100 17000 Square Feet
Buildings (roof and lot water)
Length X Width =
0 0 0 Square Feet
TOTAL DA 17000 Square Feet
Design temporary storage to be 180 days.
A. Volume of waste produced
Approximate daily production of manure in CF/LB SSLW 0.00136
Volume = 41760 Lbs. SSLW X CF of waste/lb/day X 180
Volume = 10223 Cubic feet
B. Volume of wash water
This is the amount of fresh water used for washing floors or
volume of fresh water used for a flush system. Flush systems
that recirculate the lagoon water are accounted for in 5A.
Volume = 0 Gallons/day X 180 days storage/7.48
gallons per CF
Volume = 0 Cubic feet
C. Volume of rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation by
largest amount.
180 days excess rainfall = 6.3 inches
Volume = 6.3 Inches X DA / 12 inches per foot
Volume = 8925 Cubic feet
D. Volume of 25 year - 24 hour storm
Volume = 6.8 inches / 12 inches per foot X DA
Volume = 9633 Cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
5A.
10223
Cubic
feet
5B.
0
Cubic
feet
5C.
8925
Cubic
feet
5D.
9633
Cubic
feet
TOTAL 28781 Cubic feet

r
6. SUMMARY
Total required volume = 70541 Cubic feet
Total design volume avail.= 79936 Cubic feet
Min. reqrd. trtmnt. vol. plus sludge accum.= 41760 Cu. Ft.
At elev. 47.00 Ft; Vol= 52104 Cubic feet (end pumping)
Total design volume less 25yr-24hr storm = 70303 Cu. Ft.
At elev. 48.30 Ft; Vol= 69520 Cubic feet (start pumping)
Seasonal high water table elevation is 44.60 Feet, which must
be lower than the elevation of top of treatment volume 47.00
DESIGNED Y: APPROVED BY•
DATE: ATE: Ji�LG:
NOTE: SEE ATTACHED WASTE UTILIZATION PLAN
ADDITIONAL NOTES:

Confinement Building
Pit
TYPICAL, VIBI OF A OIIE-STAGE LAGo014 SYSTEZS
Top Width /2-/
Pipe needs to be adequately supported
.Settled Top Elevation ).0
-cfS. 3
/ivuERT
M4
uid flevati4r. ,d
�i SS 3: [ SS 3 :
1
++ /TR EAT 1-1 MT �
1..+4G00N
Lj
i
Depth
Bottom Elevation -1 . u 1
T.B.M. Description �P w /te /h su Z-
`.f3 &
CLAY LIN NCT

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OH-Ver-1.44
US Department of Agriculture
Soil Conservation Service
PLANNED
QUANTITY CALCULATIONS
prepared for
Lewis
in
CUMBERLAND County, NC
Designer :
JMR
Checker
Date :
02/04/93
Date
Job Number
001
*******************************************************************************
c c�
** EXCAVATION **
**
FILL **
Bot
Left Right BL-CL
CL
Dist
Area
Volume
Area
Volume
Width
SS SS
(ft)
Sta
(ft)
(SgFt)
(Cu.Yds)
(SgFt)
(Cu.Yds)
46
3:1 3:1
8.0
1+00
411.9
0.0
27
417.1
0.0
46
3:1 3:1
47.0
1+27
422.2.
0.0
73
1528.7
0.0
46
3:1 3:1
47.0
2+00
400.2
0.0
43
2168.7
0.0
46
3:1 3:1
47.0
2+43
403.5
0.0
Some of the data checking (rules) have been disabled.

OH-Ver-1. 4 4
US Department of Agriculture
Soil Conservation Service
CROSS-SECTION DATA
QUANTITY CALCULATIONS '
prepared for
Lewis
in
CUMBERLAND County, NC
Designer : JMR Checker
Date : 02/04/93 Date
Job Number 001
1
TEMPLATE DATA:
Beginning Elevation = 41
Beginning Station = 1+00
1+00 to 1+27 c 3c146/3 0.00000 ft/ft
1+27 to 2+43 c\3c146/3 0.00000,ft/ft
SECTION NUMBER 1
Centerline Station 0+00
Baseline Station 0+00
Baseline to Centerline Distance = 8
ORIGINAL DATA:
0.0 / 46.8 50.0 / 48.1 100.0 / 47.0 150.0 / 46.0 -50.0 / 46.0
SECTION NUMBER 2
Centerline Station 1+00
Baseline Station 1+00
Baseline to Centerline Distance = 8
ORIGINAL DATA:
0.0 / 46,4 50.0 / 48.2 100.0 / 47.0 150.0 / 46.2 -50.0 / 46.0
SECTION NUMBER 3
Centerline Station 1+27
Baseline Station 1+27
Baseline to Centerline Distance = 47
ORIGINAL DATA:
0.0 / 46.4 50.0 /. 48.0 100.0 / 47.0 150.0 / 46.2
SECTION NUMBER 4
Centerline Station 2+00

1 (continued) 02/04/93 page 2
Baseline Station 2+00
Baseline to Centerline Distance 47
ORIGINAL DATA:
0.0/ 46.4 50.0 / 47.6 100.0 / 47.0 150.0 / 46.1 -50.0 / 46..E
SECTION NUMBER 5
Centerline Station 2+43
Baseline Station 2+43
Baseline to Centerline Distance 47
ORIGINAL DATA:
0.0 / 46.5 50.0 / 47.4 150.0 / 46.9 200.0 / 46.0
SECTION NUMBER 6
Centerline Station 3+00
Baseline Station 3+00
Baseline to Centerline Distance = 8
ORIGINAL DATA:
0.0 / 46.6 50.0 / 47.3 100.0 / 46.8 150.0 / 45.9 -50.0 / 46.'_
SECTION NUMBER 7
Centerline Station 4+00
Baseline Station 4+00
Baseline to Centerline Distance = 8
ORIGINAL DATA:
0.0 / 46.7 50.0 / 46.9 150.0 / 46.5 -50.0 / 46.0
SECTION NUMBER 8
Centerline Station 5+00
Baseline Station 5+00
Baseline to Centerline Distance 8
ORIGINAL DATA:
0.0 / 46.3 50.0 / 46.3

OH-Ver-1.44
Lewis
CROSS-SECTION DATA
QUANTITY CALCULATIONS
prepared for
i ri "
CUMBERLAND County, NC
US Department of Agriculture
Soil Conservation Service
Designer : JMR Checker
Date : 02/05/93 Date
Job Number 001
1
TEMPLATE DATA:
Beginning Elevation = 51.5
Beginning Station = 0+00
0+00 to +88 d/3c135\3-.01500 ft/ft
SECTION NUMBER 1
Centerline Station 0+00
Baseline Station 0+00
Baseline to Centerline Distance = 8
ORIGINAL'DATA:
0.0 / 46.8 50.0 / 48.1 100.0 / 47.0 150.0 / 46.0 -50.0 / 46.0
SECTION NUMBER 2
Centerline Station +88
Baseline Station +88
Baseline to Centerline Distance = 8
ORIGINAL DATA:
-50.0 / 46.0 0.0 / 46.4 50.0 / 48.2 100.0 / 47.0 150.0 / 46.2
Centerline Station 1+00
Baseline Station 1+00
Baseline to Centerline Distance = 8
ORIGINAL DATA:
0.0 / 46.4 50.0 / 48.2 100.0 / 47.0 150.0 / 46.2 -50.0 / 46.0

• OH-Ver-1.44
Lewis
PLANNED
QUANTITY CALCULATIONS
prepared for
in
CUMBERLAND County, NC
US Department of Agriculture
Soil Conservation Service
Designer
: J4R
Checker
Date
: 02/05/93
Date
Job Number 001
*******************************************************************************
Pad
** EXCAVATION
**
**
FILL **
Top
Left Right
BL-CL
CL
Dist
Area
Volume
Area
Volume
Width
SS SS
(ft)
Sta
(ft)
(SgFt)
(Cu.Yds)
(SgFt)
(Cu.Yds)
35
3:1 3:1
6.0
0+00
0.0
192.0
88
0.3
520.3
35
3:1 3:1
8.0
0+88
0.2
127.2
Some of the data checking (rules) have been disabled.

SEEDING RECOMMENDATIONS
-----------------------
AREA TO BE SEEDED: 0.8 ACRES
USE THE SEED MIXTURE INDICATED:
48.0 LBS. FESCUE GRASS @ 60 LBS. PER ACRE
(BEST SUITED ON CLAYEY OR MOIST SOIL CONDITIONS)
SEEDING DATES: SEPTEMBER 15 TO NOVEMBER 30
0.0 LBS. "PENSACOLA" BAHIA GRASS @ 60 LBS. PER ACRE
(SEE FOOTNOTE NUMBER 1)
SEEDING DATES: MARCH 15 TO JUNE 30
0.0 LBS. HULLED BERMUDA GRASS @ 8 LBS. PER ACRE
(SUITED FOR MOST SOIL CONDITIONS)
SEEDING DATES: APRIL 1 TO JULY 31
24.0 LBS. RYE GRAIN @ 30 LBS. PER ACRE (NURSERY FOR FESCUE)
0.0 LBS. RYE GRASS @ 40 LBS. PER ACRE (TEMPORARY VEGETATION)
SEEDING DATES: SEPTEMBER 1 TO MARCH 30
LBS.
APPLY THE FOLLOWING:
750 LBS. OF 10-10-10 FERTILIZER (1000 LBS. PER ACRE)
1.5 TONS OF DOLOMITIC LIME (2 TONS PER ACRE)
75 BALES OF SMALL GRAIN STRAW (100 BALES PER ACRE)
ALL SURFACE DRAINS SHOULD BE INSTALLED PRIOR TO SEEDING. SHAPE ALL
DISTURBED AREAS IMMEDIATELY AFTER EARTHMOVING IS COMPLETED. APPLY
LIME AND FERTILIZER, THEN DISK TO PREPARE A 3 TO 4 INCH SMOOTH SEEDBED.
APPLY SEED AND FIRM SEEDBED WITH A CULTIPACKER OR SIMILAR EQUIPMENT.
APPLY MULCH AND SECURE WITH A MULCH ANCHORING TOOL OR NETTING.
1. PENSACOLA BAHIA GRASS IS SLOWER TO ESTABLISH THAN COMMON
BERMUDA GRASS. WHEN USING BAHIA, IT IS RECOMMENDED THAT 8
LBS. PER ACRE OF COMMON BERMUDA BE INCLUDED TO PROVIDE COVER
UNTIL BAHIAGRASS IS ESTABLISHED.

SPECIFICATIONS FOR CONSTRUCTION OF WASTE TREATMENT LAGOONS
----------------------------------------------------------
CLEARING:
All trees and brush shall be removed from the construction area
before any excavating or fill is started. Stumps will be
removed within the area of the foundation of the embankment and
fill areas and all excavated areas. All stumps and roots exceeding
one (1) inch in diameter shall be removed to a minimum depth of
one (1) foot. Satisfactory disposition will be made of all
debris. The foundation area shall be loosened thoroughly before
placement of embankment material. Lagoon site (and pad site if
needed) to be stripped of topsoil (311) and stockpiled for use on dike
and pad slopes (2-311). The topsoiling quantity is in excess of
amounts specified on page one (1).
Cut-off Trench:
--------------
A cut-off trench (when specified) shall be installed as shown in
the plans.
Construction:
Construction of excavated and earthfill areas shall be performed
to the neat lines and grades as planned. Deviations from this will
require prior approval of the SCS. Earthfill shall be placed in
max. of 6" lifts and not placed in standing water. Compaction
shall be performed by the construction equipment or sheeps-foot roller
during placement. The embankment of the lagoon shall be installed
using the more impervious materials. Construction of fill
heights shall include ten (10) percent for settlement. To
protect against seepage, when areas of unsuitable material are
encountered, they will need to be excavated a minimum of one (1) foot
below grade and backfilled and compacted with a SCS approved
material (i.e.-CL,SC,CH). Refer to the soil investigation
information in the plans for special considerations. Precautions
should be taken during construction to prevent excessive erosion
and sedimentation.
Vegetation:
All exposed embankment and other bare constructed areas shall be
seeded to the planned type of vegetation as soon as possible
after construction according to seeding specifications sheet.

OPERATION AND MAINTENANCE PLAN
------------------------------
This lagoon is designed for waste treatment (permanent storage) with
minimum odor control. The time required for the planned fluid level
to be reached (permanent + temporary storage) may vary due to
flushing operations and the amount of fresh water to be added
to the system.
The designed 6 months temporary storage is an estimated volume
based on : 1) waste from animals; 2) excess rainfall after
evaporation; and 3) the largest 24 hour (one day) rainfall that
occurs on the average of once every 25 years. The volume of
waste generated from a given number of animals will be fairly
constant throughout the year and from year to year. This
estimate is based on 7 inches of excess rainfall which is
equal to or exceeds the highest 6 months excess in a year.
The average annual excess rainfall is approximately 8 inches.
Therefore, an average of 8 inches of excess rainfall will
need to be pumped each year. The 25 year rainfall will not be a
factor to consider in an annual pumping cycle, but this storage
volume must always be available. A maximum elevation is
determined in each design to begin pumping and this is usually
the outlet invert of pipe(s) from building(s). If the outlet
pipe is not installed on the elevation to begin pumping, a
permanent marker must be installed on this elevation to
indicate when pumping should begin. An elevation must be
established to stop pumping to maintain minimum treatment depth
(6 feet). Pumping can be started or stopped any time between
these two elevations for operating convenience as site
conditions permit (weather, soils, crop, and equipment to apply
waste without runoff or leaching).
Land application of waste water is recognized as an acceptable
method of disposal. Methods of application include solid set,
center pivot, guns, and traveling gun irrigation. Care should
be taken when applying waste to prevent runoff from the field
or damage to crops.
The following items are to be carried out:
1. It is strongly recommended tha the treatment lagoon be pre -
charged to 1/2 its capacity to prevent excessive odors during
start-up. Pre -charging reduces the concentration of the initial
waste entering the lagoon thereby reducing odors. Solids
should be covered with effluent at all times. When pre -
charging is completed, flush buildings with recycled lagoon
liquid. Fresh water should not be used for flushing after
initial filling.
2. The attached waste utilization plan shall be followed.
This plan recommends sampling and testing of waste (see
Attachment B) before land application.

3. Begin pump -out of the lagoon when fluid level reaches eleva-
tion 48.30 as marked by permanent markers. Stop pump -out
when the fluid level reaches elevation 47.00 or before
fluid depth is less than 6 feet deep (this prevents the loss of
favorable bacteria). The design temporary storage, less 25 year
storm is 19148 cubic feet or 143226 gallons. As stated
before, this volume will vary considerably from year to year.
4. The recommended maximum amount to apply per irrigation is one
(1) inch and the recommended maximum application rate is 0.4
inches per hour.
5. Keep vegetation on embankment and areas adjacent to the lagoon
mowed annually. Vegetation should be fertilized as needed to
maintain a vigorous stand.
6. Repair any eroded areas or areas damaged by rodents and
establish in vegetation.
7. All surface runoff is to be diverted from the lagoon to
stable outlets.
8. Keep a minimum of 100 feet of buffer (25 feet grass or vegetation
in cropland) around waste utilization fields, particularly adjacent
to ponds, lakes, streams, open ditches, etc. Do not pump within
300 feet of a residence or within 100 feet of a well.
9. The Clean Water Act of 1977 prohibits the discharge of
pollutants into waters of the United States. The Department of
Environment, Health, and Natural Resources, Division of Environ-
mental Management, has the responsibility for enforcing this law.
NOTES:

US Department of Agriculture NC -CPA lb
Soil'Conservation Service,_ 4-92
• ENVIRONMENTAL EVALUATION
Land User/owner NE /-f&t County (1u M jgFR LAAA
Location/Tract .:&..Field Number S��0 Z.3.. TZo7a Z creage 2 2.
Prepared by ¢.2 �f - -31 A leS a' d Date Z - 7- s 3
Brief Description of Planned Practice/RMS/Project Measure:
nl
Environmental Factors and Resources to Identify and Evaluate J
1. Is wetland included in the planning area: (References: NCPM;
190-GM 410.26; Hydric soils list; Classification of Wetlands and
DeeRwat_er Habitats of the U.S.; National Wetlands Inventory Maps;
NFSAM.
No
Yes - If yes,
Identify types present
-- Attach environmental evaluation showing what effect
planned assistance will have on wetland and how this
assistance is within policy
-- Have needed permits (CAMA, DEM, Corps, etc.) been
obtained by the landuser?
-- Make sure no planned practices will put the landowner in
violation of Swampbuster
2. Endangered and/or threatened species: (References: 190-GM
410.22; Technical Guide Section I-i(13) and Section I-vii
No
Yes
-- Identify species whose range and habitat needs indicate
they might occur in planning area
Identify on map any designated -critical habitat

10. Are/permits required?/Should the person contact permit agencies?
✓ No Yes ,
J when an environmental factor or resource is identified on the
site, the user will refer to the appropriate reference for policy
and document the appropriate action in the notes portion of this
form.
NOTES, DOCUMENTATION, FOLLOW-UP

NC-ENG-12
8/72
(formerly NC-71)
U.S. Department of Agricuiture
Soil Conservation Service
DIA
VOLUME ESTIMATE FOR EARTH EMBANKMENT
Name J4ci Q ' Lewt S -
Address
Embankment: Top width- )?- Side Slopes
STATION
F7rbCku
ffis f'P
(Feet)
END AREA
Sq. Ft.)
SITH OF
END ARRAS
(Sq. Ft.)
DISTANCE
(Feet)
DOUBLE
VOLUME
(Cu. Ft. } _
Q(
66'
9
lzG�o
D�
7 35Z,
fi
y,D
) 3 2 (L
7w
/ 6 0 Z(/.17
12 -;5
6161-
'+69-
z9,75
to
-7 S 8
4+81
5� .
z• CS
000ble '-Hume of Fill ^.- ���17 Cue.. Ft.
?.. V0111m^ of embankm,-nt fill [.!In,! 1 - 27)n /45'/Z Cu. Yds.
3. Allowance for settl•ni-nt f F or 101 of 11ne 2: - /217 Cu. Yds.
4. 70tal cubic yards (line 1. + I in^ 3)- llO�lO Cu. Yda.
Computed `v L-- Data % S

LI
C�A�.. L I �l FR,
i 47. '7
S j p E,S = Izz.� X 3 X 2 sloes = 2-7. 1
3 K Z
`q.
SiD�S
)41
0

w�
SCS-tNG-533
Rev. 5.70
r �
U. S. DEPAmim �j 6F AGRICULTURE
SOIL,CdIYSERVATION SBRYI&E
SOIL INVESTIGATION TO DETERMINE SUITABILITY OF PROPOSED POND SITE
.j • i
CROPLAND—ACRESWATERSHED AREA MEASUREMENTS
WOODLAND -ACRES •• i •-. • /
SKETCH OF PROPOSED'POND SHOWING WHERE BORINGS WERE MADE (Approx. scale I" =—feet—)
Locate re(erence pointin center line of dam aid Identify an skdtch.
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•
BORING NUXBER AND PROFIU
and fist dam -site and sallfway boilngi first - then ponded area and borrow pit baringi - separate with verfical red line.
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bAvtp t-A�QCLo CW $LT,

U. �. Department of Agriculture NC-ENG-34
Soil Conservation Service September 1980
File Code: 210
HAZARD CLASSIFICATION DATA SHEET -FOR DAMS
Landowners 5- LEwlS County CUM8FR,LA4r: '
Community'or Group No.
Conservation Plan No.
Estimated Depth of dater to Top of Dam « Ft. Length of Flood Pool i ? ro Ft.
41
Date of Field Hazard Investigation Z --Z 4 ' 9 3 _
Evaluation by reach of flood plain downstream to the point of estimated minor effect
from sudden dam failure.
Est. E ev.:Est.
Elevation
Kind of :Improvements:
of Breach
Reach: Length: Width:
Slope: Land Use
Improvements Above :Floodwater Above
Flood Plain:
Flood Pl.ain
Ft. Ft.
%
Ft.
Ft.�
1
2
3
Describe potential for loss of life and damage to existing or probable future downstream
improvements from a sudden breach � 1'AM 6C � T-v T L1 F C__
'REAC.-- PT.o P t 2 -I Sf --- - - -- - -
Hazard Classification of Dam (a, b, c) (see NEM-Part 520.21)
Dam Classification C)II, III, IV, V)
X
name
e
Concurred By
name title
NOTE: 1. Instructions on reverse side.
2. Attach additional sheets as needed.
Date__ _ z - L!�
Date

Web Soil Survey
ear.
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Map Unit Legend
Cumberland County, North Carolina (NC051) (;
Map Map Unit Name
Acres Percent
Unit
in of AOI
Symbol
AOI
Ro Roanoke and Warne soils, 0
9.4 100.0%
to 2 percent slopes,
occasionally flooded
Totals for Area of Interest
9.4 100.00/6
(M
Soil Map
FK Q� l J_j 0 A (not to scale) v
Warning: Soil IMap may not be valid at this scale. J
You have zoomed in beyond the scale at which the soil map for this area is intended to be used. Mapping of soils is done at a
particular scale. The soil surveys that comprise your AOI were mapped at 1:24,000. The design of map units and the level of
detail shown in the resulting soil map are dependent on that map scale.
Enlargement of maps beyond the scale of mapping can cause misunderstanding of the detail of mapping and accuracy of soil
line placement. The maps do not show the small areas of contrasting soils that could have been shown at a more detailed
scale.
FOIA I Accessibility Statement I Privacy Policy I Non -Discrimination Statement I Information Quality I USA.gov I White House
http://websoilsurvey.nres.usda.gov/app/WebSoilSurvey.a,spx 1 / 16/201 S

FF IVPVFT or

ANIMAL WASTE UTILIZATION PLAN
Producer: JASPER W LEWIS
Location: RR 2 BOX 358B
FAYETTEVILLE NC 28301
Telephone: [phone]
Typo Operation: Existing Farrow to Feeder Swine
Number of Animals: 80.00 sows
(Design Capacity)
STORAGE STRUCTURE: Anaerobic Waste Treatment Lagoon
APPLICATION METHOD: Irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops
in the fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than the crop can utilize.
2. soil types are important as they have different infiltration
rates, leaching potentials, cation exchange capacities, and
available water holding capacities.
3. Normally waste shall be applied to land eroding at less than
5 tons per acre per year. Waste may be applied to land
eroding at 5 or more tons per acre annually, but less than
10 tons per acre per year providing that adequate filter
strips are established.
4. Do not apply waste on saturated soils, when it is raining,
or when the surface is frozen. Either of these conditions
may result in runoff to surface waters which is not allowed
under DWQ regulations.
Page: 1

ANIMAL WASTE UTILIZATION PLAN
5. Wind conditions should also be considered to avoid drift and
downwind odor problems.
6. To maximize the value of the nutrients for crop production
and to reduce the potential for pollution, the waste should
be applied to a growing crop or applied not more than 30
days prior to planting a crop or forages breaking dormancy.
Injecting the waste or disking will conserve nutrients and
reduce odor problems.
This plan is based on the waste application method shown above. If
you choose to change methods in the future, you need to revise this
plan. Nutrient levels for different application methods are not the
same.
The estimated acres needed to apply the animal waste is based on
typical nutrient content for this type of facility. Acreage
requirements should be based on the waste analysis report from your
waste management facility. In some cases you may want to have plant
analysis made, which could allow additional waste to be applied.
Provisions shall be made for the area receiving waste to be flexible
so as to accommodate changing waste analysis content and crop type.
Lime must be applied to maintain pH in the optimum range for specific
crop production.
This waste utilization plan, if carried out, meets the requirements
for compliance with 15A NCAC 2H .0217 adopted by the Environmental
Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
80 sows x 7.3 tons waste/sows/year = 584 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
80 sows x 6.5 lbs PAN/sows/year = 520 lbs. PAN/year
Applying the above amount of waste is a-'big:job. You should plan
time and have -appropriate equipment to apply the waste in a timely
manner.
The following.a.creage will be needed for waste application based on
the crop to be grown, soil'type and surface application.
Page: 2

ANIMAL WASTE UTILIZATION PLAN
TABLE 1: ACRES OWNED BY PRODUCER
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
2070
2
Ro
C
120
150
0
5.5
825
I
MAR-JUN
2070 2 IRO SB 140 140 0 15.5 1770
2 MAR-JUL
2070 1-2 1 WA 1 1100 0 15.5 1550
I SEP-NOV
END
I
TOTAL12145
Indicates that -this field is being overseeded (i.e.
interplanted) or winter annuals follow summer annuals.
NOTE: The applicator is cautioned that P and.K may be over applied
while meeting the N requirements. In the future, regulations
may require farmers in some parts of North Carolina to have a
nutrient management plan that addresses all nutrients. This
plan only addresses nitrogen.
Page: 3

ANIMAL WASTE UTILI2ATION PLAN
71
TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land.
See required specification 2.)
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
END
TOTAL 10
-- Indicates that this field is being overseeded (i.e. interplanted) or
winter annuals follow summer annuals.
** Acreage figures may exceed total acreage in fields due to
overseeding.
* lbs AW N (animal waste nitrogen) equals total required nitrogen
less any commercial nitrogen' (COMM N) supplied.
The following legend explains the crop codes used in tables 1 and 2 above:
CROP CODE
CROP
UNITS
PER UNIT
C
CORN
BUSHELS
1.25
SB
SOY BEANS
BUSHELS
3.5
WA
WINTER ANNUALS (I.E. Small.Grains, etc.)
AC
100
TOTALS FROM TABLES.1 AND 2
ACRES LBS AW N USED
Page: 4

ANIMAL WASTE UTILIZATION PLAN
TABLE 1
TABLE 2
TOTAL
2145
0
2145
*** BALANCE -1625 1
-------------------
*** This number must be less than or equal to 0 in order to
fully utilize the animal waste N produced.
Page: 5

ANIMAL WASTE UTILIZATION PLAN
*** This number must be less than or bqual to 0 in order to fully
.utilize the animal waste N produced.
Acres shown in each of the preceding tables are considered to be the
usable. acres excluding required buffers, filter strips along ditches,
odd areas unable to be irrigated, and perimeter areas not receiving
full application rates due to equipment limitations. Actual total
acres in the fields listed may, and most likely will be, more than
the acres shown in the tables.
See attached map showing the fields to be used for the utilization of
animal waste.
SLUDGE APPLICATION:
The waste utilization plan must contain provisions for periodic land
application of sludge at agronomic rates. The sludge will be nutrient
rich and will require precautionary measures to prevent over application
of nutrients or other elements. Your production facility will produce
approximately 88 pounds of plant available nitrogen per year in the
sludge.
If you remove the sludge every 5 years, you will have approximately 440
pounds of PAN to utilize. Assuming you apply this PAN to hybrid
bermudagrass hayland at the rate of 300 pounds of nitrogen per acre, you
will need 1.46666666667 acres of land. If you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you will need 3.52 acres
of land. Please be aware that these are only estimates of the PAN and
land needed. Actual requirements could vary by 25% depending on your
sludge waste analysis, soil types, realistic yields, and application
methods.
APPLICATION OF WASTE BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the
soil at the time of irrigation such that runoff or ponding occurs. This
rate is limited by initial soil moisture content, soil structure, soil
texture, water droplet size, and organic solids. The application amount
should not exceed the available water holding capacity of the soil at the
time of irrigation nor should the plant available nitrogen applied exceed
the nitrogen needs of the crop.
If surface irrigation is the method of land application for this plan,
it is the responsibility of the producer and irrigation designer to ensure
that an irrigation system is installed to properly irrigate the acres
shown in Tables 1 and 2. Failure to apply the recommended rates and
Page: 6

ANIMAL WASTE UTILIZATION PLAN
amounts of nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application
rates and amounts.
I
jApplication
RatejApplic. Amount
Tract
Field Soil Type
Crop
(in/hr)
(inches)
2070
` 2 Ro
0.35
*1.50
C
2070
2 , Ro
0.35
*1.50
SB
2070
I -2
( 0.35
I *1.50
1 WA
* This is the maximum application amount allowed for the soil
assuming the amount of nitrogen allowed for the crop is not over
applied. In many situations, the application amount shown cannot
be applied -because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
Your facility is designed for 180.00 days of temporary storage and
the temporary storage must be removed. on the average of once every
6.00 months. In no instance should the volume of the waste be stored
in your structure be within the 25 year 24 hour storm storage or one
foot of freeboard except in the event of the 25 year 24 hour storm.
It is the responsibility of the producer and waste applicator to
ensure that the spreader equipment is operated properly to apply the
correct rates to the acres shown in Tables 1 and 2. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may
make this plan invalid.
Call your technical specialist after you receive the waste analysis
report for assistance in determining the amount of waste per acre and
the proper application rate prior to applying the waste.
Page: 7

ANIMAL WASTE UTILIZATION PLAN
Page:

WASTE UTILIZATION PLAN
REORIM SPECIFICATIONS
1.• Animal waste shall not reach surface waters of the state by
runoff, drift, manmade conveyances, direct application, or
direct discharge during operation or land application. Any
discharge of waste which reaches surface water is prohibited.
2. There must be documentation in the design folder that the
producer either owns or has an agreement for use of adequate
land on which to properly apply the waste. If the producer does
not own adequate land to properly dispose of waste, he/she shall
provide a copy of an agreement with a landowner who is within a
reasonable proximity, allowing him/her the use of the land for
waste application. It is the responsibility of the owner of the
facility to secure an update of the Waste Utilization Plan when
there is a change in the operation, increase in the number of
animals, method of utilization, or available land.
3. Animal waste shall be applied to meet, but not exceed, the
nitrogen needs for realistic crop yields based on soil type,
available moisture, historical data,.climatic conditions, and
level of management, unless there are regulations that restrict
the rate of application for other nutrients.
4. Animal waste shall be applied to land eroding less than 5 tons
per acre per year. Waste may be applied to land that is eroding
at 5 or more tons, but'less than 10 tons per acre per year
providing grass filter strips are installed where runoff leaves
the field. (See FOTG Standard 393 -Filter Strip)
5. odors can be reduced by injecting the waste or disking after
waste application. Waste -should not be applied when there is
danger of drift from the irrigation field.
6. When animal waste is.to be applied on acres subject to
flooding, it will be soil incorporated on conventionally tilled
cropland. When applied to conservation tilled crops or
grassland, the waste may be broadcast provided the application
does not occur during a season prone to flooding. (See "Weather
and Climate in North Carolina" for guidance.)
7. Liquid waste shall be applied at rates -not to exceed the soil
infiltration rate such that runoff does not occur offsite or to
surface waters and in a method which does not cause drift from
the site.durinq application. No pondinq should occur in order
to control odor ' or flies.
8. Animal waste shall not be applied to saturated soils, during
rainfall events, or when the surface is frozen.
9. Animal waste shall be applied on actively growing crops in such
a manner that the crop is'not covered with waste to a depth that
would inhibit growth. The potential for salt damage from animal
waste should also be considered.
Page: 9

WASTE UTILIZATION PLAN
R199PIRED-SPIRC-1XICATIONS
10.-Waste nutrients shall not be applied in fall or winter for
spring planted crops on soils with a high potential for
leaching. Waste nutrient loading rates on these soils should be
held to a minimum and a suitable winter cover crop planted to
take up released nutrients. Waste shall not be applied more
than 30 days prior to planting of the crop or forages breaking
dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall
comply with the following: The outer perimeter of the land area
onto which waste is applied from a lagoon that is a component of
a swine farm shall be at least 50 feet from any residential
property boundary and from any perennial stream or river (other
than an irrigation ditch or canal. Animal waste other than
swine waste from facilities sited on or after October 1, 1995),
shall not be applied closer than 25 feet to perennial waters.
(See Standard 393 - Filter Strips).
12. Animal waste shall not be applied closer than 100 feet to
wells.
13. Animal waste shall not be applied closer than 200 feet of
dwellings other than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property
and public right-of-ways.
15. Animal waste shall not be discharged into surface waters,
drainageways, or wetlands by a discharge or by over -spraying.
Animal waste may be applied to prior converted cropland provided
they have been approved as a land application site by a
"technical specialist". Animal waste shall not be applied on
grassed waterways that discharges directly into water courses,
and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that causes no runoff or drift from
the site.
16. Domestic and industrial waste from washdown facilities,
showers, toilets, sinks, etc., shall not be discharged into the
animal waste management system.
17. A protective cover of appropriate vegetation will be
established.on all disturbed areas (lagoon embankments, berms,
pipe runs, etc.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and
other woody species, etc., are limited to areas where considered
appropriate. Lagoon .areas should be kept mowed and accessible.
Berms and structures should be inspected regularly for evidence
of erosion, leakage or discharge.
Page: 10

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
18. If animal production at the facility is to be suspended or
terminated, the owner is responsible for obtaining and
implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19. Waste handling structures, piping, pumps, reels, etc., should
be inspected on a regular basis to prevent breakdowns, leaks,
and spills. A regular maintenance checklist should be kept on
site.
20. Animal waste can be used in a rotation that includes vegetables
and other crops for direct human consumption. However, if
animal waste is used on crops for direct human consumption it
should only be applied preplant with no further applications of
animal waste during the crop season.
21. Highly visible markers shall be installed to mark the top and
bottom elevations of the temporary storage (pumping volume) of
all waste treatment lagoons. Pumping shall be managed to
maintain the liquid level between the markers. A marker will
be required to mark the maximum storage volume for waste
storage ponds.
22. Waste shall be tested within 60 days of utilization and soil
shall be tested at least annually at crop sites where waste
products are applied. Nitrogen shall be the rate - determining
element. Zinc and copper levels in the soils shall be
monitored and alternative crop sites shall be used when these
metals approach excessive levels. pH shall be adjusted for
optimum crop production and maintained. Soil and waste
analysis records shall be kept for five years. Poultry dry
waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be
maintained for five (5) years.
23. Dead animals will be disposed of in a manner that meets North
Carolina regulations.
Pages 11

ANIMAL WASTE UTILIZATION PLAN
WASTE UTI"IATION PLAN _AGREEMENT
Name of Farm:J & D FARM
Owner/Manager Agreement
I (we) understand and will follow and implement the specifications
and the operation and maintenance procedures established in the
approved animal waste utilization plan for the farm named above. I
(we) know that any expansion to the existing design capacity of the
waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the
North Carolina Division of Water Quality (NCDWQ) before the new
animals are stocked. I (we) also understand that there must be no
discharge of animal waste from this system to surface waters of the
state from a storm event less severe than the 25-year, 24--hour
storm. The approved plan will be filed on -site at the farm office
and at the office of the local Soil and Water Conservation District
and will be available for review by NCDWQ upon request.
Name of Facility Owner: JASPER W LEWIS
(PIease print)
Signature: Date: /Z-/7-T7
Name of Ma lqqer((If different from owner) :
Signature:.
Date:
Name of Person Preparing Plan: (Please print)John N Ray Jr.
Aff iliation:NRCS Phone No. [phone]
Address (Agency): 121 East Mountain Drive Ste 229
Fayetteville NC 28306-3422
Signature: Date: IZLlIL97
Page: 12

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EMERGENCY ACTION PLAN
PHOv-E NUMBERS
DWQ Q,eo -t r5f
EMERGENCY NIANAGE ENT SYSTEM _ 4_ff f 0 —(79- 7(o8$
SWCD -S9
NRCS qio •qA(4-943q
This plan will be implemented in the everic that wastes from your operation are lea.-Jnz,
overtlowinv. or running off site. You should not wait until wastes reach surf:c_ t.vacers or
leave vour property to consider that you have a problem. You should make e , e: { effort cc
L:Iisure that this does not happen. This plan should be posted in an accessible lac: Lion far
ail e:nplove_s at the facility. The following are acme action items you s1houid :akt.
I. Scoo ,he re!L-as_of wastes. Depending on the situation. this may or may :,cc ce
:�ossi'ple. Suszeszed responses to some possible problems are listed below.
=.. Lagoon overfV-possible solutions are:
a. add ;oil to berm to increase elevation of darn.
b. Pur p wastes to fle!ds at an acceptable rate.
c. Seep all flows cc the lagoon immediate!v.
d. Ca -II a ;,urnoins contractor.
e. ila!-e sure no surface water is encerinR lagoon.
5: Runoff from waste application field -actions include:
a. Immediately stop waste application.
b. Create a remoorar/ diversion to contain waste.
c. Inconorace waste to reduce runoff.
d. Evaluate and eliminate the reason(s) that caused the runoff.
Evaluate the application races for the fields where runoff occur-,d.
C: L�akaoe from the waste pipes and sprinklers -action include:
a. Stop recycle pump.
b. Stop irrigation pump. '
c. Close valves to eliminate further discharse.
d. Repair all leaks prior to restarting pumps.
D: Leakaze from flush systems. houses. solid separators -action include.
a. Stop recycle pump.
b. Scoo IM1 9ation pump.
C. flake sure no siphon occurs.
d. Sioo all flows in the house. rlush ;vscerns. or scud it=rators.

6: Contact the technical spec(alist who certified the Immon (MRCS. Consultsni7
Emaineer. ztc.)
a. Name: NM • "�yr � — — -�
b. Phone. 94 - 84
Implement procedures as advised by Dw'Q and technicsl assistance agencies to
rectify- the damage. repair the system. and reassess the waste management plan to
keep probiems with release. of wasies from happening again.
11

Insect Control Checklist for Animal Operations
Source C.-LIM 111111's to cuntrol Insects Site Specific I'rnclices—
_ I,Illuld Syste111s---___-
Mush Gulick + Acummiladmi ofsolids _ Flnsll sysicill is dcsibllcll and upelaied ~
5111licicutly lu ICInnYC IMIII dated solids lions
1!llticls its llcsiclied.
M1 Itcnluve [it idging of accunnllaled solids al
IIISC.I_Iit�fl�C
1_aq-uous and fits Llustcd Stlh�
ds f Ivy hi111clin h1goolls, settling lm%ins and Mils whole - -
[test blecdinh Is rlltltalcnl it) minimize Ill.
clustiog of solids to a deltlh of nu unite than G -
3 inches over ntol c than 7U% of sot face.
Exccssivc vegelalivc • Uccayill4 vegeladwi p/ Nhintaiu vcuelalivc conllul along; hanks of
GIuxvtll lagoons and other 1mpatllldincnts lu Illev.nt
clecunlulalioll ufdecayillg vCgetalive matter
aluug walcl's edge on iwlluundnleni's lies imelcl
Dry Sysicros
Feeders FCed 5lliil..Igc Design, ullclLite Wnll maintain Iced syslcnls f —
n Clcr►n Lill sllill,lgc Lin W loutiltc basis {c.g., 7 - fU
slay inlclval daunt; suulmcr; IS-JU day iniclval
��_/'clurinb winter}.
I'CCII SI0I;IaC • Acuumolrthuns ul*feud ICSial1ICS ILY ItCdoCC luuisltlle riccnnlUNH011 \villlil) Will -
aluund immediale Itclinlctcr of Iced slorage
rn Cas by insui illg lllainage away Il0111 site .
1
n InsltccI for and Iclnove or Ineak oll Wccnrltulated
Solids in Wier sirips around Iced staloge as
ncedcd.
AN-111C - November 11, 1996, Page I

Soill-CC C nII.SC
Iln'lr's lu C.uu1T111 IHSCO.i Sitc s lccirc !'rncticcs .
A111oml I lolding AIci15 • Accululthilions UI 8111111.d wils(cs
I.IIIIul,:llc luw uIns 111a1 [Tall Illois1111C illuuj; —
mul (Cell mBog'e
locCS :(Ill[ 111I1cl, Iue.t111111s MICIC 1P.Istc
o CClnllu IICS anal dis11111anl:c by Mlilllilk is
III III HIM l. .. _
F? " n-Iailllaill ICIICC I ntvs :11111 IIIICr SII Ills .II n11nd
animal huldilll; ale is lu ulininlizc
_ :ICCIIIl1111olio is III lvil.Slcs (I.c., b1specl It11- dill
ll.move or b1c.1k (Ill acculmllalcll S(Illlls.1%
I ecded).
UI}' h'lillllllc IWulll g Accunluhlltins n1 .111kud %mmus
❑ Rctllove sl]II1age oil .I 10111111C Imsis fl. 1, 7 - 10
Sytlelns
1L Y inlcl vat dm big swnmcr; 1430 (lay inlcrv:ll
(1111i11g wi111e1) WIICIc lu inkilc is Imided Iul' 11111d
i11111Iic.1iiull (n diSpos,ll. 1
❑ I'lovide Fov mletimile illilinal;c :(r(lunll lll.Inulc
slucklliles.
❑ Insllccl I'm wid lcnlovc ur break lip aeuluMcd
%ausles I11 I lller sil ills nioulld slockl1Iles Suld
111mmic 11.u1Milig i11'cils .is Ilecdcll,
For lrinrC infullludion C111MIC1 rile tlullentlive lixlcllsitm Sclvice, Depilmno of I: hmunlogy, 11ox 7613, Nutlb Caruliva SIMe Universily,
lUlcigh, NC:, 27695-7613.
AMIC - Nuvember l 1, 1996. P.-ige 2

Swine Farm Waste Managerlielit Odor Control Checklist
CaUSL!
l INVIN In 11rblimue Odo1'— - Sile Sllecilic Praclicc5----- -'
1'aimsteatl
• St1'1!1[ IIIAtchul
1r
Vegelallve (li- IVUU(Ic[I I)llll'Cls;
f lltecontnlentletl
best [uanill`;clllclll Inaclices;
B
I.rl}(T[l jtldgulclll .11111 Clllnlll(lll SCIISU
Aidillal bud-v sill faces
• I)Illj' 11111r1111C-cIW(yCll ill11111i1I5
�[
my II{1As,
I'fil[YI sill laces
• `1}Cl nl;lllllle-CI11'CICII lltlllls
ET,
SICAlctl flouts; ____ --- -----`-- -
r%i
\i/;11C1'CUS IUC;I1C(I U1'eI' S1011Cd IIUUIS;
❑
Fccllcrs;t( bigb clid ul soliff Iluols;
SCIiq)e 111.11MIC btlildill) 1iun1 I1noIS;
ICI
!�1
LIIHIC[IIt1U1'vewilaliunFill- (hying
NI'rIIIIIIC C(111CCOUll I)i1S
• U(nIC;
or
I'ICflllclll IllaII1lIC luill(IVal Ily 1111SI1, I)ll leclialge,
• Pallial nlictobial (Iccumposilitill
ur.SCM11c;
C'
I)ntlCrlluurvcnliI'll it,ll
Ventilation c�batrsl taus
Volatile g;lscs;
Ian Maimcrlancc;
Dim
E-T,-[:flicit:nl
ail 11mvc1l[cill
II111[!ur;III fil(:cS
• Ihot
Irk'
iy;ISIIl1nlV11 bC(1V1:C11 I-,Il11El)S ill' illtllllal:i; —� fY-- - --- -
❑
rce[f i wiiivcs;
❑
I:Cctfcr cum s;
❑
I-CC(f (Il iivcly (lulvrlslluul Cslcn(ICIS lu fce[Ier
Covcls
I'btsb WAS
• Agltalitin of iecycled filholm
El --ItBII Ialik C'l)VCis; �v --
ll(1uI(1 11'111le lalll(s ale lllling
1ixlCllll 1111 lilICS to IIC;1C IM11001 0l lank (Vllb
1nlia11)11Uu VCIIIS
Hllsll ;Illcys
aAgii;ait111 dill iiig Ava%lc1Valcl
_
UlidedIL)or Molt wilb undclll(im Velltllatiun
cunveyaucc
1'it Iecbalge IYuinls Agitalion uCrecycictl bpwn _ Ialcn(1 lccbingc lines I(Y near bullullt of Ilia;
filluid 1t'Itile l)its;lre fill illg Yvilll anti -Syphon vents
Lift SWISS Abilalitm (Itlllll11;111111) 1:I1& ❑ SIn111) (alll[ covels-
fillint; and llrawtlu(Vrl
UllWdu (haul CUI1Ccdwi Agilalk" t111rhT i"MewatUL -- CI Ilex cuvcls -- -
urplIlOW11 IIUMCS conveyame
ANIOC - I•lovember 11. 1996, Pagcc 1

'Mortality Management Methods
(check which method(s) are bein,, implemented)
$urial three feVt beneath the surface of the ground within 21 hours after
knowledse of the death. The burial must be at least 300 feet from any flowing*
stream or public body of water.
Rendering at a rendering piant licensed under G.S. 106-163.7
J Complete incineration
J In the case of dead poultry only. placing in a disposal pit of a size and design
acoroved by the Ceoarmeat of a.grculture
.s Anv method which in the professional opinion of the State would
make possible the salvage of part of a dead animal's valu: villhout
human or animal health. (Written approval of the State must to
aitaC he d)
Dz�e:nbCr IS. 1996

An, it Waste \vfan2gernent Plan 0 F'ication
+Please tvee ur orint all infurm.100n that does not reuutre n sNnmur;:)
isttna or .,::
r E_x anded' ( leas circle one)
General Information: RCLOMW
Name of Farm: U D __ ARM ; Fac iitv No: Z 6, --iY
JAN R 1998
OwnerEL✓S s) Name: t,J. Phone No: 16
- 3-- �785
Nailing address: - 2 Aa)[ 358-8 &M&1ZZ-8EV6 ZB3ol
amp lance
Farm Loco:ion: Count• Farm is loc:ateci tn: 086)ELA _
Latitude and Lonsiiude: 3q. st<` ad., I 7i 3L7 • „ Inter razor:_ .Seioc=oE�vo
Please attach] a copy of a county road map wiih location identified and describe below (Be spe:ific: road
nalmnes. dir.­.:.ions. rnilepost_ e:c.): 49N S R 2023 'C-A m is aN WEsTE&.gz 4
or- tfi -,fir �A��gor,�_ ;� _ E -- f ��SF ,�E ��+./� _ 5 f ZZ LR -
Ooeration Descriotion:
Tpe of Swine NO: Of Altimais
Wean to =__cier
-_per to .:nisi
n F,.;p-.ti' to Wd an
_ Far ow to r finish
_! Ciits
:1 Boars
Tpe of Polrirr_: No. o_r Artilnuis T.oe Of C:)rle NO. Of •zltiM.-IS
Z, Layer Dairy
D Pullets J Beef
Orher Tti.ae or Livestock: Nrunner of.-.rtiu)a;s:
E rcrictnq `O�titr tturc Qnly
�
pre .oars rJe i?r..G2pcimn.r"orci'Dsir..C:,Vcc,:.. for rl.Dest?><
Acreage Avaiilable for Aoolica6on: 9. 3 Required .acreage: .�.-S ebAw N54Ms
Nuc;ber of Lagoons 1 $toraize Ponds: Total Capacity: 719�_ Cubic F _.; (ft3)
A.:_ substztace drains present on the farm: YES or ti0 (please circle one)
1f A_ES.,
are subsurface drains present in the area of the LAGOON or SPRAY FIELD (please circle one)
MY.YXYYYN..Xf,[MMf�ftM YY}[ti({yYMi4X14....IaXYY]:fFli!T 1i f�Mil 1�Y?�X¢YI!wwX}I J�YMti i•wwla w:�wwl;wX/!Iw�w �X MYIYwT?IMY
Owner 1 Manager Aryreement
i (tip•_) vet ,/ tint all the above infornacion is correct and will be updated upon chiming. [ Oxd• understand the operm:cn
and maintenance procedures established to the approved anintal waste mana2e:nent plan for the fain nanted above and avid
implement these procedures. I (we) know that any expansion to the zxisuns design capacity of the waste treatment and
ifi
storage System or construction of new f3ctie5 'will' require a nc,.v ccrt.ititration to be submitted to the Division of
Environmental Manaaement before the new animala are stocked.__ I (we) understand that there must be no discharge of
animal waste from the storage or application system to surface waters of the state tither directiv through a* man-made
convey=ce or from a storm event less severe than die ?=-year. 24-hour storm and there must not be run-off from the
application of animal waste. I (we) understand that: run-off of pollutants from lounging and heavy u§e• areas must be
minimized using technical standards developed by d. e Natural Resources Consen'adon Ser: ice: The approved plan will be
!lied at the farm and at the office of die lc e: Soil and Water Conservation District. I (wt) know that any modificadon
must be approved by a technical specialist and submitted to the Soil and Water Conservation District prior to
implementation. A change in land ownership requires written notification to DEM or a new ccrufication (if the approved
plan is changed) within 60 days of a title transfer.
Name of Lard 'Gowvner : S,45 PEA A w�
Signarure:
Name of `Wager�ii different from wn.-:): RGL1Gi V I. Ili
Si -nature: hare:
a% VC -- .auwust t. 199 7 l WATER QUALITY SECTION
Non -Discharge Compliance Ed

Tecnnical Specialist Certificadon
I. .s a technical specialist designated by the `forth Carolina Soil and Water Conservation Commission pursuant to 15.E
;CAC 6t= .0005, l certify that the animal waste mana2cme t system for the farm named above has an animal waste
management plan that meets or exceeds standards and speciricat.lons of the Division of Environmental Managerne lL
(DEN) as specified in lba vC.-%H C ',0? 17 and the USDA'
-.Natural Resources Conse^ration Service (;RCS) and./or the
North Carolina Soil and Water Conservation Commission pursuant to 13A ;CAC 2H.0217 and 15.E NCAC 6c= .0001-
.0005. The following elements are included in the plan as applicable, While each category designates a technical specialist
who may sign each certification (SD. SI. WUP, RC. IL the technical specialist should only certify parts for which the.: are
technic_i!v comt:etent.
11. Certification of Design
A) Collection. Storage. Trertment System
Chet: the appropriare bo.r
• 1*.xisiin2'tacility ,vithout retrtitit (SD or WUP).
SmraJe volume is adequate for operation cavaciEv: StOr7l3e C:li)tlniiIt_; i:,MSiSLC'l1 With utlliZ-uiC}n
r�uuire:Tle:lts.
-' New. expanded or reiro[itted facility (SD)
nimal waste swra_se and treatment structures. such as but ntit limited to collection systerns. la_goc its and pond;.
have be:m designed to meet or exceed the minimum standards and ;pec iicatiuns.
Name of Technical Specialist (Please Print): :5�gFJAI _ M, RAJI_. TR •
a-r .,liat:on Date Woo Comleted: 9-2--93
:address (A_Qancy): � E EVLGG �e Phone
r Z o
Si¢nature:Date: It /)
B) Land oolication Site (WUP)
The pian provides for minimum separations (buffers); adequate amount of land for waste utiiiz:ldcn: chosen c:cv :s
suitable for waste inanasement: hvdtnuiic and nutrient loading rotes.
Name of'Technical Specialist (Please Print): Le�mz S/sy�la�
.A.fiiiadon.eU M9,MGAAN,O 5I✓GP - -- � Date Work- Completed:_ 9 Z 7793
ddresa (AaenCy);,c%z/ C /X4uNj,4�� •, Z§jfEMOVIZ[E /14 WN Phone `o.: 9/0 - 448V- RcA79
Si_�nature:_4-1--
Check the approprietre box
mil' Fac-ility without exterior lots (SD or �VUP or RC)
This facility does not conain any exterior lots.
Date:_ /7-J77-
Zj Facility with exterior lots (RC)
Methods to minimize the run off of pollutants from louneini7 and heavy use areas have been designed in
accordance wida tecbnical standards developed by N- -RCS.
i atifN' Wit. ►]l!_ .
hme'of Technical Specialist (Please Prinz)", .,I
.kitiliation N GS - 1A Date Wor:% Completed:
address (.�� cv); 2/ �. sum '� Phone ;vo. O' 131r
Signature: a Z J- l

D)..aoolication and Handling Eauinment
Check the approprinre box
E `.56ns nr czcindina fneilicv-with existinry wnsre,onlication equipment (WUP or l)
Animal waste application equipment specified in the plan has been tidier field calibrated or evaluated in
accordance with existing design charts and tables and is able to apply waste as necessary to accommodate the
waste management plant: (existing application equipment can cover the area required by the plan at rates not to
exceed either the speckled hydraulic or nutrient loading races. a schedule for timing of apciicndons has been
es=blishhed: required buffers can be maintained and calibration and adjusanent guidance are c.-mained as part of
the plan).
_1 New. txoand-,d nr existing facilitv_wich.ow existing, waste avc+lieltinn equipment fnr <.tlriv irrigation. (I)
animal waste application equipment specified in the plan has been designed to apply waste. as necessary to
accommodate the waste management phut: (proposed applicntion equipment can cover the area required by t_he
plan at rates not to exceed either the specified hydraulic or nutrient loading races: a sche-ule for timing of
apoiicadons has been established: required buffers can be maintained: c_iibrntion and adjusu,lent guidance are
cunmined as pan of the plan).
New. y��nnded. or existing ficilit': .ViLhouc exiting waste application eouinnlent 6or !and ;^rending nor '�Sinv
im,ention (W P or 1) � -
Aninna't waste application equipment specified in the plan has been se!ected. to apply waste as nel_essa--r to
accom, iodate the \waste managemend plan: (proposed application equipment can cover the area required by ere
pian at rates not to exceed either the specified hydraulic or nutrient loading rates: a scaeui tit for ti._rning of
applications "'as been established: required buffers can be maintained: cciibra6on and adiusmntnt su1 {c ante are
containcd :s -,an of the t)lan).
Name of Technical Specialist (Please
.�.fiiiatiot
Address
Sign atilre
Prini):____,104j1j 0,Alel I. — - --
Conolz_ed: i 7
Phone.No.: Ito 47493f
Date:
E) Odor Control. Tnsect Control. NIortality Management and Emerzencv Action _Plan _(SD
S1. 'W'UP. RC or I)
Tht waste management plan for this facility includes a Waste Management Odor Control Che,:Uist. an inset:
Como[ Checklist. a ti•furUdicv Manazement Checklist and an Emersenev action Plan. Sources of bout odors and
insects have been evaluated with respect to this site and Best Nf:tnapmem P ac:ices to Minimize Odors and 3est
�fanasement Practices to Control Insects have been selected and included in the waste management plan. Both the
`[otzalicv `lanaytment Plan and the Emergency action Plan are complete and cane imoieme:ued by this fac!Hcv.
Name. of Technical Specialist (Please P:inO.. �OHPJ � � �4r &
Affiliation_ WAC.'C � - Date Work, Completed: iZ !-
/47
Address{.'�Qeac �-): o N /` i� 1 Phone `o.:1.0, T957
Sianature: Date: I2- 1� 4
F) Written Notice_af New or Expanding Swine, Farm_
The following signature block is only to be used For new or expanding swine farms that begin construction after
21. 1996. If the facility was built before June ? 1. 1996, when was it constructed or last
June
expanded
I (we) ce:dfv that I (we) have attempted to contact by certified mail all adjoining properly owners and all property owners
w•bo ow-n property located across a public road. street. or highway from this new or expanding swine farm. The notice was
in comolianc_ with the requirements of vCGS I06-306. A copy of the notice and a list of the property owners nodited is
attaclled. '
Name of Land Owner:
Signature: Date:
Name of Manager (if different from owrie:):
Si�_nature: Date:
.ktt'C •- .-�u_uSt 1. 19,1- -

III'. Certification of Installation
A) Collection. Storage. Treatment Installation
New. expanded or retrofitted raeilicv (SI) "
.animal waste storage and treatment structlires. such as but not limited to lagoons and ponds. have been installed
in accordance with the approved plan to meet or exceed the minimum standards and specifications.
For existing faciiiries wizhour retrofts, no cerajicarion is necessary
.Name of Technical Specialist (Please Print): ` _� __ __ _•,_ _._ _
Alihation NRcs Date Work Completed: 7 153 cA�,��
A -;' r--3S (.• ??tic v):� l li E Mo..n,�•4.r, �!'. �t1_Z
Si2nawre:
B) Land -,palmation Site.. (WL:P)a
CiIeC;` rise IDpropriare box
Phone No.: g(k> 4434-f:i9�5
Date: �2—fir 97
The cropping syscern is in place on ai1 land as specified in the animal wasce managemenc plan.
Conditional ARproyal:• all required land as specified in the plan is cleared fur plandne: the cropping systern
as specifted in the waste ucilization�pllan h ?or 'been esta�lished and the owner has cammicfe 4 to estabiish the
r 1 vegetation a-s speciFied in the pian by (monLhId_v/vt!ar): tre nropesed Cover crop is
pproprince for comoliancer.c•ifh,the-a�te,tilizapon,plaa. ti
1'•.Mso check this box if approor"iate �• �. '
if the croopinL, s..stern as specified in t1he plan cannot be es abifs'ted on n8?vl�i cleared }and within :0 c�::s
of this ce-u icatiun, the owner has commitied to establish an interim crop for erosion con4ol'.
Name of Technical Specialist (Please P:irit): L.AR24 -s,m pSa ►)
ai:iliat:on Qzn,ub_ Sw�4 _ — — — Da:e Work Completed:_1997
Address (:agency): E. Me � >� � e1.0 �� Phone �0.:_916_- IFB� � 8�7y
Z63o6
S, nature: Da:e:__L2--2 _
'Ns%lloVJng signature block is only to be used when the box for conditional approval in III. B
t, �.;+•`�j�o4�ias,l�een checked.
i (we) Laactily:tha[ I:(we) have committed to establish the croppini;ysiertt as specified in my (our) waste utilization plan.
and if appropriate io esrablish the interim crop for erosion eontro1. 'an ttwiIrsd, tfiit io Dill ak'erificatiun of cum pletiun
from a TCLhnical Specialist within la calendar days following the date specified in the condidunal certituation. I (cve)
realize that failure to submit this verification is a viulation of the waste managemenc plan and will subject me (us) to an
c:tforcemenc action from DEM.
Name of Land Owner:
Signature:
Name of Manager (if differ,:ni rrom owner):
Date:
Signature: Date:
Au --1st 1• 1!)97

C) Runoff Controls from ....terior Lots (RC)
Fat lity with exterior Im.;
�(e feud; to minintizc the run off of pollutants Crum lounging and heavy use trcas have- bczm in-iMllcd as specified
in the plan.
For faciliri2s without exterior lots. no cerrifcarion is necessary.
Name of Technical Specialist (Please Print):
.-affiliation Date Work. Completed:
address (.`.2ency): Phone 'No.:
Si trnat��re: Date:
D) Aoolication and Handling Eouipment Installation (WUP or I)
Citc".- 1'he �Rpropriare pIOC.:
aniaial «•ante application and handling equipment sneciited in the rlan is o:: site and rend. For wd:
calibratiost ard adjusu-nent mate:iais have be=n pmvideci io dip owners and are contained a s part of the plan.
_I -kni.nial waste application and handling equipment specified in Ow plan has not been fn,tnitcd but Lie wxr ce
has proposed leasing or thirdparty application and has provided a sighed contract: eq,uipmem specified in
tine contract agrees wiLi the requirements of the plan: required buft'e-s can be mainuined: calibration and
adiustment guidance have been provided to the o%vne-s and are contained as part of the plan.
�s Conditional approval: animal waste application and handling equipment spec;iie i in tic plant has
been purchased and wiil be on site and instflfed by [montr/clav/year): d. ere is adequate
storage to bold the waste until the equipment is 'fnst.adled and until the waste can be land applied in
accordance with the cropping system eorimined in the plan: and calibr36on and adjusfzicnt suidarice have
been provided to the owne-s and are contained as part of the plan.
lame of Technical Specialist (PleaseR;int):j ., kA
atson N tc S _ D ate Work Completed: I i I!` �1 %
yddress (.� �eacy): 'Lk lZ to _ Phone No.:
Sr ari2t�}: e: De1LL':
z I)j
r
The following signature bloc; is only to be used when the box for conditional aooroval in III D
above has been checked.
I cwe) Geri;. that I (we) have committed to purchase the antral waste application and handling etjuipme:nt as
scecire:i in my (our) waste mana2ernent plan and will submit to DELI a verification of deliver. and installation
�fm a I ecinical Specialist within l calendar day 5 following* the bate specified in [lye conditional cer- =icardc n. 1
(we) realize that failure to submit this verification is a violation of the waste management plan :end will subie_t :ne
(us) to an taforcemLnt action itom DE.M.
Name of Land Owner:
Signature:
Date:
N-ame of tilanager (if different from owner):
Signature: Date:
E) Odor Control. Insect Control and Mortality Management (SD. SI. WUP. RC br I)
Nfd=ds to control odors and insects as specined in the Plan have been installed and are operational. Tne
mortality management system as specified in the Plan has also beta installed and is operational.
Name of Technical Specialist (Please Print): j<>44"sWA
Afidiation 1J L e-5
Address (Agency):
Signature: �=
Date Work Completed: It_ I L7147
M F_ Me-vtiiAtM. ),V_ 7.7cj Phone tio.:
Date: l z- // l
C

Please return the completed form to the Division -or Water Quality at the following address:
Department of Environment, Health. and Natural Resources
Division Of Water Quality
Water Quality Section, Compliance Group
P.O. Box 29533
Raleigh. NC 27626-0533
Please also remember to submit a copy of this form alone, with the complete .animal Waste
�Ianazement Plan to the local Soil and Water Conservation District Office and to keep a copy
in your files with Your .animal N� aste Manazelnent Plan.
.- NVC -- August 1. 1997 6

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ANIMAL WASTE UTILIZATION PLAN
Producer:
Location:
Telephone:
Type Operation:
Number of Animals:
(Design Capacity)
STORAGE STRUCTURE:
APPLICATION METHOD:
Jackie and Debbie Lewis
RR2 Box 358-B
Fayetteville NC 28301
910-483-4788
Existing Farrow to Feeder Swine
80.00 sows
Anaerobic Waste Treatment Lagoon
Irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops
in the fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient.
waste should. be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than the crop can utilize.
2. Soil types are important as they have different infiltration
rates, leaching potentials, cation exchange capacities, and
available water holding capacities.
3. Normally waste shall be applied to land eroding at less than
5 tons per acre per year. Waste may be applied to land
eroding at 5 or more tons per acre annually, but less than
10 tons per acre per year providing that adequate filter
strips are established.
4. Do not apply waste on saturated soils, when it is raining,
or when the surface is frozen. Either of these conditions
may result in runoff to surface waters which is not allowed
under DWQ regulations.
Page: 1

ANIMAL WASTE UTILIZATION PLAN
5. Wind conditions should also be considered to avoid drift and
downwind odor problems.
6. To maximize the value of the nutrients for crop production
and to reduce the potential for pollution, the waste should
be applied to a growing crop or applied not more than 30
days prior to planting a crop or forages breaking dormancy.
Injecting the waste or disking will conserve nutrients and
reduce odor problems.
This plan is based on the waste application method shown above. If
you choose to change methods in the future, you need to revise this
plan. Nutrient levels for different application methods are not the
same.
The estimated acres needed to apply the animal waste is based on
typical nutrient content for this type of facility. Acreage
requirements should be based on the waste analysis report from your
waste management facility. in some cases you may want to have plant
analysis made, which could allow additional waste to be applied.
Provisions shall be made for the area receiving waste to be flexible
so as to accommodate changing waste analysis content and crop type.
Lime must be applied to maintain pH in the optimum range for specific
crop production.
This waste utilization plan, if carried out, meets the requirements
for compliance with 15A NCAC 2H .0217 adopted by the Environmental
Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
80 sows x 7.3 tons waste/sows/year = 584 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
80 sows x 6.5 lbs PAN/sows/year = 520 lbs. PAN/year
Applying the above amount of waste is a big job. You should plan
time and have appropriate equipment to apply the waste in a timely
manner.
The following acreage will be needed for waste application based on
the crop to be grown, soil type and surface application.
Page: 2

ANIMAL WASTE UTILIZATION PLAN
TABLE 1: ACRES OWNED BY PRODUCER
0
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
2070
2
Ro
SB
40
140
0
4.0
560
I
MAR-JUL
F*NVIX
I
TOTAL1560
- Indicates that this field is being overseeded (i.e.
interplanted) or winter annuals follow summer annuals.
NOTE: The applicator is cautioned that P and K may be over applied
while meeting the N requirements. In the future, regulations
may require farmers in some parts of North Carolina to have a
nutrient management plan that addresses all nutrients. This
plan only addresses nitrogen.
Page: 3

ANIMAL WASTE UTILIZATION PLAN
TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land.
See required specification 2.)
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
END
TOTALfO
Indicates that this field is being overseeded (i.e. interplanted) or
winter annuals follow summer annuals.
** Acreage figures may exceed total acreage in fields due to
overseeding.
* lbs AW N (animal waste nitrogen) equals total required nitrogen
less any commercial nitrogen (COMM N) supplied.
The following -legend explains the crop codes used in tables 1 and 2 above:
CROP CODE
CROP
UNITS
PER UNIT
SB
SOYBEANS
BUSHELS
3.5
TOTALS FROM TABLES 1 AND 2
ACRES LBS AW N USED
TABLE 1 4 560
Page: 4

ANIMAL WASTE UTILIZATION PLAN
TABLE 2 0
TOTAL 4
*** BALANCE
I@]
550
-40
-------------------
*** This number must be less than or equal to 0 in order to
fully utilize the animal waste N produced.
Page: 5

ANIMAL WASTE UTILIZATION PLAN
*** This number must be less than or equal to 0 in order to fully
utiiize the animal waste N produced.
Acres shown in each of the preceding tables are considered to be the
usable acres excluding required buffers, filter strips along ditches,
odd areas unable to be irrigated, and perimeter areas not receiving
full application rates due to equipment limitations. Actual total
acres in the fields listed may, and most likely will be, more than
the acres shown in the tables.
See attached map showing the fields to be used for the utilization of
animal waste.
SLUDGE APPLICATION:
The waste utilization plan must contain provisions for periodic land
application of sludge at agronomic rates. The sludge will be nutrient
rich and will require precautionary measures to prevent over application
of nutrients or other elements. Your production facility will produce
approximately 88 pounds of plant available nitrogen per year in the
sludge.
If you remove the sludge every 5 years, you will have approximately 440
pounds of PAN to utilize. Assuming you apply this PAN to hybrid
bermudagrass hayland at the rate of 300 pounds of nitrogen per acre, you
will need 1.46666666667 acres of land. If you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you will need 3.52 acres
of land. Please be aware that these are only estimates of the PAN and
land needed. Actual requirements could vary by 25% depending on your
sludge waste analysis, soil types, realistic yields, and application
methods.
APPLICATION OF WASTE BY.IRRIGATION
The irrigation application rate should not exceed the intake rate of the
soil at the time of irrigation such that runoff or ponding occurs. This
rate is limited by initial soil moisture content, soil structure, soil
texture, water droplet size, and organic solids. The application amount
should not exceed the available water holding capacity of the soil at the
time of irrigation nor should the plant available nitrogen applied exceed
the nitrogen needs of the crop.
If surface irrigation is the method of land application for this plan,
it is the responsibility of the producer and irrigation designer to ensure
that an irrigation system is installed to properly irrigate the acres
shown in Tables 1 and 2. Failure to apply the recommended rates and
Page: 6

ANIMAL WASTE UTILIZATION PLAN
amounts off, nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application
rates and amounts.
(Application RatejApplic. Amount
Tract I Field I Soil Type I Crop I (in/hr) I (inches)
2070 12 I Ro
SB 1 0.35
I * 1 . 0
* This is the maximum application amount allowed for the soil
assuming the amount of nitrogen allowed for the crop is not over
applied. In many situations, the application amount shown cannot
be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
Your facility is designed for 180.00 days of temporary storage and
the temporary storage must be removed on the average of once every
6.00 months. In no instance should the volume of the waste be stored
in your structure be within the 25 year 24 hour storm storage or one
foot of freeboard except in the event of the 25 year 24 hour storm.
It is the responsibility of the producer and waste applicator to
ensure that the spreader equipment is operated properly to apply the
correct rates to the acres shown in Tables 1 and 2. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may
make this plan invalid.
Call your technical specialist after you receive the waste analysis
report for assistance in determining the amount of waste per acre and
the proper application rate prior to applying the waste.
NARRATIVE OF OPERATION
Page: 7

WASTE UTILIZATION PLAN
RE UIRED SPECIFICATIONS
1. Animal waste shall not reach surface waters of the state by
runoff, drift, manmade conveyances, direct application, or
direct discharge during operation or land application. Any
discharge of waste which reaches surface water is prohibited.
2. There must be documentation in the design folder that the
producer either owns or has an agreement for use of adequate
land on which to properly apply the waste. If the producer does
not own adequate land to properly dispose of waste, he/she shall
provide a copy of an agreement with a landowner who is within a
reasonable proximity, allowing him/her the use of the land for
waste application. It is the responsibility of the owner of the
facility to secure an update of the Waste Utilization Plan when
there is a change in the operation, increase in the number of
animals, method of utilization, or available land.
3. Animal waste shall be applied to meet, but not exceed, the
nitrogen needs for realistic crop yields based on soil type,
available moisture, historical data, climatic conditions, and
level of management, unless there are regulations that restrict
the rate of application for other nutrients.
4. Animal waste shall be applied to land eroding less than 5 tons
per acre per year. Waste may be applied to land that is eroding
at 5 or more tons, but less than 10 tons per acre per year
providing grass filter strips are installed where runoff leaves
the field. (See FOTG Standard 393 -Filter Strip)
5. Odors can be reduced by injecting the waste or disking after
waste application. waste should not be applied when there is
danger of drift from the irrigation field.
6. When animal waste is to be applied on acres subject to
flooding, it will be soil incorporated on conventionally tilled
cropland. When applied to conservation tilled crops or
grassland, the waste may be broadcast provided the application
does not occur during a season prone to flooding. (See "Weather
and Climate in North Carolina" for guidance.)
7. Liquid waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur offsite or to
surface waters and in a method which does not cause drift from
the site during application. No ponding should occur in order
to control odor or flies.
8. Animal waste shall not be applied to saturated soils, during
rainfall events, or when the surface is frozen.
9. Animal waste shall be applied on actively growing crops in such
a manner that the crop is not covered with waste to a depth that
would inhibit growth. The potential for salt damage from animal
waste should also be considered.
Page: 8

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
10. Waste nutrients shall not be applied in fall or winter for
spring planted crops on soils with a high potential for
leaching. Waste nutrient loading rates on these soils should be
held to a minimum and a suitable winter cover crop planted to
take up released nutrients. Waste shall not be applied more
than 30 days prior to planting of the crop or forages breaking
dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall
comply with the following: The outer perimeter of the land area
onto which waste is applied from a lagoon that is a component of
a swine farm shall be at least 50 feet from any residential
property boundary and from any perennial stream or river (other
than an irrigation ditch or canal. Animal waste other than
swine waste from facilities sited on or after October 1, 1995),
shall not be applied closer than 25 feet to perennial waters.
(See Standard 393 - Filter Strips).
12. Animal waste shall not be applied closer than 100 feet to
wells.
13. Animal waste shall not be applied closer than 200 feet of
dwellings other than those owned by the landowner.
14. waste shall be applied in a manner not to reach other property
and public right-of-ways.
15. Animal waste shall not be discharged into surface waters,
drainageways, or wetlands by a discharge or by over -spraying.
Animal waste may be applied to prior converted cropland provided
they have been approved as a land application site by a
"technical specialist". Animal waste shall not be applied on
grassed waterways that discharges directly into water courses,
and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that causes no runoff or drift from
the site.
16. Domestic and industrial waste from washdown facilities,
showers, toilets, sinks, etc., shall not be discharged into the
animal waste management system.
17. A protective cover of appropriate vegetation will be
established on all disturbed areas (lagoon embankments, berms,
pipe runs, etc.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and
other woody species, etc., are limited to areas where considered
appropriate. Lagoon areas should be kept mowed and accessible.
Berms and structures should be inspected regularly for evidence
of erosion, leakage or discharge.
Page: 9

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
18. If..,animal production at the facility is to be suspended or
terminated, the owner is responsible for obtaining and
implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19. Waste handling structures, piping, pumps, reels, etc., should
be inspected on a regular basis to prevent breakdowns, leaks,
and spills. A regular maintenance checklist should be kept on
site.
20. Animal waste can be used in a rotation that includes vegetables
and other crops for direct human consumption. However, if
animal waste is used on crops for direct human consumption it
should only be applied preplant with no further applications of
animal waste during the crop season.
21. Highly visible markers shall be installed to mark the top and
bottom elevations of the temporary storage (pumping volume) of
all waste treatment lagoons. Pumping shall be managed to
maintain the liquid level between the markers. A marker will
be required to mark the maximum storage volume for waste
storage ponds.
22. Waste shall be tested within 60 days of utilization and soil
shall be tested at least annually at crop sites where waste
products are applied. Nitrogen shall be the rate - determining
element. Zinc and copper levels in the soils shall be
monitored and alternative crop sites shall be used when these
metals approach excessive levels. pH shall be adjusted for
optimum crop production and maintained. Soil and waste
analysis records shall be kept for five years. Poultry dry
waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be
maintained for five (5) years.
23. Dead animals will be disposed of in a manner that meets North
Carolina regulations.
Page: 10

C
ANIMAL WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm:J & D Farm
Owner/Manager Agreement
13
I (we) understand and will follow and implement the specifications
and the operation and maintenance procedures established in the
approved animal waste utilization plan for the farm named above. I
(we) know that any expansion to the existing design capacity of the
waste treatment and storage system or construction of new
facilities will require a new certification to be submitted 4o the
North Carolina Division of Water Quality (NCDWQ) before the new
animals are stocked. I (we) also understand that there must be nc
inscharge cL an -ma- waste _rcm this system to surface waters of _he
stale from a stcrm event less severe than. the 25-year, 24-hcur
scgrm. he approved plan will be filed cn ..__e at Ve farm cf__ce
and ac the office of the local Sail and wane_ 2=serva=i=n ..-s=
and will be available for review by NCDWQ upcn request.
Name of Facility owner: Jackie and Debbie Lewis
(Please print)
Signature: Z)YJ,�j"ZDate:
; � tom.✓
Name of Manager (if different from owner):
Signature: Date:
Name of Person Preparing Plan: (Please print)Larry E Simpson
Affiliation:Cumberland SWCD Phone No. [phone]
Address (Agency): 121 East Mountain Drive Ste 229
Fayetteville NC 28306-3422
Signature: Date:
Page: 11

ANIMAL WASTE UTILIZATION PLAN
Producer: Jackie and Debbie Lewis
Location'. RR2 Box 358-B
Fayetteville NC 28301
Telephone: [phone]
Type Operation: Existing Farrow to Feeder Swine
Number of Animals: 80.00 sows
(Design Capacity)
STORAGE STRUCTURE: Anaerobic Waste Treatment Lagoon
APPLICATION METHOD: Irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops
in the fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient.
waste should be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than the crop can utilize.
2. Soil types are important as they have different infiltration
rates, leaching potentials, cation exchange capacities, and
available water holding capacities.
3. Normally waste shall be applied to land eroding at less than
5 tons per acre per year. Waste may be applied to land
eroding at 5 or more tons per acre annually, but less than
10 tons per acre per year providing that adequate filter
strips are established.
4. Do not apply waste on saturated soils, when it is raining,
or when the surface is frozen. Either of these conditions
may result in runoff to surface waters which is not -allowed
under DWQ regulations.
pmpPage: 1

ANIMAL WASTE UTILIZATION PLAN
5. Wind conditions should also be considered to avoid drift and
downwind odor problems.
6.`' To maximize the value of the nutrients for crop production
" and to reduce the potential for pollution, the waste should
be applied to a growing crop or applied not more than 30
days prior to planting a crop or forages breaking dormancy.
Injecting the waste or disking will conserve nutrients and
reduce odor problems.
This plan is based on the waste application method shown above. If
you choose to change methods in the future, you need to revise this
plan. Nutrient levels for different application methods are not the
same.
The estimated acres needed to apply the animal waste is based on
typical nutrient content for this type of facility. Acreage
requirements should be based on the waste analysis report from your
waste management facility. In some cases you may want to have plant
analysis made, which could allow additional waste to be applied.
Provisions shall be made for the area receiving waste to be flexible
so as to accommodate changing waste analysis content and crop type.
Lime must be applied to maintain pH in the optimum range for specific
crop production.
This waste utilization plan, if carried out, meets the requirements
for compliance with 15A NCAC 2H .0217 adopted by the Environmental
Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
80 sows x 7.3 tons waste/sows/year = 584 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
80 sows x 6.5 lbs PAN/sows/year = 520 lbs. PAN/year
Applying the above amount of waste is a big job. You should plan
time and have appropriate equipment to apply the waste in a timely
manner.
The following acreage will be needed for waste application based on
the crop to be grown, soil type and surface application.
pmpPage: 2

ANIMAL WASTE UTILIZATION PLAN
TABLE 1: ACRES OWNED BY PRODUCER
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
APPLY
RESID.
APPLIC
METH
N
TIME
2070
2
Ro
C
120
120
30
4.0
480
I
MAR-JUN
2070 1-2 I IWIA 11
I100 10 14.0 1400SEP-NOV
END
I
TOTAL�880
- Indicates that this field is being overseeded (i.e.
interplanted) or winter annuals follow summer annuals.
NOTE: The applicator is cautioned that P and K may be over applied
while meeting the N requirements. In the future, regulations
may require farmers in some parts of North Carolina to have a
nutrient management plan that addresses all nutrients. This
plan only addresses nitrogen.
pmpPage: 3

ANIMAL WASTE UTILIZATION PLAN
TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
.(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land.
See required specification 2.)
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
----
or
------
APPLY
RESID.
APPLIC
METH
N
TIME
END
TOTAL10
Indicates that this field is being overseeded (i.e. interplanted) or
winter annuals follow summer annuals.
** Acreage figures may exceed total acreage in fields due to
overseeding.
* lbs AW N (animal waste nitrogen) equals total required nitrogen
less any commercial nitrogen (COMM N) supplied.
The following legend explains the crop codes used in tables 1 and 2 above:
CROP CODE
CROP
UNITS
PER UNIT
C
WA
CORN
WINTER ANNUALS (I.E. Small Grains, etc.)
BUSHELS
AC
1.25
100
TOTALS FROM TABLES 1 AND 2
ACRES LBS AW N USED
TABLE 1 4 880
pmpPage: 4

ANIMAL WASTE UTILIZATION PLAN
TABLE 2 0
TOTAL 4
*** BALANCE
880
-360
-------------------
*** This number must be less than or equal to 0 in order to
fully utilize the animal waste N produced.
pmpPage: 5

ANIMAL WASTE UTILIZATION PLAN
*** This number must be less than or equal to 0 in order to fully
utilize the animal waste N produced.
Acres shown in each of the preceding tables are considered to be the
usable acres excluding required buffers, filter strips along ditches,
odd areas -unable to be irrigated, and perimeter areas not receiving
full application rates due to equipment limitations. Actual total
acres in the fields listed may, and most likely will be, more than
the acres shown in the tables.
See attached map showing the fields to be used for the utilization of
animal waste.
SLUDGE APPLICATION:
The waste utilization plan must contain provisions for periodic land
application of sludge at agronomic rates. The sludge will be nutrient
rich and will require precautionary measures to prevent over application
of nutrients or other elements. Your production facility will produce
approximately 88 pounds of plant available nitrogen per year in the
sludge.
If you remove the sludge every 5 years, you will have approximately 440
pounds of PAN to utilize. Assuming you apply this PAN to hybrid
bermudagrass hayland at the rate of 300 pounds of nitrogen per acre, you
will need 1.46666666667 acres of land. If you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you -will need 3.52 acres
of land. Please be aware that these are only estimates of the PAN and
land needed. Actual requirements could vary by 25% depending on your
sludge waste analysis, soil types, realistic yields, and application
methods.
APPLICATION OF WASTE'BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the
soil at the time of irrigation such that runoff or ponding occurs. This
rate is limited by initial soil moisture content, soil structure, soil
texture, water droplet size, and organic solids. The application amount
should not exceed the available water holding capacity of the soil at the
time of irrigation nor should the plant available nitrogen applied exceed
the nitrogen needs of the crop.
If surface irrigation is the method of land application for this plan,
it is the responsibility of the producer and irrigation designer to ensure
that an irrigation system is installed to properly irrigate the acres
shown in Tables 1 and 2. Failure to apply the recommended rates and
pmpPage: 6

ANIMAL WASTE UTILIZATION PLAN
amounts of nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application
rates and amounts.
I I I Application RatelApplic. Amount
Tract l Field I Soil Type I Crop l (in/hr) I (inches)
I
2070 j 2 I Ro I C ( 0.35 j *1.0
I I I i
2070 I -2 I I WA I 0.35 I *1..0
This is the maximum application amount allowed for the soil
assuming the amount of nitrogen allowed for the crop is not over
applied. In many situations, the application amount shown cannot
be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
Your facility is designed for 180.00 days of temporary storage and
the temporary storage must be removed on the average of once every
6.00 months. In no instance should the volume of the waste be stored
in your structure be within the 25 year 24 hour storm storage or one
foot of freeboard except in the event of the 25 year 24 hour storm.
it is the responsibility of the producer and waste applicator to
ensure that the spreader equipment is operated properly to apply the
correct rates to the acres shown in Tables 1 and 2. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may
make this plan invalid.
Call your technical specialist after you receive the waste analysis
report for assistance in determining the amount of waste per acre and
the proper application rate prior to applying the waste.
NARRATIVE OF OPERATION
pmpPage: 7

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
1. Animal waste shall not reach surface waters of the state by
runoff, drift, manmade conveyances, direct application, or
direct discharge during operation or land application. Any
discharge of waste which reaches surface water is prohibited.
2. There must be documentation in the design folder that the
producer either owns or has an agreement for use of adequate
land on which to properly apply the waste. If the producer does
not own adequate land to properly dispose of waste, he/she shall
provide a copy of an agreement with a landowner who is within a
reasonable proximity, allowing him/her the use of the land for
waste application. It is the responsibility of the owner of the
facility to secure an update of the Waste Utilization Plan when
there is a change in the operation, increase in the number of
animals, method of utilization, or available land.
3. Animal waste shall be applied to meet, but not exceed, the
nitrogen needs for realistic crop yields based on soil type,
available moisture, historical data, climatic conditions, and
level of management, unless there are regulations that restrict
the rate of application for other nutrients.
4. Animal waste shall be applied to land eroding less than 5 tons
per acre per year. Waste may be applied to land that is eroding
at 5 or more tons, but less than 10 tons per acre per year
providing grass filter strips are installed where runoff leaves
the field. (See FOTG Standard 393 -Filter Strip)
5. Odors can be reduced by injecting the waste or disking after
waste application. waste should not be applied when there is
danger of drift from the irrigation field.
6. when animal waste is to be applied on acres subject to
flooding, it will be soil incorporated on conventionally tilled
cropland. When applied to conservation tilled crops or
grassland, the waste may be broadcast provided the application
does not occur during a season prone to flooding. (See "Weather
and Climate in North Carolina" for guidance.)
7. Liquid waste shall be applied.at rates not to exceed the soil
infiltration rate such that runoff does not occur offsite or to
surface waters and in a method which does not cause drift from
the site during application. No ponding should occur in order
to control odor or flies.
8. Animal waste shall not be applied to saturated soils, during
rainfall events, or when the surface is frozen.
9. Animal waste shall be applied on actively growing crops in such
a manner that the crop is not covered with waste to a depth that
would inhibit growth. The potential for salt damage from animal
waste should also be considered.
Page: 8

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
10. Waste nutrients shall not be applied in fall or winter for
spring planted crops on soils with a high potential for
leaching. Waste nutrient loading rates on these soils should be
held to a minimum and a suitable winter cover crop planted to
take up released nutrients. Waste shall not be applied more
than 30 days prior to planting of the crop or forages breaking
dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall
comply with the following: The outer perimeter of the land area
onto which waste is applied from a lagoon that is a component of
a swine farm shall be at least 50 feet from any residential
property boundary and from any perennial stream or river (other
than an irrigation ditch or canal. Animal waste other than
swine waste from facilities sited on or after October 1, 1995),
shall not be applied closer than 25 feet to perennial waters.
(See Standard 393 - Filter Strips).
12. Animal waste shall not be applied closer than 100 feet to
wells.
13. Animal waste shall not be applied closer than 200 feet of
dwellings other than those owned by the landowner.
14. waste shall be applied in a manner not to reach other property
and public right-of-ways.
15. Animal waste shall not be discharged into surface waters,
drainageways, or wetlands by a discharge or by over -spraying.
Animal waste may be applied to prior converted cropland provided
they have been approved as a land application site by a
"technical specialist". Animal waste shall not be applied on
grassed waterways that discharges directly into water courses,
and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that causes no runoff or drift from
the site.
15. Domestic and industrial waste from washdown facilities,
showers, toilets, sinks, etc., shall not be discharged into the
animal waste management system.
17. A protective cover of appropriate vegetation will be
established on all disturbed areas (lagoon embankments, berms,
pipe runs, etc.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and
other woody species, etc., are limited to areas where considered
appropriate. Lagoon areas should be kept mowed and accessible.
Berms and structures should be inspected regularly for evidence
of erosion, leakage or discharge.
Page: 9

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
18. If animal production at the facility is to be suspended or
terminated, the owner is responsible for obtaining and
implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19. Waste handling structures, piping, pumps, reels, etc., should
be inspected on a regular basis to prevent breakdowns, leaks,
and spills. A regular maintenance checklist should be kept on
site.
20. Animal,,wast,e can be used in a rotation that includes vegetables
and other crops for direct human consumption. However, if
animal waste is used on crops for direct human consumption it
should only be applied preplant with no further applications of
animal waste during the crop season.
21. Highly visible markers shall be installed to mark the top and
bottom elevations of the temporary storage (pumping volume) of
all waste treatment lagoons. Pumping shall be managed to
maintain the liquid level between the markers. A marker will
be required to mark the maximum storage volume for waste
storage ponds.
22. waste shall be tested within 60 days of utilization and soil
shall be tested at least annually at crop sites where waste
products are applied. Nitrogen shall be the rate - determining
element. Zinc and copper levels in the soils shall be
monitored and alternative crop sites shall be used when these
metals approach excessive levels. pH shall be adjusted for
optimum crop production and maintained. Soil and waste
analysis records shall be kept for five years. Poultry dry
waste application records shall be maintained for. three (3)
years. Waste application records for all other waste shall be
maintained for five ( 5 ) years.
23. Dead animals will be disposed of in a manner that meets North
Carolina regulations.
Page: 10

ANIMAL.WASTE UTILIZATION PLAN
9 N
:.WASTE UT ZIZA ION PLAN AGREMW
Name of Farm: J .& D Farm
Owner/Massager Agreement
I (we) understand and will follow and implement the specifications
and the operation and maintenance procedures established in the
approved animal waste utilization plan for the farm named above. I
(we) know that any expansion to the existing design capacity of the
waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the
North Carolina Division of Water Quality (NCDWQ) before the new
animals are stocked. I (we) also understand that there must be :-:c
�_scharge cf animal waste from this system to surf -ace waters or :he
srate From a stcrm event less severe than, the 25-year, 24-hour
^r T� G ,� e e tZL. r. e
st.;_m. a�.e approve plan. w_ be _ = on-s t a- .._ e farm office
and at t',e office of the lccal Soil and Watt_
and will be available for review by NCDWQ ccn req es�.
Name of Facility Owner: Jackie and Debbie Lewis
(Please print)
7
Signature:Jt2�• �c-{ Date: �l1 Ci
Naive of Manager(If different from owner):
Signature: Date:
Name of Person Preparing Plan: (Please print)Larry E Simpson
Affiliation:Cumberland SWCD Phone No. [phone]
Address (Agency): 121 East Mountain Drive Ste 229
Fayetteville NC 28306-3422
Signature: Date: 3- 7—do'
^Q_
Page: i1 ,

Revised January 22, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number�2
Farm Name:
,�p,�..-
On -Site Representative:
Inspector/Reviewer's Name:
Date of site visit: .S = lIf — ? ?
Date of most recent WUP:
Operation is flagged for a wettable
acre determination due to failure of
Part 11 eligibility item(s) F9 F2 F3 F4
L Operation not required to secure WA
determination' at this time based on
exemption E1 E2 E3 . E4
Annual farm PAN deficit: /d,25r pounds
Irrigation System(s) - circle #: 1, hard -hose traveler; 2. center -pivot system; 3. linear -move system;
4. stationary sprinkler system w/permanent pipe; 5. stationary sprinkler system w/portable pipe;
fi. stationary gun system w/permanent pipe; 7. stationary gun system w/portable pipe
PART I. WA Determination Exemptions (Eligibility failure, Part II, overrides Part I exemption.)
E1 Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I or PE.
E2 Adequate D, and D)D3 irrigation operating parameter sheets, including map
depicting wettable acres, is complete and signed by an I or PE.
E3 Adequate D, irrigation operating parameter sheet, including map depicting
wettable acres, is complete and signed by a WUP. , .
E4 , 75% rule exemption as verified in Part III. (NOTE: 75 % exemption cannot be
applied to farms that fail the eligibility checklist in Part II. Complete eligibility
checklist, Part II - F1. F2 F3, before completing computational table in Part III).
PART II. 75% Rule Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required because operation fails one of the eligibility
requirements listed below:
F1 Lack of acreage which resulted in over application of wastewater (PAN) on spray
field(s) according to farm's last two years of irrigation records.
F2 Unclear, illegible, or lack of information/map.
F3 Obvious field limitations (numerous ditches; failure to deduct regbired
buffer/setback acreage; or 25% of total acreage identified in CAWMP includes
small, irregularly shaped fields - fields less than 5 acres for travelers or less than
2 acres for stationary sprinklers).
F4 WA determination required because CAWMP credits field(s)'s acreage in excess
of 75% of the respective field's total acreage as noted in table in Part III.
Facility Number

Confinement Building
Pit
TYPICAL VIEW OF A ONE -STAGE LAGOON SYSTEM!
t
s.
3
Top, Width /�, s -Settled Top Elevation SQ,O
rn,vERT' �rFc S
4
_ M4 }
-).uid levatign ,Q
ss 3 : ' ss 3 : L
/TREATHWT f
'
� � LAGOO�F
Pipe needs to be adequately supported V
i
Deptlll— �__
Bottom Elevation —CLAY-� L►1J 1Ncr
T. B.M. Description / op t,1��tt! �h sL4 L n r Fait -Ire a eta/= oX— C7f40,

US Department -of Agriculture NC -CPA 16
Soil" Conservation: Service.. 4-92
L ENVIRONMENTAL EVALUATION
Land User/Owner TASi°E'IZ LEZ✓�S Countyl�M f3E/1�D
Location/Tract -&._ Field Number SR 0 2 3. T2a7 a 9 Z/Acreage Z Z
Prepared by �22 —7/J-14es a Date
Brief Description of Planned Practice/RfMS/Project Measure:
r,(j
Environmental.Factors and Resources to Identify and Evaluate jj
1. Is wetland included in the planning area: (References: NCPM;
190-GM 410.26; Hydric soils list; Classification of Wetlands and
Deepwater Habitats of the U.S._; National Wetlands Inventory Maps;
NFSAM.
c/ No
Yes - If yes,
-- Identify types present
-- Attach environmental evaluation showing what effect
planned assistance'will'have on wetland and how this
assistance is within policy
-- Have needed permits (CAMA,.DEM, Corps, etc.) been
obtained by the landuser?
-- Make sure no planned -practices will put the landowner in
violation of Swampbuster
2. Endangered and/or threatened species: (References: 190-GM
410.22; Technical Guide Section I-i(13) and Section I-vii
No Yes
-- Identify species whose range and habitat needs indicate
they might occur in:planning area
-- Identify on map any•designated-critical habitat -

10. Are permits required?/Should the person contact permit agencies?
No Yes
When an environmental factor or.resource is -identified on the
site, the user will refer to the appropriate reference for policy
and document the, appropriate action in the notes,portion of this
form.
NOTES, DOCUMENTATION, FOLLOW-UP

O�O� W A T �RQG
5 s-
v
Jasper W. Lewis
J&DFarm
6838 Tabor Church Rd.
Fayetteville NC 28301
Dear Jasper W. Lewis:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E., Director
Division of Water Quality
October 1, 2004 1 R
OCT 15 2004
DENR-FAYE1TE:VILLE REGIONALURCE
Subject: Certificate of Coverage No. AWS260042
J & D Farm
Swine Waste Collection, Treatment,
Storage and Application System
Cumberland County
On June 11, 2004, the North Carolina Division of Water Quality (Division) issued a revised State General
Permit for swine facilities. The General Permit was issued in accordance with the directive of Senate Bill
733 (Session Law 2003-28).
In accordance with your application received on April 2, 2003 and in accordance with the directive of
Senate Bill 733, we are hereby forwarding to you this Certificate of Coverage (COC) issued to Jasper W.
Lewis, authorizing the operation of the subject animal waste collection, treatment, storage and land
application system in accordance with General Permit AWG100000. The issuance of this COC
supercedes and terminates your previous COC Number AWS260042 which expires October 1, 2004.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the J & D Farm, located in Cumberland County, with an animal capacity of no
greater than an annual average of 80 Farrow to Feeder swine and the application to land as specified in
the facility's Certified Animal Waste Management Plan (CAWMP). If this is a Farrow to Wean or
Farrow to Feeder operation, there may also be one boar for each 15 sows. Where boars are unneccessary,
they may be replaced by an equivalent number of sows. Any of the sows may be replaced by gilts at a
rate of 4 gilts for every 3 sows
The COC shall be effective from the date of issuance until September 30, 2009. Pursuant to this COC,
you are authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any increase in waste production greater than the certified design capacity or increase in number
of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
Please carefully read this COC and the enclosed State General Permit. Since this is a revised State
General Permit, it contains new requirements in addition to most of the conditions contained in the
previous State General Permit. Enclosed for your convenience is a package containing the new and
revised forms used for record keeping and reporting. Please pay careful attention to the record keeping
and monitoring conditions in this permit.
Aquifer Protection Section —Animal Feeding Operations Unit one
1636 Mail Service Center, Raleigh, North Carolina 27699-1638 NorthCarolina
Phone: [phone] FAX: [phone] Internet: h2o.enr.state.nc.us Awmally
An Equal OpportunitylAfflrmative Action Employer — 50% Recycled110% Post Consumer Paper

If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per 15A NCAC 2H .0225(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100 foot separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
�. spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Fayetteville Regional Office. The Regional Office
Water Quality Staff may be reached at [phone]. If you need additional information concerning
this COC or the General Permit, please contact Duane Leith at [phone].
Sincerely,
for Alan W. Klimek, P.E.
Enclosures (General Permit AWG100000)
cc: (Certificate of Coverage only for all cc's)
Fayetteville Regional Office, Aquifer Protection Section
Cumberland County Health Department
Cumberland County Soil and Water Conservation District
Permit File AWS260042
APS Central Files

o�0 wA r�9pc
r
0 15� 1<
Jasper W. Lewis
J & D Farm
Rt 2 Box 358-B
Fayetteville NC 28301
Dear Jasper W. Lewis:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E., Director
Division of Water Quality
May 1, 2003
Subject: Certificate of Coverage No. AWS260042
J & D Farm
Swine Waste Collection, Treatment,
Storage and Application System
Cumberland County
On April 28, 2003, the North Carolina General Assembly ratified Senate Bill 733 which directs the
Division of Water Quality (Division) to extend the expiration date of the Swine Waste Operation General
Permit AWG100000. Therefore, the General Permit has been re -issued by the Division to extend the
expiration date to October 1, 2004. During the period of this extension the Division will be working with
all interested parties on the development of a new version of the Non -Discharge General Permit.
In accordance with your application received on April 2, 2003 and in accordance with the directive of
Senate Bill 733, we are hereby forwarding to you this Certificate of Coverage (COC) issued to Jasper W.
Lewis, authorizing the operation of the subject animal waste collection; treatment, storage and land
application system in accordance with General Permit AWG100000. The issuance of this COC
supercedes and terminates your previous COC Number AWS260042 which expired on April 30, 2003.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the J & D Farm, located in Cumberland County, with an animal capacity of no
greater than an annual average of 80 Farrow to Feeder swine and the application to land as specified in
the facility's Certified Animal Waste Management Plan (CAWMP). If this is a Farrow to Wean or
Farrow to Feeder operation, there may also be one boar for each 15 sows. Where boars are unneccessary,
they may be replaced by an equivalent number of sows. Any of the sows may be replaced by gilts at a
rate of 4 gilts for every 3 sows
The COC shall be effective from the date of issuance until October 1, 2004. Pursuant to this COC, you
are authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any increase in waste production greater than the certified design capacity or increase in number
of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance_ of a COC to operate
under this permit convey any property rights in either real or personal property. AM
06E RNR
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Internet httpJm2o.enr.state.nc.us/ndpu
Telephone [phone] Fax [phone]
Customer Service Center
An Equal Opportunity Action Employer
Telephone [phone]
50% recycled/10% post -consumer paper

ANIMAL WASTE UTILIZATION PLAN
Producer: Jackie and Debbie Lewis
Location: RR2 Box 358-B
Fayetteville NC 28301
Telephone: [phone]
Type Operation: Existing Farrow to Feeder Swine
Number of Animals: 80.00 sows
(Design Capacity)
STORAGE STRUCTURE: Anaerobic Waste Treatment Lagoon
APPLICATION METHOD: Irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops
in the fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner:
I. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than,the crop can utilize.
2. Soil types are important as they have different infiltration
rates, leaching potentials, cation exchange capacities, and
available water holding capacities.
3. Normally waste shall be applied to.land eroding at less than
5 tons per acre per year. Waste may be applied to land
eroding at 5 or more tons per acre annually, but less than
10 tons per acre per year providing that adequate filter
strips are established.
4. Do not apply waste on saturated soils, when it is raining,
or when the surface is frozen. Either of these conditions
may result in runoff to surface waters which is not allowed
under DWQ regulations.
Page: 1

ANIMAL WASTE UTILIZATION PLAN
5. Wind conditions should also be considered to avoid drift and
downwind odor problems.
6. To maximize the value of the nutrients for crop production
and to reduce the potential for pollution, the waste should
be applied to a growing crop or applied not more than 30
days prior to planting a crop or forages breaking dormancy.
Injecting the waste or disking will conserve nutrients and
reduce odor problems.
This plan is based on the waste application method shown above. If
you choose to change methods in the future, you need to revise this
plan. Nutrient levels for different application methods are not the
same.
The estimated acres needed to apply the animal waste is based on
typical nutrient content for this type of facility. Acreage
requirements should be based on the waste analysis report from your
waste management facility. In some cases you may want to have plant
analysis made, which could allow additional waste to be applied.
Provisions shall be made for the area receiving waste to be flexible
so as to accommodate changing waste analysis content and crop type.
Lime must be applied to maintain pH in the -optimum range for specific
crop production.
This waste utilization plan, if carried out, meets the requirements
for compliance with 15A NCAC 2H .0217 adopted by the Environmental
Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
80 sows x 7.3 tons waste/sows/year = 584 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
80 sows x 6.5 lbs PAN/sows/year = 520 lbs. PAN/year
Applying the above amount of waste is a big job. You should plan
time and have appropriate equipment to apply the waste in a timely
manner.
The following acreage will be needed for waste application based on
the crop to be grown, soil type and surface application.
Page: 2

ANIMAL WASTE UTILIZATION PLAN
TABLE 1: ACRES OWNED BY PRODUCER
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
2070
2
Ro
C
120
150
0
5.5
825
I
MAR-JUN
2070 1-2
END
IA 11 1100 0 15.5 1550
SEP-NOV
I
TOTAL11375
Indicates that this field is being overseeded (i.e.
interplanted) or winter annuals follow summer annuals.
NOTE: The applicator is cautioned that P-and K may be over applied
while meeting the N requirements. In the future, regulations
may require farmers in some parts of North Carolina to have a
nutrient management plan that addresses all nutrients. This
plan only addresses nitrogen.
Page: 3

LI
ANIMAL WASTE UTILIZATION PLAN
TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land.
See required specification 2.)
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
END
TOTAL 10
- Indicates that this field is being overseeded (i.e. interplanted) or
winter annuals follow summer annuals.
** Acreage figures may exceed total acreage in fields due to
overseeding.
* lbs AW N (animal waste nitrogen) equals total required nitrogen
less any commercial nitrogen (COMM N) supplied.
The following legend explains the crop codes used in tables 1 and 2 above:
CROP CODE
CROP
UNITS
PER UNIT
C
WA
CORN
WINTER ANNUALS (I.E. Small Grains, etc.)
BUSHELS
AC
1.25
1.00
TOTALS FROM TABLES 1 AND 2
ACRES LBS AW N USED
TABLE 1 5.5 1375
Page: 4

ANIMAL WASTE UTILIZATION PLAN
TABLE 2 1 0
TOTAL 5.5
*** BALANCE
0
1375
-855
-------------------
*** This number must be less than or equal to 0 in order to
fully utilize the animal waste N produced.
Page: 5

ANIMAL WASTE UTILIZATION PLAN
*** This number must be less than or equal to 0 in order to fully
utilize the animal waste N produced.
Acres shown in each of the preceding tables are considered to be the
usable acres excluding required buffers, filter strips along ditches,
odd areas unable to be irrigated, and perimeter areas not receiving
full application rates due to equipment limitations. Actual total
acres in the fields listed may, and most likely will be, more than
the acres shown in the tables.
See attached map showing the fields to be used for the utilization of
animal waste.
SLUDGE APPLICATION:
The waste utilization plan must contain provisions for periodic land
application of sludge at agronomic rates. The sludge will be nutrient
rich and will require precautionary measures to prevent over application
of nutrients or other elements. Your production facility will produce
approximately 88 pounds of plant available nitrogen per year in the
sludge.
If you remove the sludge every 5 years, you will have approximately 440
pounds of PAN to utilize. Assuming you apply this PAN to hybrid
bermudagrass hayland at the rate of 300 pounds of nitrogen per acre, you
will need 1.46666666667 acres of land. If you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you will need 3.52 acres
of land. Please be aware that these are only estimates of the PAN and
land needed. Actual requirements could vary by 25% depending on your
sludge waste analysis, soil types, realistic yields, and application
methods.
APPLICATION OF WASTE BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the
soil at the time of irrigation such that runoff or ponding occurs. This
rate is limited by initial soil moisture content, soil structure, soil
texture, water droplet size, and organic solids. The application amount
should not exceed the available water holding capacity of the soil at the
time of irrigation nor should the plant available nitrogen applied exceed
the nitrogen needs of the crop..
If surface irrigation is the method of land application for this plan,
it is the responsibility of the producer and -irrigation designer to ensure
that an irrigation system is installed to properly irrigate the acres
shown in Tables 1 and 2. Failure to apply the recommended rates and
Page: 6

ANIMAL WASTE UTILIZATION PLAN
amounts of nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application
rates and amounts.
Tract I Field I Soil Type I Crop
2070 12 Ro
2070 1 --2
A
Application RatelApplic. Amount
(in/hr)
0.35
I WA I 0.35
(inches)
*1.0
*1.0
* This is the maximum application amount allowed for the soil
assuming the amount of nitrogen allowed for the crop is not over
applied. In many situations, the application amount shown cannot
be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
Your facility is designed for 180.00 days of temporary storage and
the temporary storage must be removed on the average of once every
6.00 months. In no instance should the volume of the waste be stored
in your structure be within the 25 year 24 hour storm storage or one
foot of freeboard except in the event of the 25 year 24 hour storm.
It is the responsibility of the producer and waste applicator to
ensure that the spreader equipment is operated properly to apply the
correct rates to the acres shown in Tables 1 and 2. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables.may
make this plan invalid.
Call your technical specialist after you receive the waste analysis
report for assistance in determining the amount of waste per acre and
the proper application rate prior to applying the waste.
NARRATIVE OF OPERATION
fl
Page: 7

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
1. Animal waste shall not reach surface waters of the state by
runoff, drift, manmade conveyances, direct application, or
direct discharge during operation or land application. Any
discharge of waste which reaches surface water is prohibited.
2. There must be documentation in the design folder that the
producer either owns or has an agreement for use of adequate
land on which to properly apply the waste. If the producer does
not own adequate land to properly dispose of waste, he/she shall
provide a copy of an agreement with a landowner who is within a
reasonable proximity, allowing him/her the use of the land for
waste application. It is the responsibility of the owner of the
facility to secure an update of the Waste Utilization Plan when
there is a change in the operation, increase in the number of
animals, method of utilization, or available land.
3. Animal waste shall be applied to meet, but not exceed, the
nitrogen needs for realistic crop yields based on soil type,
available moisture, historical data, climatic conditions, and
level of management, unless there are regulations that restrict
the rate of application for other nutrients.
4. Animal waste shall be applied to land eroding less than 5 tons
per acre per year. Waste may be applied to land that is eroding
at 5 or more tons, but less than 10 tons per acre per year
providing grass filter strips are installed where runoff leaves
the field. (See FOTG Standard 393 -Filter Strip)
S. Odors can be reduced by injecting the waste or disking after
waste application. Waste should not be applied when there is
danger of drift from the irrigation field.
6. When animal waste is to be applied on acres subject to
flooding, it will be soil incorporated on conventionally tilled
cropland. When applied to conservation tilled crops or
grassland, the waste may be broadcast provided the application
does not occur during a season .prone to flooding. (See "Weather
and Climate in North Carolina" for guidance.)
7. Liquid waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur offsite or to
surface waters and in a method which does not cause drift from
the site during application. No ponding should occur in order
to control odor or flies.
8. Animal waste shall not be applied to saturated soils, during
rainfall events, or when the surface is frozen.
' 9. Animal waste shall be applied on actively growing crops in such
a manner that the crop is not covered with waste to a depth that
would inhibit growth. The potential for salt damage from animal
waste should also be considered.
Page: ' 8

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
10. Waste nutrients shall not be applied in fall or winter for
spring planted crops on soils with a high potential for
leaching. Waste nutrient loading rates on these soils should be
held to a minimum and a suitable winter cover crop planted to
take up released nutrients. Waste shall not be applied more
than 30 days prior to planting of the crop or forages breaking
dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall
comply with the following: The outer perimeter of the land area
onto which waste is applied from a lagoon that is a component of
a swine farm shall be at least 50 feet from any residential
property boundary and from any perennial stream or river (other
than an irrigation ditch or canal. Animal waste other than
swine waste from facilities sited on or after October 1, 1995),
shall not be applied closer than 25 feet to perennial waters.
(See Standard 393 - Filter Strips).
12. Animal waste shall not be applied closer than 100 feet to
wells.
13. Animal waste shall not be applied closer than 200 feet of
dwellings other than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property
and public right-of-ways.
15. Animal waste shall not be discharged into surface waters,
drainageways, or wetlands by a discharge or by over -spraying.
Animal waste may be applied to prior converted cropland provided
they have been approved as a land application site by a
"technical specialist". Animal waste shall not be applied on
grassed waterways that discharges directly into water courses,
and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that causes no runoff -or drift from
the site.
16. Domestic and industrial waste from washdown facilities,
showers, toilets, sinks, etc., shall not be discharged into the
animal waste management system.
17. A protective cover of appropriate vegetation will be
established on all disturbed areas (lagoon embankments, berms,
pipe runs, etc.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and
other woody species, etc.., are limited to areas where considered
appropriate. Lagoon areas should be kept mowed and accessible.
Berms and structures should be inspected regularly for evidence
of erosion, leakage or discharge.
Page; 9

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
18. if animal production at the facility is to be suspended or
terminated, the owner is responsible for obtaining and
implementing a "closure plane which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19. Waste handling structures, piping, pumps, reels, etc., should
be inspected on a regular basis to prevent breakdowns, leaks,
and spills. A regular maintenance checklist should be kept on
site.
20. Animal waste can be used in a rotation that includes vegetables
and other crops for direct human consumption. However, if
animal waste is used on crops for direct human consumption it
should only be applied preplant with no further applications of
animal waste during the crop season.
21. Highly visible markers shall be installed to mark the top and
bottom elevations of the temporary storage (pumping volume) of
all waste treatment lagoons. Pumping shall be managed to
maintain the liquid level between the markers. A marker will
be required to mark the maximum storage volume for waste
storage ponds.
22. Waste shall be tested within 60 days of utilization and soil
shall be tested at least annually at crop sites where waste
products are applied. Nitrogen shall be the rate - determining
element. Zinc and copper levels in the soils shall be
monitored and alternative crop sites shall be used when these
metals approach excessive levels. pH shall be adjusted for
optimum crop production and maintained. Soil and waste
analysis records shall'be kept for five years. Poultry dry
waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be
maintained for five (5) years.
23. Dead animals will be disposed of in a manner that meets North
Carolina regulations.
Page: 10

~ANIMAL WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm:J & D Farm
Owner/Manager Agreement
I (we) understand and will follow and implement the specifications
and the operation and maintenance procedures established in the
approved animal waste utilization plan for the farm named above. I
(we). know that any expansion to the existing design capacity of the
waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the
North Carolina Division of Water Quality (NCDWQ) before the new
animals are stocked. I (we) also understand that there must be no
discharge of animal waste from this system to surface waters of the
state from a storm event less severe than the 25-year, 24-hour
storm. The approved plan will be filed on -site at the farm office
and at the office of the local Soil and water Conservation District
and will be available for review by NCDWQ upon request.
Name of Facility Owner: Jackie and Debbie Lewis
(Please print)
Signature: Date:
Name of Manager(If different from owner):
Signature: Date:
3 - 7-00
Name of Person Preparing Plan: (please print)Larry E Simpson
Affiliation:Cumberland SWCD Phone No. [phone]
Address (Agency): 121 East Mountain Drive Ste 229
Fayetteville NC 28306-3422
Signature: Date: 3- 7-- �d
d
Page: 11

j4cq
k4
j,
A'!"j

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
0
May 1, 2003
Jasper W. Lewis
J & D Farm
Rt 2 Box 358-B
Fayetteville NC 28301
Alan W. Klimek, P. E., Director
Division of Water Quality
Subject: Certificate of Coverage No. AWS260042
J & D Farm
Swine Waste Collection, Treatment,
Storage and Application System
Cumberland County
Dear Jasper W. Lewis:
On April 28, 2003, the North Carolina General Assembly ratified Senate Bill 733 which directs the
Division of Water Quality (Division) to extend the expiration date of the Swine Waste Operation General
Permit AWG100000. Therefore, the General Permit has been re -issued by the Division to extend the
expiration date to October 1, 2004. During the period of this extension the Division will be working with
all interested parties on the development of a new version of the Non -Discharge General Permit.
In accordance with your application received on Apri1..2, 2003 and in accordance with the directive of
Senate Bill 733, we are hereby forwarding to you this Certificate of Coverage (COC) issued to Jasper W.
Lewis, authorizing the operation of the subject animal waste collection; treatment, storage and land
application system in accordance with General Permit AWG100000. The issuance of this COC
supersedes and terminates your previous COC Number AWS260042 which expired on April 30, 2003.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the J & D Farm, located in Cumberland County, with an animal capacity of no
greater than an annual average of 80 Farrow to Feeder swine and the application to land as specified in
the facility's Certified Animal Waste Management Plan (CAWMP). If this is a Farrow to Wean or
Farrow to Feeder operation, there may also be one boar for each 15 sows. Where boars are unneccessary,
they may be replaced by an equivalent number of sows. Any of the sows may be replaced by gilts at a
rate of 4 gilts for every 3 sows
The COC shall be effective from the date of issuance until October 1, 2004. Pursuant to this COC, you
are authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any increase in waste production greater than the certified design capacity or increase in number
of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COG to operate
under this permit convey any property rights in either real or personal property. AWA
1 NR
Non -Discharge Permitting Unit Internet http:9h2o.enr.slate.nc.uslndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone]a3 Fax [phone]
Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper

Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per NRCS standards a 100 foot separation shall be maintained between water supply wells and any
lagoon or any wetted area of a spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Fayetteville Regional Office. The Regional Office
Water Quality Staff may be reached at [phone]. If you need additional information concerning
this COC or the General Permit, please contact Sue Homewood at [phone] ext. 502.
Sincerely,
for Alan W. Klimek, P.E.
Enclosures (General Permit AWG100000)
cc: (Certificate of Coverage only for all cc's)
Fayetteville Regional Office, Water Quality Section
Cumberland, County Health Department
Cumberland County Soil and Water Conservation District
Permit File AWS260042
NDPU Files

ANIMAL WASTE UTILIZATION PLAN
Producer: Jackie and Debbie Lewis
Location: RR2 Box 358-B
Fayetteville NC 28301
Telephone: [phone]
Type Operation: Existing Farrow to Feeder Swine
Number of Animals: 80.00 sows
(Design Capacity)
STORAGE STRUCTURE: Anaerobic Waste Treatment Lagoon
APPLICATION METHOD: Irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops
in the fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than,the crop can utilize.
2. Soil types are important as they have different infiltration
rates, leaching potentials, cation exchange capacities, and
available water holding capacities.
3. Normally waste shall be applied to land eroding at less than
5 tons per acre per year. Waste may be applied to land
eroding at 5 or more tons per acre annually, but less than
to tons per acre per year providing that adequate filter
straps are established.
4. Do not apply waste on saturated soils, when it is raining,
or when the surface is frozen. Either of these conditions
may result in runoff to surface waters which is not allowed
under DW4 regulations. _.
Page: 1

,
ANIMAL WASTE UTILIZATION PLAN
5. Wind conditions should also be considered to avoid drift and
downwind odor problems.
6. To maximize the value of the nutrients for crop production
and to reduce the potential for pollution, the waste should
be applied to a growing crop or applied not more than 30
'days prior to planting a crop or forages breaking dormancy.
Injecting the waste or disking will -conserve nutrients and
reduce odor problems.
This plan is based on the waste application method shown above. If
you choose to change methods in the future, you need to revise this
plan. Nutrient levels for different application methods are not the
same.
The estimated acres needed to apply the animal waste is based on
typical nutrient content for this type of facility. Acreage
requirements should be based on the waste analysis report from your
waste management facility. In some cases you may want to have plant
analysis made, which could allow additional waste to be applied.
Provisions shall be made for the area receiving waste to be flexible
so as to accommodate changing waste analysis content and crop type.
Lime must be applied to maintain pH in the -optimum range for specific
crop production.
This waste utilization plan, if carried out, meets the requirements
for compliance with 15A NCAC 2H .0217 adopted by the Environmental
Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
80 sows x 7.3 tons waste/sows/year = 584 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
80 sows x 6.5 lbs PAN/sows/year = 520 lbs. PAN/year
Applying the above amount of waste is a big job. You should plan
time and have appropriate equipment to apply the waste in a timely
manner.
The following acreage will be needed for waste application based on
the crop to be grown, soil type and surface application.
9
Page: 2

ANIMAL WASTE UTILIZATION PLAN
TABLE 1: ACRES OWNED BY PRODUCER
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
------
APPLY
RESID.
APPLIC
METH
N
TIME
2070
2
Ro
C
120
150
0
5.5
825
I
MAR-JUN
2070 1-2
WA 1 1100 10 15.5 1550
I 5EP-NOV
I
TOTAL11375
- Indicates that this field is being overseeded (i.e.
interplanted) or winter annuals follow summer annuals.
NOTE: The applicator is cautioned that P and K may be' over applied
while meeting the N requirements. In the future, regulations
may require farmers in some parts of North Carolina to have a
nutrient management plan that addresses all nutrients. This
plan only addresses.nitrogen.
I
Page: 3

ANIMAL WASTE UTILIZATION PLAN
' 1
•J
TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land.
See required specification 2.)
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
END
TOTAL10
Indicates that this field is being overseeded (i.e. interplanted) or
winter annuals follow summer annuals.
** Acreage figures may exceed total acreage in fields due to
overseeding.
* lbs AW N (animal waste nitrogen) equals total required nitrogen
less any commercial nitrogen (COMM N) supplied.
The following legend explains the crop codes used in tables 1 and 2 above:
CROP CODE
CROP
UNITS
PER UNIT
1.25
100
C
WA
CORN
WINTER ANNUALS (I.E. Small Grains, etc.)
BUSHELS
AC
TOTALS FROM TABLES 1 AND 2
ACRES LBS AW N USED
TABLE 1 5.5 1375
Page: 4

ANIMAL WASTE UTILIZATION PLAN
TABLE 2 0
TOTAL 5.5
*** BALANCE
0
1375
-855
-------------------
*** This number must be less than or equal to 0 in order to
fully utilize the animal, waste N produced.
Page: 5

ANIMAL WASTE UTILIZATION PLAN
*** This number must be less than or equal to 0 in order to fully
utilize the animal waste N produced.
Acres shown in each of the preceding tables are considered to be the
usable acres excluding required buffers, filter strips along ditches,
odd areas unable to be irrigated, and perimeter areas not receiving
full application rates due to equipment limitations. Actual total
acres in the fields listed may, and most.likely will be, more than
the acres shown in the tables.
See attached map showing the fields to be used for the utilization of
animal waste.
SLUDGE APPLICATION:
The waste utilization plan must contain provisions for periodic land
application of sludge at agronomic rates. The sludge will be nutrient
rich and will require precautionary measures to prevent over application
of nutrients or other elements. Your production facility will produce
approximately 88 pounds of plant available nitrogen per year in the
sludge.
If you remove the sludge every 5 years, you will have approximately 440
pounds of PAN to utilize. Assuming you apply this PAN to hybrid
bermudagrass hayland at the rate of 300 pounds of nitrogen per acre, you
will need 1.46666666667 acres of land. If you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you will need 3.52 acres
of land. Please be aware that these are only estimates of the PAN and
land needed. Actual requirements could vary by 25% depending on your
sludge waste analysis, soil types, realistic yields, and application
methods.
APPLICATION OF WASTE BY'IRRIGATTON
The irrigation application rate should not exceed the intake rate of the
soil at the time of irrigation such that runoff or ponding occurs. This
rate is limited by initial soil moisture content, soil structure, soil
texture, water droplet size, and organic solids. The application amount
should not exceed the available water holding capacity of the soil at the
time of irrigation nor should the plant available nitrogen applied exceed
the nitrogen needs of the crop..
If surface irrigation is the method of land application for this plan,
it is the responsibility of the producer and -irrigation designer -to ensure
that an irrigation system is installed to properly irrigate the acres
shown in Tables 1 and 2. Failure to apply the recommended rates and
Page: 6

ANIMAL, WASTE UTILIZATION PLAN
amounts of nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application
rates and amounts.
I I I Application RatelApplic. Amount
Tract I Field l Soil Type I Crop 1 (in/hr) 1 (inches)
I I I I 1
2070 l 2 i Ro I C i 0.35 l *1.0
2 07 0 I --2
1
1 WA l
0.35 I *1.0
* This is the maximum application amount allowed for the soil
assuming the amount of nitrogen allowed for the crop is not over
applied. In many situations, the application amount shown cannot
be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
Your facility is designed for 180.00 days of temporary storage and
the temporary storage must be removed on the average of once every
6.00 months. In no instance should the volume of the waste be stored
in your structure be within the 25 year 24 hour storm storage or one
foot of freeboard except in the event of the 25 year 24 hour storm.
It is the responsibility of the producer and waste applicator to
ensure that the spreader equipment is operated properly to apply the
correct rates to the acres shown in Tables 1 and 2. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables.may
make this plan invalid.
call your technical specialist after you receive the waste analysis.
report for assistance in determining the amount of waste per acre and
the proper application rate prior to applying the waste.
NARRATIVE OF OPERATION
Page: 7

WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
1. Animal waste shall not reach surface waters of the state by
runoff, drift, manmade conveyances, direct application, or'
direct discharge during operation or land application, Any
discharge of waste which reaches surface water is prohibited.
2. There must be documentation in the design folder that the
producer either owns or has an agreement for use of adequate
land on which to properly apply the waste. If the producer does
not own adequate land to properly dispose of waste, he/she shall
provide a copy of an agreement with a landowner who is within a
reasonable proximity, allowing him/her the use of the land for
waste application. It is the responsibility of the owner of the
facility to secure an update of the Waste Utilization Plan when
there is a change in the operation, increase in the number of
animals, method of utilization, or available land.
3. Animal waste shall be applied to meet, but not exceed, the
nitrogen needs for realistic crop yields based on soil type,
available moisture, historical data, climatic conditions, and
level of management, unless there are regulations that restrict
the rate of application for other nutrients.
4. Animal waste shall be applied to land eroding less than 5 tons
per acre per year. Waste may be applied to land that is eroding
at 5 or more tons, but less than la tons per acre per year
providing grass filter strips are installed where runoff leaves
the field. (See FOTG Standard 393 -Filter Strip)
5. Odors can be reduced by injecting the waste or disking after
waste application. Waste should not be applied when there is
danger of drift from the irrigation field.
6. When animal waste is to be applied on acres subject to
flooding, it will be soil incorporated on conventionally tilled
cropland. When applied to conservation tilled crops or
grassland, the waste may be broadcast provided the application
does not occur during a season prone to flooding. (See "Weather
and Climate in North Carolina" for guidance.)
7. Liquid waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur offsite or to
surface waters and in a method which does not cause drift from
the site during application. No ponding should occur in order
to control odor or flies.
8. Animal waste shall not b� applied to saturated soils, during
rainfall events, or when the surface is frozen.
9. Animal waste shall be applied on actively growing crops in -such
a manner that the crop is not covered with waste to a depth that
would inhibit growth. The potential for salt damage from animal
waste should also be considered.
Page: 8

WASTE UTILIZATION PLAN
iJ
REQUIRED SPECIFICATIONS
10. Waste nutrients shall not be applied in fall or winter for
spring planted crops on soils with a high potential for
leaching. Waste nutrient loading rates on these soils should be
held to a minimum and a suitable winter cover crop planted to
take up released nutrients. Waste shall not be applied more
than 30 days prior to planting of the crop or forages breaking
dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall
comply with the following: The outer perimeter of the land area
onto which waste is applied from a lagoon that is a component of
a swine farm shall be at least 50 feet from any residential
property boundary and from any perennial stream or river (other
than an irrigation ditch or canal. Animal waste other than
swine waste from facilities sited on or after October 1, 1995),
shall not be applied closer than 25 feet to perennial waters.
(See Standard 393 - Filter Strips).
12. Animal waste shall not be applied closer than 100 feet to
wells.
13. Animal waste shall not be applied closer than 200 feet of
dwellings other than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property
and public right-of-ways.
15. Animal waste shall not be discharged into surface waters,
drainageways, or wetlands by a discharge or by over -spraying.
Animal waste may be applied to prior converted cropland provided
they have been approved as a land application site by a
"technical specialist". Animal waste shall not be applied on
grassed waterways that discharges directly into water courses,
and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that causes no runoff.or drift from
the site.
16. Domestic and industrial waste from washdown facilities,
showers, toilets, sinks, etc., shall not be discharged into the
animal waste management system.
17. A protective cover of appropriate vegetation will be
established on all disturbed areas (lagoon embankments, berms,
pipe runs, etc.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and
other woody species, etc., are limited to areas where considered
appropriate. Lagoon areas should be kept mowed and accessible.
Berms and structures should be inspected regularly for evidence
of erosion, leakage or discharge.
Page: 9

f
WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
18. If animal production at the facility is to be suspended or
terminated, the owner is responsible for obtaining and
implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
1.9. Waste handling structures, piping, pumps, reels, etc., should
be inspected on a regular basis to prevent breakdowns, leaks,
and spills. A regular maintenance checklist should be kept on
site.
20. Animal waste can be used in a rotation that includes vegetables
and other crops for direct human consumption. However, if
animal waste is used on crops for direct human consumption it
should only be applied preplant with no further applications of
animal waste during the crop season.
21. Highly visible markers shall be installed to mark the top and
bottom elevations of the temporary storage (pumping volume)'of
all waste treatment lagoons. Pumping shall be managed to
maintain the liquid level between the markers. A marker will
be required to mark the maximum storage volume for waste
storage ponds.
22. Waste shall be tested within 60 days of utilization and soil
shall be tested at least annually at crop sites where waste
products are applied. Nitrogen shall be the rate - determining
element. Zinc and copper levels in the soils shall be
monitored and alternative crop sites shall be used when these
metals approach excessive levels, pH shall be adjusted for
optimum crop production and maintained. Soil and waste
analysis records shall be kept for five years. Poultry dry
waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be
maintained for five (5) years.
23. Dead animals will be disposed of in a manner that meets North
Carolina regulations.
Page: 10

ANIMAL WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm:J & D Farm
Owner/Manager Agreement
I (we) understand and will follow and implement the specifications
and the operation and maintenance procedures established in the
approved animal waste utilization plan for the farm named above. I
(we). know that any expansion to the existing design capacity of the
waste treatment and storage system or construction of new
facilities will require•a new certification to be submitted to the
North Carolina Division of Water Quality (NCDWQ) before the new
animals are stocked. S (we) also understand that there must be no
discharge of animal waste from this system to surface waters of the
state from a storm event less severe than the 25-year, 24-hour
storm. The approved plan will be filed on -site at the farm office
and at the office of the local Soil and Water Conservation District
and will be available for review by NCDWQ upon request.
Name of Facility Owner: Jackie and Debbie Lewis
(Please print)
Signature: LIUDate:
Name of Manager(If different from owner):
Signature: Date:
Name of Person Preparing Plan: (Please print)Larry E Simpson
Affiliation:Cumberland SWCD Phone No. [phone]
Address (Agency): 121 East Mountain Drive Ste 229
Fayetteville NC 28306-3422
Signature: , Date:
Page: 11

71
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PAT MCCRORY
;. r
Rr;>i.
3k.
Water Resources
t:NVIRONMLN r'AL QUr U1Y
August 30, 2016
Jasper W Lewis
J & D Farm
6838 Tabor Church Rd
Fayetteville, NC 283017252
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Re: Renewal of the Expired Permit
Permit No.: AWS260042
Cumberland County
Dear Jasper W Lewis:
Director
Your facility was approved for operation under one of the Animal Waste Operation Individual Non -
Discharge Permits, which expired on 10/1/2009.Our records indicate that the Division has not received
from you a completed renewal application form to date. In order to maintain coverage under the current
Permit, please complete one of the following actions:
1. Please indicate if your facility is depopulated and the lagoon(s) or storage pond(s) at your facility
have been properly closed according to the NRCS standards. In that case, you may send us a written
request to rescind this permit by submitting a completed Lagoon &. Waste Storage Pond Closure
Form. A blank copy of the form can be found at:
h ://de .ne. ov/about/divisions/water-resources/water-resources- ernvts/wastewater-branchlanimal-
feeding-operation-pernvts/reporting-forms
2, Please submit a renewal application form that must be completed, signed and returned to this office.
Please include two (2) copies of your most recent Waste Utilization Plan along with the field maps, if
your facility is still active.
The renewal application form for the State or NPDES Individual Permit for Existing Operations can be
found at:
http:Hdeg.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/animal-
feeding-operationpem-dts/app 1 icati ons
3. If you area cattle facility that has gone below the threshold animal numbers (< 100), you may request
the rescission of your permit provided if the average size of the confined cattle herd at the cattle facility,
calculated on an annual basis during the three years prior to the request for rescission, is less than one
hundred confined cattle.
Please submit the requested information within thirty. (30) days of receipt of this letter to the following
address:
NCDENR—DWR
Animal Feeding Operations Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Telephone number: [phone]
Continued. , .
State ofNorth Carolina I Environmental Quality I Water Resources
1636 Mail service Center I Raleigh, North Carolina 27699-1636
9198076464

Schneier, Joan
From:
Larick, Keith
Sent:
Wednesday, October 26, 2011 9:10 AM
To:
Schneier, Joan; Barnhardt, Art
Cc:
Joshi, J.R.
Subject:
RE: 26-42
Joan,
The issue is that letting them get rid of the permit would open the door up for a bunch of inactive farms in similar
situations. I'm not ruling it out, but it does create some concerns.
I do have a couple of questions:
1-- You said that the farm is selling pigs on the open market— are they operating as a farrow -feeder or farrow -finish
operation?
2 — When you give the animal numbers in your write-up, are you counting all pigs, or only the sows?
3 — Has this farm ever operated about 250 total pigs? This is something we could consider when looking at the permit
status.
Thanks,
Keith
Keith Larick
Animal Feeding Operations Unit Supervisor
Division of Water Quality
[phone]
www.ncwateraualitv.ore
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Schneier, Joan
Sent: Monday, October 24, 2011 11:14 AM
To: Larick, Keith
Subject: 26-42
Keith,
I was waiting to hear from Art before I sent this up to you.

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue ColeerMcWby 9, 2011
Governor Director
Debra Lewis
6838 Tabor Church Rd
Fayetteville NC 28301
SUBJECT: Inspection Request
J&DFarm
26-42
AWS260042
Dear Ms. Lewis,
Dee Freeman
Secretary
I have left word on your voice mail that I am coming for a hog farm inspection on
Monday Dec 19, 2011 at 9 AM. If you wish to do this on a different day, I am also available on
Monday 12/12 through Wed 12/14, and Monday 12/19 through Friday 12/23 at any time during
business hours. Please call me at [phone] if you need to reschedule and if I'm not there,
please leave a message on my voice mail at any time. I have left several messages at 309-6053,
without success. By law, we are required to inspect every permitted hog farm every year.
Thank you.
Sincerely,
Joan Schneier
Environmental Specialist
AQUIFER PROTECTION SECTION
225 Green St.. Ste. 714
Fayetteville, North Carolina 28301
Phone: 91OA33-33001 FAX : [phone] Customer Service: 1-877-623-6748
Internet: tM.h20.enr.state.nc.us
An Equal Opportunity 1 Affirmative Aclion Employer
One
NorthCai-olina
Naturally

CDEHR
North Carolina department of Environment and Natural Resources
Beverly laves Perdue
Governor
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Jasper W Lewis
J & D Farm
683 S Tabor Church Rd
Fayetteville, NC 28301,
Dear Permittee:
Division of Water Quality
Cofeen H. Sullins
Director
November 25, 2009_-
t
GF%# 012009
s{{,
DG.'R -FAME-nV[I.E RF010iVL0FRCE '!
Subject; Application for Renewal of Coverage for Expiring General Permits
Dee Freeman
Secretary
Your facility was sent a notification in March 2009 to renew your Animal Waste Operation State Non -Discharge General Permit that
expired on September 30, 2009. Our records show that you have not submitted a renewal application to this office as of today.
If you are a facility that is out of business, has depopulated, and is waiting far the lagoon(s) to be closed, you mat, request an
individual permit with zero animals. Please indicate so on the attached farm and you may be.waived the annual fees and DIC
requirements by obtaining the individual permit until all the lagoons have been closed and yourpermit rescinded.
In order to assure your continued coverage under the State Non -Discharge General Permits, you must submit an application for permit
coverage to the Division. Enclosed you will find a 'Request for Certificate of Coverage Facility Currently Covered by an Expiring
State Non -Discharge General Permit.' The application form must be completed and returned by December 15, 2009. Please note that
you must include two (2) copies of your most recent Waste Utilization Plan with the application form.
Failure to request renewal of your coverage undera general permit within the time period specified may result in a civil penalty.
Operation of your facility without coverage under a valid general permit would constitute a violation of NCGS 143-215.1 and could
result in assessments of civil penalties of up to $25,000 per day.
If you have any questions about the State Non -Discharge General Permits, the enclosed application, or any related matter please feel
free to contact. the Animal Feeding Operations Unit staff at 919-733-3221.
Sincerely,
Supervisor, Animal Feeding Operation Unit
Enclosures
cc (w/o enclosures): Cumberland Soil and Water Conservation District
Fayetteville Regional Office. Aquifer Protection Section
Central Files - AWS260042
AQUIFER PROTECTION SECTION
1636 Mail Service Center. Raleigh, North Carolina 27699.163E
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] FAX 1: 919.715.0586: FAX 2:919-715-60481 Customer Service: 1-877-623-6748
Internet: www.nmaterpuality oM
One
NarthCarohna
atmully
An Eoual Opponunity 1 Aflumative Action Emginyu

KLF_KWJ
4 , 5A -
NC®ENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Jasper W Lewis
J & D Farm
6838 Tabor Church Rd
Fayetteville, NC 283017252
Division of Water Quality
Coleen H. Sullins
Director
July 31, 2009
Subject: Application for Renewal of Coverage for Expiring State General Permit
Dear Permittee:
RECEIVED
AU6 0 5 z0�
DENR - FA LE RFGIONAL OFRCE
Dee Freeman
Secretary
This is a follow-up to our March 3, 2009 letter requesting an application from your facility for the continued coverage under one of the
Animal Waste Operation State Non -Discharge General Permits. Current General Permits expire on September 30, 2009. Copies of the
new General Permits are available at http://h2o.enr.state.nc.uslaps/afou/applications.htm or by writing or calling:
NCDENR — DWQ Animal Feeding Operations Unit
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Telephone number: [phone]
In order to assure your continued coverage under the State Non -Discharge General Permits, you must submit an application for permit
coverage to the Division. Enclosed you will find a `Request for Certificate of Coverage Facility Currently Covered by an Expiring
State Non -Discharge General Permit.' The application form must be completed and returned by September 3, 2009. Please note. you
must include two (2) copies of your most recent Waste Utilization Plan with the application form.
Failure to request renewal of your coverage under a general permit within the time period specified may result in a civil penalty.
Operation of your facility without coverage under a valid general permit would constitute a violation ofNCGS 143-215.1 and could
result in assessments of civil penalties of up to $25,000 per day.
If you have any questions about the State Non -Discharge General Permits, the enclosed application, or any related matter please feel
free to contact the Animal Feeding Operations Unit staff at 919-733-3221.
Sincerely,
Ted L. Bush, Jr., Chief
Aquifer Protection Section
Enclosures
cc (w/o enclosures): Cumberland County Soil and Water Conservation District
Fayetteville Regional Office, Aquifer Protection Section
AFO Unit Central Files - 2,60042
AQUIFER PROTECTION SECTION
1636 Mail Service Center,'Raleigh, North Carolina 27699-1636 T�7One
Location: 2728 Capital Boulevard. Raleigh, North Carolina 27604 1 North Carolina
Phone: [phone] FAX 1; 919-715-05ft FAX 2: 919-71 MO481 Customer Service: 1-877-623.6748 � //�
Internet: www.nmate uatit .o � �I}atu`Nl
An Equal Opportunity 1 Affirmative Action Employer

State of North Carolina
Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B.. Howes, Secretary
Jasper W. Lewis
Jasper Lewis Farm
Rt 2 Box 358-B
Fayetteville NC 28301
e��
IDEHNR
November 13, 1996
SUBJECT: Operator In Charge Designation
Facility: Jasper Lewis Farm
Facility ID#: 26-42
Cumberland County
Dear Mr. Lewis:
NOV 19 1996
FAYC- a EViLLE
✓ F_(;' C)1"i=jCE
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study
Commission on Agricultural Waste, enacted by the 1996 North Carolina General Assembly,
requires a certified operator for each animal waste management system that serves 250 or more
swine by January 1, 1997. The owner of each animal waste management system must submit a
designation form to the Technical Assistance and Certification Group which designates an
Operator in Charge and is countersigned by the certified operator. The enclosed form must be
submitted by January 1, 1997 for all facilities in operation as of that date. Failure to designate a
certified operator for your animal waste management system is a violation of 15A NCAC 2H
.0224 and may result in the assessment of a civil penalty.
If you have questions concerning operator training or examinations for certification, please
contact your -local North Carolina Cooperative Extension Service agent or our office.
Examinations have been offered on an on -going basis in many counties throughout the state for
the past several months and will continue to be offered through December 31, 1996.
Thank you for'your cooperation. If you have any questions concerning this requirement please
call Beth Buffington or Barry Huneycutt of our staff at-9191733-0026.
Sincerely,
A. Preston Howard, Jr., P. ., Direct
Division of Water Quality
Enclosure
cc: Fayetteville Regional Office
Water Quality Files
P.O. Box 27687, V FAX [phone]
Raleigh, North Carolina 27611-7687 C An Equal Opportunity/Afflrmative Action Employer
Voice 919-715-4100 50% recycled/101% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
December 1, 1999
CERTIFIED MAIL
RETURN RECEIPT REQUESTED_
Jasper W. Lewis
J & D Farm
Rt 2 Box 358-B
Fayetteville NC 28301
Farm Number: 26 - 42
Dear Jasper W. Lewis:
1 � •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
You are hereby notified that J & D Farm, in accordance with G.S. 143-215.1OC, must apply for coverage under an
Animal Waste Operation General Permit. Upon receipt of this letter, your farm has sixty (60) days to submit the attached
application and all supporting documentation. In accordance with Chapter 626 of 1995 Session Laws (Regular Session
1996), Section 19(c)(2), any owner or operator who fails to submit an application by the date specified by the
Department SHALL NOT OPERATE the animal waste system after the specified date. Your application must be
returned within sixty (60) days of receipt of this letter. Failure to submit the application as required may also subject your
facility to a civil penalty and other enforcement actions for each day the facility is operated following the due date of the
application.
The attached application has been partially completed using information listed in your Animal Waste Management
Plan Certification Form. If any of the general or operation information listed is incorrect please make corrections as noted on
the application before returning the application package. The signed original application, one copy of the signed application,
two copies of a general location map, and two copies of the Certified Animal Waste Management Plan must be returned to
complete the application package. The completed package should be sent to the following address:
North Carolina Division of Water Quality
Water Quality Section
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
If you have any questions concerning this letter, please call Dianne Thomas at [phone] extension 364 or
Jeffery Brown with the Fayetteville Regional'Office at [phone].
Sincerely,
for Kerr T. Stevens
cc: Permit File (w/o encl.)
Fayetteville Regional Office (w/o encl.)
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Jasper W. Lewis
J & D Farm
Rt 2 Box 358-B
Fayetteville NC 28301
Dear Jasper W. Lewis:
Zr*_W'A IT
1 � •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT ANo NATURAL RESOURCES
December 30, 1999
RECEIVED:"
J1AN 6 2000
FAYETTEVILLE
REG. ©FFiC1=
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 26-42
Cumberland County
This letter is being sent to clarify the recordkeeping requirement for Plant Available Nitrogen (PAN)
application on fields that are part of your Certified Animal Waste Management Plan.
In order to show that the agronomic loading rates for the crops being grown are not being exceeded, you
must keep records of all sources of nitrogen that are being added to these sites. This would include nitrogen
from all types of animal waste as well as municipal and industrial sludges/residuals, and commercial fertilizers.
Beginning January 1, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. 1RR1, IRR2, DRY1, DRY2, DRY3, SLUR1, SLUR2,
SLD1, and SLD2) and maintained in the facility records for review. The Division of Water Quality (DWQ)
compliance inspectors and Division of Soil and Water operation reviewers will review all recordkeeping during
routine inspections. Facilities not documenting all sources of nitrogen application will be subject to an
appropriate enforcement action.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Ms. Sonya Avant of the
DWQ staff at [phone] ext. 571.
Sincere ,
Kerr T. Stevens,, Director
Division of Water Quality
cc: Fayetteville Regional Office
Cumberland County Soil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10%n post -consumer paper

--.Z
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen Sullins, Director
Division of Water Quality
December 31, 2008
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Ms. Debra Lewis
J&DFarm
6838 Tabor Church Rd
Fayetteville NC 28301
Subject: Inspection Amendment and Clarification
J&DFarm
Facility No. 26-0042
Cumberland County
Permit No. AWS260042
Dear Ms. Lewis,
This is clarification of several problem areas of my inspection of December 29,
2008. Please file the enclosed inspection revision with the rest of the inspection.
I am sending by separate mailing a copy of your current Certificate of Coverage and
State General Swine Permit. Please keep these with your other records. New permits will be
coming out in the fall. You will be mailed renewal forms in February or March and these should
be back in Raleigh by April 1, 2009. Also in that mailing is a monthly form for recording rainfall,
lagoon levels, and waste system inspections for rain events greater than one inch. Many farms
draw up their own spreadsheet for this, but it should include columns for recording all these
items.
We seldom deal with farms as small as yours and I had to get some help from our people
in Raleigh and review some notes. Basically our permits are "forever" unless you get rid of all
your hogs and close out the lagoon to NRCS standards (which is an expensive process). Going
"inactive" by request is no longer an option, so you do not need to send us a letter. On the other
hand, you do have to keep up all provisions of your permit.
Please do the following by January 31, 2009. Your county agent should be able to help you
with these items.
1- Calibrate your reel
2- Conduct a sludge survey
You need to have an active Operator in Charge (OIC) as soon as possible. The next
exam is on March 12 and the application has to be in Raleigh by Feb 10, along with the $25
fee. The two closest exam locations are Kenansville and Raleigh. An application is in the
other mailing, and I filled out some of the top portion from our computer records, since you
might have trouble locating your earlier exam date. The Commission should accept your
earlier license number and exam date, if you can't find the certificate of training. It is not
unusual for operators to lapse and have to retake the exam to regain certification. It would
probably be a good idea to study your manual and check out the rules on the TACU website
at http://h2o.enr,state.nc.us/tacu/index.htm1. Newer manuals are available from your county
extension office for $25.
Nor thCarolina
Natlrrally
North Carolina DWQ/Aquifer Protection Section 225 Green SO Suite 714 Fayetteville, NC 28301 Phone [phone]
FAX [phone] Internet: h2o.enr.state.ne,us Customer Service 1-877-623-6749
An Equal Opportunity/Affirmative Action Employer-50% Recycled110% Post Consumer Paper

Alternately, you can locate another OIC who would be willing to be listed for your farm.
The OIC designation form, in the other mailing, can be used for either you (after you pass
the exam) or the other OIC, as soon as possible, and of course that person would have to
sign it. A Backup OIC is not required and would probably be overkill in your case because of
your infrequency of spraying.
I apologize for any confusion caused by me or other past inspectors. If you have any
questions concerning this matter, please do not hesitate to contact me at [phone].
Sincerely,
an Schneier
Environmental Specialist
Division of Water Quality
Fayetteville Regional Office
Attachments: Inspection Revised page 3
Under separate cover, regular mail
Certificate of Coverage
State Swine Permit
Application for Animal Waste Exam
Instructions for above
OIC Designation form

Tax Parcel ID: 0461-18-0775-
Property Information Report
0461-18-0775-
M J HAIR EST
0101
0044 0056
0 ? NIA
LEWIS, JASPER WADE & WIFE DEBRA SUE
35.38
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20000
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hftp://www.jwses.ccs.k12.nc.us
http://www.mwms.ccs.kl2.nc.us
http:llwww.cfhs.ccs_kl2.nc.us
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Map Unit Description: Roanoke and Warne soils, 0 to 2 percent slopes, occasionally flooded ---
Cumberland County, North Carolina
Cumberland County, North Carolina
Ro—Roanoke and Warne soils, 0 to 2 percent slopes,
occasionally flooded
Map Unit Setting
National map unit symbol: w71w
Elevation: 80 to 330 feet
Mean annual precipitation: 38 to 55 inches
Mean annual air temperature: 59 to 70 degrees F
Frost -free period: 210 to 265 days
Farmland classification: Farmland of statewide importance
Map Unit Composition
Warne and similar soils: 40 percent
Roanoke, undrained, and similar soils: 40 percent
Roanoke, drained, and similar soils: 10 percent
Estimates are based on observations, descriptions, and transects of the
mapunit.
Description of Roanoke, Undrained
Setting
Landform: Backswamps on stream terraces, depressions on stream
terraces
Landform position (three-dimensional): Flat
Down -slope shape: Concave
Across -slope shape: Linear
Parent material. Old clayey alluvium derived from igneous and
metamorphic rock
Typical profile
A - 0 to 8 inches: loam
BE - 8 to 10 inches: loam
Btg - 10 to 43 inches: clay
BCg - 43 to 52 inches: clay
Cg - 52 to 80 inches: gravelly sandy clay loam
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: More than 80 inches
Natural drainage class: Poorly drained
Runoff class: Negligible
Capacity of the most limiting layer to transmit water (Ksat):
Moderately low to moderately high (0.06 to 0.20 Whir)
Depth to water table: About 0 to 12 inches
Frequency of flooding: Occasional
Frequency of ponding: Rare
Available water storage in profile: Moderate (about 8.7 inches)
Interpretive groups
Land capability classification (irrigated): None specified
io)A Natural Resources Web Soil Survey 121212014
Conservation Service National Cooperative Soil Survey Page 1 of 3

Map Unit Description: Roanoke and Warne soils, 0 to 2 percent slopes, occasionally flooded --
Cumberland County, North Carolina
Land capability classification (nonirrigated): 4w
Hydrologic Soil Group: CID
Description of Warne
Setting
Landform: Flats on stream terraces
Down -slope shape: Concave
Across -slope shape: Linear
Parent material: Old clayey alluvium derived from igneous and
metamorphic rock
Typical profile
A - 0 to 9 inches: loam
Btg - 9 to 42 inches: clay
Cg - 42 to 80 inches: loamy sand
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: More than 80 inches
Natural drainage class: Somewhat poorly drained
Runoff class: Very high
Capacity of the most limiting layer to transmit water (Ksat):
Moderately low to moderately high (0.06 to 0.20 in/hr)
Depth to water table: About 6 to 18 inches
Frequency of flooding: Occasional
Frequency of ponding: None
Available waterstorage in profile: High (about 9.4 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 2w
Hydrologic Soil Group. CID
Description of Roanoke, Drained
Setting
Landform: Backswamps on stream terraces, depressions on stream
terraces
Landfomr position (three-dimensional): Flat
Down -slope shape: Concave
Across -slope shape: Linear
Parent material., Old clayey alluvium derived from igneous and
metamorphic rock
Typical profile
A - 0 to 8 inches: loam
BE - 8 to 10 inches: loam
Btg - 10 to 43 inches: clay
BCg - 43 to 52 inches: clay
Cg - 52 to 80 inches: gravelly sandy clay loam
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: More than 80 inches
Natural Resources Web Soil Survey 1212/2014
r� Conservation Service National Cooperative Soil Survey Page 2 of 3

Map Unit Description: Roanoke and Warne soils, 0 to 2 percent slopes, occasionally flooded —
Cumberland County, North Carolina
Natural drainage class: Poorly drained
Runoff class: Very high
Capacity of the most limiting layer to transmit water (Ksat):
Moderately low to moderately high (0.06 to 0.20 inlhr)
Depth to water table: About 0 to 12 inches
Frequency of flooding: Occasional
Frequency of ponding: None
Available water storage in profile: Moderate (about 8.7 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 3w
Hydrologic Soil Group: CID
Data Source Information
Soil Survey Area: Cumberland County, North Carolina
Survey Area Data: Version 14, Sep 12, 2014
u5nq Natural Resources Web Soil Survey 121212014
Conservation Service National Cooperative Soil Survey Page 3 of 3

Permit History
Reviewers
Related Permits
Wells
Fields
r Sites
Comments
Inspections
" Incidents
Enforcements
Violations
Details i Details 2 Billing
Class-/Desig.
r Events r Reg. Activities
r Reg. Operations
r Structures r Affiliations
Permit WS260042 Version: 13.D Status: mired
Permit Type: Swine State COC -
Permit Classification: OC Primary Related Permit WG100000
Program Category imal Operations Admin Region 1,Fayetteville t
Facility. & D Farm IF Details-.. County, umber land
Owner asper W Lewis I]e#ails... • ProjectType: IRen�ewal
— Dates —
Issued. 1010112004 Orig issued: 617MOO (] Major Permit
❑ Has Subsurface Drains Tracidng Sllp
Effective: 1QIQ112Q04 Statutory: 7101/2003 -New --F----,
F6 arm Existing Farm Farm #: 6-0Q42
Expire: 1010112009 tnarive:
- ❑ Inno+native Avail -Acres: 19.3
SOC: D6tail.s.-- ❑ Pain breaker De-A-ce
❑ C)IC Present
Last Updated By. bimsprad.txan Last Updated On: 10/212D09 1:30AM
� Back Next> Finish Close
SID: PFJ[D1

Page 1 of 1
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Tax Parcel ID: 0461-18-0775-
THE COUNTY OF CUMBERLAND AND ITS GIS
DEPARTMENT DISCLAIMS ACCOUNTABILITY
FOR THIS PRODUCT AND MAKES NO WARRANTY
EXPRESSED OR IMPLIED CONCERNING THE
ACCURACY THEREOF. RESPONSIBILITY FOR
INTERPRETATION OF THIS PRODUCT LEES 250 125 0 250 Feet
WITH THE USER

Tax Parcel ID: 0461-18-0775-
Property Information Report
0461-18-0775-
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State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
December 1, 1999
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Jasper W. Lewis
J & D Farm
Rt 2 Box 358-B
Fayetteville NC 28301
Farm Number: 26 - 42
Dear Jasper W. Lewis:
J
NC'DENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
You are hereby notified that J & D Farm, in accordance with G.S. 143-215.10C, must apply for coverage under an
Animal Waste Operation General Permit. Upon receipt of this letter, your farm has sixty (60) days to submit the attached
application and all supporting documentation. In accordance with Chapter 626 of 1995 Session Laws (Regular Session
1996), Section 19(c)(2), any owner or operator who fails to submit an application by the date specified by the
Department SHALL NOT OPERATE the animal waste system after the'specified date. Your application must be
returned within sixty (60) days of receipt of this letter. Failure to submit the application as required may also subject your
facility to a civil penalty and other enforcement actions for each day the facility is operated following the due date of the
application: _
The attached application has been partially completed using information listed in your Animal Waste Management
Plan Certification Form. If any of the general or operation information listed is, incorrect please make corrections as noted on
the application before returning the application package. The signed original application, one copy of the signed application,
two copies of a general location map, and two copies of the Certified Animal Waste Management Plan must be returned to
complete the application package. The completed package should be sent to the following address:' _
North Carolina Division of Water Quality
Water Qualiy Section
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
If you have any questions concerning this letter, please call Dianne Thomas at [phone] extension 3.64 or
Jeffery Brown with the Fayetteville Regional •Office at [phone].- -
Sincerely,
c
for - Kerr T., Stevens
cc: Permit File (w/o encl.)
Fayetteville Regional Office (w/o encl.)
1617 Mail Service Center, Raleigh; NC 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James. B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Jasper W. Lewis
J & 1) Farm
Rt 2 Box 358-B
Fayetteville NC 28301
Dear Jasper W. Lewis:
-.0 , W,:,A
NCDENR.
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES .
December 30, 1999
J1 M 6 2000
FAYEMEVdLLE
REG. OFFICE
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 26-42
Cumberland County
This letter is being sent to clarify the recordkeeping requirement for Plant Available Nitrogen (PAN)
application on fields .that are part of your.Certified Animal Waste Management Plan.
In order to show that the agronomic loading rates for the crops being grow ri are not being exceeded, you
must keep records of all sources of nitrogen that are being added to these sites. This would.include nitrogen -
from all types of animal waste as well as municipal andindustrial sludges/residuals, and commercial fertilizers.
Beginning January 1, 2000, all nitrogen sources'applied to land receiving animal waste are required to
be kept on -the appropriate recordkeeping forms (i.e. IRRI, IRR2,'DRY1, DRY2; DRY3, SLURI,,SLUR2,
SLD1, and SLD2) and maintained in the facility records for review: The Division of Water Quality (DWQ)
compliance inspectors and Division of Soil and Water operation reviewers will review all recordkeeping during
routine inspections. Facilities not, documenting, all sources of nitrogen, application will be subject to an
appropriate enforcement, action.
Please be advised that nothing. in this letter should be taken as removing, from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please, do not hesitate to contact Ms. Sonya Avant of the
DWQ staff at [phone] ext. 571.
Sincere ,
Kerr T. Stevens; Director
Division of Water Quality
cc: Fayetteville Regional Office .
Cumberland CountySoil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper