820225_ENFORCEMENT_20171231

NORTH CAROLINA
Department of Environmental Qua
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RECEIVED
DEQIDWR
APR 1 1 2016
WQROS
FAYETTEVILLE REGIONAL OFFICE
Water Resources
ENVIRONMENTAL QUALITY
April 7, 2016
CERTIFIED MAIL 7015 1520 0000 7838 0100
RETURN RECEIPT REQUES TF_D
Thomas H. Godwin
Godwin Farms
2476 Share Cance Road
Clinton, NC 28328
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
secreemy
S. JAY ZIMMERMAN
Subject: NOTICE OF DEFICIENCY (NOD -2016 -PC -0053)
FAILURE TO SUBMIT ANNUAL CERTIFICATION AND
SLUDGE SURVEY REPORT
Permit No. NCA282225
Godwin Farms
Sampson County
Dear Thomas Godwin:
Director
This Notice of Deficiency is being sent to you for failure to submit the 2015 Annual Certification
Report and Sludge Survey results report. One of the requirements of your Animal Waste
Management NPDES General Permit is the submittal of an Annual Certification and Sludge
Survey Report to the Division of Water Resources by March I" of each year. As of this date, our
records indicate that the 2015 annual certification and sludge survey report has not been
submitted for the subject facility.
Failure to act in accordance with the terms, conditions, or requirements of your permit may result
in a recommendation of enforcement action, in accordance with North Carolina General Statute
§ 143-215.6A.
Please respond to this Notice of Deficiency within 15 calendar days of the receipt of this letter by
submitting the Annual Certification Report and the sludge survey results report for the year 2015
from your facility to the following address:
Miressa D. Garoma
Division of Water Quality
Animal Feeding Operations Program
1636 Mail Service Center
Raleigh, NC 27699-1636
State of North Carolina I Environmental Quality I Water Resoureesf Water Quality Regional Operations
1636 Mail service Center I Raleigh, North Carolina 27699-1636
919 807 6464

Nothing in this letter should be taken as relieving from you the responsibility for failing to
submit the annual certification report in a timely,manrier..A decision,as to the appropriateness of
an enforcement action will be made following the receipt of your response.
If you have any questions regarding this letter, please do not hesitate to contact either our
Fayetteville Regional Office at [phone] or Miressa D. Garoma at [phone].
Sincerely,
0&J , w�
Debra J. Watts, Supervisor
Animal Feeding Operations, and
Ground Water Protection Branch
cc: Fayetteville Regional Office WQROS
WQROS Central File (Permit No. NCA282225)

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HCDEHR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
8everiv -avec Perdue Coleen H. Sullins Des reernar,
Governor Director Secretary
April 7, 2011
Mr. Thomas H. -Godwin
Godwin Farms
2475 Share Cake Road
Clinton. North Carolina 28328
RE: Payment Schedule for Civil Penalty
Case DV -2010-0046
Farm # 82-0225
Sampson County
Dear Mr. Godwin.
RECEIVED
APR 1 1 2011
DENR-FAYETTEVILLE REGIONAL OFFICE
This letter is to acknowledge receipt of your Check Number 5843 in the amount of 5421.38
on April 4.2011. Your next payment of 5421.38 should be made payable to DWQ before May 1.
2011. The total balance of the penalty is 53371.04:
Payment of this penalty does not preclude further action by this Division for violations of
the State's environmental laws. If you have any questions, please call me at [phone].
Sincerely,
Keith Lariek
Animal Feeding Operations Unit
cc: APS -Fayetteville Regional Office
File # DV -2010-0046
APS Central Files (AWS820227)
1617 Mali Serr ce Center, RaIev-, No nm Carahra 27699-1617
i_ocanU,: 512 N. Saiisbury S:. Rale&,, Nath Carolma 27601
Rnar: ° i9 3i 7 530i t AK 91 a-BG7-6492 , Cusrome- Service: 1-877-623-6748 N offri.Ca? olina
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North Carolina Department o'=nvironment and Natural Resources
Division of Water Quality
Beverly Laves Perdue Coleen H. Sullins
Governor Director
June 7, 2011
Mr. Thomas H. Godwin
Godwin Farms
2475 Share Cake Road
Clinton, North Carolina 28328
RE: Payment Schedule for Civil Penalty
Case DV -2010-0046
Farm # 82-0225
Sampson County
Dear Mr. Godwin:
Dee Freeman
Secretary
JUN 0 9 2011
DENR-FAYETTEALLE REGIONAL OFFICE
This letter is to acknowledge receipt of your Check Number 5901 in the amount of $421.38
on June 6. 2011. Your next payment of 5421.38 should be made payable to DWQ before July 1,
2011. The total balance of the penalty is S2528.28.
Payment of this penalty does not preclude further action by this Division for violations of
the State's environmental laws. If you have any questions, please call me at (919) 715--6937.
Sincerely,
-74W
Miressa D. Garoma
Animal Feeding Operations Unit
cc: APS-Favetteville Regional"Office
File # DV -2010-0046
APS Central Files (AWS820225)
1617 Mail Servic-- Center, Ralei h, Norm Camiina 27099-161 r
L ocaban: 512 N. Salisbury St. Raleigh, Noru) varolina 276604
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Ao'ZAA DEC 0 7 2011
NCDENR D WCC
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
December 6, 2011
Mr. Thomas H. Godwin
Godwin Farms
2475 Share Cake Road
Clinton, North Carolina 28328
RE: Payment Schedule for Civil Penalty
Case DV -2010-0046
Farm # 82-0225
Sampson County
Dear Mr. Godwin:
This letter is to acknowledge receipt of your Check Number 6093 in the amount of $421.38
on December 5, 2011. This payment satisfies in full the civil assessment in the amount of
$5,056.62 levied against Thomas Godwin. If you have any questions, please call me at (919) 715-
6697.
Sincerely,
Keith Larick
Animal Feeding Operations Unit
cc: APS -Fayetteville Regional Office
File # DV -2010-0046
APS Central Files (AWS820225)
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: 91MU-MO1FAX: [phone] Customer Service: 1$77-623 748 NorthCarofina
Internet wwvu.ncwaterquality.org a ������`I//�
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North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
November 2, 2011
Mr. Thomas H. Godwin
Godwin Farms
2475 Share Cake Road
Clinton. North Carolina 28328
RE: Payment Schedule for Civil Penalty
Case DV -2010-0046
Farm # 82-0225
Sampson County
Dear Mr. Godwin:
This letter is to acknowledge receipt of your Check Number 6061 in the amount of 5421.38
on November 2, 2011. Your next payment of $421.38 should be made payable to DWQ before
December 1, 2011. The total balance of the penalty is $421.38.
Payment of this penalty does not preclude further action by this Division for violations of
the State's environmental laws. If you have any questions, please call me at [phone].
Sincerely,
Miressa D. Garoma
Animal Feeding Operations Unit
cc APS-Fayetteville-Regional-_Qffice
File # DV -2010-0046
APS Central Files (AWS820225)
1617 MaiE Service Center. Raiebh, North Carolina 27699-1617
location: 5's2 N. Salisbury, St. Raleigh, Notts Carolina 2760? Onc
Phone: 919K7-6300':FAX: [phone]'.Gustomer Service: 1-87 7 23-6746 North Carolina
intemet: wwv.nanraterauality.org
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North Carolina Department of Environment and Natural Resources
Division of Water Qualit},
Beverly paves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
March 10, 2011
Mr. Thomas H. Godwin -
Godwin Farms
2475 Share Cake Road
Clinton, North Carolina 28328
RE: Payment Schedule for Civil Penalty
Case DV -2010-0046
Farm # 82-0225
Sampson County
Dear Mr. Godwin:
This letter is to acknowledge receipt of your Check Number 5803 in the amount of $421.38
on February 25, 2011. Your next payment of $421.38 should be made payable to DWQ before
April 1,'2011. The total balance of the penalty is 53.792.42.
Payment of this penalty does not preclude further action by this Division for violations of
the State's environmental laws. If you have any questions, please call me at [phone].
Sincerely,,
--
Keith Larick
Animal Feeding Operations Unit
cc: APS-Favetteville Regional Office
File # DV -2010-0046
APS Central Files (AWS820225)
1617 Mail Service Center, Raleigh, North Carolina 27599-1617
Location; 512 N. Salisbury St. Raieioh, North Carolina 27604 1� Ori
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NCDENR
North Carolina Department of Environment and Natural Resources DWQ
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
September 7, 2011
Mr. Thomas H. Godwin
Godwin Farms
2475 Share Cake Road
Clinton, North Carolina 28328
RE: Payment Schedule for Civil Penalty
Case DV -2010-0046
Farm # 82-0225
Sampson County
Dear Mr. Godwin-.
This letter is to acknowledge receipt of your Check Number 6012 in the amount of $421.38
on September 3, 2011. Your next payment of $421.38 should be made payable to DWQ before
October 1, 2011. The total balance of the penalty is $1264.14.
Payment of this penalty does not preclude further action by this Division for violations of
the State's environmental laws. if you have any questions, please call me at [phone].
Sincerely,
�-4
Miressa D. Garoma
Animal Feeding Operations Unit
cc: APS -Fayetteville Regional Office
File # DV -2010-0046
APS Central Files (AWS820225)
1617 Mail Service Cente„ Raleigh, North Carolina 27699-1617
! ocatior.� 512 N. Safispurr S, Raleian, Nath Carolina 27604 One
°hone:9i9-P,07-63Go1 ,X:919-867-64421 Customer Service: 1-877-623-6748 NorthCato)ina
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North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
July 1, 2011
Mr. Thomas H. Godwin
Godwin Farms
2475 Share Cake Road
Clinton, North Carolina 28328
RE: Payment Schedule for Civil Penalty
Case DV -2010-0046
Farm # 82-0225
Sampson County
Dear Mr. Godwin:
This letter is to acknowledge receipt of your Check Number 5935 in the amount of 5421.38
on June 30, 2011. Your next payment of 5421.38 should be made payable to DWQ before August
1, 2011. The total balance of the penalty is $2106.90.
Payment of this penalty does not preclude further action by this Division for violations of
the State's environmental laws. If you have any questions, please call me at [phone].
Sincerely,
NViiressa . Garoma
Animal Feeding Operations Unit
cc:_APS F.ayetteville.RegionalOffice DE9 V R_. FR0
File # DV -2010-0046
APS Central Files (AWS820225) JUL D 2011
DWO
1617 Mail Service Genies, Raieiah, No.gn Carolina 27699-1617
Lccat on: 512 N. Salisbury Si Raleiah, North uaroiina 27604 dn
Phone: 9I M07 -e300 l ; T. AX_ 919-8G7-64921 Cusiomer Service: 1-877-623-6748 1 �I oivh C aro l i n a
Inierne'.: wwvi.ncwaterauality.orcar �1 f L ��,
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HCDEHR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly -aves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
May 3, 2011
Mr. Thomas H. Godwin
Godwin Farms
2475 Share Cake Road
Clinton, North Carolina 28328
RE: Payment Schedule for Civil Penalty
Case DV -2010-0046
Farm # 82-0225
Sampson County
Dear Mr. Godwin:
RECEIVED
MAY 0 4 2011
DENR-FAYETTEMLLE REGIONAL ME
This letter is to acknowledge receipt of your Check Number 5869 in the amount of $421.38
on April 29, 2011. Your next payment of $421.38 should be made payable to DWQ before June 1,
2011. The total balance of the penalty is $2949.66.
Payment of this penalty does not preclude further action by this Division for violations of
the State's environmental Iaws. If you have any questions, please call me at (9I9) 715-6937.
Sincerely,
�-*d
Miressa D. Garoma
Animal Feeding Operations unit
cc: APS -Fayetteville Regional Office
File # DV -2010-0046
APS Central Files (AWS820225)
1617 Mzii Service Censer, Raiebh, North Carolina 27699-4617
L ozavon: 512 N. Salisoury S'. Raleigh, North Carolina 27604 C1TIa
Phare: 9'.9 807�3aD i 9?9967-ok921 Cus,omer 5°wive: 1.677 -3-5748 No:i
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intemer www.ncwatercuality.org r
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North Caroiin DeGartment of 'Environment and Natural Resources
r
Bevedy _avec Perdue
Gover; for
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Thomas H Godwin
Godwin Farms
2476 Share Cake Rd.
Clinton NC 28328
Dear Thomas H Godwin:
Division of v�rater �'uality
v'oieen H. SulilnS
Director
February 9, 2011
Dee L reeman
Secret~, t -
RECEIVED
FEB 10 2011
DENR-FAYETTEVILLE REGIONAL OFFICE
Subject: Facility Number: AWS820225
National Pollutant Discharge Elimination
Svstem (NPDES) Permit Requirement
The Division of Water Quality (Division) has been required by the U.S. Environmental
Protection Agency (EPA) to develop a NPDES permit program for animal waste manageriient
systems. The Division has developed a Genera] NPDES Permit similar to the state Non-
Discharee General Permit that this facility is currently permitted under. Pursuant to the'
requirements of North Carolina General Statutes § 143-215.1, 40 Code of Federal Regulations
§ 122.23, and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency dated October 15. 2007. coverage under an NPDES Permit is
required of all facilities that either discharge or propose to discharge waste into to waters of the
State.
According to our records vour facility meets the requirements for NPDES permit coverage due to
the discharge to waters of the State that occurred at your facility. As a result you are required to
apply for the NPDES Permit.
Within 90 days of receipt of this letter, complete and return the attached form. "NPDES
General Permit— Existing Animal Waste Operations." Please carefully follow the
instructions on the form. If you wish to apply for an Individual NPDES Permit instead of a
General Permit, please contact us and we will forward you that application. Two copies of your
complete Certified Animal Waste Management Plan are required with the permit
application. Please refer to the checklist on page two of the application to be sure that all
necessary documents are submitted with the application. A cope of the NPDES General Permit
may be downloaded at our website:
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Thomas H Godwin
February 9. 2011
Page 2
Failure to submit the documentation as required may subject your facility to a civil penalty and
other enforcement actions for each day the facility is operated following the due date.
If you have any questions about the NPDES permit or the enclosed application please feel free to
contact me at [phone].
Sincerely,
�G
Keith Larick, Supervisor
Animal Feeding_ Operations Unit
Enclosures (NPDES Application Form)
CC: Sampson County Soil and Water Conservation District
Fayetteville Regional Office�Division of:WaterQuality
Prestaue Farms, Inc.
Facility File AVN'S820225

RCDEHR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Govemor Director
September 20, 2010
Mr. Thomas H. Godwin
Godwin Farms
2475 Share Cake Road
Clinton, North Carolina 28328
SUBJECT: Remission Request
Farm # 82-0225
Sampson County
File No. DV -2010-0046
Permit No. AWS820225
Dear Mr. Godwin:
Dee Freeman
Secretary
RECEIVED
SEP 2.2 2010
DENR 4AyEFTEWLLE REGIONAL OFFICE
This letter is to acknowledge receipt of your request, on September 17, 2010, for remission of the
civil penalty levied against the subject facility. The Director of the Division of Water Quality
will review your evidence and inform you of her decision in the matter of your remission
request.
If you have any questions, please call me at [phone].
Sincerely,
Miressa Garoma
Animal Feeding Operations Unit
cc: Art Barnhardt, Fayetteville APS Regional Supervisor
File # DV -2010-0046
APS Central Files
AQUIFER PROTECTION SECT ION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard. Raleigh, North Carolina 27604
Phone: [phone] FAX 1: 919-715-0588 FAX 2: 919-715-6048 l Customer Service: 1-877-623-6748
Internet: wv w.ncwateroualitY.aM
An Fnnal rmrvuumiry l Afirrflxtmv Artm Fmnlnva.
NorthCarolina
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North Carolina
Beverly Eaves Perdue
Governor
�,A
NCDENR
Department of Environment and
Division of ~Nater Quality
Coleen H. Sullins
Director
Natural Resources
AQUIFER PROTECTION SECTION
September 23, 2010
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Thomas H. Godwin
2476 Share Cake Rd.
Clinton NC 28328
Subject: NOTICE OF DEFICIENCY / NOD -2010 -PC -1032
Godwin Farms
AWS820225
Sampson County
Incident No. 200903 1 0 1
Dear Mr. Godwin:
Dee Freeman
Secretary
On December 11, 2009, staff of the NC Division of Water Quality (DWQ), Aquifer Protection Section
(APS) were notified by Tommy Godwin of a high freeboard level in the lagoon 1-4 and 5-8. We wish
to thank Mr. Godwin for notifying DWQ of this incident.
As a result of this incident, you are hereby notified that, having been permitted to have a non -discharge
permit for the subject animal waste disposal system pursuant to 15A NCAC 2T Section .1300, you have
been found to be in violation of your Certified Animal Waste Management Plan and the Swine Waste
System General Permit No. A WG 100000 that you are covered to operate under, as follows:
Deficiency 1:
Failure to maintain waste levels in your lagoon/storage ponds in accordance with the facility's Certified
Animal Waste Management Plan in accordance with Condition V. 2. of Swine Waste System General
Permit No. AWG 100000.
On December 11, 2009 a lagoon/storage pond level was documented at 17.00 inches in lagoon 1-4 and
lagoon 5-8 was documented at 17.00 inches. A level of 19 inches is the maximum level allowed by
your permit and Certified Animal Waste Management Plan.
North Carolina Division of Water Quality Internet: www_ncwaterguality.org
225 Green St., Ste. 714 Phone: [phone]
Fayetteville, NC 28301 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper
One
NorthCarolina
Natmally

Mr. Godwin
September 23, 2010
Page 2
Required Corrective Action for Deficiency 1:
DWQ has received a copy of your 30 Day Plan of Action (POA) for the high freeboard occurrence.
Take all necessary additional steps to insure lagoon levels remain in compliance with Section 2 of your
permit_
A compliance inspection was done 09/16/2010 and all records were reviewed and the date and time
lagoon 1-4 was returned to compliance on 21112010 and lagoon 5-8 on January 18, 2010.
If you have any questions concerning this notice, please contact me at (910)-433-3300.
Sincerely,
Steve Guyton
Environmental Specialist
Fayetteville Regional Office
cc: Keith Larick, CAFO Unit
Sampson Soil and Water Conservation District
NCDSWC-FRO
YFRO Compliance Animal Files
Prestage Farms

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North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Fayetteville Regional Office
Michael F. Easley, Governor
Sherri Evans -Stanton, Acting Secretary
Kerr T. Stevens, Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Tommy Godwin
2476 Sharecake Road
Clinton, NC 28328
January 18, 2001
SUBJECT: NOTICE OF VIOLATION
Permit No. AWS 820225
Godwin Farm
Facility No. 82 - 225
Sampson County
Dear Mr. Godwin:
ern
NCDENR
You are hereby notified that, having been permitted to have a non -discharge permit for the
subject animal waste disposal system pursuant to 15A NCAC 2H.0217, you have been found to
be in violation of your 2H .0217 Permit.
On August 15, 2000, staff from the Fayetteville Regional Office of the Division of Water
Quality conducted an inspection of the Godwin Farm in Sampson County after receiving a
complaint that wastewater was being applied on a harvested cornfield. An inspection of the
sprayfield confirmed that wastewater was being applied outside of the approved waste
application field and running into a wetland area and ponding.
The Division of Water Quality requests that the following items be addressed:
1. Provide a detailed explanation as to why the runoff from the spray field
occurred.
2. Inspect the irrigation system for proper setting prior to pumping to ensure
that future discharges of this nature do not recur.
Your response should be received by this office on or before January 31, 2001. Failure to
comply with the above conditions may result in the facility's General Permit being revoked and
being required to obtain an individual non -discharge permit for the facility.
225 GREEN STREET- SUITE 714 / SYSTEL BUILDING / FAYETTEVILLE, PIC 28301-5043
PHONE [phone] FAX [phone] WWNVJ:,NR STATE.NC-US/ENR/
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION FAMPLOYER- 50% RECYCLED/10% POST CONSUMER PAPER
DENR TOLL FREE HOTLINE: [phone]

Page 2
Godwin Farm
January 18, 2001
Please be advised that this notice does not prevent the Division of Water Quality from
taking enforcement actions for this violation or any past or future violation. Furthermore, the
Division of Water Quality has the authority to levy a civil penalty of not more than $25,000.00
per day per violation.
If you have any questions concerning this matter, please do not hesitate to contact either Mr.
Robert Heath, Environmental Specialist or myself at [phone].
Sincerely,
Paul E. Rawls
Regional Water Quality Supervisor
cc: Sonya Avant - Compliance Group
Wilson Spencer - Sampson Co. MRCS
Trent Allen - DSWC Fayetteville Office
Central Files - Raleigh
Glen Clifton - Prestage Farms

January 29, 2001
Paul E. Rawls �''AN 3 0 9nni
Regional Water Quality Supervisor
225 Green Street - Suite 714/Systel Building
Fayetteville NC 28301-5043
Dear Mr. Rawls:
This letter is in response to the Notice of Violation I received on January 24', 2001.
1 _ I was applying waste to this field to plant a cover crop and failed to move the gun
stops to proper position to avoid spraying in the wetland area. Approximately 100
gallons of waste was ponding and it was confined to my property and did not reach
surface waters.
2. To avoid this problem in the future I pian to eliminate this area from waste
application because it's too narrow to apply waste properly. Inspect irrigation
equipment for proper settings each time I irrigate and to observe irrigation events
more closely. I planted small grain within 30 days of waste application in this field.
This was an accident and I plan to be more observant in the future when I irrigate. If you
have any questions please give me a call at 564-6408.
Sincerely,

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
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Tommy GODwrN
2476 SHARE CAKE ROAD
CLINTON NC 28328
Dear Tommy Godwin:
e..NCDENR
DEC 2 2 2000 ENNORTH DEPTMENT OF
VIRO METROA NT ONNATTURAL R SOURCE5
RFrLLF
ICF
December 18, 2000
Subject: Notice of Violation and Revocation for Nonpayment
Godwin Farms
Permit Number: AWS820225
Sampson County
In accordance with North Carolina General Statute 143-215.10G, all animal operations who receive an animal
waste management system permit will be charged in each year of the term an annual permit fee. Annual permit fees are
billed followin, the issuance of the permit and then annually thereafter on the anniversary of that date. Your animal waste
management system permit was issued on 812111998.
Your annual permit fee for the period of 8/21/2000 - 8/20/2001 is $150.00. Your payment was due 101612000.
Because this fee was not full' paid within 30 days after being billed, this letter initiates action to revoke the subject permit.
pursuant to 15 NCAC 2H .0205 (c) (4). and G.S. 143-215.1 (b) (3).
Effective 60 days from receipt of this notice. the subject permit is hereby revoked unless the required Annual
Animal Waste Management System Permit fee for your animal operation is received within that time. Operation of an
animal waste management system without a valid permit is a violation of North Carolina General Statute 143-215.1 and is
subject to the assessment of a civil penalty of up to S10,000 per day. Your payment should be sent to:
N.C. Department of Environment and Natural Resources
Division of Water Quality
Bud -et Office
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If you have any questions, please contact Fran McPherson at [phone] ext. 210.
Sincerely,,,,
nc�ely,�
Kerr T. Stevens
cc: Non -Discharge Branch Compliance/Enforcement Unit
Sampson County Health Department
Permit File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled 1 10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Tommy Godwin
2476 Share Cake Road
Clinton NC 28328
Dear Tommy Godwin: -
1 � •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
February 26, 1999 RECEI F! ED
1999
FAYET T EVILLE
REG.,->, `^E
Subject: Notice of Violation and Revocation for Nonpayment
Godwin Farms
Permit Number: AWS820225
Sampson County
In accordance with North Carolina General Statute 143-215.I0G, all animal operations who receive an animal
waste management system permit will be charged in each year of the term an annual permit fee. Annual permit fees are
billed following the issuance of the permit and then annually thereafter on the anniversary of that date. Your animal waste
management system permit was issued on 8121198.
Your annual permit fee for the period of 8121198 - 8120199 is $100.00. Your payment was due 112/99. Because
this fee was not fully paid within 30 days after being billed, this letter initiates action to revoke the subject permit, pursuant
to 15 NCAC 2H.0205 (c) (4). and G.S. 143-215.1 (b) (3).
Effective 60 days from receipt of this notice, the subject permit is hereby revoked unless the required Annual
Animal Waste Management System Permit fee for your animal operation is received within that time. Operation of an
animal waste management system without a valid permit is a violation of North Carolina General Statute 143-215.1 and is
subject to the assessment of a civil penalty of up to $10,000 per day. Your payment should he sent to:
N.C. Department of Environment and Natural Resources
Division of .Water Quality
Budget Office
P.O. Box 29535
Raleigh, North Carolina 27626-0535
If you have any questions, please contact Fran McPherson at [phone] ext. 210.
Sincerely,
A. Preston Howard, J ,_P:E.
cc: Non -Discharge Branch Compliance/Enforcement Unit
ffice
Sampson County Health Department
Permit File
P.O. Box 29535, Raleigh, worth Carolina 27626-0535 Telephone [phone] FAX [phone]
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North Carolina Department of Environment and Natural Resources
Division oEl Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dae rreernan
Governor Director Secretary
August—.5, 2011
Mr. Thomas H. Godwin
Godwin Farms
2475 Share Calve Road
Clinton, North Carolina 28328
RE: Payment Schedule for Civil Penalty
Case DV -2010-0046
Farm # 82-0225
Sampson County
Dear Mr. Godwin:
This letter is to acknowledge receipt of your Check Number 5973 in the amount of 5421.38
on August 3, 2011. Your next payment of $421.38 should be made payable to DWQ before
September 1. 2011. The total balance of the penalty is 51685.52.
Payment of this penalty does not preclude further action by this Division for violations of
the State's environmental laws. if you have any questions, please call me at [phone].
Sincerely,
11-�Oa
Miressa D. Garoma
Animal Feeding Operations Unit
cc: APS -Fayetteville Regional Office
File # DV -2010-0046
APS Central Files (AWS820225)
16 —1 Mail Servi:e ;;enter, Raievi. Norm Caroiina 27699-1617
i_oonon 512 N. Salisoury 5?Ralei91; No ;n Carolina 276V Ong
llwnc: 919 -Bar -6300 �, FAX: 91-9-807-EA92 � S u5,arner N of th C aroli.n a
lnternet:wvnncnva[e�ualit}.o; !;
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North
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dei reemar
Governor Director Secretary
February 2, 2011
Mr, Thomas H. Godwin
Godwin Farms
2475 Share Cake Road
Clinton, North Carolina 28328
RE: Payment Schedule for Civil Penalty
Case DV -2010-0045
Farah # 82-0225
Sampson County
Dear Mr. Godwin:
RECEIVED
FEB 0 3 2011
OENR-FAYETTEVILLE REGIONAL OFFICE
This letter is to acknowledge receipt of your Check Number 5758 in the amount of
$421.38 on February 1, 2010. Your next payment of 5421.38 should be made payable to DWQ
before March 1. 2011. The total balance of the penalty is 54213.80.
Payment of this penalty does not preclude further action by this Division for violations of
the State's environmental laws. if you have any questions, please call me at (919) 715 -6937 -
Sincerely.
,A/14a
Miressa D. Garoma
Animal Feeding Operations Unit
cc:-APS-Fayetteville_Re-�ional-Office
File # DV -2010-0046
APS Central Files (AWS820225)
1617 Ivia1] SeMce Center, naleian, Ivortn Carolina 27699-1617
Lucamn: 512 K. Belisha 5:. Raieign, North Carolina 27604 Oil-
?norre: 91 g-657-5306 \ �: =,X: 919-BFr-649--, \ Customer Service: 877-52: -5745 N o -h C aI oliv a
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North Carolina Department of Environment and Natural Resources
Division of (Nater Quality
Beverly Laves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
January 5, 2011
Mr. Thomas H. Godwin
Godwin Farms
2475 Share Cake Road
Clinton, North Carolina 28328
RE: Payment•Schedule for Civil Penalty
Case DV -2010-0046
Farm # 82-0225
Sampson County
Dear Mr. Godwin:
RECEIVED
JAN 0 6 2011
DENR-FAYETTEVILLE REGIONAL OFACE
This letter is to acknowledge receipt of your Check Number 5726 in the amount of
$421.44 on January 4, 2010. Your next payment of 5421.38 should be made payable to DWQ
before February 1, 2011. The total balance of the penalty is 54635.18.
Payment of this penalty does not preclude further action by this Division for violations -of -
the State's environmental laws. If you have any questions, please call me at (919) 715-693.7.• - r
Sincerely.
Miressa D. Garoma
Animal Feeding Operations Unit
cc,_APS-Fayetteville-Regional-Off cel
File # DV -2010-0046
APS Central Files (AWS820225)
c.1' �9ai! gni a Cenier. 3i�•� . 4orit;::vr,i,n<. <7Gc_161
CC,a'00„.512 N. Sa!ismry St. Ras r �.;:,;, ,;a;n', 011ee 2-G:<.
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• ALIT
NC®ENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
August 9, 2010
CERTIFIED MAIL - #7008 1140 0002 6736 8634
RETURN RECEIPT REQUESTED
Mr. Thomas H. Godwin
Godwin Farms
2475 Share Cake Road
Clinton, North Carolina 28328
SUBJECT: Assessment of Civil Penalties for Violation(s) of
N.C. General Statute(s) 143-215.1
Farm # 82-0225
Sampson County
File No. DV -2010-0046
Permit No. AWS820225
Dear Thomas Godwin:
Natural Resources
This letter transmits notice of a civil penalty assessed against Thomas Godwin in the amount of
$6556.62, which includes $2056.62 in investigative costs. Attached is a copy of the assessment
document explaining this penalty.
Dee Freeman
Secretary
This action was taken under the authority vested in me by delegation provided by the Secretary of the
Department of Environment and Natural Resources and the Director of the Division of Water Quality. Any
continuing violation(s) may be the subject of a new enforcement action, including an additional penalty.
Within thirty days of receipt of this notice, you must do one of the following three items:
1. Submit payment of the penalty:
Pavment should be made to the order of the Department of Environment and Natural Resources.
Payment of the. penalty will not foreclose fiu-ther enforcement action
violation(s). Do not include the attached waiver form if making payment.
Please send payment to the attention of
Miressa D Garoma
DWQ
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
AGUEF�R PROTECTION SECTION
1636 Mail Service Center. Raleinh. North Carolina 27699-163-
! ocahm 2728 Capital Boulevard. Rafeiph, North Carolina 27604
Phone: [phone] FAX 1: 919-715-0588 FAX 2: 919-715-60481 Customer Service. 1-877-623-6746
Entemet www.nmaterqualO.ora
An cnual 1 A-mnjly= Arnnn=mnlnvar
for any continuing or new
NorthCarolina
,Alaturallrf

Page 2
Thomas Godwin
August 9, 2010
2. Submit a written request for remission including a detailed justification for such request:
Please be aware that a request for remission is limited to consideration of the five factors listed below as they
r
may elate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the
"J relate
proper procedure for contesting whether the violation(s) occurred or 'we ac�a acy of —, -f the factual
statements contained in the civil penalty assessment document. Because a remission request forecloses the
option of an administrative hearing, such a request must be accompanied by a waiver of your right to an
administrative hearing and a stipulation and agreement that no factual or legal issues are in dispute. Please
prepare a detailed statement that establishes why you believe the civil penalty should be remitted, and submit
it to the Division of Water Quality at the address listed below. In determining whether a remission request
will be approved, the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B -282.1(b) were
wrongfully applied to the detriment of the violator;
(2) whether the violator promptly abated continuing environmental damage resulting from the
violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator has been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial
actions.
Please note that all evidence presented in support of your request for remission must be submitted in writing.
The Director of the Division of Water Quality will review your evidence and inform you of his decision in
the matter of your remission request. The response will provide details regarding the case status, directions
for payment, and provision for further appeal of the penalty to the Environmental Management
Commission's Committee on Civil Penalty Remissions (Committee). Please be advised that the Committee
cannot consider information that was not part of the original remission request considered by the Director.
Therefore, it is very important that you prepare a complete and thorough statement in support of your request
for remission.
In order to request remission, you must complete and submit the enclosed "Request for Remission of Civil
Penalties, Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form within thirty (30)
days of receipt of this notice. The Division of Water Quality also requests that you complete and submit the
enclosed "Justification for Remission Request." Both forms should be submitted to the following address:
Miressa D. Garoma
Division of 'Yate; Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
OR
3. File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an
administrative hearing. You may obtain the petition form from the Office of Administrative Hearings. You
must file the petition with the Office of Administrative Hearings within thirty (30) days of receipt of this
notice. A petition is considered filed when it is received in the Office of Administrative Hearings during
normal office hours. The Office of Administrative Hearings accepts filings Monday through Friday between
the hours of 8:00 a.m. and 5:00 p.m., except for official state holidays. The original and one (1) copy of the

• Page 3
'Phomas Godwin
August 9. 20 10
petition must be fled with the Office of Administrative Hearings_ The petition may be faxed - provided the
original and one copy of the document is received in the Office of Administrative Hearings within five (5)
business days following the faxed transmission. The mailing address for the Office of Administrative
Hearinns is:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Telephone [phone] Facsimile. [phone]
A copy of the petition must also be served on DENR as follows:
Ms. Mary Penny Thompson, Registered Agent
DENR
1601 Mail Service Center
Raleigh, NC 27699-1601
Please mail or hand deliver a copy to:
Miressa D. Garoma
DWQ
1636 Mail Service Center
Raleigh, NC 27699-1636
Please indicate the case number (as found on page one of this letter) on the petition.
Failure to exercise one of the options above within thirty (30) days of receipt of this letter, as evidenced by
an internal date/time received stamp (not a postmark), will result in this matter being referred to the Attorney
General's Office for collection of the penalty through a civil action. Please be advised that additional
penalties may be assessed for violations that occur after the review period of this assessment.
If you have any questions, please contact Miressa D. Garoma at [phone].
Sincerely,
eodore . Bs CJrCh;lef
Aquifer Protection Section
Division of Water Quality
ATTACHMENTS
cc: Art Barnhardt. Fayetteville APS Regional Supervisor w/ attachments
File r DV -2010-0046 w/ attachments
APS Central Files w/ attachments
Susan Massenuale w/ attachment

dil
STATE OF NORTH CAROLINA
COUNTY OF SAMPSON
IN THE MATTER OF
THOMAS GODWIN
FOR VIOLATIONS OF CATTLE WASTE
MANAGEMENT SYSTEM
GENERAL PERMIT AWG 100000
PURSUANT TO NORTH CAROLINA
GENERAL STATUE 143-215.1
NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND
NATURAL RESOURCES
FILE NO. DV -2010-0046
FINDINGS AND DECISION
AND ASSESSMENT OF
CIVIL PENALTIES
Acting pursuant to delegation provided by the Secretary of the Department of Environment and
Natural Resources, and the Director of the Division of Water Quality, I Theodore L. Bush, Jr., Chief of
the Aquifer Protection Section, Division of Water Quality (DWQ), make the following:
I. FINDINGS OF FACT:
A. Thomas Godwin owns and operates Godwin Farms, a permitted swine animal feeding
operation in Sampson County.
B. Thomas Godwin was issued Certificate of Coverage AWS820225 under General Permit
AWG 100000 for Godwin Farms on October 1. 2009, effective upon issuance, with an
expiration date of September 30, 2014.
C. Condition No. I. 1, of General Permit AWG 100000 states in part that "Any discharge of
waste which reaches surface waters or wetlands is prohibited except as otherwise
provided in this General Permit and associated statutory and regulatory provisions.
Waste shall not reach surface waters or wetlands by runoff, drift manmade conveyance,
direct application, and direct discharge or through ditches not otherwise classified as
State waters."
D. Condition No. M.13. a, b, and e of the General Permit AWG 100000 states in part that
"The Permittee shall report by telephone to the appropriate Division Regional Office as
soon as possible, but in no case more than 24 hours following, first knowledge of the
occurrence of any of the followina events: a) any discharge to ditches, surface waters or
wetlands, b) any discharge that poses a serious threat to the environment or human safety
or health, e) failure of any component of the animal waste collection, treatment, storage
and land application system resulting in a discharge to surface waters or wetlands..."
E. On January 25, 2010, DWQ staff from the Fayetteville Regional Office received a
complaint indicating an ongoing discharge of animal waste. On January 26, 2010, DWQ

staff conducted a site visit and observed a discharue of wastewater at Godwin Farms from
a confinement house to an un -named tributary to the Great Coharie Creek and Swamp,
which are Class C waters of the State within the Cape Fear River Basin. DWQ staff
noticed that solid and liquid waste ponded behind the hog houses due to blockage of PVC
pipe used for clean out. The waste then flowed from the hog houses to the un -named
tributary to the Great Coharie Creek and Swamp.
F. Thomas Godwin had no valid permit for the above-described activity.
G. DWQ responded by issuing the facility a Notice of Intent to Enforce on February 16,
2010, for the referenced discharge violation and for failure to notify DWQ of the
discharLye of waste water.
H. The cost to the State for the enforcement procedures in this matter totaled 52056.62.
Based upon the above Findings of Fact, I make the following:
H. CONCLUSIONS OF LAW:
A. Thomas Godwin is a "person" within the meaning of G.S. 143-215.6A pursuant to
G.S. 143-212(4).
B. A permit for an animal waste management system is required by G.S. 143-215.1
C. The unnamed tributary to the French Broad River constitutes waters of the State within
the meaning of G.S. 143-215.1 pursuant to G.S. 143-212(6).
D. The above-cited discharge of animal waste to waters of the State is a violation of
Condition l.1 of General Permit AWG 100000.
E. The above-cited failure to report by telephone to the appropriate Regional Office as soon
as possible, but in no case more than 24 hours following first knowledge of a discharge of
animal waste to surface waters and wetlands is a violation of Condition No. III. 13.a, b.
and e. of General Permit AWG100000.
F. Thomas Godwin may be assessed civil penalties in this matter pursuant to G.S. 143-
2156A(a)(2), which provides that a civil penalty of not more than twenty five thousand
dollars (525,000.00) per violation may be assessed against a person who is required but
fails to apply for and secures a permit required by G.S. 143-215.1,
G. The State's enforcement costs in this matter may be assessed against Thomas Godwin
pursuant to G.S. 143-215.3(a)(9) and G.S. 14313-282.1(b)(8).
H. The Chief of the Aquifer Protection Section, Division of Water Quality, pursuant to
delegation provided by the Secretary of the Department of Environment and Natural
Resources and the Director of the Division of Water Quality, has the authority to assess
civil penalties in this matter.

Based upon the above Findings of Fact and Conclusions of Law, I make the following:
III. DECISION:
Accordingly, Thomas Godwin owner of Godwin Farms at the time of the noncompliance is
hereby assessed a civil penalty of
v �
S ®Q Q for violating Condition No. 1.1 of the General Permit
AWG 100000 by discharging animal waste to waters of the State.
v�
S 0 O for violating Condition No. 111.13a., b., and e. of the General
W Permit AWG 100000 by failing to report by telephone to the
appropriate Regional Office as soon as possible, but in no case
more than 24 hours following- first knowledge of a discharge of
animal waste to surface waters and wetlands.
CIO
$ TOTAL CTVTL PENALTY
$206.62 Enforcement Costs
S (� S� ,� H TOTAL AMOUNT DUE
As required by G. S. 143-21 5.6A( c ), in determining the amount of penalty I have considered the factors
listed in G. S. 14313-282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to public health or to private
property resulting from the violations;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(7) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally,-
(7)
ntentionally;(7) The prior record of the violator in complying or failing to comply with programs
over which the Environmental Management Commission has regulatory authority;
(8) The cost to the State of the enforcement procedures.
( te) Theodore L. Bush Jr., Chief
Aquifer Protection Section
Division of Water Quality

Beverly Eaves Perdue
Governor
�;-.7A
AQ
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
August 30, 2010
CERTIFIED MA11L - #7007 0220 0003 0155 8228
RETURN RECEIPT REQUESTED
Mr. 'Thomas H. Godwin
Godwin Farms
2475 Share Cake Road
Clinton, North Carolina 28328
Dee i=reeman
Secretary
RECEIVED
SEP 0 1 2010
DI NR-FAYETTEIIILLE REGIONAL OFFICE
SUBJECT: Assessment of Civil Penalties for Violation(s) of
N.C. General Statute(s) 143-215.1
Farm # 82-0225
Sampson County
File No. DV -2010-0046
Permit No. AWS820225
Dear Mr. Godwin:
In accordance with your request for correction of the Findings and Decision and Assessment of Civil
Penalty document, we are hereby forwarding to you this corrected version of the above mentioned
document. Copy of the assessment documents explaining the civil penalty was trailed to you on August
9, 2040. Within thirty days of receipt of this notice, you must submit payment, submit a written request
for remission, or file a petition for an administrative hearing as explained in our letter of August 9, 2010.
Failure to exercise one of the options mentioned above within thirty (30) days of receipt of this letter, as
evidenced by an internal date/time received stamp (not a postmark), will result in this matter being
referred to the Attorney General's Office for collection of the penalty through a civil action. Please be
advised that additional penalties may be assessed for violations that occur after the review period of this
assessment.
If you have any questions, please contact Miressa D. Garoma at [phone].
Sincerely,
4°1 Theodore L. Bush, Jr., Chief
Aquifer Protection Section
Division of Water Quality
cc: Art Barnhardt, Fayetteville APS Regional Supervisor w/ attachments
File # DV -2010-0046 w/ attachments
APS Central Files w/ attachments
Susan Massengale w/ attachment
AQUIFER PROTECTION SECTION NltrthCaro�ina
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Locatfan: 2726 Capi ai $oulevard, Raleigh, North Carolina 27604 ,ext t+Q��]/
?hone- 919-733-3221 t FAX 1: 919-715-0588 FAX 2; 919-715-60481 Customer Service: 1-877-623-6748 `zl L ;p/
Internet: www.'c;aterguaWoorg
An rniial rinnnrhinity 1 Atfirmalwa Artinn Fmninvn-

STATE OF NORTH CAROLINA
COUNTY OF SAMPSON
IN THE MATTER OF )
THOMAS GODWIN )
}
FOR VIOLATIONS OF SWINE WASTE }
MANAGEMENT SYSTEM )
GENERAL PERMIT AWG 100000 )
PURSUANT TO NORTH CAROLINA )
GENERAL STATUE 143-215.1 )
NORTH CAROLINA �C E i V Ed
DEPARTMENT OF ENVIRONMENT
NATURAL RESOURCES
SEP 0 1 2010
0N.FAYETTEYILLE REGIONAL OFFICE
FILE NO. DV -2010-0046
FINDINGS AND DECISION
AND ASSESSMENT OF
CIVIL PENALTIES
Acting pursuant to delegation provided by the Secretary of the Department of Environment and
Natural Resources, and the Director of the Division of Water Quality, 1 Theodore L. Bush, Jr., Chief of
the Aquifer Protection Section, Division of Water Quality (DWQ), make the following:
I. FINDINGS OF FACT:
A. Thomas Godwin owns and operates Godwin Farms, a permitted swine animal feeding
operation in Sampson County.
B. Thomas Godwin was issued Certificate of Coverage AWS820225 under General Permit
AWG100000 for Godwin Farms on October 1, 2009, effective upon issuance, with an
expiration date of September 30, 2014.
C. Condition No. I. 1, of General Permit AWG 100000 states in part that "Any discharge of
waste which reaches surface waters or wetlands is prohibited except as otherwise
provided in this General Permit and associated statutory and regulatory provisions.
Waste shall not reach surface waters or wetlands by runoff, drift manmade conveyance,
direct application, and direct discharge or through ditches not otherwise classified as
State waters."
D. Condition No. E11.13. a, b, and a of the General Permit AWG100000 states in part that
"The Permittee shall report by telephone to the appropriate Division Regional Office as
soon as possible, but in no case more than 24 hours following first knowledge of the
occurrence of any of the following events: a) any discharge to ditches, surface waters or
wetlands, b) any discharge that poses a serious threat to the environment or human safety
or health, e) failure of any component of the animal waste collection, treatment, storage
and land application system resulting in a discharge to surface waters or wetlands..."
E. On January 25, 2010, DWQ staff from the Fayetteville Regional Office received a
complaint indicating an ongoing discharge of animal waste. On January 26, 2010, DWQ

staff conducted a site visit and observed a discharge of wastewater at Godwin Farms from
a confinement house to an un -named tributary to the Great Coharie Creek and Swamp,
which are Class C waters of the State within the Cape Fear River Basin. DWQ staff
noticed that solid and liquid waste ponded behind the hog houses due to blockage of PVC
pipe used :;r cicar� out. The waste then flowed from the hog houses to the un -named
tributary to the Great Coharie Creek and Swamp.
F.` 'r ` Thomas Godwin had no valid permit for the above-described activity.
G. DWQ responded by issuing the facility a Notice of Intent to Enforce on February 16,
2010, for the referenced discharge violation and for failure to notify DWQ of the
discharge of waste water.
H. The cost to the State for the enforcement procedures in this matter totaled $2056.62.
Based upon the above Findings of Fact, I make the following:
II. CONCLUSIONS OF LAW.
A. Thomas Godwin is a "person" within the meaning of G.S. 143-215.6A pursuant to
G.S. 143-212(4).
B. A permit for an animal waste management system is required by G.S. 143-215.1
C. The unnamed tributary to the Great Coharie Creek and Swamp, constitutes waters of the
State within the meaning of G.S. 143-215.1 pursuant to G.S. 143-212(6).
D. The above-cited discharge of animal waste to waters of the State is a violation of
Condition 1.1 of General Permit AWG 100000.
E. The above-cited failure to report by telephone to the appropriate Regional Office as soon
as possible, but in no case more than 24 hours following first knowledge of a discharge of
animal waste to surface waters and wetlands is a violation of Condition No. M. 13.a, b.
and e. of General Permit AWG 100000.
F. Thomas Godwin may be assessed civil penalties in this matter pursuant to G.S. 143-
2156A(a)(2), which provides that a civil penalty of not more than twenty five thousand
dollars ($25,000.00) per violation may be assessed against a person who is required but
fails to apply for and secures a permit required by G.S. 143-215.1.
G. The State's enforcement costs in this matter may be assessed against Thomas Godwin
pursuant to G.S. 143-215.3(a)(9) and G.S. 143B -282.1(b)(8).
H. The Chief of the Aquifer Protection Section, Division of Water Quality, pursuant to
delegation provided by the Secretary of the Department of Environment and Natural
Resources and the Director of the Division of Water Quality, has the authority to assess
civil penalties in this matter.

Based upon the above Findings of Fact and Conclusions of Law, I make the following:
111. DECISION:
Accordingly, Thomas Godwin owner of Godwin Farms at the time of the noncompliance is
hereby assessed a civil penalty of:
as
$
Q'D
�o 0Z71?
$2076.62
lvr55-6. (�
for violating Condition No. 1.1 of the General Permit
AWG 100000 by discharging animal waste to waters of the State.
for violating Condition No. III.13a., b., and e. of the General
Permit AWG100000 by failing to report by telephone to the
appropriate Regional Office as soon as possible, but in no case
more than 24 hours following first knowledge of a discharge of
animal waste to surface waters and wetlands.
TOTAL CIVIL PENALTY
Enforcement Costs
TOTAL AMOUNT DUE
As required by G.S. 143-215.6A( c ), in determining the amount of penalty I have considered the factors
listed in G.S. 143B=282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to public health or to private
property resulting from the violations;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by -noncompliance;
(6) Whether the violation was committed willfully or intentionally,-
(7)
ntentionally;(7) The prior record of the violator in complying or failing to comply with programs
over which the Environmental Management Commission has regulatory authority;
(8) The cost to the State of the enforcement procedures.
94k
(D te) eodore L. Bush Jr., Chief
Aquifer Protection Section
Division of Water Quality

,rr
CDGN
Noah Carolina Department of Environment and Natural Resources
Division of Water Quality
Bevedy paves Perdue Coleen H. Sullins
GovemoT Director
November 10, 2010
CERTIFIED MAIL 7007 0220 0003 0155 8280
RETURN RECEIPT REQUESTED
Mr. Thomas H. Godwin
Godwin Farms
2475 Share Cake Road
Clinton, North Carolina 28328
Dear Mr. Godwin:
Dee Freeman
Secretary
RECEIVED
NOV 15 2010
DENR `FAYMEMLLE REGIONAL OFFICE
Subject: Request for Remission of Civil Penalty
Godwin Farms
Case No. DV -2010-0046
Permit Number AWS820725
Sampson County
In accordance with North Carolina General Statute 143-215.6A(f), the Director of the North Carolina Division
of Water Quality considered the information you submitted in support of your request for remission and'
remitted 51500.00 of the $4500.00 civil penalty assessment. The revised civil penalty is therefore a total
amount of 55056.62. which includes 52056.62 in investigative costs. A copy of the Director's decision is
attached.
Two options are available to you at this stage of the remission process:
1) You may pay the penalty.
If you decide to pay the penalty please make your check payable to the Department of Environment and
Natural Resources (DENR). Send the payment within thirty (30) calendar days of your receipt of this letter
to the attention of:
Miressa D. Garoma
NC DENR-DWQ — Aquifer Protection Section
Animal Feeding Operations unit
1636 Mail Service Center
Raleigh. North Carolina 27699-1636
M
1517 Mail Service Cerner, Palegli, North Caroi!na 27699-1617
Location- 512 N' Saiisoury St. raieip�. North Carolina 2760
?hons: 915-80--E3fi0'. FAX: [phone] Customer Service: 1-877-52V674E.
Inieme:: tiwnv n;;wateroualitv.oro
n ua! uppo tr nit, i F,Scma;iv=. Luon _rr, e;
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?v Orth Carotin a

Thomas Godwin
Case No. DV -2010-0046
Sampson County
Page 2 of 2
2) You may decide to have the Environmental Management Commission's (EMC) Committee on Civil
Penalty Remissions make the final decision on your remission request.
If payment is not received within 30 calendar days from your receipt of this letter, your request for
remission with supporting documents and the recommendation of the Director of the North Carolina
Division of Water Quality will be delivered to the Committee on Civil Penalty Remissions for final agency
decision.
If you or your representative would like to speak before the Committee, you must complete and return the
attached Request for Oral Presentation Form within thirty (30) calendar days of receipt of this letter. Send
the completed form to:
Miressa D. Garoma
NC DENR-DWQ — Aquifer Protection Section
Animal Feeding Operations Unit
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
The EMC Chairman will review the supporting documents and your request for an oral presentation (if you
make the request). If the Chairman determines that there is a compelling reason to require a presentation,
you will be notified of when and where you should appear. If a presentation is not required, the final
decision will be based upon the written record.
Please be advised that the EMC's Committee on Civil Penalty Remissions will make its remission
decision based on the original assessment amount. Therefore, the EMC may choose to uphold the
original penalty amount and offer no remissions, they may agree with the DWQ Director's remission
recommendation detailed above, or the penalty amount may be further remitted.
Thank you for your cooperation in this matter. If you have any questions, please contact Miressa D. Garoma at
[phone].
Sincerely,
W,�
Keith Larick, Supervisor
Animal Feeding Operations Unit
Attachments
cc: Art Barnhardt, Fayetteville Regional Office
Enforcement File #DV -2010-0046
APS Central Files

STATE OF NORTH CAROLINA
COUNTY OF SAMPSON
IN THE MATTER OF ASSESSMENT
OF CIVIL PENALTIES AGAINST:
THOMAS H. GODWIN
ENVIRONMENTAL MANAGEMENT COMMISSION
DWQ Case Number DV -2010-0046
REQUEST FOR ORAL PRESENTATION
I hereby request to make an oral presentation before the Environmental Management Commission's Committee On Civil Penalty
Remissions in the matter of the case noted above. In making this request. I assert that I understand all of the following statements:
• This request will be reviewed by the Chairman of the Environmental Management Commission and may be either granted or
denied.
• Making a presentation will require the presence of myself and/or my representative during a Committee meeting held in Raleigh.
North Carolina.
• My presentation will be limited to discussion of issues and information submitted in my original remission request, and because
no factual issues are in dispute, my presentation will be limited to five (5) minutes in length.
The North Carolina State Bar's Authorized Practice of Law Committee has ruled that the appearance in a representative capacity at
quasi-judicial hearings or proceedings is limited to lawyers who are active members of the bar. Proceedings before the Committee on
Remissions are quasi-judicial. You should consider how you intend to present your case to the Committee in light of the State Bar's
opinion and whether anyone will be speaking in a representative capacity for you or a business or governmental entity. If you or your
representative would like to speak before the Committee, you must complete and return this form within thirty (30) days of receipt of
this letter.
Depending on your status as an individual. corporation, partnership or municipality. the State Bars Opinion affects how you may
proceed with your oral presentation. See www.mbar.com/ethics. Authorized Practice Advisory Opinion 2006-1 and 2007 Formal
Ethics Opinion 3.
• if you are an individual or business owner and are granted an opportunity to make an oral presentation before the Committee.
then you do not need legal representation before the Committee, however, if you intend on having another individual speak
on your behalf regarding the factual situations. such as an expert. engineer or consultant. then you must also he present at the
meeting in order to avoid violating the State Bar's Opinion on the unauthorized practice of law.
•
If you are a comoration. partnership or municiyality and are granted an opportunity to make an oral presentation before the
Committee. then your representative must consider the recent State Bar's Opinion and could be considered practicing law
without a license if he or she is not a licensed attorney. Presentation of facts by non -lawyers is permissible.
If you choose to request an oral presentation, please make sure that signatures on the previously submitted Remission Request form
and this Oral Presentation Request form are: 1) for individuals and business owners, your own signature and 2) for corporations.
partnerships and municipalities. signed by individuals who would not violate the State Bar's Opinion on the unauthorized practice of
law.
Also, be advised that the Committee on Civil Penaltv Remissions may choose not to proceed with hearing your case if the
Committee is informed that a violation of the State Bar occurs.
This the day of 20
SIGNATURE
TITLE (President, Owner, etc.)
ADDRESS
TELEPHONE

DIVISION OF WATER QUALITY
CIVIL PENALTY REMISSION FACTORS
Case Number: DV -2010-0046 Region: Fayetteville Count}: Sampson
Assessed Entitv: Thomas H. Godwin Permit: AWS820225
❑ (a) Whether one or more of the civil penalty assessment factors were wrongly applied to the
detriment of the petitioner:
❑ (b) Whether the violator promptly abated continuing environmental damage resulting from
the violation:
® (c) Whether the violation was inadvertent or a result of an accident:
Agree with the permittee the blockage of the waste system was accidental; the failure to report
noncompliance (discharge) per the permit was a poor choice, this was the willful aspect of the violation.
® (d) Whether the violator had been assessed civil penalties for any previous violations:
Agree. No past civil penalties.
® (e) Whether payment of the civil penalty will prevent payment for the remaining necessary
remedial actions:
Agree the Permittee 's Family has had much personal tragedy, recentll>, and those things do affect
_financial resources. The Regional office does not knms to what extent however.
DECISION (Check One)
Request Denied ❑
Full Remission ❑ Retain Enforcement Costs? Yes ❑ No ❑
Partial RemissionErS l ,�-0 G (Enter Amount Remitted)
J7- Coleen H. Sullins ate
tev 1.0 - 6..? 1.09

Incident Type: Complaint
Category: APS -Animal
Incident Started: 04/12/2010
County: Bladen
City:
Farm #:
Responsible Party:
Owner,
Permit:
Facility:
First Name:
Middle Name:
Last Name:
Address
City/State/Zip:
Phone:
Incident Report
Report Number: 201001417
Material Category: Estimated Qty: UOM
0
On -Site Contact:
First/Mid/Last Name:
Company Name:
Phone:
Pager[Mobile Phone:
/
Reported By:
First/Mid/Last Name:
Kenneth Rhodie
Company Name:
Address:
PO Box 2111
315 Private Rd
City/State/Zip:
Elizabethtown NC 11111
Phone:
[phone]
Pager/Mobile Phone:
1
Chemical Name Reportable Qty. lbs. Reportable Qty. kgs.
DD:MM:SS Decimal position Method:
Latitude: Position Accuracy:
Longitude: Position Datum:
Location of Incident: In Farm field beside residence. Off Hwy 242, down Private Road,
Address: 315 Private Rd
Clty/State2ip Elizabethtown IAC ]]I][
Report Created 04/13/10 11:34 AM Page I

Cause/Observation:
Lagoon sludge from hog being applied to a farm field beside his
residence. Sludge was applied at 48 feet from his well. Bill
Todd to tolled water sample, Ricky Revels to assign someone
to investigate sludge application. tteport that sludge was from
Steve Campbell Farm
Action Taken:
Incident Questions:
Directions:
Comments:
Did the Material reach the Surface Water? Unknown Conveyance
Surface Water Name?
Did the Spill result in a Fish Kill? unknown Estimated Number of fish?
If the Spill was from a storage tank indicate type.
Containment? Unknown
Cleanup Complete? Unknown
Water Supply Wells within 1500ft : Yes
Event Type
Incident closed
Requested Additional Information
Report Entered
Referred to Regional Office - Primary Contact
Event Date
2010-04-13 11:31:10
2010-04-13 11:30:00
(Above Ground or Under Ground)
Groundwater Impacted : Unknown
Due Date Comment
Report Created 04/13/10 11:34 AM Page 2

Report Received
Incident Start
Standard Agencies Notified:
Agency Name Phone
Other Agencies Notified:
Agency Name Phone
DWO Information:
Report Taken By:
Stephen A Barnhardt
2010-04-13 11:15:00
2010-04-12 09:00:00
First Name M.I. Last Name Contact Date
First Name M.I. Last Name Contact Date
Report Entered By: Regional Contact:
Stephen A Barnhardt Ricky Revels
Phone:
Date/Time: 2010-04-13 11:15:00 AM 2010-04-13 11:31:10 AM 2010-04-13 11:30:00 AM
Referred Via: Phone
Did DWQ request an additional written report?
If yes, What additional information is needed?
Report Created 04/13/10 11:34 AM Page 3

CEN
Wirth larokina Depar mani of =nvironmen and Natural Resburees
Divisio-,i of A,atarQuality
Beveriy gave Perdue '✓oleen .ulii-s
nv�rncr Director
Mr. Thomas H. Godwin
Godwin Farms
2475 Share Cake Road
Clinton, North Carolina 28328
SUBJECT
Dear Mr. Godwin:
December 7. 2010 RECEIVED
DEC 0 9 2010
Dee =ragman
Secreiar v
DENR-FAyETTEVILLE REGIONAL OFFICE
Payment Schedule for Civil Penalty
Case DV -2010-0046
Farm 9 82-225
.]Sampson County
You have requested a schedule for making partial payments -toward the S50-56.62 civil
penalty that was assessed by the Division of Water Quality (DWQ) on August 9. 2010. The
Division is agreeable to a monthly payment schedule beginning on January 1, 2011 and
continuina to December 1. 2011. There are Eleven (11) payments of Four Hundred Twenty One
Dollars and Thirty El,—,ht Cents (S421.38) to be made once every month and one (1) payment of
Four Hundred Twenty One Dollars and Forty Four Cents(S421.44) as indicated on the attached
schedule.
Please si`m the attached payment schedule and send it back with your first payment. Make a
copy of the payment schedule for your records. Please make the payments by check payable to
the Department of Environment and Natural Resources and mail them so they are received by the
1st of each month.
Failure to make the monthly payments in accordance with this schedule will cause the entire
unpaid balance of the civil penalty to be due and payable and subject to collection through a civil
action in the superior court.
Mail your payments to the address shown on the next page to make sure that they are
properly recorded:
ICS= ;-rli:�� ..?NIC. v'�13"_: r"'i�'!;'f� �<-;;iii3 �.BfDi`iiViV �!���-�i6�G r)•^,C j�I a
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GII�•-, � � .;_r' �f � �. —, f �3c.- .-.i �, r1C-+ I:i�U�}YA 1 C!!Si'?iT3F' S�rYIC@' i L�, i-v'«-�i �` � y- t�Y;•l G: ��
I'l?EIT•�'. "NJ flefnLj.q f",Y

Mr. Thomas Godwin
December 7. _'010
Page'_'
Miressa Garorna
DWQ
l Ce, ir•P (enter
Raleigh, NC 27699-1636
If you have any questions, please call Miressa Garoma at [phone].
Sincerely,
W- 2 0 e 1-12,
Por Coleen H. Sullins
Attachments
cc: Art Barnhardt; Fayetteville APS Regional Supervisor w/ attachments
File 4 DV -2010-0046 w/ attachments
APS Central Files w/ attachments

CIVIL PENALTY ASSESSMENT PAYMENT SCHEDULE
Thomas Godwin
CASE # DV -2010-0046
FARM OR PERMIT # 82-225
On August 9. 2010. the Division of Water Quality (DWQ) issued a civil penalty assessment in the
amount of 55056.62, including 52056.62 in investia-ative costs, against Mr. Thomas Godwin for permit
condition violations. In order to resolve this matter. DWQ and Mr. Thomas Godwin have aneed to enter
into a payment schedule.
Mr. Thomas Godwin agrees to pay the civil assessment of 85056.62 according to the schedule
below as full settlement of Case No. DV -2010-0046.
Mr. Thomas Godwin understands that anv default in payment or failure to submit payment. by the
day of the month in which payment is due will result in the immediate referral of this case to the Attorney
General's Office for collection through the courts. Mr. Thomas Godwin also acknowledges that DWQ
reserves the right to take enforcement action for future violations within its authority should they occur.
PAYMENT AMOUNT
DATE DUE DATE PAID
S 421.44
1/1/2011
S 421.38
2/1/2011
S 421.38
3!1/2011
S 421.38
4/1/2011
S 421.38
5/1/2011
S 421.38
6/1/2011
S 421.38
7/1/2011
S 421.38
8/1/2011
S 421.38
9/1/2011
S 421.38
10/1/2011
S 421.38
11/1/2011
S 421.38
12/1/2011
S 5056.62
Payments should be by check payable to "NCDENR" and should be mailed to:
Mr. Miressa Garoma
DWQ
1636 Mail Service Center
Ralei--h, NC 27699-1636
NAME
Coleen H. Sullins
Director, Division of Water Quality
Date
Date

z
3�S��ra
CEN
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
February 16, 2010
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Thomas 14- Godwin
2476 Share Cake Rd.
Clinton, North Carolina 28328
Subject: NOTICE OF VIOLATIONINOTICE OF INTENT/ NOV-2010-DV-0063
Administrative Code 15A NCAC 2T . 13 04
Godwin Farms Facility No. 82-225, Permit No. AWS820225
Sampson County
Dear Mr. Godwin:
On January 26, 2010, staff of the NC Division of Water Quality (DWQ), Aquifer Protection
Section (APS), inspected the Godwin Farms and the permitted waste disposal system. We wish to
thank Mr. Tommy Godwin who was present and assisted during the inspection.
As a result of this inspection, you are hereby notified that, having been permitted to have a non -
discharge permit for the subject animal waste disposal system pursuant to 15A NCAC 2T .1304,
you have been found to be in violation of your permit as follows:
Violation 1:
Discharge of animal waste to surface waters and/or wetlands as prohibited by your facility's permit
(Permit No. AWS090045 Section 1 1) -
On January 26, 2010 it was documented that your waste collection, treatment, and storage system
was currently discharging waste from the clean out pipes at the back of the hog houses. The waste
had ponded and was entering the freshwater drainage system. The manmade conveyance
discharged the waste into the woods and it flowed into an unnamed tributary to the Great Cohaire.
During an upstream investigation it was documented that a 4 inch pipe that transfers waste to a
hydrant in your application field was installed above ground. Evidence of pieces of cut pipe
suggested that a repair had been made to the pipe. No record of this has been reported to the DWQ.
The DWQ staff is concerned that the exposed pipe is not secure and exposed to the elements also .
that it crosses a blue line stream.
AQUIFER PROTECTEON SECTION
225 Green St., Ste. 714
Fayetteville, North Carolina 23301
Phone: [phone] FAX - 910-486-07071 Customer Service: 1-877-623.6748
Internet: www.h20.enr.state.nc.us
An Equal Opportunity 1 Affirmative Action Employer
One
NofthCarolina
Naturally

Mr. Godwin
February 16, 2010
Page 2
Required Corrective action for Violation 1:
If you have not already done so, immediately contain waste and prevent it from entering the fresh
water drainage system. Recover all waste and return to your lagoon. Clear blockage from transfer
pipe from the hog houses to your lagoon. Repair any part of your waste management system that
causes or contributes to the described violation above and take all necessary steps to insure this
violation does not reoccur.
Provide documentation that your irrigation system was designed and meets irrigation standards for
your farm. Provide documentation that the exposed pipe is secure and can be inspected during
irrigation events.
Violation 2:
Failure to notify Division of Water Quality of a discharge of waste that reaches surface waters or
wetlands within 24 hours (Permit No. AWS820225Section III 13a and b)
Your permit specifically requires notification by telephone within 24 hours and a written report
within 5 calendar days following first knowledge of the occurrence of a reportable permit
condition. The Division of Water Quality has no record of receiving the 24-hour notification or the
5 day written report.
Required Corrective Action for Violation 2:
In the future, please notify the Division of Water Quality of the occurrence of any reportable events
in accordance with your permit.
The Division of Water Quality requests that, in addition to the specified corrective action above,
please submit the following items on or before March 30, 2010:
Copies of all the pumping records, lagoon levels, rainfall records and waste analyses for this farm
from January 1, 2009 to the present along with a copy of your CA WAP.
An explanation from the OIC for this farm regarding how this violation occurred.
A list from the OIC concerning the steps that will be taken to prevent this violation from occurring
in the future.
You are required to take any necessary action to correct the above violations on or before
March 30, 2010 and to provide a written response to this Notice by March 30, 2010. Please
include in your response all corrective actions already taken and a schedule for completion of any
corrective actions not addressed.
As a result of the violations in this Notice, this office is considering a recommendation for a civil
penalty assessment to the Director of the Division. If you wish to present an explanation for. the
violations cited, or if you believe there are other factors, which should be considered, please send
such information to me in writing within ten (10) days following receipt of this letter. Your

Mr. Godwin
February] 6, 2010
Page 3
response will be reviewed, and, if an enforcement action is still deemed appropriate, it will be
forwarded to the Director and included for consideration.
Failure to comply with conditions in a permit may result in a recommendation of enforcement
action, to the Director of the Division of Water Quality who may issue a civil penalty assessment
of not more that twenty-five thousand ($25,000) dollars against any "person" who violates or fails
to act in accordance with the terms, conditions, or requirements of a permit under authority of G.S.
143-215.6A.
If you have any questions concerning this Notice, please contact Steve Guyton or me at (910) 433-
3300.
Sincerely,
Art 13ar dt
Environmental Program Supervisor
cc: Keith Larick CAFO Unit
Glenn Clifton Prestage Farms Inc.
Danny Edwards FRO S&WC
k,. -FRO AP files

North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Cofeen H, Sullins
Governor Director
February 16, 2010
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Thomas H. Godwin
2476 Share Cake Rd,
Clinton, North Carolina 28328
Subject: NOTICE OF VIOLATIONINOTICE OF INTENT/ NOV-2010-DV-0063
Administrative Code 15A NCAC 2T -1304
Godwin Farms Facility No. 82-225, Permit No. AWS820225
Sampson County
Dear Mr. Godwin:
Dee Freeman
.Secretary
On January 26, 2010, staff of the NC -Division of Water Quality (DWQ), Aquifer Protection
Section (APS), inspected the Godwin Fauns and the permitted waste disposal system_ We swish to
thank Mr. Tommy Godwin who was present and assisted during the inspection.
As a result of this inspection, you are hereby notified that, having been permitted to have a non -
discharge permit for the subject animal waste disposal system pursuant to 15A NCAC 2T .1304,
you have been found to be in violation of your permit as follows:
Violation 1:
Discharge of animal waste to surface waters and/or .wetlands as prohibited by your facility's permit
(Permit No. AWS090045 Section 1 1).
On January 26, 2010 it was documented that your waste collection, treatment, and storage system
was currently discharging waste from the clean out pipes at the back of the hog houses. The waste
had ponded and was entering the freshwater drainage system. The manmade conveyance
discharged the waste into the woods and itbowed into an unnamed tributary to the Great Coliaire.
During an upstream investigation it was documented that a 4 inch pipe that transfers waste to a
hydrant in your application field was installed above ground. Evidence of pieces of cut pipe
suggested that a repair had been made to the pipe. No record of this has been reported to the DWQ.
The DWQ staff is concerned that the exposed pipe is not secure and exposed to the elements also
that it crosses a blue line stream.
AQUIFER PPOTECTION SECTION
225 Green St., Ste. 714
FaWteville, North Carolina 23301
Phone: 930-433-"x3001 FAX [phone] Customer Selvlce 1-877-623-6748
Internet: w%vw.h20.enr.state.nc.us
An Equal Opportunity 4 Affirmative Action Employer
0nc
North Carolina

Mr. Godwin
February 16. 2010
Page 2
Required Corrective action for Violation 1:
If you have not already done so, immediately contain waste and prevent it from entering the fresh
water drainage system. Recover all waste and return to your lagoon. Clear blockage from transfer
pipe from the hog houses to your lagoon. Repair any part of your waste management system that
causes or contributes to the described violation above and take all necessary steps to insure this
violation does not reoccur.
Provide documentation that your irrigation system was designed and meets irrigation standards for
your farm. Provide documentation that the exposed pipe is secure and can be inspected during
irrigation events.
Violation 2:
Failure to notify Division of Water Quality of a discharge of waste that reaches surface waters or
wetlands within 24 hours (Permit No. AWS820225Section III 13a and b)
Your permit specifically requires notification by telephone within 24 hours and a written report
within 5 calendar days following first knowledge of the occurrence of a reportable permit
condition. The Division of Water Quality has no record of receiving the 24-hour notification or the
5 day written report.
Required Corrective Action for Violation 2:
In the future, please notify the Division of Water Quality of the occurrence of any reportable events
in accordance with your permit.
The Division of Water Quality requests that, in addition to the specified corrective action above;
please submit the following items on or before March 30, 2010:
I. Copies of all the pumping records, lagoon levels, rainfall records and waste analyses for this farm
from January 1, 2009 to the present along with a copy of your CA 1 f'W.
2. An explanation from the OlC for this farm regarding how this violation occurred.
3, A list from the OIC concerning the steps that will be taken to prevent this violation from occurring
in the future.
You are required to take any necessary action to correct the above violations on or before
March 30, 2010 and to provide a written response to this Notice by March 30, 2010. Please
include in your response all corrective actions already taken and a schedule for completion of any
corrective actions not addressed.
As a result of the violations in this Notice, this office is considering a recommendation for a civil
penalty assessment to the Director of the Division. If you wish to present an explanation for.the
violations cited, or if you believe there are other factors, which should be considered, please send
such information to me in 'writing within ten (10) days following receipt of this letter. Your

NIr. Godwin
February] 6,. 2010
Page 3
response will be reviewed, and, if an enforcement action is still deemed appropriate, it will be
forwarded to the Director and included for consideration.
Failure to comply with conditions in a permit may result in a recommendation of enforcement
action, to the Director of the Division of Water Quality who may issue a civil penalty assessment
of not more that twenty-five thousand ($25,000) dollars against any "person'" who violates or fails
to act in accordance with the terms, conditions, or requirements of a permit under authority of G.S.
143-215.6.A.
If you have any questions concerning this Notice, please contact Steve Guy -ton or zne at (910) 433-
3300.
Sincerely,
Art Bar[ft
Environmental Program Supervisor
cc: Keith Larick CAFO Unit
Glenn Clifton Prestage Farms Inc.
Danny Edwards FRO S&WC
v -FRO AP files

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D. Is delivery addn�ss ditferen
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MR. THOMAS 1-E. GODWIN
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2476 SHARES CAKE RD.
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CLINTON, NC 28328
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r
March 26, 2010
Art Barnhardt
Environmental Program Supervisor
225 Green St., Suite 714
Fayetteville NC 28301
Subject: Notice of Violation/Notice of Intent/NOV-2010-DV-0063
Godwin Farms Facility No. 82-225
Sampson County
Dear Mr. Barnhardt:
This is a letter in response to the letter I received dated February 16, 2010.
Violation 1:
RECEIVE
#At 2 9 2011
DpM_FAyiTif MLLEREGIGNALUME
The discharge as documented on January 26 was caused by a blockage in the discharge pipe going into the
lagoon. One of my employees did not notify me of the problem, so I did not know about the problem until Mr.
Guy -ton during an inspection found the discharge entering a freshwater drainage system. The wastewater was
contained soon as possible by building a berm at the culvert to prevent any farther wastewater from leaving the
site. Most of the solids were returned to the lagoon. The blockage in the discharge pipe from the houses to the
lagoon has been cleared and is flowing into the lagoon as planned.
The broken pieces of pipe found in the woods during the inspection was due to a repair done after a survey crew
damage the pipe with a bush ax. I felt that the damage to the pipe could cause a problem in the future so I cut
the damaged area out and repaired it. I feel the pipe is secure and can be inspected during irrigation events. The
irrigation pipe has an inline shut-off value that separates one irrigation system from another system that we
have. The OIC or the backup OIC is always on site during an irrigation event.
Farm 1-4 was constructed in 1990 and Farm 5-8 was constructed in 1995. To the best of my knowledge an
irrigation system design was not required at this time. An updated wettable acre determination was done in
2009 by Glenn Clifton Technical Specialist with Prestage Farms and is part of the CAWMP.
Violation 2:
Since I did not know about the discharge until Mr. Guyton from DWQ found it during an inspection, I did not
need to notify DWQ of the discharge or a written notification with in 5 calendar days to DWQ.
I hope in the future that a violation of my permit does not happen again. If it does I will call DWQ within 24
hours and have a written report to DWQ within 5 calendar days as required by my permit.
The following are actions I plan to take to prevent this violation from happening in the future.
Convey to my employees the violations that can happen on a hog farm and to notify me
immediately if something like this happens in the future.
Install a gate value at each freshwater discharge pipe so it can be closed to prevent a discharge from
leaving the farm site if an accidental discharge takes place at anytime in the future.
Enclosed are copies of the pumping records, lagoon levels, rainfall records, and waste analysis for this farm from
January 1, 2009 to the present along with a copy of the CAWMP.
I take hog farming and the rules and regulation that are required in my permit to raise pig seriously. I try my best
to do a good job when irrigating and other routine jobs around a hog operation to prevent any environmental
problems from occurring, but sometimes accidents do happen and this is one of those times. In the future I will
do my best to prevent this from happening again, and if it does I will do what is required by my permit.

If you have any questions concerning this matter, please call me at 910-596-7052
Sincerely,
�),— �, )��
Thomas H. Godwin

O'INrvts164 of Water Quality `
Facility Number- f'' ,0 Division of Soil and Water Conservation
d Other Agency
. .. '. ,: �� , ::- .. .. .•.,: ...._.,_.. ... -:rte ......,._ .... :. �
Type of Visit Compliance Inspection O Operation Review Structure Evaluation O Technical Assistance
Reason for Visit O Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
,- `.
County: � ': ,�-k R !>~ �D
Date of F'isit: f;' �'' ,% 'Arrival Time: ,�.� `'Departure Time: �_' �• Region:
/: f,
1%arm \`ame: Sr.. -. - r r?F' /r�� Owner Entail: —_
r
Owner Name: ��_ -? r,�- a (� " ij Phone:
;Mailing :Address:
Phvsical Address:
I'acillt_V Contact: 'I-�' �-''Ar'�- r --_'i,. d.` `v Title: Phone No-,
Onsite itepresentative: T �! i��i+cls f`r r�,i rll; ' ; _ - integrator:
J^
('criifietl Opers+tor: "„�.r, ; : "� Operator Certification\umber:
Back-up Operator: Back-up Certiti"tion Number:
I.ocatinu of Farm: Latitude: ❑o �_ ❑u Longitude-.
=0=1 u
Swine
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Wean to Finish 10 Layer
❑ Wean to Feeder 10 Non -Layer
[� Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
Dry Poultry
Other
s
Poults
Discharges &C -Stream impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field R other
a" Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑ Dair3i Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cowl
Number of Structures: u--1
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 manages}est 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 []No ❑NA ❑ NE
® Yes
❑ No
❑ NA-
❑ NE
®Yes
❑No
DNA
EINE
C'i<
C&Yes
❑ No
❑ NA
❑ NE
❑ Yes
Q No
❑ NA
❑ NE
❑ Yes
[Z No
❑ NA
[:INE
12/28/04 Continued

Facility Number: Date of Inspection r•�h- " ;'i °="'
❑ Yes
❑ No
Waste Collection & Treatment
&4 NE
15. Does the receiving crop and/or land application site need improvement?
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
Yes
L*No ❑ NA EINE
a. If yes, is waste level into the structural freeboard?
❑ Yes
�4No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure .1
Structure
4; Siructur�2 6
Identifier:
❑ No
❑ NA
Spillway?:
18. Is there a lack of properly operating waste application equipment?
❑ Yes
Designed Freeboard {in):
❑ NA
59 NE
Obsmed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ yes
'V 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
JQ No ❑ NA ❑ NE
through a waste management or closure pian?
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?
D Yes
€❑r No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
[ANo [INA ❑ 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
El No El NA El NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
❑ No ❑ NA N
maintenance/improvement?
-NE
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
❑ No ❑ NA 5.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 Drifi ❑ 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
❑ No
❑ NA
&4 NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ No
❑ NA
5-4 NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination't D yes
!-1 No
❑ NA
INE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
❑ NA
�E
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ NA
59 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):
r i�•—l�jy ��,.. t� ` t� � - .. 'i--%;^:.r..-�> � � ,. __ et_��,r�'--_r'�=r-�,f.. L/1���y- •'. � �r'��� ri �-r�cu�--.-t'tt�
/4T?
`�"i✓,}'i`.�: i� ��:T/fi.'-2 � /..��� � fr�i.: ,.I y- /�. ":�.-�. L��
�
}�;.�:
�»i rl'� '7-4;
s �' �` r' - � �< -� . ' � �- � -T.1 �"'•- 1.-s -,-�. �'�:� �.� ,
Reviewer/Ins ector dame <
Reviewer/Inspector Phone:
T
r�L.
Reviewer/Inspector Signature: Date:
12/28/04 Continued

Facility Number: ,fes Date of Inspection:
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ❑ No ❑ NA R] NE
20. Does the facility fail to have all components of the CAWMP readily available? Ifyes,'check ❑ Yes ❑ No ❑ NA &.NE
the appropriate box. ❑ WIp ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA R3 -NE
❑ Waste Application ❑ Weekly freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I " Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
❑ NA
Q NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
❑ NA
ERNE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NA
[21 -NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ No
❑ NA
3 -NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
❑ No
❑ NA
GINE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
❑ NA
51NE
Other Issues
1..t..-��-� 1yi�'. C--z:.�r.�«-:-._. t_f-,�sr�- .f�,�,4��t- y�,�t•�-��-
28,
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
IRNo
❑ NA
El NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
fO NE
i� c• C' i. , 11 i, �' k : 1 % ,
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
r--' 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
10 Yes
❑ 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
Q No
❑ NA
❑ NE
33_
Does facility require a follow-up visit by same agency?
0 -Yes
❑ No
❑ NA
❑ NE
Ad�dtti a I�Cvxim nk��ar Dra ags.=- -- _
.�_
7"j-,
,�^p � T•v tl_Oslel
74:1 7-
f
p4
Vii' li;%, (-'. tL f, .., : t. kr. ;
f; ; ter,-.�� t: ; _✓l r4
1..t..-��-� 1yi�'. C--z:.�r.�«-:-._. t_f-,�sr�- .f�,�,4��t- y�,�t•�-��-
�<�<<,� .�;-.'�. -i- Lx�r�rr[:�,,;��.:.�
�
,�:
!��
♦. • ` G f-' i~� ` � / � .� / r e-- ���r ! , 1 f � � � j'1 4 !-���i -I L" I"l 4 {._�.
�.
� � �� l , "c i � f :. � `:
i� c• C' i. , 11 i, �' k : 1 % ,
1" -'l (A '= �-__. C
' '-
22/28/04

in
I`
ti
�W�ra -T-v—oo(,3
%rinvts n wster Q lity lr
- - �o orua
Facility'Number: Q Division of Soil and Water Conservat:oa �� 3 ��
Other Age:ecy
r
Type of Visit Compliance Inspection 0 Operation Review 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: ArrivalTime: D eparture'l'irne: �,-- County: �`— Region: ��
�j t� :J
Farm Name: ��i?1Ci1t ' "ti --t�GfrS _ Owner Email:
Owner Name-. I A➢vYt rrr.�.! __ U.) � "` _ Phone:
Mailing Address:
Physical Address:
Facility Contact: ORA UJ I '~' Title:
Onsite Representalivc: `dm'g:;�Vd
jj11
Certified Operator: �!' _ _ _ l� j 1.1-)
Back-up Operator:
Locatimt of Darn:
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:
Integrator:,,�l��rh/ rtir�
Operator Certificalion Number:
Back-up Certification Number:
Latitude: ❑o �❑u Longitude: =o ❑1 ❑u
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
❑Non -La er
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey l oults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field D4Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑ Dai Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Coyd
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 ❑ No ❑ NA ❑ NE
® Yes
❑ No
❑ NA
❑ NE
® Yes
❑ No
❑ NA
❑ NE
av
(,Yes
❑ No
❑ NA
❑ NE
❑ Yes
®,No
[:INA
❑NE'
❑ Yes
W No
❑ NA
❑ NE
12/28/04 Continued

Facility Number: — Date of Inspection
'A'este Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? XYes No NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes �4No ❑ NA ❑ NE
Structure i Stnicture 2 Stnicture ? Sinicture 4 Structure ; Structure 6
Identifier:
Spillway?:
❑ No
a
Designed Freeboard (in): 1
F4NE
Observed Freeboard (in): 12 /(.0
❑ No
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
$�g No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
❑ No
6. Are there structures on-site which are not properly addressed and/or managed Q Yes
Rj No ❑ NA ❑ NE
through a waste management or closure plan?
❑ No
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
ES No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes
E9 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 ryes
❑ No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
❑ No ❑ NA aNE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes
❑ No ❑ NA 5Z -NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 101bs ❑ Total Phosphorus [:]Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidenceof Wind Drifl ❑ 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
❑ No ❑ NA 54 NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes
❑ No
❑ NA
F4NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination', E] Yes
❑ No
❑ NA
®.NE
17. Does the facility lack adequate acreage for land application? ❑ Yes
❑ No
[INA
O -NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes
❑ No
❑ NA
9 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):
1 ' ` kz v
AR c, k,4. K p ! +40 use
ra, " �13ar �V Z"^ �' �'8 _ L, L r O"+
p i�r �r�f �
to Ta4t
'T-�
s
<< r�
ewer/Inspector Name ri•-✓ �_ �
Phone: 219-x/33—,-53a
ERevviewer/InspectorSignature:
Date: I" (o O
12aVO4 Continued

Facility Number: — Date of Inspection
Required 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. ❑ W ­Up ❑ Checklists
❑ Design ❑Maps ❑Other
❑ Yes ❑ No ❑ NA 0 NE
❑ Yes ❑ No ❑ NA RNE
21 . Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA �5NE
❑ 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?
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? (ic/ 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?
❑ Yes
❑ No
❑ NA
91 NE
❑ Yes
❑ No
❑ NA
E�NE
❑ Yes
❑ No
❑ NA
[25 -NE
❑ Yes
❑ No
❑ NA
R!�NE
❑ Yes
❑ No
❑ NA
RNE
❑ Yes
❑ No
❑ NA
5?NE
❑ Yes
JHNo
❑ NA
[JNE
❑ Yes
❑ No
❑ NA
W NE
❑ Yes
;K No
❑ NA
❑ NE
19 Yes
❑ No
❑ NA
❑ NE
❑ Yes
0 No
❑ NA
❑ NE
V[Yes
❑ No
❑ NA
❑ NE
A�d�ditional Cotsandla'�D„y swings:
/i'lr, 6t�cur� �o'T-��a�l �D[7�•o�l�/ss7�r.
Y� 't Lath a re
41,->
&0,73 d,- O 1`
qO 3 havl Yt'rl lfl p YtL�
jam" �;SC w-Pip5 N�'r-� -T-0 />r u of 4 J 74, /-,,)7-c, d- e-0; C 7
„L 1-14j rP0 / / 'el fid /7 /-7-t-,
ULt/oy�z:
f l��E � f�!' • �rD oU.cJ r � C 9 -rt �: "r Y d
1 D /`rBr.�f` �,c f,��r �� i � �r o� Sn�;�.-fi-rt7:�✓rte T� � a
W 0 ilow�-
12128104

Facility Num.6er x;
'4"ivision of Water Quality
TO
0 Division of Soil_ and Water.'[wonservapon -: -�' ."^
Type of Visit iwCompliance Inspection 0 Operation Review (Structure Evaluation 0 Technical Assistance
Reason for Visit O Routine O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Da le of Visit: f' �"�.� 'Arrival'I'ime: - � �L�r —bepartureTime: County:✓ff'� Revion: ! ��
f j }
L�
Farin Naine:�'�, r.;�> t t s L• v-t'+'ti-s Owner Finail•
Owner Narne: ! r ,�n ,.a ��L' ; ; Phone:
iMailing Address:
Physical Address:
r'
Facility Contact: Title: Phune No:
Onsite 11cpresentative: , rsJi"lcl� l=am : �;:�'. 1 Iniegralor:
Ce.r-tilied Operator: .:� Operator Certification Number:
Back-up Operator:
Location of learnt:
Swine
Back-up Certification 'Number:
Latitude: ❑O ❑` ❑u Longitude.: ❑0❑1 ❑µ
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Wean to Finish ❑ La er
❑ Wean to Feeder ❑ Non -Layer
® Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turke s
❑
Turkey Poults
❑ Other
Discharges & Stream impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field `R Other
a. Was the conveyance man-made?
b. Did the discharge reach %%aters of the State? (If yes, notify DWQ)
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Daig Calf
❑ Dairy Heifer
❑ D Cow
E]Non-Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co
c. What is the estimated volurne that reached waters of the State (gallons)?
Number of Structures:D
d. Does disc.har,',,e bypass the waste management system" (if yes, notify 17WQ)
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?
N Yes ❑ No ❑ NA ❑ NE
N Yes
❑ No
❑ NA
❑ NE
® Yes
❑ No
❑ NA
❑ NE
[Ayes
❑ No
❑ NA
❑ NE
❑ Yes
®.No
❑ NA
❑ NE
❑ Yes [� No ❑ NA ❑ NE
12/28/04 Continued

Facility Number: ;� _-. . -yam Date of Inspection
❑ Yes
❑ No
Waste Collection & Treatment
9 NE
15. Does the receiving crop and/or land application site need improvement?
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
XYes. 24No
❑ NA ❑ NE
a, if yes, is wade Eevel into t ^ "^t, raE freeboard?
❑Yes No
❑ NA ❑ NE
Structure l Structure 2 Structure ? 5triiCture .4
Structure
SEructurc 6
Identifier:
❑ No
❑ NA
Spillway?:
18. Is there a lack of properly operating waste application equipment?
❑ Yes
Designed Freeboard {int:
❑ NA
N NE
Observed Freeboard (in): _ ! J (✓
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes ",:4— 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 9 No
❑ NA ❑ NE
through a waste management or closure pian?
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 [j_4 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
D -Yes ❑ No
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes ❑ No
[l NA'_NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes ❑ No
❑ NA t�1_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
❑ No
❑ NA
9 NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ No
❑ NA
NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination' ❑ Yes
❑ No
❑ NA
[INE
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
❑ No
❑ NA
N NE
IComments (refer to question #): Explain any YES answers and/or any recommendations or any other comments. I
Use drawings of facility to better explain situations. (use additional pages as necessary):
•/ef,t'�i
i�.�.l LI ' r, �--T� :.r'_
' "^'✓�i"_"; I?r '[._
..
tel/F
Reviewer/Inspector Name �;,�,' Phone:1-1 !;'3 r C
Reviewer inspector Signature: Date:
11/28/04 Continued

Facility Number: � �_---�:�` Daie of ins ccti.m
p
1YWO2 Collection S Treatment
4. Is capacity storage ca
g p ty (structural plus storm storage plus heavy rainfall) less than adequate? XYeS 9No [DNA ONE
a. If ves, is waste level into the stnrc•tural frecboard? F-1 YesNo NA 1_j NE
Structure I Structurc 2 Sinrcturc 3 Structure •t Structure structure 6
ldentificr:
5pill"vay?:
f)esigrned Freeboard(in):jF
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes "vZ�g No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
❑ No
6. Are there structures on-site which are not properly addressed and/or managed ❑ Yes
Q No ❑ NA ❑ NE
through a waste management or closure plan?
El Yes
1f 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
f2-1 No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes
'L�;j No [ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
[I NA
9. Does any part of the waste management system other than the waste structures require �-yes
ID No ❑ NA C.J NE
maintenance or improvement?
❑ No
WasteApplication
G -NE
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
El No D. NA N_NE
nt aintenance/imp'rovement?
El NA
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes
❑ No ❑ NA —1A NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ 1-leavy 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 CAWW?
❑ Yes
❑ No
❑ NA
[�J NE
15. Does the receiving crop and/or land application site need improvement?
El Yes
Cj No
El NA
NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination-,[]
Yes
❑ No
[I NA
GONE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
❑ NA
G -NE
18. Is there a lack of properly operating waste application equipment?
[] Yes
[_] No
El NA
C 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):
r ,--
Reviewer/inspector Name �' _ -;T� Phone:
Reviewer/inspector Signature: i';! Date:
lliaaiu9 f—onnnuea

Facility Number: �i _ '� Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ❑ No ❑ NA 0 NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA RNE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA �aNE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ SoiI 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?
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?
2T 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? (ic/ 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?
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
E3NE
❑ Yes
❑ No
❑ NA
�E
❑ Yes
❑ No
❑ NA
VINE
❑ Yes
❑ No
❑ NA
9NE
❑ Yes
❑ No
❑ NA
RNE
❑ Yes IRNo ❑ NA UNE
❑ Yes ❑ No ❑ NA �0 NE
❑ Yes CR No ❑ NA ❑ NE
Yes ❑ No ❑ NA ❑ NE
❑ Yes
Jam' No
❑ NA
❑ NE
PI -Yes
❑ No
❑ NA
EINE
-
rA
dditIOi'. Rtme#t� aR[ilpi•. DWings:
ko;
,mac-
�
r„ -t ••s.
€ , -
f
r
14/.__1
jf1.1j �:L'1 fir' /-:� .' - ✓�
,=y
f ���- .tj`i,-,� '�'rf.y_-• _}�
I� /..J l -
Al
i i::' f �c'_�S�'i'� e•i'� j-�.
.� {
�l
Y
L
:.�l-� % '�^• �..'--5.,:'}t�v.,L'�'.y t�L."i•) - s.i..,'C=`?� i�' t•r-:.� (rt
.;i: :Jf• _ - - I-: t '
i>'� li�:� L.. ;.J-' '✓^'
s.. - •� �.� '�is(j'.
-i`7—'y'1.- / ._ s r.. ;•c _
✓js_-
J
.tzkey
12128104

Type of Visit (compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint @f"'llow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Dale of Visit: !� lA Arrival Time: )eparturc Time: 3. � v County: S���sp Region:
Farm Name: &adwl , Fa -;,,u - � Owner Email:
Owner Name: is2 6U9c/ ezl; L _ Phone:
Mailing Address:
Physical Address -
Facility Contact:Title:
Onsite Representative:
Certified Operator:
Buck -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:
Integrator:
Operator Certification Number:
Back -tip Certification 'Number:
Latitude:ED o 4 Lontiitude: �o - W
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑
Layer
❑ Non -La er
Dry Poultry
Other
Poults
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑
Dairy Heifer
❑
Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (I f ves, notify D WQ)
❑ 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)
k es
EgNo
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
S Yes
❑ No
❑ NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
❑ No
❑ NA
0 NE
other than from a discharge?
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 ❑ No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
9 No ❑ NA ❑ NE
Structure I Stnicture 2 Structure 3 Structure #
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
X 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
[9No ❑ 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
X No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
Yes
❑ No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
❑ No ❑ NA 2,NE
maintenance/improvement?
11. Is them evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
❑ No ❑ NA D�LNE
❑ 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 ❑ No ❑ NA 1Z NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ No ❑ NA CNE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination%❑ Yes []No ❑ NA ONE
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes ❑ No ❑ NA RNE
❑ Yes ❑ No ❑ NA ONE
Comments (refer to question ft 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):
Ak
�w Q S To —1b rk Ne -,!,,i, To Add rto `rA- Cl�. JFfD-�-. �STr�o�� y
Also -rook- rylar-r j �cfu!<S � %� Laces-{;�•��- DF�.c i�;SchQ�� r.
Letaaa� l�v�( A.6 jref j Vuc �.Tp �Gcm�;�� Tn-,c_'Pufs✓`!t'tcx+�,r !s 10 e- nr(touSr
WO -5 F"71 P -d o,-. y �sr�d� tfY �i ., Y s 7•U
Reviewer/Inspector Name v ,,, s „ Phone:
Reviewer/Inspector Signature: — Date: D 1 —,,2 7 610
12/28/04 Continued

Facility Number: K Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ❑ No [:INA 2NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA [3,NE
the appropriate box. ❑ wup ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA aNE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No ❑ NA [2fNE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA CO NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NA
[3 NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ No
❑ NA
[3 NE
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
EaNE
Other Issues
fr f I ;t S L
7 r h ; �-d� 7`� -� � ouy-c . � .5 �o v,c uJ� ...L g�,� 4x`1
.e u� 5Th c Pipes �a5 L'erA- /`qqallYf-J ar-r cam, rplj� sj;IL�
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
0 NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ 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 quality concern?
❑ Yes
B 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
0 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
K No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
Yes
❑ No
❑ NA
❑ NE
Addtbonal C_ andlor Drawn s
$r �� �ln� �'�ah ('i ot�c�% ✓ ; }� I-e-✓rlS tf 5%/rte.. mil vps r- u� S%/ roe—�—%
�
1
1 eV'.I',' J+ )V � e FiD�'�- f e COccJ /= rr� Y�� /''Sa Q q ;, L, . � 1tio�.r-
fr f I ;t S L
7 r h ; �-d� 7`� -� � ouy-c . � .5 �o v,c uJ� ...L g�,� 4x`1
.e u� 5Th c Pipes �a5 L'erA- /`qqallYf-J ar-r cam, rplj� sj;IL�
r
12/28/04

odi airs Discharge.
X20Great Cal^ar; ie Svvamr� ��
se # D -V-2010- 046
Downstream;Sarn�le.
- r
Stream'•Confluence
1 � '
1--s
-ZIP
- r

Discharge Calculation- AWS820225, Case DV -2010-0046
Slurry depth behind houses
Type
Field Estimate
Corrected (in)
Method of depth measurement
Slurry
6
5
The depth was measured by stepping into the
Slurry
4
3
middle of the slurry after recording the GPS
Slurry
3
2.5
position on the edge. At that time the assumed
Slurry
4
3
top of the foot part of the boot was 4 inches.
Slurry
3
2
After cleaning, the actual measurement was 3
Liquid
4
0.5
inches, so depth measurements were reduced
Liquid
2
0.5
accordingly.The count was doubled to include each
Slurry
4
3
edge measurement of zero.
Slurry
3
2
Slurry
4
3
Slurry
5
4
Slurry
4
3
Slurry
2
1.5
Assumptions and Conversions
Sum
Count
Doubled
Mean
Slurry Area from GPS
Slurry Volume
Gallons
Est. slurry solids
33
13
26
1.2692308 inches
0.1057692 feet
3131 sq ft
331.16346 cu ft
2477.1027 gal
10%
Est. waste 24771.027 gal
Benefit of doubt 16522.275 gal
Returned to lagoon 220.88603 gal
Off site, mostly down strean 16301.389 gal
Roundoff I 16,300 gal
12 inches = 1 foot
Measured on GIS
Volume = Area * depth
1cuft=7.48 gal
Estimate from NC extension website, see below
Slurry volume divided by 10 %
Figure reduced by 1/3, see below
Assumed 100% slurry clean up by producer
Estimated volume minus cleanup
http://www.extension.org/pages/Slurry_Manure_Collection_and_Hand[ing_Systems
GPS receivers of this type may not have good accuracy for skinny widths and it was evidently
having some problems with signal bounce, probably from the trees and metal pig houses.
However, I recorded multiple readings per point (usually 10) and used a filter to weed out the
worst signals.The mapped slurry polygon was reasonable with respect to the photo and
memory. The website listed slurry as 5-15% solids, so a mid range figure of 10% was used. It was
also an assumption that it was slurry, but it seemed thicker than lagoon sludge pumpout
(-6% solids) and thinner than "solids" (>15% solids). This estimated off site volume is probably
low since it does not cover a thin layer of solids that were smeared down the hill a distance of
130 feet between the berm and stream plus the solids that had already gone downstream
for three days before mapping.
Joan Schneier 2/12/2010

Report to:
GROUNDWATER SECTION
Page of
CHAIN OF CUSTODY (COC) RECORD
NC DENR/DWQ LABORATORY (check one): l2n CENTRAL Q I ARO fo I WaRO
For Investigation of: ANSSaoaay-
66 i
Incident No
Sample collector (print name)
St eve b"V-1
and GW-54 forms, completed by:
Sample collect is 1%inature:
Field storage conditions and location (when applicable):
1,Lab',Use Only.,
NUMBER
DATE
TIME
OF
SAMPLE ID
QUAD.
NO,
LOCATION
SAMPLED
SAMPLED
CONTAINERS
PlY
�S ;V4A 10
6) da
5-
lueA to
-
DO"
19) 1
DL
Lip
Relin ui hed by ign re):
Date
Time
eceived by si ature):Date
Time
AP--&-2 7
-a I-,x 2
Ir . C
eliSjuished$ aturO
Date
'rime
i
c d by (Si
'g t
Date
Time
0:
Q-51
11
&Pec6i'ved
R V fshed y Si t e):
Date
Time '
by (signa ure):
Date
Time
4,
Method of Shipment (check one): State CourierEl lland-deliveredW Federal ExpressD UPSI—) Other;
Scaled by:
Broken by:
Security Type and Conditions:
1A"
INTR ALARARATOuv ruA ix, nF ri jqi,niiv - i wh i i— tim.
--�'J:AB NUMBERS
NUMBER
ANALYSES
RELINQUISHED
RECEIVED,
TIME
M THROUGH i� 'HROUGH
BOT11ES
REQUESTED-
By:
BY:
J�w
F
_7
z
6
136
CA' -
-:7.
7
1
r
44"
QMR — FAY�l

COMMENTS:
as N 610
DIVISION OF WATER QUALITY
an N 625
/j J I
�yy
r i.F 71 S
Chemistry Laboratory Report! Water Quality[:]
SAMM TYPE
Lab Number
Alga Received
COUNTY
RIVER BASIN :
�B�
AMBIENT
QA
mgtL
f _
STREAM
Tuna Rocei
. J/
Received By
n
REPORT TO V I Regional Office
COMPLHANCE
® CHAIN OF CUSTODY
1100mE
LAKE INFLUENT
UwL
Other
EMERGENCY
VISIT ID
c.a,
ESTUARY
1100011
Calor. (pH) 83 H•
DataReleased
ed
COLLECTOR(S) :
A00011
�
C.U.
Residue: Total 500
MWL
Repo
Dae Reported
Estimoled 000 Range:
Volatile 505
Station Location:
Fluoride 951
u
Fixed 510
MOIL
Formeld e71880
MWL
Residue. SuVcniied 530
Seed: Chlorinated:
Greene and Oils 556
[�
Remarks:
Volatile 535
MWL
Station HJLacaHee Cede
bah Baffin !m
dd)
bale Eed (yylmm7dd)
Specific Cond. 95
Tim <BgFn
Time End
beplh- bM- bB, OBM
Vdoe Type -A, Hl. L
Campmit&T, S, B
Sample Type
Gl
MR(L
Phenols 32730
ug/L
Acidity to pI4 8.3435
MWL
Sulfate 945
Alkalinity to pH E.3 415
m8lL
Sulfide 745
nwL
Alkalinity to pH 4.5 410
COMMENTS:
as N 610
101 U1 I vj
an N 625
1ng1L
BOD 310
mWL
Chloride 940
oral,
COD Ho 340
MOIL
issolved as P 666
mgtL
COD Low 335
marl.
Chlorophyll a EPA 445.0 modified option
uyrL
Coliform: MF' Fecal 31616
1100mE
Pb• Lead 1051
UwL
Coliform: MF Tata! 31504
1100ml
Calor. True 80
c.a,
Coliform: tube Focal 31615
1100011
Calor. (pH) 83 H•
c.u.
Coliform. Fecal Step 31673
A00011
Color: P14 7,6 82
C.U.
Residue: Total 500
MWL
Cyanide 720
mg'L.
Volatile 505
u
Fluoride 951
u
Fixed 510
MOIL
Formeld e71880
MWL
Residue. SuVcniied 530
MWL
Greene and Oils 556
mgrL
Volatile 535
MWL
Hardness TOW 900
mall,
Fixed 540
nW'L
Specific Cond. 95
umhoslcm
pH 403
units
MBAS33260
rnWL
Acidity to pH 4.5 436
MR(L
Phenols 32730
ug/L
Acidity to pI4 8.3435
MWL
Sulfate 945
Alkalinity to pH E.3 415
m8lL
Sulfide 745
nwL
Alkalinity to pH 4.5 410
nwL
Borah
TOC 680
nig(L
Tannin & UMin
ulVL
Turbidity 76
NTLI
Hexavalent Chromium
uvfL—
Coliform Total Tube
/100 tTd
113warbonste
mwL
Carbonate
Total DL"olved Salida
ma(L
COMMENTS:
as N 610
vgrL
an N 625
1ng1L
lusNO3asN630
MWLotal
as P 665
F
as P 70507
ugrL
issolved as P 666
mgtL
K-Potamium
Cd- Cadmium 1027
Cr-MmrniumTotal 1034
mall.
up(L
u
Cu- Co 1042
UWL
Nr-Nciel 1067
UWL
Pb• Lead 1051
UwL
Zn- zinc 1092
uWL
V -Vanadium
u8/l,
Silver 1077
u
Al- Aluminum 1105
u
Be- B Ilium 1012
USPIL
Ca- Calcium 916
mail
Co- Cobalt 1037
u
Fe- Iron 1045
u
Mo -Mol bdenum
u
SMairmn
u
Sn-TIM
ug7-
71-Thallium
tili
Ti -Titanium
ugrL
EIW1631
ftwL
U -Lithium 1132
vgrL
h(tMagnesium927
-vL
1055
UWL
Na- Sodium 929
Armatc:Tota11002
ugrL
Se -Selenium 1147
ug`L
Macury 71900
u8'L
Ba -Barium
Otpr�blorino Pesticides
0glanophoylavrw Pesticides
Organonitrogen Pesticides
Acid Herbicides
BasdNeutxjd&Acid Extractable Organics
TPH Ditsct Funge
Pu le OTpnics JVOA battle
'd)
TPH Gasoline lunge
7PHSTEX Gasoline Range
Ph o lanldon
T eon arrival I C): `

IC
COUNTY M
RIVER BASIN:
t
REPORT TO L,r Reponal Office
Other p
COLLECTOR(S)
Estimated BOD Range:
DIVISION OF WATER QUALITY
Chemistry Laboratory Report / Water Quality
❑ Cl1�AP1 F TYRE
EfSi4RAY.
C) AMBIENT ❑ QA � STREAM EFFLUENT
�CONMIANCE [5a -CHAIN OF CUSTODY LAKE Cl INFLUENT
EMERGENCY VCin' 1D El ESTUARY ❑
O n/���ef
Station LocationD aw.�ie
: Y� ry
Seed: Chlorinated: Remarks:
Station Nn,acatioo Cadc Datte n (yy/mmldd) Date Ead (yylmmldd) Time Bevin Time End Depth - DM, DB, DBM Valeo Type - A. H, L
f_r� nG_ w._.r�._%__"_
A__or �1 _. r
BOD 710
COD Rio 340
tttgtl.
COD Law 335
C.U.
c.u.
Coliform MF Fecal 31616
Coliform: MF Total 31504
Coliform tube Fecal -3-1615
Coliform Fecal Strip 31673
/I OOmI
/100m1
/IOOmI
/IDOmI
Residur Total 500
rnwL
Volatile 505
Met
mw1.
Fixed 510
MOIL
Residue: Suspendvd 530
mgll.
Volatile 535
Fixed 540
nrglL
MWL
PH 403
units
Acidity to pH 4.5 436
mg'L
Acid to H 8.3 435
MYL
Alkalinity to PH 8.3 415
nv(L
Alkal ndy to PH 4.5 410
u
TOC 680
Md
Turbidity 76
Coliform Total Tube
NTU
/100 ml
Bicarbonate
MOIL
Carbonate
MA
Total Dissolved Solids
UWL
Sb -Antimony
ug+L
COMMENTS:
Chloride 940
Chlorophyll a EPA 445.0 modified option
mg'L
uWL
Color: True 80
Color. (PH) 83 PH.
C.U.
c.u.
Color: EH 7.6 82
c,u.
Cyanide 720
Fluoride 951
mglL
mg+L
FormalddVde 71880
Met
mw1.
Grease and Oils 556
n*L
Hardnas Tout 900
u
Specific Cond_ 95
umhos/cm
MBAS 38260
mglL
Phenols 32730
ugrl,
Sulfate 945
mg`L
Sulfide 745
mg'L
Baron
u
Tannin & Lw=ugrL
Hexavalent Chromium
uglL
Bicarbonate
MOIL
Carbonate
MA
Total Dissolved Solids
UWL
Sb -Antimony
ug+L
Sn-Tin
wot
Tl-'nfallium
uWL
NID in N 610
MWL
TKN an N 623
merL
NO2 plus NO3 as N 630
mWL
P: Total as P 663
MWL
PO4 as P 70507
P: Dissolved in P 666
Met
mw1.
K•Pot=um
nvfL
Cd-Caduuum 1027
u
Cr-ChmmiumTatal 1034
uWL
Cu- Copper 1042
uWL
Ni -Nickel 1067
Pb -Lead 1051
ug L.
u
Zn -Zinc 1092
u
V -Vanadium
ug7,
AS. Silver 1077
u
N• Aluminum 1105
fle,seryllium 1012
uWL
Ca- Calcium 916
mglL.
Co- Cobalt 1037
Fa- Iron 1045
vg9.
u
Mo.Malybdenum
UWL
Sb -Antimony
ug+L
Sn-Tin
wot
Tl-'nfallium
uWL
TrTaanium
u
Hg,1631
n
Lai 5� l to3
Data Reuivedl
Time Recaived .t
Received B�
Date Released :
Date Reported:
Cempudto-T, S, B I Sample
Li-LiNum 1132
ug%L
esium 927
Mn-Monstnese 1055
mWL
No- Sodium 929
Arsmic.Totsi 1002
UWL
Se. Selenium 1 147
Hg-Mercury71900
ag/L
Be-Bmium
uj(L
Orpprmchlorine Pesticides
Orpnophosphorus Pesticides
Organonitrogen Pesticides
Acid Herbtcida
BasdNetnml&Acid Extractable Organics
TPH Diesel Range
PurgeebleOrganira(VOA bottle
'd)
TPH Gasoline Range
TPHSTEX Gasoline Range
PhLtoplanktan
Temperature an arrival

17
COUNTY
RIVER BASIN : jo
f
REPORT TO (/ f Regional Office
Other
COLLECTOR(S)
Estimated BOD Range,
DIVISION OF WATER QUALMY
owl.
Chemistry Laboratory Report I Water Quality
0 SAMPLE TYPE
Eft1QRHX
AMBIENT Ej QA
1104.1
110011d
1100.1
STREAM DR -EFFLUENT
COMPLIANCE CHAIN OF CUSTODY
Residue: Suspended 530
LAKE n INFLUENT
EMERGENCY V1SITID
0
ftwL
ESTUARY
mwL
pH 403
511600 IACJti.-. SOVr Cf
00DA5
PuliorV
Dom Received{J-2
Time Reccived.
Received By 5
f Data Rttewed :
Date Reported
Seed: Chlorimied: Remarks:
$tatioa Mll,oc>Itiou Cnde Dale Bcp'p (yylmmldd) I Bdr End Wmmldd)Ti-e Beglu Time End Drplh - DM, DB, DBM Value Type- A. H. L ComposivaT, S, B plr Type
1!l iff airs r_ r
n"I
HOD 310
COD High 340
owl.
COD Low 335
Calif..: MF Fecal 31616
.BIL
1100ad
Coliform: MF Total 31504
Coliform: tube Fecal 11615
Coliform: Fecal Strep 31673
1104.1
110011d
1100.1
Residue: Total 500
Volatile $05
Fixed 510
rng/l.
mall.
Residue: Suspended 530
mgrL,
Volatile 535
ftwL
Fixed 540
mwL
pH 403
units
Acidity to pH 4.5 436
n*L
Aciclity to pH 83 433
UWL
Alkalinity to pH 83 415
mWL.
AlkalWay to pH4.S410
nwL
TOC 680
Turbidity 76
Colifvms Tatal Tube
VWL
NR3
1100 trd
Tamm Et Lignin
ugfL
HexavaientChmmium
u
Bicarbonate
nwL
COMMENTS:
Chloride 940
.111E
TKN an N 625
U191
Chlorophyll a EPA 445.0 modified optivn
uWL
P: Total as P 665
marL
Color. True 10
C.U.
Color, ( H) 83 H-
C.U.
Color: pH 7.6 82
c.u.
Cyanide 720
.BIL
Fluoride 951
-;
Fomfeldehyde 71880
UWL
Grease and Oils 556
Hardness Total 900
Specific Cond, 95
MBAS 38260
Phenols 32730
Sulfite 945
MVI
un"Slern
marl,
ug/l.
Sulfide 745
m81L
Baron
u#L
Tamm Et Lignin
ugfL
HexavaientChmmium
u
Bicarbonate
nwL
Carbonate
MOIL
Tow Dissolved Solids
RIWL
T1 -Thallium
uglL
Ti-Titenium
uWL
1631
n
NH3 as N 610
.BIL
TKN an N 625
U191
NO2 plus NO3 as N 630
MwL
P: Total as P 665
marL
PO4 as P70507
MG(L
P: Dissolved as P 666
mwL
K-Powmium
rnWL
Cd- Cadmium 1027
up L
Cr.ChrvmiumT0W 10)4
u
Cw Ca 1042
UWL
Ni -Nickel 1067
uWL
Pb- Lead 1051
u
Zn -Zinc 1092
u#L
V -Vanadium
Silver 1077
A]- Aluminum L IDS
Be- Beryllium 1012
Ca- Calcium 916
Co- Cobalt 1037
uwL
owL
P91
u
mwL
ug/L
Fe- Iron 1045
ullorL
Mo-Molybdwum
u
Sb -Antinion
uWL
Sn-Tar
uwL.
T1 -Thallium
uglL
Ti-Titenium
uWL
1631
n
Li -Lithium 1132
u8'L
'urn 927
U191
Mn -Man 1055
ug+L
Na- Soditan 929
Atsewc1otal1002
Se- Selenium 1147
MercM 71900
uWL
uSIL
uprL
Ba -Barium
Or chlorine Pesticides
uSIL
OrpnophoVhorus Paticida
Organonitrvgan Pesticides
Acid Herbicides
Basw?4rA aldtAcid Extractable Orgeniw
TPH Diesel Range
Puzycabla Orgmnim (VOA bottle req'd)
TPH Gasoline Range
TPWBiEX Gasoline Range
Phytoplankton
Temperature on arrival v

COUNTY SnSt F�
RtVfiR BASIN
1
REPORT TO Regional Qebre
Other
COLLECTOR(S)
Estimated DOD Ranje;
DIVISION OF WATER QUALITY
Chemistry Laboratory Report I Water Quality
❑ SAME
PB148)lY
❑ AMBMW QA 5 STREAM ❑ EFFLUEM
CUM1 WCE CHAIN OF CUSTODY ❑ LAKE INFLUENT
EMERGENCY VISIT Ib El ESTUARY
Station Location:
Lab N ` I/��1l``��` 5
Date Received
Time Raceikd
Received B :
Data Raleixd :
Date Reported:
Seed: Chlorinated: Remarks:
Station N1Loatioo Code Dsite 8e fio (yylmmldd) I Dote End (Wousidd) Time Begin Time End Depth - bM DB DBM Value type -A, ti L CampasitrT, S' i3Sample Type
BOD 310
COD H,0 340
r111
COD Low 335
Incl
Coliform: MF Fecal 31616
1I001rd
Coliform: MF Tout 31504
/160mt
Coliform: tube Fecal 31615
Coliform: Fecal Strep 3t673
Morn!
/I00mi
Residue: Total 500
mg+L
Volatile 505
MOIL
Fixed 510
>mg+L
Residue: Sus ed 530
mfl,
Volatile 535
mfL
Fixed 540
pH 403
mfL
units
Acidity to pH 4.5 436
r L.
Acidity to pH 8.3 435
mnhmslcm
Alkalinity to pH 8.3 415
mg'L.
Alkalinity to PH4.3410
u
TOC 680
ugrL
Turbid' 76
NIU
Colil'ormTotal Tube
1100 ml
Tannin & Lignin
ug?L
Hexavalent Chromium
URIL
Birarbomate
MWL
Carbonate
MWL
COMMENTS :
Chloride 940
m9L
TKN an N 625
MIYL
Chlo2f,hyll a EPA 415.0 modified option
OWL
Total 43P663
ffwL
Color. True 80
c.u.
Color: (pH) 83 H•
c.u.
Color: pH 7.6 82
s.u,
Cyanide 720
MWI.
Fluoride 951
MGIL
Formaldehyde 71880
MWL
Crease and Oils 536
-OIL
Hardness Total 900
mwL
Specific Cand. 95
mnhmslcm
MBAS 38260
mf!-
fLPhenols
Phenols32730
u
Su] &te 945
ugrL
Sulfide 745
n1wL
Boron
UYL
Tannin & Lignin
ug?L
Hexavalent Chromium
URIL
Birarbomate
MWL
Carbonate
MWL
Total Dissolved Solids
TWL
FMmN610
TKN an N 625
MIYL
NO2 lus NO3 as N 630
Total 43P663
ffwL
PO4 a P 70507
rgri.
P; Dismlved m P 666
mg/L
IK -Potassium
nwL
Cd. Cadmium 1027
u fL
Cr-ChromriumTotal 1034
Cu- COEM 1042
Ni -Nickel I D67
uS(L
OWL
u f 1.
Pb� Lead 1051
u
Zn- Zinc 1092
IV -Vanadium
u f L
OWL
Silver 1077
ufL
Al -Aluminum 1105
OWL
Bo- Beryllium 1012
u8/L
Ca- Calcium M
m f 1,
Co- Cobalt 1037
ugrL
Fe- iron 1045
ugrL
Mo -Mat bdemum
UYL
Sb-Antinwn
u#L
Sn-Tm
OWL I
TI -Thallium
u fL
T�-Tnamium
OWL
1631
TWL
Li -Lithium 1132 u
Mit aium 927 -wL
Mn ew 1055 OWL
Na- Sodium 929
Anenic:70tal1002 U81
Sr Selenium 1147 OWL
Mtmry 71900 OWL
Ba -Barium u f L
Orgrmochlorime Pesticides
Orpnophosphorw Pesticides
Orpnonitropn Pesticides
Aad Herbicides
Bwc(Neumtl&ActdEwwLableOrpnk3
TPH Diesel Range
Purgeable Organics (VGA bottle 'd)
TPH Gasoline RAnF
TPHfBTE%Gasolime team
lankton
Temperature on arrival -3 °'D

COUNTY J
RIVER BASIN:
REPORTTO PAZ Pflei'l, jLf, Regional Office
Other
COLLECTOR(S)
Estimated BOD Range:
Seed:
Chlorinated:
DIVISION OF WATER QUALITY
Chemistry Laboratory Report I Water Quality
SAMPLE TYPE
EAISiAILY
AMBIENT QA STREAM
COMPLIANCE CHAIN OF CUSTODY LAKE
EMERGENCY "ISff m ESTUARY
0
Station Location: v r e
Remarks:
Station 0111 canon Code Dol Begi (yy(mrnldd) Date End (yylmmldd) Time Yin I Time End I Depth - DRt, DB, DBM Value Type- A, H, L Composito-T, S,13 >MPICTYPE
OD
110
mglL
COD Hitth 340
l lata
Irb J.
COD Low 335
)�
Date Received
Coliform: MF Fecal 31616
Time Received
Cj EFFLUENT
Received By
E3 NFLUENT
lloornl
/l0oml
mg/L
Volatile $05
Data Released
1
Dare Reported
Station 0111 canon Code Dol Begi (yy(mrnldd) Date End (yylmmldd) Time Yin I Time End I Depth - DRt, DB, DBM Value Type- A, H, L Composito-T, S,13 >MPICTYPE
OD
110
mglL
COD Hitth 340
111011 -
COD Low 335
mg+L
Coliform: MF Fecal 31616
1100ml
Colirunn� MF Total 31504
Ilooml
Coliform: tube Focal 31615
Coliform, Foal Strep 31673
Residue: Tool 500
lloornl
/l0oml
mg/L
Volatile $05
MS(L
Fixed 510
Hardness Total goo
Specific Cord 95
Residue: Suspendcd 530
met
Volatile 535
ma/L
Fixed 540
m1fL
pH 403
units
Acidity to pH 4 5 436
trgll
Acidity to pH 8 3 435
MWL
Alkalinity to pH 8.3 415
nigh.
Al kalinity, to pI44.5410
msglL
TOC 680
m0`L
Turbidity 76
NIU
Coliform Total Tube
1100 ml
Tenwerature on arivai (°1-)
COMMENTS:
Chloride 940
MB'L
M Mariesium 927
-911-
ChtomphylI a EPA 445.0 modified v tion u
upVL
Na-Sodium929
Color. True 80
Color: H) 83 PH-
e.u,
cu.
Calor pH 7 6 82
eu,
Cyanide 720
Fluoride 951
Formaldehyde 71880
mgrL
MWL
Grease and Oils 556
mg(L
Hardness Total goo
Specific Cord 95
mg(L
urnhoslcm
MHAS 38260
marl-
Phenals 32730
upL
Sulfate 94$
MOIL
Sulfide 745
rne(L.
Boron
Tannin $ Lignin
ug1L
Hexavalent Chrmnium
Bicarbonate
ua/L
mgR.
Carbonate
Total Dissolved Solids
nr8'L
ITT%
•U-Uthium 1132
UWL
M Mariesium 927
-911-
mn-mrpnese 1055
upVL
Na-Sodium929
r-
Arsenic:Total1002
ujfL
Se• Selenium 1147
ug1L
Hg- Mercury 71900
qfl,
Ha -Barium
upt
Organochlorine Pesticides
OrpnorphuspboviisPesticides
Orprionitrogen Pesticides
Acid Herbicides
HasefNeutraMAcid Extrxubte Organics
TPH Diesel &mge
Pusgeable Organics (VOA bottle req'd)
TPH Gasoline Ramge
TPHIBTEX Gasoline Ramat
phyloplankton
Tenwerature on arivai (°1-)

COUNTY
DIVISION OF WATER QUALITY
Chemistry Laboratory Report I Woe" Quality
SAMPLEM
M
Lab Number �"qj
Date Receiwda2- v
Time Recti-dk (J^
R[YER BASIN: [3 AMBIENT ED QA Es STREAM � EFFLUENT Received By
�fJ iL rj
`h"RT TO Regional 016ce � COMPLLytiCE J�CHAIN OF CUSTODY � LAKE � INFLUENT
I Other EMERGENCY VISIT @ ESTUARY Data Releand
COLLECTOR(S) : _-T(SL)_ ® Date Reported
Estimated BOD Range: Station Location:
Seed: Chlorinated: Remarks:
Seation MfL aeivu Code Dale
e Begi (yylmmldd) I Dale End (yyfmmldd) Time Brain Time End Depth - DK DB, DBM Value Type -A. H, L "upmite-T. 5, B �jgmpl Type
l
BOD 310
mall,
COD High 340
mg/L
COD Low 335
MLL
Coliform: W Fecal 3 16 16
1100m1
Coliform. MF Total 31504
1100m1
Cal iform' tube Fecal 31615
1100m]
Coliform: Fent Strep 31673
Residue: Tota! 500
/] 00mI
mgrL
Volatile 505
mgj
Fixed 510
n*L
Residue:Suspended 530
mgiL
Volatile 535
mwL
Fixed 540
mg1L
pH 403
units
Acidity to pH 4,$ 436
mg/L.
Acidity to pH 8.3 435
niWt
Alkalinity to pH 8.3 4l5
r W'L
Alkalinity to pH 4.5 410
mg/L
TOC 680
Turbidity 76
me/L
NTU
Coliform Total Tube
1100m]
Mo-Molybdrnum
Sb -Antimony
Sn-Tin
u
uBIL
uB1L
TI -Thallium
Ti -Titanium
ug(L
ug(L
COMMENTS:
Chloride 940
M8?L
Chlorophyll a EPA 445 0 modified option
u8lL
NO2 Elus NO3 as N 630
rng4.
Color: True 80
G.U.
Color. ( H) 83 PH.
c U.
Color PH 7.6 82
G.U.
Cyanide 720
Fluotide 951
mg'L
mg'L.
Formaldehyde 71890
rrwL
Grease and Oils 556
n*L
Hsrdnsss Total 900
n18J1
Specific Cond 95
MEAS 38260
um6asfcm
mWL
Phenols 32730
ug(L
Sulfate 945
uglL
Sulfide 745
n*rL
Boron
ujVL
Tannin & Lignin
Hexavalent Chrumum
uBIL
uuW
Elmiubonole
MG(L
Carbonate
Total Drsaul ed Solids
MPIL.
MWL
fe-lion 1045
ugrl.
Mo-Molybdrnum
Sb -Antimony
Sn-Tin
u
uBIL
uB1L
NH3 w N 610
nrgfL
77Q4 an N 625
mg/L
NO2 Elus NO3 as N 630
rng4.
P: Total as P 665
OWL
PO4 as P 70507
MWL
P. Dissolved as P 666
n1wL
K -Potassium
rngrL
Cd- Cadmium 1027
ug'L
Cr-Chtomium.Total 1034
ug(L,
Cu- Copper 1042
ug(L
Ni -Nickel 1067
up/L
Pb- Lead 105 t
Zn- Zinc 1092
ugR.
uEVL
V -Vanadium
uglL
A - Solver 1077
u
At. Aluminum 1105
ujVL
Be Beryllium 1012
UWL
Co. Calcium 916
trrgrL
Co- Cobalt 1037
u
fe-lion 1045
ugrl.
Mo-Molybdrnum
Sb -Antimony
Sn-Tin
u
uBIL
uB1L
TI -Thallium
Ti -Titanium
ug(L
ug(L
163]
U -Lithium 1132
uVL
Mg -Ma esium927
mg1L,
Me -Manganese 1055
No- Sodium 929
ug'L
Atsmic:Tota11002
Se -Selenium 1147
ulfL
u811,
HB- Mwwry 71900
ug(L
Ba -Barium
Or ochlorine Pesticides
ugrL
OrpnophmpMrus Pesticides
Orgarronitrmgcn Pesticides
Acid Herbicides
9uclNeulral&Acid Exuactabte Organics
IVH Diesel Range
Purseable Organics (VOA bottle
'd)
TPH Gasoline Range
TPHJBTEX Gaauliue Range
Phytoplankton
Temperalurt on A" I C): o

DIVISION OF WA'T'ER QUALM
Chemistry Laboratory Report I Water Quality
PRIO
AMBIENT QA
COMPLIANCE CHAIN OF CUSTODY
EMERGENCY VISIT ID
SAMPL.ETYPE
EITREA,lk4 EFFLUENT
LAKE INFLUENT
ESTUARY
50 J R`
Lab Numb �_ 1
Bate Received
Time Received
Received By
Data Released
Date Reported
Lratimated DOD Range: Station Location: W Q WA Al
r
Seed: Chlorinated: Rema r$w
Station 00lLoca6n.m
nn Cade Dat Begi (yyl/dd) Date End ("Itnoddd) Time E4ip Time End Depth - DM, DB, DOM Value Type -A, H, L Composite -T, S. B Sump) T pe
I r5
BOD 3 l0
mgrL
COUNTY :
mglL
RIVER BASIN:
T*L
!100m1
(100m)
REPORT TO
j
t Fa ,1(r Regional Office
Other :
f100m1
COLLECTOR($)
mwL
DIVISION OF WA'T'ER QUALM
Chemistry Laboratory Report I Water Quality
PRIO
AMBIENT QA
COMPLIANCE CHAIN OF CUSTODY
EMERGENCY VISIT ID
SAMPL.ETYPE
EITREA,lk4 EFFLUENT
LAKE INFLUENT
ESTUARY
50 J R`
Lab Numb �_ 1
Bate Received
Time Received
Received By
Data Released
Date Reported
Lratimated DOD Range: Station Location: W Q WA Al
r
Seed: Chlorinated: Rema r$w
Station 00lLoca6n.m
nn Cade Dat Begi (yyl/dd) Date End ("Itnoddd) Time E4ip Time End Depth - DM, DB, DOM Value Type -A, H, L Composite -T, S. B Sump) T pe
I r5
BOD 3 l0
mgrL
COD High 340
mglL
COD Loa 335
Coliform, MF Fecal 31616
Coliform. MF Total 31504
T*L
!100m1
(100m)
Coliform: tube Fecal 31615
f I00wil
Coliform-FecalStre 31673
f100m1
Residue: Total 500
mwL
Volatile 505
m8fL
Fixed 110
mgL
Residue: Suspended 530
I*L,
Volatile 535
rrqgfL
Fixed 540
nwL
pH 403
units
Acidity to pH 4 5 436
n*L
up1,
L
Acidity to pH 9 3 435
MOIL
ugfL
u8/L
M91L
m17.
Alkalinity to pH 8.3 415
rnWL
Alkalinity to K4.5410 410
mg/L
TOC 680
nwL
Turbidity 76
N U
Coliform Total Tube
1100 ml
Fe- Iron 1045
ul;1
Mo -Molybdenum
u®'L
Sb -Antimony
u
Sn=im
u0%
COMMENTS :
Chloride 940
mgfL
TKN an N 625
mg/L
Chlorophyll a EPA 445.0 modified option
ug/L
Color True 80
cu,
Color: (pH) 83 pHA
cu,
Color: pH 7.6 82
c.u.
Cyanide 720
MILI
Fluoride 951
mgt.
Formaldehyde 71880
m
Grease and Oils 556
my/L.
Hardness Total 900
m9rL
Specific Cond. 95
umhosfarrt
MBAS 38260
Phenals 32730
Sulfate 945
n*L
up1,
L
Sulfide 745
Baran
Tannin R Lignin
Hexavalent Chromium
Bicarbonate
Carbonate
MOIL
ugfL
u8/L
M91L
m17.
Total Dissolved Solids
rnWL
Al- Aluminum 1105
UWL
Be -Beryllium Ia$2
ugrL
Co- Calcium 916
rruglL
NH3 as N610
MWL
TKN an N 625
mg/L
NO2 elus NO3 as N 630
mg(L.
P: Total sa P 665
trig/L
PO4 as P 70507
M91L
P: Dissolved as P 666
mgrL
K -Potassium
mwL
Cd- Cadmium t027
u
Cr-Chromium.Total 1034
uE�L,
Cu- Coppa 1D42
uglL
N -Nickel 1067
ugrL
Pb- Lead 1051
upR.
Zn -Zinc 1092
UWL
V -vanadium
aWL
- Silver 1077
u
Al- Aluminum 1105
UWL
Be -Beryllium Ia$2
ugrL
Co- Calcium 916
rruglL
Cc -Cobalt 1037
ugR,
Fe- Iron 1045
ul;1
Mo -Molybdenum
u®'L
Sb -Antimony
u
Sn=im
u0%
TI -Thallium
ugRL
Ti -Titanium
u®'L
H8' 4631
ng'L
Li -Lithium t 132
Mg -Magnesium 927
Mn-Nizilganew 1055
u®`L
1118'1.
ug'L
Na- Sodium 929
MVIL
Arm nic.Total 1002
uSfL
Se Selenium 1147
ug/L
Hg- Mercury 71900
Ba -Barium
ug(L
uglL
Orpnochlorrine Pesticides
OrWophosphorus Pesticides
Organonitrogen Pesticides
Acid Herbicides
BaseiNeulral&Acid Extractable Organics
TPH Diesel Range
Purgeable Organics (VOA bottle req'd)
TPH Gasoline Range
1PWBTE7( Gasoline Rwlle
Phyto lankton
Temperature on anrivsl (aC)
D
1 J

DIVISION OF WATER QUALITY
Chemistry Laboratory Report I Water Quality
c {[—] SAwu TYPE
COUNTY J , ,} PS[}j0;M'
RIVER BASIN; 13 AMBIENT ❑ QA El STREAM EFFLUENT
REPORT TO Re®unal Office R-COMPLUWCE 53 CHAIN OF CUSTODY LAKE INFLUENT
Other EMERGENCY V15� ESTUARY ❑
COLLECTOR(S) : Qe
IDOD(e 9b
Lab Number
Due Receixd �(
Time Receix
Received By
Estims led BOD Range; Station Locatiawtt Vf a,r
Seed: Chlorinaled: Remarks;
Stall. NlLacatioo Cede Date Begin (yylmm/dd) Date End (yyimm/dd) Time Begin Time End Depth - DM, D% DBM Value Type -A. H, L Composite•T, S. BSample Type
s as
BOD 310
marl.
COD High 340
mall.
COD 1.4w 335
MWL
Colifortm MF Fecal 31616
CDlifonn. MF Total 31504
1100m1
1100m1
Coliform: tube Fecal 31615
Coliform Fecal Stmp 31673
000m1
1100m1
Residue Total 500
Volatile 505
Fixed 510
mg1L
mgVL.
MOIL
Residue: Su dad 530
mail.
Volatile 535
Fixed 540
pH 403
MOIL
mglL
units
Acidity to pH 4 5 436
malt.
Acidity to p.H 8.3 435
-61
Alkalinity to pH 8,3 415
mp'L
Alkalinity to pH 4.5 410
^91L
TOC 68D
mg/L
Tutbidi y 76
Coliform Total Tube
NTU
1100 ml
H*", -Amt Chromium
ug7L
Biearbanete
-9(L
Carbonate
m®rL
Total Dissolved SuN&
m8'1.
COMMENTS:
Chloride 940
MwL
TKN an N 625
NO2 plus NO3 as N 630
n*L
Chlorophyll a EPA 445.0 modified option
Calor: True 80
Color: (H ) 83 H•
ug/L
c_u.
c o
Color: pH 7.6 82
c,u,
Cyanide 720
marl.
Fluoride 951
MWL
Formeldeh de 71880
Mli
Grease and Oils 556
Hardness Total 900
"OIL
m8lL
Specific Cond, 95
MBAS 38260
umhas/cm
Phenols 32730
ug1L
Sulfate 945
Mi
Sulfide 745
mg![ -
Boron
u84,
UWL
Tannin @ Lignin
ugIL
H*", -Amt Chromium
ug7L
Biearbanete
-9(L
Carbonate
m®rL
Total Dissolved SuN&
m8'1.
Sb -Antimony
uwt
Sn-Tin
u
71 -Thallium
uglL
NH3 as N 610
mgll-
TKN an N 625
NO2 plus NO3 as N 630
n*L
P: Total as P 665
FnwL
PCW as P 70507
P. Dissolved a, P 6%
IrwL
MWL
K•Potassium
MWL
Cd- Cadmium 1027
UOL
Cr-Chrumium.Total 1034
ul(L
Cu- C.Ipet 1042
U911,
1K -Nickel 1067
UEVL
Pb- Lead 1051
ug1L
Zn. Zinc 1092
uWl.
V•Vanad+um
uVrL
A Silver 1177
AI- Aluminum 1105
u84,
UWL
Be. Beryllium 1012
UWL
Ca. Calcium 916
mg/L
Co. Cobalt 1037
u#1.
Fe -hon 1045
ug'L
Mo-Motybdenum
UWL
Sb -Antimony
uwt
Sn-Tin
u
71 -Thallium
uglL
Ti -Titanium
uWL
1631
n
U -Lithium 1132
u#L
M Magneaium 927
MWL
Ma-Manpnese 1055
ugfl.
Na- Sodium 929
Ar enic:Total 1002
u81L
Sr Selenium 1147
ug/L
Hg- Mercury 71900
ugL
Ba•Barium
uglL
Or oelrlorinePestirides
OTPnaphosphorus Pesticides
Organonilrogen Pesticides
Aad Herbicides
Base/NeutraMAcid Extractable Orpamics
TPH Diesel Range
Purgeable Organics (VOA bottle req d)
TPH Gasoline Range
TPH1 TET Gasoline Range
Phyto Iankton
[Temperature on arrival )
t

'County:
MCIDWO La6oratoCy Section Wesults
SAMPSON
t4J!—
Sample ID:
A854164
River aasin
Report To
CP)K
0j V4A?' �y
FEB 15 20�
PONumber 9
10W0685
FROAP
vO
Date Received:
01127!2010
Collector;
J SCHNEIEI�
r C
fl
Time Received:
15:35
Region:
FRO
D�1R-fAYET��ER�14f13AL0�t�F
Labworirs LoginlD
HPARIOER
Sample Matrix:
Surfacewatar
Date Reported:
215110
Loc. Type:
EFFLUENT
Report Generated:
02/0512010
Emergency Yes/No
COC Yes/No
Yes
VisitlD
Loc. t>ascr.: SOURCE
Q
Location ID:
6PO82AWS820225
Collect Date: 01126/2010 Collect Time:: 17:10
Sample Depth
Sample Qualifiers and Comments
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwglab.org under Staff Access
A -Value reported is the average or two or more determinations
N3 -Estimated concentration is < PQL and >MDL
B1 -Countable membranes with {20 colonies; Estimated
62- Counts from all filters were zero. NE -No established PQL
P -Elevated PQL due to matrix interference and/or sample dilution
B3- Countable membranes with more than 60 or 80 colonies; Estimated
134 -Filters have counts of both >60 or 80 and �( 20; Estimated 01 -Holding time exceeded prior to receipt at lab.
BS -Too many colonies were present too numerous to count (TNTC) 02- Holding lima exceeded following receipt by lab
J2- Reported value Tailed to meet QC criteria for either precision or accuracy; Estimated POL- Practical Quantitation Limit -subject to change due to instrument sensitivity
J3 -The sample matrix interfered with the ability to make any accurate determination; Estimated U- Samples analyzed for this compound but not detected
J6-7he lab analysis was from an un preserved or improperly chemically preserved sample; Estimated X1- Sample not analyzed for this compound
N 1 -The component has been tentatively idantifled basad on mass spectral library search and has an estimated value
LAB
Laboratory Section>> 1623 Mall Service Cetttar, Raleigh, NC 27698-1623 [phone] Page 1 of 2

NC DWQ Ga6oratory Section results Sample ID ABS4164
Location ID: 8P082AWS620226 Lolled Data; 01/2612010
Loc. Descr.: SOURCE Collect Ttme.: 17:10
Visit ID
Laboratory Sectiones 1623 Mall Service Center, Raleigh, NC 27699-1823 1919) 733-3908 Page 2 of 2
CAS # Analyte Name
PQL
Result Qualifier
Units
Analyst/Date
Approved By /Date
Semple temperature at receipt by lab
3.0
'C
DSAUNDERS
SMATHIS
Method Reference
1!27!10
1118/10
MIC
BOD, 54)ay in Ilquid
2
9500
mg1L
ADESAI
CGREEN
Method Reference APHA52108
1117110
214110
Colltorm. MF Fecal In Ilquld
1
2800000 Q2
CFU1100ml
NDEO
CGREEN
Method Reference • APHA9222D-20th
tnsrlo
214110
NUT
NK3 as N in liquid
0.02
1900
mg/L as N
MAJAYI
CGREEN
Method Reference LeC10-107.06-1-J
W9110
2x4110
Total lgaldahl N as N in Ilquid -
0.2
2000
mg& as N
MOVERMAN
CGREEN
Method Reference LadhatlW-W2-H
1129+10
214110
NO2+NO3 as N In 9quld
0.02
0.37
mglL as N
MAJAYI
CGREEN
Method Reference Lac10.107.04.1-c
1129!10
214110
Phcq*orus total as P In liquid
0A2
140
mg1L as P
GBELK
CGREEN
Method Reference Lac10-11S-W-1EF
129/10
2!4110
Laboratory Sectiones 1623 Mall Service Center, Raleigh, NC 27699-1823 1919) 733-3908 Page 2 of 2

ectio n
County:
S=AMPSON=
A -Value reported Is the average of two or more determinations
- SampleID;
AB54169
River Basin
Report To
Collector.
Region:
OE
FROAP
,I SCHNEIER���
FRO
R E C EE R R s)
w
tri WA7.y
O� Qi
'_ y
'<
PO Number tt
Date Received:
Time Received;
Lebworks LogIn1D
10Wo690
0112712010
15:35
HPARKER
Sample Matrix:
Loc. Type:
Surfacewate►
EFFLUENT
OONR-FAYEST ILLEREGOMLOFFLOE
Date Reported:
Report Generated:
2!5110
02/05/2010
Emergency YestNo
PQL- Practical Quantitation Limit -subject to change due to instrument sensitivity
J2- Reported value failed to meet OC criteria for either precision or accuracy; Estimated
U -Samples analyzed for this compound but not detected
J3 -The sample matrix interfered with the ability to make any accurate determination; Estimated
COC Yes/No
Yes
VisrtlD
Loc. Descr,:
s,-QufecE
Location ID:
OP082AWS820225
Collect Date: 0112W2010 Collect Time:: 13:06
Sample Depth
Sample Qualifiers and Comments
Routine Qualifiers .
For a more detailed description of these qualifier codes refer to www.dwglab.org under Staff Access
A -Value reported Is the average of two or more determinations
143 -Estimated concentration is < PQL and >MDL
B1 -Countable membranes with X20 colonies; Estimated
NE -No established PQL
62- Counts from all filters were zero.
P -Elevated PQL due to matrix interference and/or sample dilution
B3- Countable membranes with more than 60 or 80 colonies; Estimated
01 -Holding time exceeded prior to receipt at lab.
B4 -Filters have taunts of both X60 or 80 and < 20; Estimated
Q2 -Holding time exceeded following receipt by lab
B5 -Too many colonies were present; too numerous to court (TNTC)
PQL- Practical Quantitation Limit -subject to change due to instrument sensitivity
J2- Reported value failed to meet OC criteria for either precision or accuracy; Estimated
U -Samples analyzed for this compound but not detected
J3 -The sample matrix interfered with the ability to make any accurate determination; Estimated
X1- Sample not analyzed for this compound
J6 -The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated
N1 -The component has been tentatively identified based on mass spectral library search and hes an estimated value
LAB
Laboratory Section» 1623 Wall Service Center, Ralelgh, NC 27699-1623 [phone] Page 1 of 2

NC (DWQ La6oratoty Section Results Sample ID ABS4169
Location ID: 6P082AWSa2022S Collect Date: 01127/2010
Loc. Descr.:' SOURCE Collect Time:: 13:06
Visit ID
CAS 0 Analyte Name PQL Result Qualifier Units Analyst[Date Approved By /Date
Semple temperature at receipt by i8b 3.0 'C DSAUNDERS SMATHIS
Method Reference 127110 112ar10
MIC
Co8(orm, MF Fecal in liquid 1 3800000 CFU11001nl NDEO CGREEN
Method Reference APFA92220-2Mh r WNW 2!4710
Laboratory Secttava 1623 Mail Service Center, Raleigh, NC 27899-1823 1919) 733-3908 Pape 2 at 2

County:
SAMPSON
River Basin
CPF
Report To
FROAP
Collector.
J SCHNag
Region:
FRO
Sample Matrix:
SudjR9Mj9
Loc. Type: '
RIVERISTREAM
Emergency Yes/No
COC Yes/No
Yes
Location ID: OP082AWS820225
RECEIVED
FEB 15 2W
p OENR-FAYEI�'EVILLEREGIONALOM,OE
Q Gaborator
eawn
VISMD
Loc. Drier.: CONFLUENCE
Collett Date: - 01/2612010 Collect Time:: 16:44
Sample Qualifiers and Comments
Sample ID:
AB54162
PQ Number #
10W0683
Date Received:
0112712010
Time Received:
15:35
Labwo6s LoginlD
HPARKER
Date Reported:
2!5110
Report Generated:
0 210 512 01 0
Sample Depth
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwglab.org under Staff Access
A -Value reported is the average of two or more determinations
N3 -Estimated concentration is < PQL and >MDL
B1 -Countable membranes with <20 colonies; Estimated
NE -No established PQL
B2- Counts from all filters were zero.
83- Countable membranes with more than 60 or 80 colonies; Estimated P -Elevated PQL due to matrix Interference and/or sample dilution
64 -Filters have counts of both >60 or 80 and < 20; Estimated 01 -Holding time exceeded prior to receipt at lab.
Q2- Holding time exceeded following receipt by lab
B5 -Too many colonies were present; too numerous to count (TNTC)
PQL- Practical Quantitation Limit-subject_to change due to Instrument Sensitivity
J2- Reported value failed to meet QC criteria for either precision or accuracy; Estimated
U- Samples analyzed for this compound but not detected
J3 -The sample matrix interfered with the ability to make any accurate determination; Estimated
X11- Sample not analyzed for this compound
J6 -The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated
N1 -The component has been tentatively Identified based on mass Spectral library search and has an estimated value
LAB
Laboratory Secfion>> 1623 Mail Sor Ace Center, Raleigh, NC 27689.1623 1919) 733-3908 Page 1 or 2

NC O WQ La6oratory Section results Sample ID 'AB54162
Loiation 10: GPO82AWS820225 Collect Date: 01128!2010
Loc. Descr.: CONFLUENCE Collect Time:: 16:44
Visit 10
CAS # Analyte Name PQL Result Qualifier Unhs AnalystlDate Approved By (Date
_. Sample tew4wature at receipt by kab 3.0 'C DSAUNDERS SMATHIS
Method Reference 1/27710 1/28110
MIC
BOD, 5 -Day In liquid 2 4900 mg/L ADESAI CGREEN
Method Reference APHA52109 1/27110 2!4110
Colform, MF Fecal in liquid 1 2000 B5Q2 CFLY100m1 NDEO CGREEN
NUT
Method Reference APHA9222a40th
NH3 as N In liquid 0.02 B30
Method Reference Loc10.107-06-1ti1
1128110 214110
m91L as N MAJAYI CGREEN
V29710 214/10
Total Kjeldahl N as N In liquid 0.2 920
mg/L as N
MOVERMAN
CGREEN
Method Reference LachM107.06.2-H
WW10
21410
NO2+NO3 as N In liquid 0.02 0.08
mglL as N
MAJAYI
CGREEN
Method Reference Lac10.107.04.1-c
V2910
214110
Phosphorus total as P its liquid 0.02 33
mg/L as P
GBELK
CGREEN
Method Reference Lec10.115.01.1EF
1/2910
214110
Laboratory Section>> 1623 Mail Service Cantor, Raleigh, NC 27699-1623 (91917n4909 Page 2 of 2

<.
County
SAMPSON
River Basin
CPF
Report To
FROAP
Collector.
J SCHNEIER
Region:
FRO
Sample Matrix:
Surfacewater
Loc. Type:
RIMER/STREAM
Emergency Yes/No
COC Yes/Ne
Yes
11 Location It): 5PO82AWS820225
REVEIVED
FEE 15 mo
DEHR - FAYETTEVlLLE REG1OML OFFICE
Q Laboratory Section hesuCts
Sampte ID:
A854167
F WAi $
tet? y
Q
PO Number#
1OW0688
�\
Date Received:
0112712010
y
Time Received:
15:35
_
a Y
Labworks LoginlD
HPARKER
Date Reported:
215110
Report Generated:
0210512010
VisitlD
Lac- Descr.: CONFLUENCE
Collect pate: 01/27!2010
Collect Time:: 12:56
Sample Qualifiers and Comments
Sample Depth
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwglab.org under Staff Access
A -Value reported is the average of two or more determinations
N3 -Estimated concentration is < PQL and >MDL
B1 -Countable membranes with X20 colonies; Estimated
NE -No established PQL
B2- Counts from all filters were zero.
B3- Countable membranes with more than 60 or 80 colonies; Estimated P -Elevated PQL due to matrix interference and/or sample dilution
B4-Fitems have counts of both >60 or 80 and < 20; Estimated 01 -Holding time exceeded prior to receipt at lab.
BS•Too many colonies were present; too numerous to count (TNTC) 02- Holding time exceeded fallowing receipt by lab
PQL- Practical Quantitation Limit -subject to change due to instrument sensitivity
J2- Reported value failed to meet QC criteria for either precision or accuracy; Entimated
U- Samples analyzed for this compound but not detected
J3 -The sample matrix interfered with the ability to make any accurate determination; Estimated
Xi - Sample not analyzed for this compound
J6 -The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated
N1 -The component has been tentatively identified based on mass spectral library search and has an estimated value
LAB
Laboratory Secbon>> 1623 Mall Service Ceptor, Raleigh, NC 27599-1523 1919) 7333908 Page 1 of 2

WC {DWQ Laboratory Section Results Sample ID AB54167
Location 10; SP082AWS820225 Collett Date: 01/27/2010
Loc. Deacr.: CONFLUENCE Collect Time:. 12:56
Visit ID
CAS A Analyte Name PQL Result Qualifier Units AnalystfDate Approved By /Date
Sample temperature at receipt by iab 3.0 'C DSAUNDERS SMATHIS
Method Reference VZ7110 1128/10
MIC
Caltfarm. MF Fetal In liquid 1 2000 B5 CFUf100mi NDEO CGREEN
Method Reference APHA9222f}20th 1127/10 214110
Laboratory Sectloty> 1623 Mall Service Center, Ralelgh, NC 27689-1823 (919) 7333908 Page 2 of 2

County:
SAMPSON
River Basin
2P—E
Report To
FROAP
Collector.
J SCHNEIER
Region:
FRO
Sample Matrix:
Surfacowater
Loc. Type:
RIVER(STREAM
Emergency Yes1No
COC YeslNo
es
I Location ID: SP082AWS820225
RECEIVED
FES 15 2010
QENR-FAYEMILLE REGIONAL OFF,
Laboratory Section
vF WA7E�
O �C
VisitlD
Loc. Descr.: DOWNSTREAM
Collect pate: 01/2612010 Collect Time;: 16:25
Sample Qualifiers and Comments
Sample ID:
PO Number 9
Date Received:
Time Received:
Lobwoft LoginlD
Date Reported:
Report Generated:
Sample Depth
A B54163
10 W 0664
01127r2010
15AS
HPARKER
215110
0210512010
bo )
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwglab.org under Staff Access
A -Value reported is the average of two or more determinations
N3 -Estimated concentration is < PQL and >MDL
B1 -Countable membranes with X20 colonies; Estimated
NE -No established PQL
132- Counts from all filters were zero,
P -Elevated PQL due to matrix interference and/or sample dilution
133- Countable membranes with more than 60 or 80 colonies; Estimated
Q1 -Holding time exceeded prior to receipt at lab.
Bk -Filters have counts of both >60 or 60 and < 20; Estimated
02- Holding time exceeded following receipt by lab
85 -Too many colonies were present; too numerous to count (TNTC)
PQL- Practical Quantitation Limit -subject to change due to instrument sensitivity
J2- Reported value failed to meet CG criteria for either precision or accuracy; Estimated
U- Samples analyzed for this compound but not detected
J3 -The sample matrix interfered with the ability to make any accurate determination; Estimated
X1- Sample not analyzed for this compound
}1i -The lab analysis was from an unpreservad or improperly chemically preserved sample; Estimated
N1 -The component has been tentatively identified bused on mass spectral library search and has an estimated value
LAB
Laboratory Soctlort» 1623 Mall Sorvlw Cantor, Raleigh, NC 27699-1623 (919} 733-3908 Page 1 of 2

Sample ID AB54163
XC DWQ Laboratory Section Results
Location ID: 613082AWS820225 Collect Date: 01/26/2010
Loc. Descr.: DOWNSTREAM CollectTtme:: 16:25
Visit ID
CAS 0 Analyte Name POL ResuR Qualifier Units Analyst/Date Approved BylDate
MIC
BOO. 5 -Day In llquld
2
18
rn91L
ADESAI
CGREEN
Method Reference APHA52109
1/27110
214110
Collierrrt, MF Fecal In liquid
1
3600000 C2
CFU110Dm1
NDEO
CGREEN
Method Reference APHA9222D-21lth
mono
21400
NUT
NH3 as N In Ilquid
0.02
4.4
mg/1- as N
MAJAYI
CGREEN
Method Reference Lac10-107-06-1J
1f29110
214110
Tata] igeldshl N as N In Dquld
0.2
5.8
mg& as N
MOVERMAN
CGREEN
Method Reference Larhat107-0G2-H
1!25!10
214110
NO2+NO3 as N In liquid
0.02
7.5
mg1L as N
MAJAYI
CGREEN
Method Reference Lac10.107-DW-c
1!29!10
214110
Phosphortistotal as P In liquid
0.02
0.50
mg1L as P
GBELK
CGREEN
Method Refemnoe 1,ac10.115.01.1EF
129170
2/4110
Laboratory S"tlenaa 1523 Mail Service Center, Raleigh, NC 27999.1823 [phone] Page 2 of 2

County:
SAMPSON
River Basin
i
Report To
FROAP
Collector:
,1SCHNEIER
Region:
FRO
Sample Matrix:
Surfacewater
Loc. Type:
RIVERISTREAM
Emergency Yes/No
COC Yes1No
I Location ID: 6P082AWS820225
RECEIVED
FEE 15 2w
I OENR--FAYEiTI_VUE REGIONAIOFRA
OE
..��
VisitI O
Lot. Descr.: DOWNSTREAM
Collect Date: 0112712010 Collect Time:: 12:45
Sample Qualifiers and Comments
a
10110
Sample Depth
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwglab.org under Staff Access
A -Value reported is the average of two or more deienninaWns
N3 -Estimated concentration is < PQL and >MDL
B1 -Countable membranes with <20 colonies; Estimated
NE -No established PCL
B2- Counts from all filters were zem.
P -Elevated POL due to matrix interference and/or sample dilution
H3- Countable membranes with more than 60 or 80 colonias; Estimated
01 -Holding time exceeded prior to receipt at lab.
84 -Filters have counts of both >60 or 80 and < 20; Estimated '
02- Holding time exceeded following receipt by lab
BS -Too many colonies were present too numerous to coup! (TNTC)
DOL- Practical Quantitation Limit -subject to change due to instrument sensitivity
J2- Reported value (aged to meet OC criteria for either precision or accuracy; Estimated
U- Samples analyzed for this compound but not detected
J3 -The sample matrix interfered with the ability to make any accurate determination, Estimated
X1- Sample not analyzed for this compound
J6 -The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated
N1 -The component has been tentatively identified based on masa spectral library search and has an estimated value
LAB
Laboratory Section» 1023 Mail Service Center, Raleigh, NC 27699-1623 {916) 733-3906 Page 1 of 2
Sample ID:
AS54168
WA7F�
lLtif
PO Number#
IDWO689
O�
Date Received:
0112712010
Time Received:
15:35
Y
Lobworks LoginlD
HPARKER
Date Reported:
215110
Report Generated:
0210512010
VisitI O
Lot. Descr.: DOWNSTREAM
Collect Date: 0112712010 Collect Time:: 12:45
Sample Qualifiers and Comments
a
10110
Sample Depth
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwglab.org under Staff Access
A -Value reported is the average of two or more deienninaWns
N3 -Estimated concentration is < PQL and >MDL
B1 -Countable membranes with <20 colonies; Estimated
NE -No established PCL
B2- Counts from all filters were zem.
P -Elevated POL due to matrix interference and/or sample dilution
H3- Countable membranes with more than 60 or 80 colonias; Estimated
01 -Holding time exceeded prior to receipt at lab.
84 -Filters have counts of both >60 or 80 and < 20; Estimated '
02- Holding time exceeded following receipt by lab
BS -Too many colonies were present too numerous to coup! (TNTC)
DOL- Practical Quantitation Limit -subject to change due to instrument sensitivity
J2- Reported value (aged to meet OC criteria for either precision or accuracy; Estimated
U- Samples analyzed for this compound but not detected
J3 -The sample matrix interfered with the ability to make any accurate determination, Estimated
X1- Sample not analyzed for this compound
J6 -The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated
N1 -The component has been tentatively identified based on masa spectral library search and has an estimated value
LAB
Laboratory Section» 1023 Mail Service Center, Raleigh, NC 27699-1623 {916) 733-3906 Page 1 of 2

WC (D`itiQ Laboratory Section results Sample ID
AB54168
Location ID: 6P082AWS620225 Collect Date:
01/2712010
Loc. Deser.: DOWNSTREAM Coliect Time::
12:45
Visit ID
CAS 0 Analyte Name PQL Result Qualifier Units Analyst/Date Approved By Mate
Sample temperature at receipt by lab 3.0 'C DSAUNDERS SMATHIS
Method Reference 127110 1118110
MIC
Coliform, MF Fecal in liquid 1 1100 CFUl100m1 NDEO CGREEN
Method Reference APHA9222D-20th 127110 2/4110
Laboratory Secdon» 1625 Mail Service Center, Raleigh, NC 27699-1623 1919) 733-3908 Pape 2 of 2
IN

County: SAMPSON
River Basin CPF
Report To FROAP
Collector. J SCHREIER
Region: FRO
Sample Matrix: Surfacewater
Loc. Type: RiVER(STREAM
Emergency Yes/No
COC YeslNo
RECEIVED
~-
FEB i52M
DEHR - FAYETiEVILLE REGIONAL OFROE
VisitlD
Sample ID:
PO Number #
Date Received:
Time Received:
Labworks LoginlD
Date Reported:
Report Generated:
Lot. Descr.:WS AMP
Location ID: SP082AWS820226 Collect Date: 0112717010 Collect Time:: 12:33 Sample Depth
Sample Qualifiers and Comments
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwglab.org under Staff Access
A -Value reported is the average of two or more determinations
B1-Coun6ble membranes with <20 colonies; Estimated
B2- Counts from all filters were zero.
B3- Countable membranes with more than 60 or 80 colonies; Estimated
134 -Filters have counts of both >60 or 80 and < 20; Estimated
135 -Too many colonies were present too numerous to count (TNTC)
J2- Reported value failed to meet OC criteria for either precision of accuracy; Estimated
J3 -The sample matrix interfered with the ability to make any accurate determination; Estimated
J6 -The tab analysis was from an unpreserved or improperly chemically preserved sample; Estimated
N1 -The component has been tentatively identified based on mass spectral library search and has an estimated value
AB84165
1 OW0686
0 112 712 01 0
15:35
14PARKER
2/5110
02!0512010
N3 -Estimated concentration is < PQL and >MDL
NE -No established PQL
P -Elevated PQL due to matrix interference and/or sample dilution
Q1 -Holding time exceeded prior to receipt at lab.
Q2- Holding time exceeded following receipt by lab
PQL- Practical Quantitation Limit -subject to change due to instrument sensitivity
U- Samples analyzed for this compound but not detected
X1- Sample not analyzed for this compound
LAB
Laboratory Section>> 1923 Mail Sarvlce Center, Ralelgh, NC 27699.1623 (919 7333908 Page 1 of 2
0

NC OWQQ Laboratory Section Wesufts Sample Ib
A854165
Location 10: 6P082AWS820225 Collect bate:
01f2712010
Loc. Descr.: SYVAMP Collect Time::
12:33
Vnit 1D
SMATHIS
CAS # Analyto Name
PQL Result Qualifier Units
Analyst/Date
Approved By !Date
Sample temperature at recelpt by lab
3.0 'C
DSAUNDERS
SMATHIS
Method Reference
mg& as N
127110
1128!10
MIC
Bao. 5-Dey in liquid
2 2 U mglL
ADESAI
CGREEN
Method Reference APHA52108
mg1L no N
127110
2/4110
Coliform, MF Focal In liquid
1 2900 B3 CFU1100m1
NDEO
CGREEN
Method Reference APHA92220-201h
127110 2/4110
NUT
NH3 as N Ito liquid
0.02
1.4
mg& as N
MAJAYI
CGREEN
Method Reference Lac10-107-06-1-J
129110
214110
Total Igeldahl N as N In liquid
0.2
1.8
mg1L no N
MOVERMAN
CGREEN
Method Reference Lachat107.06.2-H
_ 1729!10
214110
NO2+Np3 as N In liquid
_ - _ —0.02
11
mg1L as N
MAJAYI
CGREEN
Method Reference 1a00.107.04.1 -c
1129110
214110
Phosphorus total as P In liquid
0.02
028
mg1L as P
GBELK
CGREEN
Method Rererence Lecla115.01.1EF
1129110
214119
Laboratory Section>a 1623 Mail Service Canter, Raleigh, NC 27899-1623 (919) 7333908 Page 2 of 2

County:
SAMPSON
River Basin
CPF
Report To
FROAP
Collector;
J SCHNEIER
Region:
FRO
Sample Matrix:
Surfarrewater
Loc. Type:
RWERISTREAM
Emergency Yes/No
COC YeslNo
Yes
Location ID: 6P08ZAWS820225
RECEIVED
FEB 15 2010
QENR- FAYEiiEVILLE REGIONAL OFF OE
C1F W A 7FF%
� r
VisitlD
Loc. Descr,: UPSTREAM
Collect Date: 0112712010 Collect Time:: 12:50
Sample Qualifiers and Comments
Sample ID:
A854166
PO Number #
10W0697
Hate Received:
01!2712010
Time Received:
15:35
Lebworks LoginlD
HPARKER
Date Reported:
2/9110
Report Generated: 0210912010
Sample Depth
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwglab.org under Staff Access
A -Value reported is the average of two or more determinations
N3 -Estimated concentration is < pOL and >MOL
Bt -Countable membranes with <20 colonies; Estimated
NE -No established POL
B2- Counts from all filters were zero.
P -Elevated PpL due to matrix interference and/or sample dilution
83- Countable membranes with more than 60 or 80 colonies; Estimated
01 -Holding time exceeded prior to receipt at lab.
$4 -Filters have counts of both >60 or 80 and < 20; Estimated
Q2- Holding time exceeded fallowing receipt by lab
B5 -Too many colonies were present; too numerous to count (TNTC)
POL- ?radical Quantitation Llmit-subject to change due to instrument sensitivity
J2- Reported value failed to meet OC criteria for either precision or accuracy; Estimated
U- Samples analyzed for this compound but not detected
J3 -The sample matrix interfered with the ability to make any accurate determination; Estimated
X1- Sample not analyzed for this compound
J6 -The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated
Ni -The component has been tentatively Identified based on mass spectral library search and has an estimated value
LAB
Laboratory Sectlowi 1623 Mail Service Center, Raleigh, NC 27899.1623 [phone] Page 1 of 2

NC (DWQ Laboratory section Wgsufts Sampie ID A654166
Location ID: OP032AWS820225 Collect onto: 01/2712010
Loc. Descr.: UPSTREAM Collect Time:: 12:50
Visit ID
CAS 4 Analyte Name POL Result Qualifier Units AnalystlDate Approved By (Date
Sample temperature at receipt by lab 3.0 'C DSAUNDERS SMATHIS
Method Reference 1127110 1126/10
mic
SOD, &Day in liquid
2
2 U
mg1L
ADESAI
CGREEN
Method Reference APHA52109
1127/10
214M0
Coptofm, MF Fecal to liquid
1
83
CFUM00ml
NDEO
CGREEN
Method Reference APHASMD-20th
1127110
214110
NUT
NH3 as N in liquid
0.02
0.11
mg1L as N
MAJAYI
CGREEN
Method Reference Lac10-107-06-1-J
112910
2WID
Total Kjeldahl N as N In liquid
0.2
0.99
my1L as N
MOVERMAN
CGREEN
Method Reference Lachat107-06.2-1-1
V29M0
21M10
NO2+NO3 as N In Itquld
0.02
8.8
n1p1L as N
MAJAYI
CGREEN
Method Reference Lac10-107-04-1-c
1!29!10 214M D
Phosphaus_total as P In liquid 0.02 022 mWL as P GBELK CGREEN
Method Reference Loc10.115-01-t EF 2rY10 216110
Laboratory Sectloru�,, 1623 Map Service Canter, Raleigh, NC 27899-1823 {919) 733-3908 Page 2 of 2

Report to: GROUNDWATER SECTION Page of
CHAIN OF CUSTODY (COC) RECORD
NC DENR/DWQ LABORATORY (check one): [F�n CENTRAL 10 1 ARO f[3 I W2RO
For Investigation of:A iV 9 a— � - G- e) /)
Pa Z, j
NUMBER.
BOTTLES
Incident No -
Sample collector (print name) -S,feue 0-
-RECEIVED
BY:
DATE'--.--:
TIME "--­­
and MV -54 forms completed by: Sample collect/r'll
)
signature:
Sim attire:
Field storage conditions and location (when applicable):
Lab Use Only-
NUMBER
DATE
TIME
OF
:�-�.-LABNO.--_
SAMPLE ID
QUAD.. NO.
LOCATION
SAMPLED
SAMPLED
CONTAINERS
7,
!EB 01-20V
'At
L j 0
W4A
1 3-6
Some.
LZ 06
1
Relin ui hed by ign re): I
Date
Time
cceivcd
bL�
ature):
Date
Time
01-2
V
A1:1
JY:!
I I -
N
eiinquish S ature
ate
Time
Plyed by (Sig
e
t re
ate
Time
R shed
P1 �mve
Date
Time
;6ived by (Migna ure):
Date
Time
__7 1
Method of Shipment (check one): State CouritrEl H and-deliveredW Federal ExpressO
UPSE) Other:
Sealed y-.
Broken
Security Type and Conditions:
.by:
IN LKALADUICA I OKI 1-t-LAUN OF LUN 1UJJV - Lan Use Unly
.'LAB NUMBERS
�1-IRPUGH
',:FR!D� J1
NUMBER.
BOTTLES
ANALYSES
REQUESTED
RELINQUISHED.
BY:
-RECEIVED
BY:
DATE'--.--:
TIME "--­­
7
7
7,
!EB 01-20V

Waste Utifization Plan
Producer:
Tommy Godwin
Name of Farm:
Godwin Farms
Location:
2476 Share Cake Road
Clinton NC 28328
Phone:
910-554-54€18
Type of operation:
Feed -finish
Number of Animal:
5650
Storage Structure:
Anaerobic Lagoon
Method of Application:
Irrigation
Amount of waste produced per year:
Amount of plant available N (PAN) pmduced/year:
County: Sampson
RECEIVED
MAR 2 9 2010
DENR- FAY1`fTMLLE REGIONAL OFNCE
10735 ton/year
12995 tbs./year
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 the 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 not be applied to land eroding at more 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 in runoff to the surface waters which is not
allowed under DWQ regulations.
S. Wind conditions should also be considered to avoid drift and downwind odor problems_
5. To maximize the value of the nutrients for crops 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 applications methods are
not the some.
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

Godwin Farms
Page 2
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 the 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 adapted by the Environmental Management Commission.
YOUR WASTE UTILIZATION PLAN IS BASED ON THE FOLLOWING;
Tract No.
Field No-
Soil Type
Crop
Code
Yield/Ac
Lbs, N
unit
Acres
Lbs N
Used
Month to
Apply
Lbs. N
Per Ac.
4404
1
BOB
CB -Graze
3.4
50
3.57
607
MAR-SEP
17G
4404
1
BOB
OS -Graze
1
50
3.57
179
SEP-MAR
50
4404
2
BOB
CB -Graze
3.4
50
1.21
206
MAR-SEP
170
4404
2
BOB
OS -Graze
1
50
1.21
61
SEP-MAR
50,
4404
3
BOB
CB -Graze
3.4
50
1.07
182
MAR-SEP
170
4404
3
BOB
OS -Graze
1
50
1.07
54
SEP-MAR
50
4404
4.
BOB
CB -Graze
3.4
50
0.74
126
MAR-SEP
17G
4404
4
BOB
OS -Graze
1
50
0.74
371
SEP-MAR
50
4404
5
WaB
CB -Graze
4.1
50
1.05
2151
MARSEP
205
4404
5
WaB
OS -Graze
1
50
1.05
53
SEP-MAR
50.
4404
6
WaB
CB -Graze
4.1
50
1.83
334
MARSEP
205.
4404
6.
WaB
OS -Graze
1
50
1.63
82
SEP40AR
50
4404
7
SoB
CB -Graze
3.4
50
2.03
345
MARSEP
170
4404
7
BOB
OS -Graze
1
50
2.03
102
SEP-MAR
50
4404
8
WaB i
CB -Graze
4.1
50
1.77
363
MAR-SEP
205
4404
8
WaB
OS -Graze
1
50
1.77
89
5EP-MAR
50
4404
9
BOB
CB -Graze
3.4
50
0.63
107
MAR-SEP
170
4404
9
BOB
OS -Graze
1
50
0.63
32
SEP-MAR
50
12120
10
BOB
CB -Graze
3.4
50
2.42
411
MAR-SEP
170
12120
10
BOB
OS -Graze
1
50
2.42
121
SEP-MAR
50
12122
11
BOB
CS -craze
3.4
50
1.37
233
MAR-SEP
170
12122
11
BOB
OS -Graze
1
50
1.37
69
SEP-MAR
50
12122
12
BOB
CB -Graze
3.4
50
2.28
388
MAR-SEP
170
12122
12
BOB
OS -Graze
1
50
2.28
114
SEP-MAR
50
12122
13
WaB
CB -Graze
4.1
50
1.48
303
MAR-SEP
205
12122
13
WaB
OS -Graze
1
50
1.48
74
SEP-MAR
50
12122
14
BOB
CB -Graze
3.4
50
2.09
428
MARSEP
205
12122
14
BOB
OS -Graze
1
50
2.09
105
SEP-MAR
50
12121
15
Jo
CB -Graze
3.8
50
1.43
272
MAR-SEP
190
12121
15
Jo
OS -Graze
1
50
1.43
72
SEP-MAR
50
12121
16
WaB
CB -Graze
4.1
50
1.47
301
MARSEP
205
12121
16
WaB
OS -Graze
1
5o
1.47
74
SEP-MAR
50
4405
17
Jo
CB -Graze
3.8
50
1.42
270
MAR-SEP
190
4405
17
Jo
OS -Gaze
1
50
1 A2
71
SEP-MAR
50
12121
18
WaB
OS -Graze
4.1
50
1.42
291
MAR-SEP
205
12121
18
WaB
OS -Graze
1
50
1.42
71
SEP-MAR
5o
4405
19
Jo
CB -Graze
3.8
50
0.97
184
MAR-SEP
190
4405
19
Jo
OS -Graze
1
50
0.97
49
SEP-MAR
50
4405
20
WaB
CB -Graze
4.1
50
0.56
115
MAR-SEP
205
4405
20
WaB
OS -Graze
1
50
0.66
28
SEP-MAR
50
4405
21
Jo
CB -Graze
3.8
50
1.47
279
MARSEP
190
4405
21
JO
OS -Graze
1
50
1.47
74
SEP-MAR
50
4403
22
Jo
CB -Graze
3.8
50
3.10
589
MAR-SEP
190
4403
22
Jo
OS -Graze
1
50
3.10
165
SEP-MAR
50
4403
23
Jo
OS -Graze
3.8
50
1.26
239
MAR-SEP
190
4403
23
Jo
OS -Graze
1 1
1 50
1,26
631
SEP-MAR
I50

Godwin Farms
Page 3
Tract No.
Field No.
Soil Type
Crop
Code
Yield/Ac
Lbs_ N
unit
Acres
Lbs N
Used
Month to
Appty
Lbs. N
Per Ac.
4463
24
Jo
CB -Graze
3.8
50
2.40
455
MAR -SEP
190
4403
24
JO
OS -Gaze
1
50
2.40
120
SEP -MAR
50
4403
25
JO
CB -Graze
3.8
50 J
1.53
291
MAR -SEP
190
4403
25
Jo
OS -Graze
1
50
1.53
77
SEP -MAR
50
4403
26
Lm
CB -Graze
3.4
50
1.35
230
MAR -SEP
170•
4403
26
Lm
OS -Graze
1
50
1.35
68
SEP -MAR
50
4403
27
Lm
CB -Graze
3.4
50
0.56
95
MAR -SEP
170
4403
27
Lm
OS -Graze
1
50
0.58
28
SEP -MAR
50-
9748
28
KaA
OS -Graze
4.7
50
1.64
385
MAR -SEP
235,
9748
28
KaA
OS -Graze
1
50
1.64
82
SEP -MAR
50
9748
29
KaA
CB -Graze
4.7
50
2.39
562
MAR -SEP
235'
9748
29
KaA
OS -Graze
1
50
2.39
120
SEP -MAR
50
9748
30
KaA
CB -Graze
4.7
50
2.56
602
MAR -SEP
235
9748
30
KaA
OS -Graze
1
50
2.56
128
SEP -MAR
50-
9748
31
KaA
OS -Graze
4.7
50
2.44
573
MAR -SEP
235-
9748
31
KaA
OS -Graze
1
50
2.44
122
SEP -MAR
50
13094
32
WaB
CB -Hay
5.5
50
1.85
509
MAR -SEP
275
13094
32
WaB
OS -Hay
1
50
1.85
93
SEP -MAR
50
13094
33
WaB
CB -H
5.5
50
1.45
399
MAR -SEP
275
13094
33
WaB
OS -Ha
1
50
1.45
73
SEP -MAR
50
Total 54.61 13621 Ibs.
Available Nitrogen 12995 Ibs.
Surplus or deficit -626 Ibs.
Applying the above amount of waste is a big job. You should pian time and have appropriate equipment to apply
the waste in a tirneiy manner.

Godwin Farms
Page 4
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.
In interplanted fields (i.e. small grain, etc. interseeded in bermudagrass), forage must be removed through
grazing, hay and /or silage. Where grazing, plants should be grazed when they reach a height of sic to nine
inches. Cattle should be removed when plants are grazed to a height of four inches. In fields where small grain
etc. is to be removed for hay or silage, care should be exercised not to let small grain to reach materity,
especially late in the season ( i.e. April or May) Shading may result if small grain gets too high and this will
definitely interfere with the stand of bermudagrass. This toss of stand will result in reduced yields and less
nitrogen being utilized. Rather than cutting small grain for hay or silage just before heading as is the normal
situation, you are encouraged to cut the small grain earlier. You may want to consider harvesting hay or silage
two to three times during the season, depending on the time small grain is planted in the fall.
The ideal time to interplant small grain, etc. is late September or early October. Drilling is recommended over
broadcasting. Bermudagrass should be grazed or mowed to a height of about two inches before drilling for best
results.
Caution must be exercised in grazing or haying summer annuals under stressed conditions. Nitrate poisoning
may occur in livestock. Sampling forage or hay for nitrate levels is recommended.
Acnes shown in the tables are considered to be the usable acres excluding required buffers, filters 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 field listed may, and most likely will be, more than the acnes
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 407 lbs. of plant available
nitrogen per year in the sludge.
If you remove sludge every 5 years you win have approximately 2034 lbs. of PAN to utilize. Assuming you
apply this PAN to hybrid bermudagrass hayland at the rate of 300 lbs/acre you will need 7
acres of land_ 1f you apply the sludge to com at the rate of 125 lbs. of nitrogen per acre you will need 16
acres of land. Please be aware that these are onty estmates of the PAN and the land needed. Actual
requirements could vary by 25% depending on the 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 initiat soil moisture content, soil structure, soil texture, water
droplet size, and organic solids. The application amount should not exceed the available water holding capacity

Godwin Farms
Page 5
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 property irrrigate the acres shown in tables.
Failure to apply the recommended rates and 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 No.
Field No.
Soil Type
Crop
Code
Applic_
R inthr
Applic.
Amount
4404
1
BOB
CB -Graze
0.50
1.0
4404
1
BOB
OS -Graze
0.50
1.0
4404
2
BoB
CB -Graze
0.50
1.0
4404
2
BOB
OS -Graze
0.50
1.0
4404
3
BOB
CB -Graze
0.50
1.0
4404
3
BOB
OS -Graze
0.50
1.0
4404
4
BOB
CB -Graze
0.50
1.0
4404
4
BOB
OS -Graze
0.50
1.0
4404
5
WaB
CB -Graze
0.50
1.0
4404
5
WaB
OS -Graze
0.50
1.0
4404
6
WaB
CB -Graze
0.50
1.0
4404
6
WaB
OS -Graze
0.50
1.0
4404
7
BOB
CB -Graze
0.50
1A
4404
7
BOB
OS -Graze
0.50
1.0
4404
a
Was
C8 -Graze
0.50
1.0
4404
8
WaB
OS -Graze
0.50
1.0
4404
9
BOB
CB -Graze
050
1.0
4404
9
Bos
OS -Graze
0.54
1.0
12120
10
BOB
CB -Graze
0.54
1.0
12120
10
BOB
OS -Graze
0.50
1.0
12122
11
BOB
CB -Graze
0.50
1.0
12122
11
BOB
OS -Graze
0.50
1.0
12122
12
BOB
CB -Graze
0.50
1.0
12122
12
BOB
OS -Graze
0.50
1.0
12122
13
WaB
CB -Graze
0.50
1.0
12122
13
WaB
OS -Graze
0.50
1.0
12122
14
BOB
CB -Graze
0.50
1.0
12122
14
BOB
OS -Graze
0.50
1.0
12121
15
Jo
CB -Graze
0.50
1.0
12121
15
Jo
OS -Graze
0.50
1.0
12121
16
WaB
CB -Graze
0.50
1.0
12121
16
WaB
OS -Graze
0.54
1.0
4405
17
Jo
CB raze
0.50
1.0
4405
17
Jo
OS -Graze
0.50
1.0
12121
18
WaB
OS -Graze
0.50
1.0
12121
18
WaB
OS -Graze
0.50
1.0
4405
19
Jo
CB -Graze
0.50
1.0
4405
19
Jo
OS -Graze
0.50
1.0
4405
20
Was
CB -Graze
0.50
1.0
4405
20
WaB
OS -Graze
0.50
1.0
4405
21
Jo
CB -Graze
0.50
1.0
4405
21
Jo
OS -Graze
0.50
1.0
4403
22
JO
CB -Graze
0.50
1.0
4403
22
Jo
f DS raze
0.50
1.0

Godwin Farms
Tract No.
Field No_
Soil Type
Crop
Code
Applic.
Rate inlhr
Applic.
Amount
4403
23
Jo
OS -Graze
0.50
1.0
4403
23
Jo
OS -Graze
0.50
1.0
4403
24
Jo
CB -Graze
0.50
1.0
4403
24
Jo
OS -Graze
0.50
1.0
4403
25
Jo
CB -Graze
0.50
1.0
4403
25
Jo
OS -Graze
0.50
1.0
4403
26
Lm
CB -Graze
0.50
1.0
4403
26
Lm
OS -Graze
0.50
1.0
4403
27
Lm
CB -Graze
0.50
1.0
4403
27
Lm
OS -Graze
0.50
1.0
9748
28
KaA
OS -Graze
0.50
1.0
9748
28
KaA
OS: raze
0.50
1.0
9748
29
KaA
CB -Graze
0.50
1.0
9748
29
KaA
OS -Graze
0.50
1.0
9748
30
KaA
CB -Graze
0.50
1.0
9748
30
KaA
oS-Graze
0.50
1.0
9748
31
KaA
OS -Graze
0.50
1.0
9748
31
KaA
OS -Graze
0.50
1.0
13094
32
WaB
CB -Hay
0.50
1.0
13094
32
WaB
OS -Hay
0.50
1.0
13094
33
WaB
CB -Ha
0.50
1.0
13094
33
WaB
OS -Ha
0.50
1.0
Page 6
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 limitations. The maximum application amount shown can be applied under optimum soil conditions.
Your facility is designed for 180 days of temporary storage and the temporary storage must be removed on the
average of once every 6 months. In no instances 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 the waste applicator to ensure that the spreader equipment Is operated
properly to apply the correct rates shown in the tables. 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 have receive the waste analysis report for assistance in determining the
amount of waste per acre and the proper application rage prior to appling the waste.
NARRATIVE OF OPERATION

Lagoon Freeboard & Available Storage Capacity Log
Farm Name: ��� (,J
Operator. w Facility Nv.
Vasr ;16 10

ULU
W,
Kw. -1 , ". -J
Ing
MffW.�7-
F
Ing
Z7

AP --A m M�
'-jj
Ulu GM
M.,
7�1
'-jj
M.,
'-jj

YCf DMC noetic Division
Phone: [phone] Web Site: www.ncaRr.com!
ronomi/
Report:
W05831
Grower-
Godwin, Tommy
Copies 7n'
...f..�- ----�=
ED
+�
LDS0,Ins epo rt
Cro Godwin Harms
2476 Sham Cake. Rd.
Clinton, NC 28328
Farm:
3/2/2009
�TEVILLE 010NAL0FFiuE
Sampson County
Sample Information
Laboratorl' Results (parts per million unless otherwise noted)
Sample 1D:
N P K Ca ,11
S
Fe Ma Zu
C.11
B
Mn
Cl
C
01
T0+1c11
357
60.6 559 144 37.7 32.1
7.17 0.97 2,12
1.84
1A6
Waste Code,
,ILS
1 a vT Cd � Pb
Al
Se l i p Il
Kv
C:,Y
VAN
("C'M
:%E(ne) -
Description:
Uk•,1'
291
7.28
Swine Lagoon Li .
Urea
e omme dations:
Nutrients Available for First Crop
lbs/1000 Rallaw
Other Elements
lbs/1000 gallons
Application Alwhod
N
P2105 X20 Ca Mg S Fe Mn Zn
Ga
B Mo C1
Na
Ni
Cd Pb
Al
Se Li
Irrfptlun
1.5
0.81 4.5 0.84 0.22 0.19 0.04 0.01 0.01
0.01
0,01
2.4
Sample Information
laboratory Results (parts per maiden unless otherwise noted)
Sample 1D:
ti P K Ga 1lg
N
Pe Mrt 7r+
Cu
Q
filo
Cl
C
02
1'61r+l
.558
i6.7 541 153 39.{ 31.7
516 0.86 2.04
154
1.50
LV-.V
Waste Code:
-A-714
TILS
."vQ3
_
Aa - r1'i Cd Pb
Al
Se Li PH
S'S
CN
DR%
CCyA
ALE(Ko)
Description:
OR-N
281
7.32
Swine Lagoon Liq
'rea
Recom datio s:
Nutrients Available for First Crop
lbs/1000 albite
Other Elements
lbs/1000 alloms
Application Method
2v
P205 K20 Cir Afg S Fe Mn ZFI
Gil
B Ma Cl
Na
Ni
Cd Wi
Al
_
5e Li
Irrigaelon
1.5
0.76 4.3 0.89 0.23 0.19 0.03 0.01 0.01
0.01
0.01
2.4
Sample Information
laboratory Results (parts per million unless otherwise noted)
Sample 1D:
I' P K Ca 11
S
Fe Mn Its
Cu
B
Mu
L'l
c.
03
l ulur
389:1-
9983 ?8018-
:.0') 1 i 5564
6721
82.0 411 384
132
51.5
.�
i
1 Waste Code:
1'It r
......
HIB
NUS
Iva "vi Cd Pb .
1
At
so b ji N
SS �
C.N
DV%
CCE%
ALE(tons
Description:
11R-N
9269
82.11
Broiler house
t.'ren
Recommendations:
N
Nutrients Available for First Crop
PPOs 100 Crr w mg S Fe Mn Zn
lbs/ton
Cu
twet bass
!3 No Cl
Other Elements
Na
Ni
Cd Pb
lbs/tor:
At
wet basis
Se l i
Appikation Metbod
Broadaut
28.8
22.5 44.2 20.5 55 6.6 0,08 0.40 0.50
0.17
0,05
15.2

NCDA& Agronomic Division Phone: [phone] Web Site: www.neagr.Roy/agronomi/ Report: W02109
Grainer:
Godwin, Tommy
Copies I
�t r
WasteAnalysis eport
uo Godwin Farms
2471 Share Cake RI.
dinton. NC 25328
I'arm:
9/18/2009
Sampson County
Sample Information
laboratory Resulfs (parts per million unless otherwise noted)
Sample M.
lV
P K Ca M
.S
Fe Mn Z>a
Cu
8 Mo
C1 C
01
Tutu! 328
74.5 838 121 i4.6
38.2
4.76 0.64 1.39
1.03
1.77
IN -Y
Waste rode:
-A7/-1
ALS
-\03
_
Nor .Ni T Cd Pb
At
Se Li hH
SS
CN DAR
CM4 A].i;(KgA, )
Description.,
01? -N
415
772
Swine Lagoonn Li .
Cren
Itecommendations:
Nutrients Available for First Crop
Ibs/1000 gallons
Other Elements
Ibs/1000allons
Application Method
;V PN5 X10 Ca A!g S � re Mn
7,14 T Cu-
8 No C!
NO
_
rvi ("itA
At Se Li
Irrigation
1.9 1.0 6.7 0.70 0.20 0.22 0.03 T 0.01 0.01
0,01
3.5
Compkeicd-. 9/17/2009
Sample Informatlen
Laboratory Results (parts per miilloo unless otherwise noted)
Sampie ID:
4' P K Cu Mg
S
Fe Mn 7n
Cu
B Mo
C1 C
02
1001 380 75,1 871 128 35.6
3x.8
4,48 0.69 1.36
1.14
1.79
(A=V
Waste Code.,
N)h
AUS
403 AYn Ali Cd Pb
At
Se U pH
SS
CIN Mf%
CCE% ALE (W)
Description:
_
()R -.V 422
771
Swine L on M4.
Urea
Recommendations:NutrientsAvailable
w for First Crop
Ibs 1000 all0nc
Other Elements
M11000ailorss
Application Meibod
,Y Pa05 K20 Ca Mg S Fe M11
,Zn Cu
8 Mo Cl
Na
Mi Cd Pb
41 Sv M
Irrigation
1,6 1.0 7.0 0.75 0.21 0.23 UM T 0.01 0.01
0.01
3.5

}
NCDA&CS Agronomic Division
Phone: [phone] Web Site: www.ncagr. ov/agronomi/
Grover.
Godwin, Tommy
Re
rt: W02109
Page: 2
Sample Information
Laboratory Results (parts per lnililon unless otherwise noted)
Sample ID:
03
Waste Code:
HLB
!Description:
Broiler house
N
P A Ca M
S Fe
1911
Zn
Cat
g
ft
+'l
C
Toga! 4127
l,V_!V
-14714
-XQ3
rJk:N'
1 'rw j
13669 34224 28303 7178 8560 315 537 474 125 60.7
Net Ni Cd Pb it/ Se Li P SS C -N DAf% CCE%
MVtorts}
11569 -' 76,66
Recommendations:
I
Nutrients Available for First Crop
Itis/ton
wet bads
Other Elements
lbsltan
wet baso)
Application Metbod
BrWcast
N
30,5
Pdoi Ado Ca Ms S Fe Mn
19.11 50,4 26.0 6.6 7.9 029 0.49
Zn Cu B
0.58 0.15 0.06
NO
rd
Na
17.7
Ni
Cd Pb
Al
Se I t
Sample lufotranaltion
Laboratory Results (parts per million unless otherwise noted)
Sample 1D:
44
Waste Code:
F5:K
Description:
Isom owed S%sine Mort.
N
P X Ca 88
S Flt
Mn
Zrl
Cu
8
No
C1
C
Tutu! 43W
1:V -N
•,V114
-.VO
OR -A'
1 reu
17611 21755 31673 5983 7234 539 369 383 84.0 34.5
411736
,Vu Ni Cel Pb Al Se Lr pit SS C,N Dbl% CCE%
ALE(tons)
x'a? 6.14 Kit 9.37 65.77
Hecomme dations:
Nutrients Available for First Crop
lbs/ton
(:net basis
Oilier Elements
lbs/to_n
wis
et bas)
Application Method
Broactrast
N
23.1
PJ05 !Cao Ca Mg S re _ Mn
31.9 27-5 25.0 41.7 5,7 0.43 0.29
Zrt Cu H
0.30 0.07 0.03
Mo
Cl
Nit
11.5
Ni
Cd P6
- d1
Se Le
Soluble salt level is veru hi¢h.
The comoosi
cannot be used Rs a lanelicane soil nr noltino media wilhnul htendino whor msueriuk to Inuver sntuhlo cnitr an nn nerentnhlp lavnl VAN hluh entAlP C91tq Iikply indirntP vory
high nutrient availability, Take ;a matching sod salnole to further evaluate Of and nutrient availabilli
North Carolina Reprogramming of the laboratory -information -management system that makes this report possible Is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
i' '• 1 Thank you for easing agronomic services to manages nutrients and safeguard environmental quality,
- Steve Troxler, Commissioner of Agriculture
Ttsh.A(,4 o Tru%[ Furnl C, M11 n r..I,,„

f�(UAi11� A rt ie Fww- (91!)733--z655 "Alae: wwv.�*.1, Tftre W .
N .'IP0m
Cmrrti!s-
Godwifl, Tommy
Copies to:
VA�
Go Godwin Fantu
p•
�s • + ��
2476 Shart Cake Rd.
Clinton, NC 28328
s
Waste Analysis Report
Farr,
Received: 0210512010
Completed: 02/12/2010 to HgIj&I
IF&ONton
Sampson County
Sm*
i+lbtimm" SUN&. (fwft !er now "am *a" whee-mmemp
Samok ID:
N
P X Ca
Afg
S
FO MR
Ln
Cy 6 Ma
C1 c
Awl 267
35.6 488 116
35.1
250
3 03 053
0.88
0.86 1.12
01
LV•lV
Waste Cods:
NH!
ALS
3
Na M Cd
Ph
Al
Se Li
pH
SS C:4' DM%
CCa ALB
D"Morim.
OR-N
263
6.88
Swine t4wo Li .lbea
gmMmambamwRoWeW
Atail4ebie far Mo
�a M
Odle! Nkomo
fie 001?
, AV=dwNmI od
N f205 IGO fir Mg S Fe
Mn
sa ON
B Mo
d
N. M Cd it
Al u N
Iff0ke
1.1 0.48 3.9 0. is 0.20 0.15 9.02
T
0.01 0.01
0.01
2-2
CaoWkled: 2112!!910
The pH d dw Wpm W pid b below Dye !del) ramp far h wkdal adfen asd wme mmmm Grmhm* mdW pH h1 oMIt616. d apkain" line per 1009m 4. of Vw9 rmAM4 in the Faun. Swrple the
and oomioae b
Ilnt tntif M b wfmia ibe dryied of 7.06.0.
�1rae�iefiiaiw,
�'1` �' �per`�!k'1�earittferwElC7�%
,
Sample ID
N
P X Ca
M8
S
Ff Mn
in
Cm B Mo
C1 C
Total 248
31.6 446 134
32.6
24.9
2.48 a47
0.85
0.73 1.07
02
Code.
-.NH!
EWaOt
ALS
-N033
Na 1w Cd
P6
N
Se U
PH
XS C•h' DM%
CCL% 111
253
7.05
AMMONan:
OR-jV
Swine Lum Lig.
Uroa
NNUI b AvAtMe for Fiat Crop
AwIm"amrOlikee
Siemelta
OM
N FJ05 w Ca MR S Fie
Mn
T1s Cr
B Mo
Cr
No Ni Cd A
At so G'
Ilp�iOad{mfMlibtJd
110 0.42 3.6 0.78 0119 Q15 0.02
T
0.01 T
0.01
2.1

_ A�wrw it>Effririirt
w'�t a: (!1lr7331 i5S I't�0e_'w�iliwt
—T-
Craser: 8odwK- Yp!•
Kerb! V"J.hgr:
2
BrII�IFIe"IaeFlre.arleap
T�"(�Ierb�arsiiNi��'�eiw�e'Mk�
_.
$ample ur.
4;
wasm Code:
IILB
Description:
Broller House
N
P x ca
MR
S
Fe
Mn
1n
Ch
R
_ My
Cr
C
r0ta! 36951
GV-N
-NH4
-NO3
OR•N
Uma
11920 25!22 22697 5274 7312 404 318 314 214 39.7
Na Ni Cd A Al So I! Pff SS C-N Aim CCE%
ALEOMS)
9290 67.31
ftatrlsrtaEs Arxgdle !ee Fllnst &M
4ohn
poet iws*
Obex S1CMMM s
(wt irsLr
AMWOM Ade"
Broodcnsi
N
224'
P"
221
1170 Ca AJ S h
323 193 4.3 5.9 033
Abs
0.26
7.sr CO
0.34 0Z
B
0.03
Mo
d
Na
12.5
M
ad Is
At
se U
166910,1111441
lilliaesir"immit.(11WIN
Per 211111"11038 Mar !Mw*
Sangdf llk
04 "
Waite Conde:
ism
Drscrdptim
9MMFMd Swlme Mori.
N
P K Ca
M
S
Fe
Mn
2m
Gkr
A
No
CI
C
row 29037
GYN
•NH!
403
OR•N
Urea
17033 18894 30665 5996 5733 924 444 366 9816 31.4
490631
Na M Cd Pb Al Se U H SS OjV DM%
ALFi(oes)
7686 5.82 1013 15.90 " 43.12
-
1-1�
Kai I- eI krAwe fir Fiat
SW 006
Other Elements
1ao
ret iOA*
I
dppliaeNptrAMMad
Bit
N
10.0
P203
20.2
r� S Fe
!15.6)15.9 3.1 3.0 0.48
Mn
O23
Ear Crwr
0.19 0.05
d
0.02
Ado
d
Na
6.6
Nl
rr Pb
Al
se L
North Carob i iia Reprogramming of the laboratoryinformation-management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you jar using agronomic services to manage nurrients and safeguard environmental quality.
lirk�xr.rr Ir.rtil Fury: i.amiii,,r,H�r-
SteveTroxler, Commissioner ofAgrieulture

, Ma
f
A
oz
2S bL 9S.t1 8Ip
qTT EI
LL
I 3
• , � � ", � s{. r y A I S iI t i l i� y / v� ell r 1 'r
k�. � �'`rir �:;� � y`,jA.•tr *'d ,�A_G, �i;��'>� r, fir,' o ',�
or
1 rp
i
�� w

FOP -z
Tract #
Field Sixo (wolted acres) a (Al
(DI
mM.lq
Lagoon liquid Irrigr Aids Record
One Form for Each F Jr Crop Cycle
Farm Owner Irrigation Operator
Owner's Addrtas Irrlgatlon Operator'a
Faculty Number - aZ
Addreea
Owner's Phono # operator's Phone #
From Waste Utlliaatlon Plan .
Crop Typo I iRecommended PAN
Loading (lb/acre) = (B) 4
rz5
1s1 [51 1B1 [71 tat 101 1101 rill
I agoon Data
ID (mnNddlyr)
SiadEnd
Tkne
'Time
Total
Minutes
(3)-(2)
Urination
i'1 of Flow
Sprinklers Rate
Operaling (gallmin)
Total Volume
(gaiions)
(6) x (6) x (4)
V015 o
per Acre
(gallacre)
(7)1(A)
Waste Analysis
PAN'
(lb/1000 gal)
PAN Appiled
(Ih[acre)
{al x 195
1000
Nitrogen
Balance
(IWacre)
(B)
Sn �
Woaltir x
Code'
Inctsar
apaa
(Iniliaia) "
1,� A
�o
nq
C
`FC
I M04
Ar,
360
90
3a
t o ala1A
1� 3-
I r`
C
a
360
1 q0
3a cro
jo'-Pao-
--j
Crop Cycle Totals I ` Total PAN 1
Owner's Signature Operator's Signature
Certified Operator (Print) Operator Certitication #
' Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rale, S-Snow/Sleet, W -Windy
" Persons completing the Irrigation inspections roust Initial to signify that Inspeclions were completed at least every 120 minutes.
I

FOR ;2
Trawl #
Rold Sino (wolted acres). (A)
Farm Owner
Owner's Addrues
0�
I Owner's Phone #
Lagoon liquid lrrigK ?(ds Record
One Form for Each f 1r Crop Cycle
Irrlgalion Operator
Irrigation Operaloes
Address
Operator's Phone p
Fadiity Number I & �a- I -
From Waste Utilization Plan
Crop Type ReComrnended PAN
R 7� — Loading Macro) n (B) S"
rat IM fat 171 181 191 1101 1111
iv
Lagoon Date
ID (mmlddryr)
5tert
Time
-
End
Time
Irri allon
Total # of Flow
Minutes Sprinklers Rate
(3)-(2) Operating (g8Umin)
Total Volume
(gallons)
(6) x (6) x (4)
n ume
per Acre
(gallacre)
(7)1(A)
Waste Analysis
PAN'
(lb/11000 gal)
PAN Applied
(Iblacre)
j&�)
1000
Nitrogen
Balance
(lblacre)
(B) - (10)
�a
Weather
Coda`
Vspacuons
(Inlllais)"
! aU U
I0
1� to
l �0
10 a~ra
q� y
1i
1�
196
��
1a
aP
dao
°�
�o 961D
SLI -)3
1,1
y t���3�
g �-
1a fl
��-n
��
In fan
g���
1 �
� �-�
� I�-��
C
Ta •
Crop Cycle Totals
Total PAN
Owner's Signature
Certified Operator (Print)
Operaloea Signature
Operator Cerlincatlon #
Weather Codes: C -Clear, ?C Partly Cloudy, Cl -Cloudy, R -Rain, S-SnowlSleet, W -Windy
11 Persons completing the Irrigation inspections must Inlllal to signify that inspections were completed at least every 120 minutes.

FOR r2
0I
Lagoon Liquid Irrig€ -Aids Record
One Form for Each F fr Crop Cycle
Tracl 11 Field 11 Faclilly Number
Nald Skm (wallad acres) = (A)
Farm Owner Irrigation Operator
Owner's Address Irrigation Operators
Address
Owner's Phone 0 Operators Phone p
From Waste Utilization Plan . .
GropTypa Reoonunended PAN _
1St 161 '171 lei 191 1101 rill
Lagoon Date
M (mmiddlyr)
start
Time
End
Time
Total
Minutes
(3)-(2)
IRl atlpn
it of Flow
Sprinklers Rate
Operating (gavrnin)
Total Volume
(gallons)
(B) x (6) x (d)
VoiUrne
per Acre
(gaVacra)
(7)1(A)
Weals Analysis
PAN,
(Ib/1000 gal)
PAN Applied
(lblscre)
I81 x {Bl
11000
Nitrogen
Balance
pblacra)
M-00)
Weather
Gods'
Inepeetlam
(tnlllats) "
e=
TG
l 5 3d�
sA .
)Oft
la -o
M go
0 qM
,�q�3
13 a
r�
-
1 ca
a
10 g
1 �7
�,
i �...
a ,�
�`
T G
1 t, � �- o�
� �
� a A
ia.n
� � o
to ���
��4�3
I �"
'.f �-;��
I�-� a.,
C
•T
Crop Cycle Totals
Total PAN
Owner's Signature
Certified Operator (Print)
Operator's Signaturs
Operator Certification #
' Weather Codes. C -Clear, Pie -Partly Cloudy, Cl -Cloudy, R -Rale, S-Snow/Sleet, W -Windy
"• Persons completing the Irrigatlon inspections must initial to signify that Inspections were completed at least every 126 minutes.

FOR r2
Tract U
Fiuld $izo (wotted acres)- (A)
Farm Owner
01
Owner's Addrms
Owner's Phone #
Lagoon Liquid Irrlgr: �tds Record
One Form for Each F jr Crop Cycle
Irrigation Operator
litigation Operalor's
Address
Operators Phone #
Facility Number,
From Waste utilization Plan
Crop Typo Reconrrnended PAN
Loading (Wacre) = (a)
ins ,t1 1r:1 1R1 171 1111 191 fin% 1191
'
LagoonDate
ID (mm+ddlyr)
Start
Tkne
End
Time
Irrl etion
Total V of Flow
Minutes Sprinklers Rate
(3) - (2) Operating (gallrnin)
Total Volume
(gallDna)
(6) x (a) x (4)
D urn
per Acre
(gallacre)
(7)1(A)
Waste Analysis
PAN'
(Ib11000 gat)
PAN Applied
(lblacre)
jBIx 191
i0oo
is-
Nitrogen
Balance
(bacre)
(e) - (10)
Weather
Code'
Inspections
(Inilials)"
- -d
�a a
9
1 Q
1' b 5��
It's-
C,
aq
$
©
o
5Yan
70 la
I
J
tj
I
I - - ..
Crop Cycle Totals { - {
Owner's Signalure
Certified Operator (Print)
Total PAN I-
Operalor'e Signature.
Operator Cerllficallon. #
• Weather Codes: C -Gear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-Snow/Sleet, W-Wlndy
.. Persons completing the Irrigation Inspections must initial to signify that Inspections were completed at least every 126 minutes,

FOP r2
Lagoon Liquid Irrigr Ids Record
One Form for Each F Jr Crap Cycle
Tract d Field IJ Faculty Number
rlold 5ixo (waited acres) -(A)
Farm dormer Irrigation Operator
ovinor's Address Irrfgelbn Operator's
Address
owner's Phone p operator's Phone g
From Waste Utigxotlon Plan
crap Typo—� Recor►mttended PAN
Loading (lbtacre) n (B) C p
M ra% Teti Tai In tai tot (101 rill
•
ILagoon Dale
to (mrnlddlyr)
Start
Tkm
End
Time
Total
Minutes
(3)-(2)
3rri Ilon
4 of Flow
Sprinklere Rate
Operating (gaVmin)
Total Volume
(gallons)
(6) x (6) x (4)
Volume
per Arte
(gavacra)
(7) l (A)
Waele Analysis
PAN'
(lb/1000 gal)
PAN Applied
(blacre)
(a) x [94
1000
Nitrogen
Balance
(Ibfacre}
(a) - (10)
Weather
Cods"
Irnspeatlam
(Initials) "
e=
ct('ta
Crap Cycle Totals
Total PAN
Owner's Signature
Certified Operator (Print)
Operalor'a Signature
Aperalor Certlllcallon #
• Weather Coders: C -Clear, PC -Partly Cloudy, Ci-Ctaudy, R -Rain, S-Snow/Sleet, W -Windy
'" Persons completing the irrigation inspections must Initial to signify that Inspections were completed at least every 126 minutes,

FOP 1-2
Tract #
Fluid Size (wailed screslti (A)
Farm Owner
owner's Address
Ownar's Phone #
I-agoon Liquid Irrigz Ids Record
One Form for Each F Jr Crop Cycle
Inigalton Operator
Ircigalion Operalar's
Address
Operator's Phone #
FadlilyNumber=
From Waste Utilisation Plan
Crop Type Recorn nandad PAN
Loading pwacre) = (B)
��, ra► IS% 181 '(71 tat cal 1101 c111
'
Lagoon Date Sled
ID (mmldd/yrj lime
End
Time
Irri anon
Total 4 of Flow
Minutes Sprinklers Rata
(3) - (4) Operating (gatlmin)
Total Volume
(gallons)
(6) x (6) z (4)
uma
per Acre
{gaUscre)
(7) l (A)
Waste Analysis
PAN'}
(lb/11000 gal)
PAN Applled
(lblacre)
�(�
low
Mirogan
Balance
(Ihlacle)
M-00)
Weather
Coda •
I�paclkru
{InIllals� "
Bs
•�
u -
T
�]
P,4�
�
'� 1 �0(M
1
I
t, da
Crop Cycle Totals
Total PAN
Owner's Signature
Certified Operator (Print}
Operator's Signalure
Operator Certification
Weather Codes: C -Clear, PC -Partly Cloudy, Cl -Cloudy, R -Rain, S•SnowlSlaet, W -Windy
01 Persons completing the Irrigation inspections must Inlllal to signify that Inspections were completed at least every 120 minutes.

FSA '2
Tract 11
Fk Id Suo (wotiod acre$)- (A}
b�1
Lagoon Liquid brigv Ids Record
One Form for Each f Ir Crop Cycle
0 -
Farm Orvner Irrigation Operator
Owner's Address Irrigation Operator's
Facitity Number - J
Address
Owner's Phone 0 Operator's Phone N
From Waste U1llizatlon Plan
Crop Typo r . Recomm ended PAN . �
toadhtg (Iblacre) = (e)
111A 1a1 151 i61 '171 lei 191 rt01 1111
Lagoon Date
ID (mrnlddlyr)
start
Time
End
Time
Irri alias
Total V of Flow
Minuto
(3} ^ (�)o Sprinklers• Rate
Operating (gamin)
Total Volume
(gallons)
(6) x (6) k (4)
VAu"PAN
per Acre
(gavocre)
(7)1(A)
Weals Analysis
PAN`
(I61iBoo gal)
Applied
(Iblacre)
[61 x 191
1400
Nitrogen
Balance
(lhfecre)
(a) • (io)
Weather
Code"
Irrspacibns
(lnlllals)'"
Ba
9C)
a.c�c�
a in
0,5
1,',
1 �,
Im
I'
I y (.a
C-
1 6
90
K
X 59,4
Crop Cycle Totals
Total PAN
Owners Signature Operator's Signature
Certified Operator (Print) Operator Certification #
Weather Codes: C -Clear, PC- Partly Cloudy, CI -Cloudy, R -Rain, S-SnowlSlaet, W -Windy
.. Persons completing the Irrigation Inspections must lnilial to signify that Inspections were completed at least every 1120 minutes.

FOIA .2
Tracl 9
Ffold Size (walled acres) - (A)
Farm Owner
Owner's Address
Owner's Phone 0
r
Lagoon Liquid Irrige ,,Ids Record
One Form for Each F Jr Crop Cycle
l*allon Operator
Irriealion Operaloea
Address
Operator's Phone 0
Facltlly Number
From wasto Utilization Plan
Crop ryp& Recommended PAN
.lra -- — Loading (tblacra) = (a)1. r°�.0. "r
rel rs► tel m tst 1e1 {101 (111
Date
;01D(min=dlyr)
Start
Ttma
End IN
Time
Irtl ettan
#! of Flaw
Sprinklers Rats
Total Volume
(gationa)
(B) x (6) x (4)
Volume
per Acro
(gallacre)
(7)! (A)
Waste Analysis
PAN'
(Ib110e0 qat)
PAN Applied
(lblacra)
to) x {9l
1000
Nitrogen
Balance
(IWacre)
(g) - tta)
Weather
Coda'
Inspections
(Initials)lmin)
�0�1
lard
3�
(v
1
C
TC
Crop Cycla Totals
`total PAN
owner's signature
Certified Operator (Print) ,
Operator's Signature 4 -
Operator CerUncallon #
Weather Codes: C -Clear, PC•Partiy Cloudy, Ci -Cloudy, R-Raln, S-SnowlSteet, W -Windy
Persons completing the Iftation Inspections must Initial to signify that Inspections were completed at bast every 120 minutes,

FOP -2
Tract #
I.agoon Liquid Irrlgz Ids Record
One Form for Each F it Crop Cycle
Facility Number I �-S
rla•ld �� lwe e -
Farm Onmer Irrigation Operator
Owner's Addruss Irrigation Oparalar'o
Address
Owner's Phone Operater's Phone #
From Waste Utilization Plan .
Crop Type Rec onar"ed PAN
Loading (Ihlacre) = (6)i ' r-? ep 4_
ri+ ,s► re► ret rill rtnt rill
•
LardoonDate
ID (mrnldd/yr)
Start
Time
End
Time
total
Minutes
(3)-(2)
Irrl anon
it of Flow
Sprinklers, Rate
Operating (gal+nvn)
Total Volume
(gallons)
{6) x (6) x (4)
Volume
per Acro
(gallacra)
(7)1(A)
Waste Analysis
PAN'
(Ih11000 gal)
PAN Appilsd
(Ihiacre)
(a) x Q
low
Nitrogen
BBlanoe
(ihfacxe)
(s) - (to)
Weather
Code"
lnspaciforl+
(initials) "
Ba
513dC,
��
i8
n
q0
1 �
1D693
.S
1.51
1 `� 9C_
-5c)
10 X6-0
4�-
1'S�,)
I� "9
C_
I C--4
e{ + <)
O
l i7 f�•
1 �
^
1 o
L
! 0 a -b
10, 0 l)O -
�r
� !.) � ,
1 J A
Vi
7 -
Crop Cycle Total's
Total PAN
omees Signature _� - Operator's Signature
Certified Operator (Prim) Operator Certlncation
' Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-SnowlSleel, W -Windy
" Persons completing the Ird92U0n Inspections trust initial to signify that Inspections were completed at leas( every 120 .
minutes.

FOP -.2 Lagoon Liquid Ilrigr rlIds Record
One Form for Each F it Crop Cycle
Tracl #
Floll Size (waited acres) m (A)
Farm Owner
Owner's Addruss
)! 1
rKu
Owners Phone #
Irrigation Operalor
Irrigation Operator'e
Address
Operator's Phone #
Facliity Number
From Waste Utilization Plan .
Crop Type Recommended PAN
LoadIN (ItVacre) w (0)
121 131 141 (S) {61 '(7) (a) (0) (10) 0111
L@Uoon Date
10 (mrrVddryr)
Start
Time
End
Tim*
Total#
Minutes
(3)-(2)
Irri atlon
of Flow
Sprinklers Rata
Operating (gaVmin)
Total Volume
(gallons)
(6) x (b) x (4)
Volume
per Acre
(gaVacre)
(7)1(A)
Waste Analysis
PAN'
(IbJ1000 gal)
PAN Applied
(lbfacre)
(8) x fB1
1000
Nitmoan
Balance
(lhraae)
(13)-(10)
Ba
Weather
Coda'
Inspeetbna
(Initials) "
II
Q
I
`J
90
�� n
f�
�v �0
h
�,f,
( f51.4
1 9,yp
T6
r i o
-9 r4
I
bA
1 S
1P
3c
I ()o
'p"').Gan
o 3vS
L4
I Lk4
159,9C
�
c)
I o'36 s--
1,
L�
Crop Cycle Totals Tatal PAN
Ownees Signature Operalor'a Signature
Certified Operator (Prtnl) Operator Cerlincatlon #
• Weather Codes: C-C(erar, PC -Partly Cloudy, Ct-Cloudy, R-Raln, S-SnowlSleek W -Windy
Persons completing the Irdoatlon Inspections must Initial to signify that Inspections were completed at least every 120 minutes,

FOP r2
Traci s
Field Size (woitnd acres) m (A)
Farm Owner
Owner's Add=s
D I Owners Phone #
Lagoon Liquid Irrig€ ?Ids Record
One Form for Each F .r Crop Cycle
Facility Nurmber
Irrigation Operator
Irrigation Operaloee
Address
Operator's Phone #
Fwm Waste utilization Plan .
Crop Type Recommended PAN
t.oadho (MCre)= (B)
141 131 141 151 (61 '(71 lei 101 (101 fill
lagoon Date
ID (mrndddlyr)
5iart
Time
End
'time
Irri tlon
Total i'( of Flow
lutlnuiea Sprinklars Rato
(9) - (2) Operaling (gaVmin)
Total Volume
(gallons)
16) x (5) x (4)
a nine
per Acro
(gavacra)
(7) l (A)
Waste Analysis
PAN'
(W1000 gal)
PAN "ad
(lblawa)
(()1x1131
1000
Nitrogen
9alamm
(1wacre)
(BI • (la)
8�
Weather
Code"
knepaalbna
(Initlats)'"
iI 09
0
I 9(0:+�55
rJ 6
h 1
1 �
01©
r ��
%�
!
lad
10
a
ia. >
9n
7C'5'A
I r,�
1 n
1
C
C
L- J
Crop Cycle Totals
Total PAN
Ownets Signature Operalor'a Signature__
Certilled Operator (Print) Operator Certification
' Weather Codes: C -Clear, PC-Par(ly Cloudy, Ci -Cloudy, R -Rain, S-SnowlSiael, W -Windy
'" Persons completing the Irrigation Inspections must initial to signify that Inspections were completed at least every 1120 minutes.

FOP -z
Tract d
Fia1d Sizo (wolfed acrasl r IA)
Lagoon Liquid Irrigs Ids Record
One Form for Each F Ir Crop Cycle
FarmOwner Irrigatlon Operator
Owners Addrrsss Irrigation operator's
Facility NumberI i:1 ?"s -
Address
Ownoes Phone # Operator's Phone p
From Waste Ulillxatlon Plan .
Crop Typo Recommended FLAN 1
Loading (Iblacre)= (B) - l
X13 !A% rsl rR% m rR1 191 riol rill
Liagoon pale
Ip (mmlddlyr)
start
Time
End
Tirno
Total
Minutes
(3)-(2)
Irri ation
fl of Flow
Sprinklers Rate
Operating (gaVn-Jn)
Total Volume
(gallons)
(6) x (6) x (4)
Volu
per Aare
(gallacre)
(7)1(A)
Waste Analysts
PAN'
(lb/1000 gall
PAN Applied
(lWacre)
f8} x is
1000
Nitrogen
Balance
(lb/acre)
(B} - (10)
Wealfw
Code
Inspscikula
(Inilists) "
t3�
7
5� , p
C—
rrVl
i ico6'
e
Sato
L
�
}o 3a5
A
� - �
-t
C
g q b
A
31r�
c
0 3a 5"
f 4
I �, '
1 to
C
G
Crop Cycle Totals
Total PAN
ownees Signature Operalor'e Signature
Certified Operator (Print) Operator CsrtlfEcal(on #
' weather Codas: C -Clear, PC-Pafdy Cloudy, CI -Cloudy, R -Rain, S-SnowlSlaot, W -Windy
•` Persons completing the Irrigation lnspectlons must Initial to signify that Inspections were completed at least every 126 minutes.

FOP r2
Traci #
Field Sizo (waited acres) a (A)
Farm Owner
Owner's Addrs:ss
Owner's Phone p
agoon Liquid Irriguggids Record
One Form for Each F Jr Crop Cycle
Irrigation Operator
Irrigation Operators
Address
Operalor's Phone #
Facility Number
From Waste Utilization Plan
Crop Type Recommended PAN
�� Lnadinp fuvacre} IB) - /70
-
rz. reti I51 161 '171 tel rat rtot flit
Lagoon Date
ID (mrnlddfyr)
Start End
Time Time
Total
Minutes
(3)-(2)
Inn lion
of Flow
5pdnklers Rata
operating (gallroM)
Total Volume
(gallons)
(6) x (6) x (A)
U"
par Acre
(t3�am)
(7)1(A)
Waste Analysle
PAN'
(lbl1000 gall
PAN Appllod
(iblacre)
(81 x to 1
1000
Nitrogen
Balance
(lblacre)
M-00)
Weelher
Cade •
Inapactlana
(Initials) "
B=
1� � 3 P
) 2
1 �i�
1l� a -o
qa
ISU
°iO
! ��
:�ioc
1
1
"M
10 n9
I
ISD
acsa
9050
I (4
1a'
130,
C.
7"G
Crop Cycle Totals
Total PAN
owner's Signature Operalor'e Signature
Certified Operator (Print) Operator Certlllcallon 0 -
L
Weather Codes GClear, PC-Parlty Cloudy, Cl -Cloudy, R -Rain, S-SnowlSleet, W -Windy
— Persons completing the Irrigation Inspections must Initial to signify that lnspeclions were completed at least every 120 minutes.

raf7 -2
Traci #
Mold Size (weUad acres)-, (A)
Farm Owner
Owner's Add=s
U -
Owner's Phone 0
Legoon liquid IrrlgsgIds Record
One Form for Each F 1r Crop Cycle
irrigation Oporalor
Irrigation Operalor's
Address
Operator's Phone #
Fadilly Numbers -
From Waste Utlllzatlon Plan .
Crap Typa ;1 Reconmhended PAN r -
Loading (IWacre) c (t3) ' .r
rdl (sti lei '17) tat (9) 1101 fill
Lagoon pale
ID (mm/dd/yr)
Start
Time
End
Tune
Total
tdlnulea
(3) - (2)
Irrl lion
*of Flow
Sprinklers Rate
Operating (goUrnin)
Total Volume
(gallons)
(6) x (ti) x (4)
Vo(urna
par Acre
(gaVecre)
(7)1 lW
Weals Analysis
PAN'
(lb/1000 gal)
PAN Applied
(IbAwa)
(0 -) xis
1001)
Nitrogen
Balance
(Vacre)
(M-00)
Weather
Coda'
Inspections
(tnillals)'"
Ba
1 o�
2-4-0
r 90
SO
c},��
j
I3,
� 5 4-
C-
75'
1 a
1�. rJ
a4o
' ti 1 c
�I 16a -o
X015-
114-
is 19
30. l
C
4
);L,9
I , 4-
C
Tri
Crop Cycle Totals
Total PAN
Owner's Signature
Certified Operator (Print)
Operator's Signature
Operator Certlncallon#
' Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-Snow/Steel, W -Windy
— Persons completing the irrigation Inspections must Initial to signify that Inspections were completed at least every 120 minutes,

FOP .2
Tract t1
FI Id Size (waltad acreslw (A)
Lagoon Liquid Irrigsggids Record
One Form for Each F h Crap Cycle
Farm pnrnerIrilgalion Operalor
Owners Address Irrigation operator's
Facility Number
Address
Owner's Phone 0 Operator's Phone 0
From Waste Utilization Plan
Crop Type Recommended PANT
Loadlrw (fblacra) = M rt 10 Y i
ns la► 151 (61 '(71 181 (61 (101 fill
•
Dale
(mWddlyr)
E
start
Time
End
Trine
Irri aHon
Total 11 of Flow
Mlnulea Sprinklers Rate
(3) • (2) Operating (geemin)
Total Volume
(gallons)
(61 x (6) x (4)
Volume
per Acre
(gaVacra)
(7)1 (A)
Weals Analysis
PAN'
(1b11000 pal)
PAN A Oed
(lblecrej
��
1000
Nllrvgan
Balance
(Ib(ecre)
(011-00)
Weether
Code •
Inspeatbna ,
(Inllials)"
Ia.
J W130
i
1 �
90 1
Oro
L; 6-D
co`74'
�cso
q
i� o
g�
la-
i q
�I
ra1►�
IS
la1l
Crop Cycle Totals
Total PAN
owners Slgnalure Operator's Signature
Cerllned Operator (Print) Operator Certllication #
Weather Codes: C -Clear, PC -Partly Cloudy, Cl -Cloudy, R -Rain, S-SnowlSlaet, W -Windy
" Persons complating the irrigation Inspections must Initial to signify that Inspections were completed at least every 120 minutes.

FOA -2
Tract i1
field Sizo (waited apron) _ (A)
Farm Owner
Ownui's Address
001 Owners Phone .0
t_a000n Liquid Irrd9c fids Record
One Form for larh f• ;r Crop Cycle;
P.10iry Number
lrripaGpr, Op©r"to1
1rrlfaiinn r3peralar s
M. areas
Opararar's Phone n_._-..
FramWUasrpUtlllxatlonPlun _
Crop Type W Rexrurner;fIci i PAN
191 01 W 151 161 (71 1f1S t!�1 r101 ft t]
le
ddlyr)
T
Start
Time
End Total
Time, Minutas
(3) - (2)
trriciall_an
tl of Firrw
Sprinklers RMD
operating (galla in)
1'oSal Valumo
(palloni)
(6) x (a) r (4)
iioTi mo—"
par Arre
(OnWiCTLI)
(7)1 (A)
1nla.te Analyr;is
1'AN•
(U1000 ptrl}
IRAN ,app;ind
(Ib✓ icr(O
( e r�}
7000
Mitrepan
Pahinen
(itrlacjv)
(11} - (M)
Woafil r
Codi'
rnupwilom
(Initials)"
5 food
5 ooh
R
l� 10
1� _1goO
l �fl
_
1
T
T csv
3 r��
�
1 -
145, a,
C_
TO
Crop Cycle Totals
Tidal PAN
Owner's Signature
Certifled Operator (Print)__
Oper.ltor•'n Signelurd_..T����_
' Weather Codes: C -Cigar. PC -Porgy Cloudy, C1 -Cloudy, R -Rain, S-5nowlSleet, W -Windy
" Persons completing titre lrrigation Inspections must initial to signify that Inspection,- were Completed at laael f -wiry 120 ntiinulas.

FOP .2
!.spoon t.iriuid llrig-- -Id!; Record
Ono Form for Each F !r Crop Cycle
owners Signature Oporalor's
CerlIfied Operdtur (Print) _ _ OperWar CerliTlcation
' Wdather Codes: C -Clear, PC Partly Cloudy, CI -Cloudy, R -Rain, S-5now&aat W-W&zdy
11 Persons Completing 1110 lrrt42lian inspections must Initial to signify that lnspactions were completed at ions( every 120 minut�m
(1)
Tract
Mold Ska (waited acres) a (A)
Farm Ovwimr
Owso's Address
Owner's Phony 0
Crop Typo
'
f�) (3)
Field -1
r
(ai 6)
f• acifily Number
_ brlgz�bo Ciparolur
Opuraf&.,i
A0drv5,)
Q;*W- or', Fsone r'
Florn Wasle Uti11tatlon Plus
Reromrnr.rld0d PAW
1.oadlnf111b;aCw) �: {rl) '--�
fii w. (7) {&)� (9)
_
'
kapoon
pale
St4rt
71Tam
EnI
Irrl altos
Total 4 01
Minutes Sprtnklars
Operating
_
f=low
Rnta
tor6n)
Toial Volume
(Dallona)
(6)x(5)x(4)Itdlboo1l,rl)
er,le Ana lyslr
PAN'i1IZ21(3)-(2)
f'�Apl A.ppliod
(Weare)
1GIN
MitruAen
i3aki ncer
Wealtrer
Impectiona
:-,,,jTL-wn
a
15'),0q13
A
IDA
1C) A
1ao
l
�D
D
C
grla..6_
1 09_
1;?
S7o�
�_.
_I,13,
_?r,�
-
13,
Q_
75
1 130 A In A lees qo ]omay
�iM o 1 Ia-o
-
E pi_
13o
C-
T--
Crop Cycle "Totals
TON -II P.ri,1V
owners Signature Oporalor's
CerlIfied Operdtur (Print) _ _ OperWar CerliTlcation
' Wdather Codes: C -Clear, PC Partly Cloudy, CI -Cloudy, R -Rain, S-5now&aat W-W&zdy
11 Persons Completing 1110 lrrt42lian inspections must Initial to signify that lnspactions were completed at ions( every 120 minut�m

FOP r2
{.@goon Liquid Ilr'ip< lids Racwd
One Farm for tach F ;r Crop Cycler
rrar.! :J FinfaJ J! _
Lagoon
Ip
Dale
(mraVddJyr)
Slafl
Thep
End
1'4rur
IIyillEdir)Ir
Total VJof l-luvr
Minutes Spr]nlrlar;: Rale
(3)-(;!) opersdinrr ({lallrrin}
F-C)COi(y Nunb3r
'`10 rrnia T
Far Acre
lllnpa-ru)
('!)!IA)
MuldSiao(wulludao.run)=(A)
PAN Applied
(W.1cro)
(41'.J111 [;ij
WOO
1411nspan
(Ibluu[1)
(ll} -(I(1)
wealtaer
Gadlj'
1lmpur:lions
(lnilials}
Farm Owner
__..__. _
Irri�alibri Gpor):br
- ` -- ` — --- __.--.--•--.__.__.
__ _
Owner'-. Adrlrr,sS
_ _ �., _._ .__
ti ril7;it on Cpoaior':)
P.adrea;a
Owners P110no .4
Opura(ao'; Fh ne it
From Vilaslo WHI;callbn Kiri
Rec:onanendaad PAN
rpt rVt Id1 r51
(61 (71 ill}
(9) (10)
('11)
Lagoon
Ip
Dale
(mraVddJyr)
Slafl
Thep
End
1'4rur
IIyillEdir)Ir
Total VJof l-luvr
Minutes Spr]nlrlar;: Rale
(3)-(;!) opersdinrr ({lallrrin}
TOWVu1.nni)
.7 L" .)
({i13:{a)a;(4i
'`10 rrnia T
Far Acre
lllnpa-ru)
('!)!IA)
' a0aAnMyr.En
PAN"
{Itd1(•U01.1A)
PAN Applied
(W.1cro)
(41'.J111 [;ij
WOO
1411nspan
(Ibluu[1)
(ll} -(I(1)
wealtaer
Gadlj'
1lmpur:lions
(lnilials}
1 C it PAP!
Crop Cyelu Totals
��-
Owner', Signature___
Cortitled Operator (Prinl
Clrleroior'ra taiyilia lurv_.
Operator GQ11111ullion
' Weathar Codes: C -Clear, PGpartty Cloudy, CiXtoudy, R.Rain, S-SrlowJSioet, W-WIndy
0' Persons corrtpleling the lrrlgatlon inspectlons must inflial In si47nify that Inspeclions wile coinpletod ai leaZl e"anry 120 niinutacs.

FOP •r2
Lagoon Liquid Irrig�- gilds Record
One Form For Each F jr Crop Cycle
Tract # I Field 0 Facility Number
field Size (wollad acres)- (A)
14�j , I
Farm Owner Irrigation Operalor
Owner's Addrcms Irrigation Operator's
r1% M
Address
Owner's Phone p I Operator's Phone N
From Waste Utillxatlon Plan
Crop Typo Recommended PAN f
a P loading (Iplacre) = I13} �! L
131 141 (61 fel (7) tal 191 (101 111)
Lagoon
ID
Dale
(nWddlyr)
Wart
Time
End
Time
Total
Wnulas
(3)-(2)
Irrl ellon
# of Flow
Sprinklers Rale
Operating WaVmin)
Total Volume
(gallons)
(6) x (5) x (4)
o uma
per Acre
(gaVacre)
(7) l (A)
Waste Analysis
PAN•
(Ih1100o gal)
PAN Appliod
(IWacre)
(8114(9j
1000
Nitrogen
Balance
(lblacre)
(a)-(10)
Z 1 197,
Weather
Code`
.
Inspections ,
(Initials)"
1 DIM
oib
go -D
am
`r
L,06110
a S�Y-o
Crop Cyclo Totals'
Total PAN
Owner's Signature Operator's Signature ,
Certified Operator (Print) Operator Certification #
' Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-Snow/Sleet, W -Windy
" Persons completing the Irrigation inspections must Initial to signify that Inspections were completed at least every 120 minutes.

FOR -2
Lagoon Uquid IrricK etch Rocold
One Form for Each F J C.rup Cycle
Tract f1 Fold fl I ;r_ility Nurnt>'ar � _ :t___ J
r
1-•toldSVs(wetted acres) m(A)
Farm Owner lrr D3flon 4pctratcr
Owner's Addruss Irrigrttiun Operalor's
Df
Iul�lress
Owners Phono V operalni's Phone rl
From Waste Ultilzution Purr
Crop Type Remor oondad PAN
r.I
M% lel ts1 MI (7) Ilil rel 110) (111
lagoon
ID
(Date 51eri
(n-lddlyr) TFrne
End
imo
Total
Minulos
(3)-(2)
11 of Flow
Sprinklers. Rota
Operating (gallrnin)
__ _
I'c(aI Vc�)umq
s,galinnsa)
iG'sx(5)x(4)
Joli,n=n
I,pr Aero
(1)9vanr+l)
(7)1(01)
-
V'arkn lur�ll7,is;
PAN"
111,11(loUq<d)
PAN Applied
(}bl.0 r��)
L1 &.(V)
10110
NI(railsrr
3aL;rxt.
(Iblaue)
tai (M)
Vl�allror
l odr, `
tr�pncllor.s
(Initlals)'•
JIL
5 15
Crop Cyclo Totats
Total PAN
Owner's Signature! Operator',; 8ignaluro
Certified Operator (Print) , __ ._ Oueralor LClttillrallioll #, __--
• Wealher Codes: C -Clear, PC•Partly Cloudy, Cl -Cloudy, R -Rain, SSnowlSleet, W -Windy
•• Persons completing the Irrigation Inspections must Initial to signify that Inspections wero completer at lassi every 120 rllinuinn,

fUl7 r2
Lagoon Liquid Irrig€ 9lds Record
One Form for Each F ;r Crop Cycle
Tract tt Field t'/ FnC04V Number h� �_ Z: -T.:4 D
C-ioid size (welled 0cres) a (A) , 3 Z-
-Farm Owner Irrlpation Operator
Owner's Address Irrigollon Oporaloet;
01
M% 121
Address
Owner's Prone V Operator's Phone rl
From waste Utilization Plan
Crop Type �' 1 Loadlce g [[Vb Jc o111=J(li) J (}
131 r4) 151 (t3) (7) (13l (0) 110) till
"
Lagoon
1D
Date
(nurtlddry()
start
Time
End
Time
Tolat
Minutes
(3)-(2)
Ir' adon
0 O Flow
Sprinklers. Rala
Operating (galfmin)
ToiciVolumo
(gatlarw)
(8) x (5) x (4)
WaoloAnalyaki
PAN'
(U1000 pal)
HAM Applied
0bliicra)
tO.>stlii
1000
Nilrolren
Oalance,
(Uaoa)
(4) - (10)
Wualher
Code'
laspearlom
(initials) ••
v no o
parAcvve
(gallacro)
(7 )! (A)
'
TC
s a-
o
0.
115 a -D
N -D
Crop Cycle Totals
Total PAN
Owners Signature Operator'o Signature_
Cerlilled Operator (Print) Operator Gerti[lcalloli 0.
Weather Codes: C•Ctear, PC -Partly Cloudy, Cl -Cloudy, R -Rale, SSnowlSloot, W -Windy
— Persons completing the irrigation Inspections must Initial to signify that Inspections were completed at least every 120 minuins,

FOR -z
Tract 0
Field Size (walked acres} a In}
o9
1.. eek
Ugoon liquid In-igr aids Record
One Form for Each F Jr Crop Cycle
Farm Owner Irrigation Operator
Owner's Addroas Irrlgallon Operators
FacIIRyNumbar
Address
Owner's Phono 0 Operator's Phone 11
From Waste lltllixatlon Plan
CropT Recommended PAN
vpe P �T - Loading (lblacre) = (B)
VIN ret 1s1 18N 'M is) 191 1101 fill
Lagoon
10
palerT
(mrnlddlyr)e
rt
End
Time
Total
Minutes
(3) - (2}
Irrigation
N of Flow
Sprinklore Rate
Operating (gamin)
Total Volume
. (gallons)
(6) x (a) x (4)
Volume
per Acre
joallaora)
(7)1(A)
Waste Analysts
PAN*
(lb/1D00 gal)
PAN Applied
(lb/acre)
!al x I91
1000
Nitmoon
Balance
(Ihlacre)
M-00)
Wosum
Code
Inspadlom
(Will") •'
�4
a)
5'
3. D.
2
) 101
5
a4t)
13,a
I. `P a s
R
.2 +a -o '
l o
a
gg
! t
l �� I
I a
"T
8
�a j
9216
1
114-',
Crop Cycle Totals
Total PAN
Ownets Signature Opera(or% Signature
Certified Operator (Print) Operator Certl0catlon A
• Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-SnowlSlaet, W -Windy
•" Persons completing the lrrdoation Inspections must Initial to signify that Inspections were completed at least every M minutes.

FOR .2 Lagoon Liquid irrig., ?ids Rocord
One Farre for Each F �r Crop Cycle
Tracl #
Hold Siza (wetted acres) a (A)
Farm Owner
Owner's Address
o ? Owners Ph one b
Irrlgatio) Oporalor
Irrigation Oparalor's
Address
operator's Phol 11
Fachity Number= � �aJ
_ Frain VJasto Utilization Plan .
Crop Type r, !I Recnmmandad PAN
LoaOlnp (][nacre)= (e) d
rig
171 131 M 151 (61 '(71 1H) IQ) I101 rt11
Lagoon
ID
Date
(mWdd/yr)
Start
Time
End
Time
Irdc Frttan
Total 11 of
Minutes Sprinklers
(3) - (2) Oper-aiing
Fiuw
Ra1©
(palln-in)
r
Total Volume
(gaHons)
(fi) x (5) x (4)
olurna
por Acre
(gnvacra)
(7)1 tA)
Waste Analysis
PAN'
(I1r110f1(1 pal)
PAN Applied
(lblacru)
113) x f01
1000
NI(roporr
Balance
(Ibfauo)
M-00)
B= 190
Weather
Code'
Inspeatlans
(Initlsls)"
5 ,-t o4
A
l aA
1I d 1
90 1
10. A
A., S�
13 5'
(p3
y,1-
11+91(o
C
-- n.
4-, a
Crop Cycle Totals - ��_
0wrlees Signature
Certified Operator (Print)
Tatal PAN
Operal0r'a Signature
Opemlor Certfnca8wi k
' Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -lain, S-SnowlSloet, W -Windy
" Persons completing the Irrigation inspections must initial to signify that inspecllons were completed at least every 120 minutes,

FOR r2
Lagoon Liquid Irciga Ads Record
One Form for Each h Jr Crop Cycle
Crop cycle Totals , ` I Total PAN
owners Signature Operator's Signature
Cer(ified Operator (Print) Operator Gertillcallon 1P
Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, 6-SnowlSleat, W -Windy
Persons completing the lrrIgalion inspections must Initial to signify that Inspections were completed at least every 120 minutes.
Traci p
-'
Field !!
Facility Number
-
Field Size (wetted acrsa) 4 (A)
Farm Owner
Owners Addruas
Owners Phone #
Irrigatlon Operator
lrrlgallon Operaiaa?s
Address
Operalars phone 0
'
From Waste 1lliilzatlon Plan .
Crop Type j
;�,
Rec(Jbi ed PANAN
Loading
n9 (Iblacra) :. (B)
r
(t)
(2} 9)
4)
5
9) 7 (8)
(g)
10
{11}
Irdi ation
Lagoon
1p
pate
(mrnlddlyr)
Stan End
Time The
Total
Minutes
(3) - M
B of
Sprinlders'Rate
Operating
Flow Total Volume
(gallons)
(gaUmn) (6) x (S) x (4)
Volume
per Acre
011=0)
(7) l (A)
Waste Analysis
PAN'
(W1000 gal)
PAN Applied
(1weare)
(a) x Ig)
1000
Nitrogen
Balanus
(Wacre)
M-00)
Weather
Code `
Inspadiom
(Wtlala) "
43,
IQ
I Pt 1a f\3
°1O
sqqo
11
14-,(
Ag -5-
C I
Crop cycle Totals , ` I Total PAN
owners Signature Operator's Signature
Cer(ified Operator (Print) Operator Gertillcallon 1P
Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, 6-SnowlSleat, W -Windy
Persons completing the lrrIgalion inspections must Initial to signify that Inspections were completed at least every 120 minutes.

FOP ';2
Tract ld
i'teid Sizo (wallod acres) a (A)
Farm Owner
Ownoes Address
0 Owner's Phone 4
Lagoon Liquid In -19F Mds Record
One Form for Each F Jr Crop Cycle
Irrigakion Operator
Irrigation Opeiator'u
Addicsa
Operator's Phone rl
Racllily Number
From Waste Utilization Plan .
Crop Type Reconunondad PM
IIP— p - - — Loading (Iblacre) = (13)L.-- i,7n
ris t21 f3) (4) (5) (61 (7) iel (a) (io) 111)
1.8000n
10
Date
(mrndddlyr)
Siert t=nd
Tune Torso
Total
Minutes
(3)-(2)
Irri ration
1l of Flow
Sprintdsrc Qato
Oporaiing (gallrnin)
ToW Vatuine
(gallons)
(6) x (6) x (4)
1Nosle Analysis
PAN'
(IG1100p 021)
PAN Appliod
(liilacra)
UD n Q
1000
Nitragan
Balance
pblacre)
(g) - (10)
�E
Weather
Code'
t�
((nittats)"
tstiimo
per Acro
(OaUacro)
(7)1(A)
o
kaco
0 Bab
I r
C-
r�
ado
[�I�JfU ..i
IR .. ,
1 �f'�
f �•.' �
°� o
� 1 W
r C5 -z)
Z�
10 cu
I t/�U(J
�
�.
I��i.�
3 s k
l � s" �'
cr.
TG
� t.r•f
Crap Cycle Totals
fatal PAN
Ownees Signature
Ceril[led Operator (Print)
Operator's Signature
aperator Ceruncatlon #
'Weather Codes: C-Ctear, PC -Partly Cloudy, C( -Cloudy, R -Rain, S-SnowlSleet, W-Wlndy
" Persons completing the Irrigation Inspections must inlliat to signify that Inspections were completed at least every 120 minutes,

FOR •-2
Tract 1)
f leld 5izd (waned acres) - (A)
Farm Owner
Ownees Addruss
5
Owners Phone 9
Lagoon Liquid brig
One Form for Each F
i
Ids Record
ir Crop Cycle
Fa lily Number r.f
Irrigation Operator
Irrigation Operalor's
Address
Operator's Phone #
From Waste Utilization Plan .
Crop TypoRewmnwdad PAN
� Loading (IWacreacre) _ (B{l31
lit rel
Lagoon
ID
Dale
{mmrddlyr)
Start
Time
End
Time
rd adgn
Total INor Flow
Mimics Sprinklers Fiala
(3)-(2) operating (gaVrrmin)
Total Volume
(gaUans)
(6) x (5) x (4)
Volume
per Acre
(gaUeCre)
(7)1(A)
Waste Analysis
1 FAN'
(IM0 gal)
`
PAN Applied
(lblaere)
r81 x {9l
1000
Nitrogen
Balance
(Ihracre)
(a) - (1o)
Weather
Code •
Inaped im
{lnlliala) "
Bz
qo
X00
��, S'
13
r
t
C
T -C
c
j9�n
`1
I
13,9
19 14-, a
Crop Cyclo Totals
Total
0wnces Signature _ _ Operator's Signature
Certified Operator (Print) Oparelor Certlticalton #
• Weather Codes: C -Clear, PC- Partly Cloudy, CI -Cloudy, R -Rain, S-Snow/Sleet, W -Windy
Persona completing the Irrigation Inspections must Initial to signify that Inspecligns were completed at least every 120 minutes,

FOR r2
l-agoon Liquid (rrlgEds Record
One Form for Each F Jr}Crop Cycle
Garners Signature
Certified Operator (Pdnl)
Operator's Signature
Operator Certification #
Weather Codes: C-Cletar. PC -Partly Cloudy, Cl -Cloudy, R -Rain, S-GnowlSleel, W -Windy
11 Persons completing the trrtpation Inspections must Initial to signify that Inspections were completed at least every 120 minutes.
Trad d
Field Sixa (waited $cre8) a (/l)
Farm Owner
Owner's Addrtme
,i
v Owner's Phone V
Crop Type
(1) (?1 (3)
AZ Field i1 Faclllly Number
r 4
Irrigation Operator
Irrigation Operalar'a
Address
Operator's Phone t/
From Wasla Utilization Plan .
, Recommended PAN
—f� Wading (Ih►acre) = (a) „P'
(4) S e { (a) (a) (10)
(11
LagoonDale
Ill
(mrNddlyr)
start
Time
End
Truro
Total
Minutes
(3)-(2)
Irri allon
W of
Sprinkiers
Operating
Flow
male
(gaVmin)
aura
Total Volume per Acre
(gallons) {gallons)
(6) x (6) k (4} (7)1(A)
Wasie Analysis
PA
(lb/1000 gal)
PAN Applied
(lhlacre)
Cal x (91
100D
Nitrogen
Balance
(aWacre)
(a) - (1o)
Weather
Gods'
lnspWjkM
(Initials) "
90
`f
q 0
U
0 n T1
d-0 I C)
I t (o
13,1
1933
C
�
Crop Cycle Totals
Total PAN
Garners Signature
Certified Operator (Pdnl)
Operator's Signature
Operator Certification #
Weather Codes: C-Cletar. PC -Partly Cloudy, Cl -Cloudy, R -Rain, S-GnowlSleel, W -Windy
11 Persons completing the trrtpation Inspections must Initial to signify that Inspections were completed at least every 120 minutes.

FOP r2
Lagoon Liquid Irrlgsggids Record
One Form for Each F fr Crop Cycle
(})
Tract b
field Sixe (wotladacres) d (A)
Farm Owner
Owners Address
O�
Owners Phone 0
Crop Type
17 (3)
g
(4)
Field it
en Q
5
Facility Numt)er
Irrigation Operalor
Irrigation Operators
Address
Operaloes Phone p
From Waste Utilization Plan
Reconmrended PAN
Loading (Vacra) = (s)
(7) {8) (0 (10)
{t1
Lagoon oats
10 (MmAwlyrr)
Starl
TIM
End
lime
Total
Minutes
(3)-(2)
Irri allon
# of
Sprinklers,
Operating
Flow
mate
(oWn-in)
Volurno,
Taal Volume per Acre
(gallons) (gavaere)
(6) x (6) x (4)' (7)1(W
Wools Analysis
PAN'
pmt000 gal)
PAN Applied
(Ibhwre)
)M�}
loon
NIlrogen
seance
lltyecxe)
p3
weather
Coda `
InspecAbm
(Initials) "
Crop Cycle Totals ' I I Total PAN L J
Owners Signature Operalcea Signature
Certified Operator (Print) Operator Cerilllcation #
Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R-Raln, S-SnowlStael, WWindy
'" Persons completing the Irrigation Inspections must Initial to signify that Inspections were completed at least every 120 minutes.

FOP -2 lagoon Liquid Irriga: Ids Record
One Form for Each F Jr Crop Cycle
0 6)
Tract 1r
Field Size (waited acres) A (A)
Farm Owner
Owner's Address
Owner's Phone tl
Irrigation Operator
Irrigation Operaloes
Address
Operator's Phone #
From Waste Utilization Plan
Crop Type Reoomrnended PAN
—
,�, r.1 191 165 'M 191 191 no► fill
Legoon
ID
0016
(mnVddlyr)
1
Start
Irri ellen
End Tdat # of Flow
Tuna Minutes Sprinklers. Rale
(3)-(2) Operating' (gallmin)
Total Volume
(gallons)
(6) x (6) x (4)'
ume
per Acne
(gallacre)
(7) / (A)
Wasia Analysis
PAN'
(lb/1000 (jai)
PAN Applied
(Ibhkwe)
�{�j
1000
Nitrogen
Balance
(lb/me)
(B) - 00)
Weather
Code'
lnepeaticns ,
(1nlllais)"
B=
3
9
Crop Cycle Totals
Total PAN
Owner's Signature Operator's Slgnalure
Cerlitied Operator (Print) Operator Cettllicallon #
' Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-SnowlSleet, W -Windy
•• Persons completing the Irrigation Inspections must Initial to signify that Inspections were completed at least every 120 minutes,

FOP .2
Tract A
r1old Sizo (wetted acres) t (A)
Farm Owner
Owners Address
owners Poona p
L-agoon Liquid Irrig¢ ?Ids Record
One Form for Each F Jr Crop Cycle
Inigellon Operator
lrrigelbn Operator's
Address
Operalm's Phone it
From Waste Ullilzalion Plan
Crop Type Recommended PAN
loading (Iblacia)= (B) 4,3s
M.. ra1 lit rs1 165 '(71 181 191 (101 1111
Lagoon
to
Date
(mrnlddlyr)
Start
Time
End
Time
rrl adon
Total # of Flow
Minutes Sprinklers. Rate
(3)-(2) Operating (gaVmfn)
Told Volume
(Gallons)
(6) x (6) Y (4)
Volwm
par Acre
(ga!laere)
(7)1(A)
Waste Analysis
PAN'
(1b110o0 gal)
PAN Applied
(IWacre)
t9} x i@}
100
Ntlrogan
Balance
(iblecre)
101- Ito)
Weather
Code •
Ipapectbrts ,
(Initlals) •'
�P
A
P
arm
1 go
Crop Cyclo Totals
Total PAN
owners Signature
Certified Operator (Print)
Operaloea Signature
Operator Certltication #
Weather Codes. C -Clear, PC -Partly Cloudy, Cl -Cloudy, R -Rain, "novdsleek W -Windy
". persons Completing the irrigallon Inspections must initial to signify that Inspections were completed at least every 120 minutes.

FOR -.2
Tract
F Veld Sixo (wetted acres) m (
Farm Owns
Owners Addrw
Owner's Phone
Lagoon Liquid IrrigF ?Ids Record
One Form for Each F jr Crop Cycle
Irrigapen t]Peratar
irrigation OP 11
Address
Operators Phone 0
Faculty Number.
From Waste Utilization Plan •
Crop Type Recommended PAN
P YP - — Loading (IWacm) = (B)
,off roti rat 151 lel 11 'r71 M 191 (101 fill
-
LIC4
Dale
(mnVddlyr)
Start
Time
End Total
iime Minutes
(31.(2)
trri anon
11 Of
Sprinklers,
Operating
f=low
Rate
(gallmin)
Total Volume
(gallons)
(6) x (6) x (4)
Volume
per Acre
(gal/ao(e)
(7)1(A)
Waste Analysts
PAN'
(IW1000 gal)
PAN AWled
(Iblacre)
(B) N is
1000
Nitrogen
Balance
(Ihlecre)
(M-00)
gs
Weather
Code'
Inspecoom
(Initials)"
1 !
)
;;L
T6
77
Crop Cycle Totals
Total PAN
Owners Signature Operalor'a Signature
Certified Operator (Print)_ ._.- _ Operator Cettlfication IF _
* Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, 5-SnowlSleet, W -Windy
"� Persons completing the Irrigation Inspections must initial to signify that Inspections were completed at least every 126 minutes,

FOP .2 I.agcon Liquid W9F Ads Record
one Form for Each F ;r Crap Cycle
Tred #
Mold Sixo (Wonod acres) • (,M
Farm Owner
Owner's Address
Ownar'a MOM 11
Irrigaelon Operator
trdgawfk Operat06
Mdreas
OpetaWs Phone d
Fsdtily Number ® .1f I
From Waste Utiftellon Plan
l:roP TYPa Load AN
L,
r.3► r91 rel IS% 161 171 161 181 1101 (lit
Owner's Signature
Certified Operator (Print)
Opomtoea Signature
Operator I:.arl katlon #
Weather Codes: C-Caaar, RC.Wartly Ctoudy, G -Cloudy, R4;4n, S-SnowJgleal, W-W1ndy
11 {ye=ns compWong the UdOation inspections must Initial to Signify that Inspections Wer$ completed at least every 120 minutes.

FOP .2 i.agoon liquid lydgc Nds Record
One Form #or Each F it Crop Cycle
Trac) p
Field Sixe (walled a"sl ■ (A)
Farm owner
Owneft Addrr ss
owner's Mom 11
irrigation Oporalor
Irrigall¢n Operaloee
Address
operaws Phone p
Fgetlity Number t=_ -..t - oG�C
From Waste Utilkatlon Pian .
CM9 Typo 4isoatztk+g+dad PAN } d
. _ 1_oedng Memo) = tel f -
iat ilk rs► roti 17! tR1 t91 1141 1115
Crop CWo Totals I -- .,I Total PIN I
owneen, signature Operaloee Signature
Certified Operator (Print) Operator Certification #
• weather Godes: C -Clear, PC-Paruy Cloudy. CI-Mudy, R -Rain, Mnow181eet, W -Windy
Persons corroeting the Intpatlon inspections must initlal to signify that Inepeet(ons were completed at least every 120 rntnutaa.
12
M
MM
Crop CWo Totals I -- .,I Total PIN I
owneen, signature Operaloee Signature
Certified Operator (Print) Operator Certification #
• weather Godes: C -Clear, PC-Paruy Cloudy. CI-Mudy, R -Rain, Mnow181eet, W -Windy
Persons corroeting the Intpatlon inspections must initlal to signify that Inepeet(ons were completed at least every 120 rntnutaa.

FOP .2 I.agoonLiquid iM9F aldsRecord
one Form for Each M it Crop Cycle
Trad #
Fiord Sae (Wottod acres) * (A)
Farm owner
OwnWa Addrosa
Owner's Picone #
Facility Number .-J.
' IrrlgatEoa Opora14r ,�,
Erd�elEan Oparalpra
Addras,j
Operators Phone 0
From Waste 1lttltzagvn Plan .
Crop Type Paomsend O PARI 'rj
Loadlrtp (Ihtacre) = m
,m VI ISI IM 171 IR 1" 191 1101 ft11
Owners Signature
Certilled Operator (Print)
operates Signature
Opemlor C.erililratlon #
Weather Codes: C -Clear, PC4tartly Cloudy, C(-Ckmdy, R -Rain, "nowlSleet, W-Mndy
Persons eomptellng the Irrigation lnspeclfens must Initial to aignity that Irapecibno Were oampleted at least ovary 120 minutes.
mi M -
Owners Signature
Certilled Operator (Print)
operates Signature
Opemlor C.erililratlon #
Weather Codes: C -Clear, PC4tartly Cloudy, C(-Ckmdy, R -Rain, "nowlSleet, W-Mndy
Persons eomptellng the Irrigation lnspeclfens must Initial to aignity that Irapecibno Were oampleted at least ovary 120 minutes.

Fop -2 Lagoon Liquid Inigt olds Record
one Form for Each F u Crop Cycle
Trad 11
Field Sas (wOttod sues) * W
F term Owner
ownwIn Address
Owner's Phone 11
Irrigatign Qplxalor
lnipatbrt pparulors
Address
OpBrWAWS Phow 11
FadglyNumber= -
From Waste Utlaxatlon plan
Crop Typp R ding (I ndwlacre PAN
,_oa�� nb►a�) "- IBi s4 -
��� uk 191 las 171 lel MI. 1101 fill
owner's *naluro
Cerlltied Operator fPrintl_
Operators Signature
Operalor CertilicaUon #
Weather Codes: C -Clear. MA3i rtty Cloudy, CI-Ctoudy, R -Rain, S-Snow/SWe W -Windy
11 Persons cam}3taUng the Irrigation InspecUons must Initial to slgrdfy that Inspacttons worn completed at least every 120 minutoa.
MT
owner's *naluro
Cerlltied Operator fPrintl_
Operators Signature
Operalor CertilicaUon #
Weather Codes: C -Clear. MA3i rtty Cloudy, CI-Ctoudy, R -Rain, S-Snow/SWe W -Windy
11 Persons cam}3taUng the Irrigation InspecUons must Initial to slgrdfy that Inspacttons worn completed at least every 120 minutoa.

POP -2 Lagoon liquid (rrigr ;Ida Record
One Form for Each f it Crop Cycle
TMd #
Fletd Size (wottod acres► I (A)
Farm Owror
Owner's Addrosu
owner's mhono #
getloa Operator
IrAOSI n Qperatore
Addreas
OperaWs Phom 0
Fa&iiy ,.be, u
p From Waste Utiltsatlon plan
CmA Type �J t nadlReDCUMUnLied PAN
rat 171 rR1 rot rlAl rill
Crop Cyclo Totals L - i Total PAN I I
Ownees Signature Opemtor'a Signature
Cetged Operator (Print) Operator Certification 0
• Weather Codes: C -Clear, PC -Partly Cloudy, CA-Claudy, RAWn, S-SnowMeat, W -Windy
'" Persons com)xeting the irrigation inspections must initial to signify that Inspections were completed at laasi every 120 minutae.
mom
1 01. ".. I
Mi
men
Ki MOMMS
Crop Cyclo Totals L - i Total PAN I I
Ownees Signature Opemtor'a Signature
Cetged Operator (Print) Operator Certification 0
• Weather Codes: C -Clear, PC -Partly Cloudy, CA-Claudy, RAWn, S-SnowMeat, W -Windy
'" Persons com)xeting the irrigation inspections must initial to signify that Inspections were completed at laasi every 120 minutae.

FOP -z Lagoon Liquid (rrigF :ids Record
One Form for Each F it Crap Cycle
Trad 0
Field Sizo (wottod acres) a (A)
Farm Qwher
ownete Addro,s
owners Phano #
irrilatlan t7walor
irrigation operaleft
Address
Operation Phoria a
Fadlity Number ® 4
From Waste 11tlRxatlon pian .
Crop Type RemnynendW PAN rr70
_ Loading Ubracxa) �;s) I
1�� loll 1'l1 1A% isl ret 171 im M 1101 (111
+ons
Dace Start End Total * of Flow Total Vokmm per Ac m
IgD (roWdo1 r) Tkno T}me IQnutas Sprinklers, Fiats {halon°) (gatrxrol
(3)-(2) Operatin(gaftin) 161 x (5) Y. (a) (7)1 IOU
PAM-A*,od MAragen
Wes1�r Anatysls Oblarve) Balarwe Wrrather
PAM' [Bl x 161] vival n) C.oft
0wi0oo gal) 1000 (al - (101
B�
1r�vmuom
{tnillale)
Crop Cycle Totals [ .Y
Ownels Signature,
Certified Operator (Print)
Total PMI I_
Operator's Signature
Operator Ceritilcallon #
Weather Codes: Clear, M -Partly Cloudy, CA -Cloudy. R•Raln, S-SnmWFA*et, W -Windy
11 Patmons. comptating the lrtigatton Inspeatlms must Initial to stgrilty that InspeGlons were completed at leant every 120 minutes,

FOP .2 lagoon Liquid InigF Ads Record
One Form for tach F it Crop Cycle
Trad d
Field Size (Wottod acres) , (A)
Farm Owner
Owners Addraes
Owner's Phone 0
Irri)aUan OpeMof
Irrt eWn Operator's
Address
operalof 8 Ph" d
Fsdlity Nurntmr Lam- ] • I
From Waite Utflisatlon Plan
CmP Typo - Load P 181
ru rs� rkh IA% 151 l9► 171 191 191 1141 fill
VaUcenStart
Wasis Analysis
PAN'
(@11000 gal)
PAN Applk:d Nitrogen
tie) ealarrm Weather10jfdlyr)
(a) x IF) (Iblac rej Coda •
low (t3} • (10)
8=
(W% -Aa) «
wns
End Total N of Flory Total Volumeper Acre
Tams Time MmAws Sprinklers Rata (Ballonrt) (gwV largl
(3)-12) oP OU4 Waihrin) (6) x (5) r (4) (r) / (W
Crop Cycle Totals L - - i Total PAN I
ownef a signature ONratoea Sigrtsture
Cerliifed Operator (Prinl) Operator Cer(1liollon #
Weather Codes: C -Clear, PC ;Iwgy Cloudy, CI -Cloudy, R -Rain, "novdglaul, W -Windy
" Persons completing the irrigation Inspections must initial to Signify tflat InSpections ware Completed at lead every 120 minutes.

FOP -2 Lagoon liquid lrdqc ,Ads Record
One Form for Each F Jr Crop Cycle
Trad d
view SUe (wottod saes► * (A)
Fame owner
Ow nwis Addroaa
Owner's PNno #
l rrgation operator
lrdgawn Opera!063
Addm,j
opBraton Phone p
Fgdliiy Number
From Waste Utiltz0on Plan .
C40p--- P
T Reaom ed AN
uuaWrtp (ibrar�i+i,al n 113) -
r,�
11kt 141 161 tee M ref ra► 1101 rill
n
o ums
Doi. slat End Yaw N d Flow Total vohmm Pat arra
ID (mNdd1jT) 'rime rs rMl&s Sprinklem' Rets (aatana) (gave -0)
(a) - (2) operating (gailrrin) (6) x (s) x (4) (i)1(A)
PAN ApplW
weaiu Anaryais MA -0)
PAN' tel x i
(Ihrttxio gal) 1000
Mliwan
9Q(w oe
(iNUM)
(t3) • (to)
Weather
'N d .
impctbm
(Inilkdlal
s=
Crop Cycle Totals I- Total PAN I
Owner's Signature Oporatoeer 1319rtature
Certified Operator (Print) Operator Ce ncaljon # _�
Weather Codes, C -Gear, PC41'arUy Cloudy, CI -Cloudy, R4Wn, S-Snow/Sleet, W -Windy
01 Persons comptot)ng the Irviptkm inspections must initial to slgrdfy that Inspadons ware completed at least every 120 minutes.

FOP _2 Lagoon Liquid {mgr ?lds Record
One Form for Each F jr Crop Cycle
Trac
rield Sian (wattod awes) ;
Farm Owr
owrmes Addrr
owner$ Phorw
irri gallon owalor
hrlgetlon Op arle
Addma$
Qperatoro Phone a
Faci3ily Nurttber �� �• Mcw��
From Waite Utilisation Plan .
ReoCrop Type L 1,oadn rmertded PAN
a o8dir14 nc►acre) = IBl -A OS
r.t rpt fst 1A5 151 tel 171 M 191 1101 f111
Crop Cycle Totals i
Owners Signature
Certified Operator (Print)
Total PAN I
Opermtoea Signature
OPeralor CertlRcatlon #
Weather Codes: GClear. PC-Pwtty Cloudy, CI-Cinudy, R-Raln, S-Snow/Sleet, W -Windy
" Parsons comptegng the Irrigation tnspections must Initial to signify that Inspections were completed at lead every 120 minutes.
"s
L. MOM
M�
Crop Cycle Totals i
Owners Signature
Certified Operator (Print)
Total PAN I
Opermtoea Signature
OPeralor CertlRcatlon #
Weather Codes: GClear. PC-Pwtty Cloudy, CI-Cinudy, R-Raln, S-Snow/Sleet, W -Windy
" Parsons comptegng the Irrigation tnspections must Initial to signify that Inspections were completed at lead every 120 minutes.

FOP •2 Lagoon Liquid latge etds Reeord
One Form for Each F jr Crap Cycle
Trwo
Fidd Sim (wotW aere+sl a
rom Owr
Ow bees /Adds
ownw% RWW
to olon CPeralar
4riQalb� t�deu'd
operators ftom r
Fatly NLwrbW
Prem Wasto UUlhatton Pion
Pawnwnomftdl PAN
Ina"
IA % rpt ml rn . rR% 101 film 1145
Nunn
a
E. -on
mo
w OR
NX,
M,
C mMed Operator (PAWL)
Ope eros Signal use
operator C.erltrt mft 0.
weather Cooks: C.Clear, PCPwUy CWdy.040lo dy, R -Balm, 84&vwd$WK W -Windy
P. pamns conoo ng the b6ptim tnspecUna n=t b tial to s4;" that IhspecUons %we ocmplo W at least ewery 120 minutes.

FOP -2 Upon Liquid irrlgr %ids Record
One Farm for Each F jr Gap Cycle
Trac
fkiW ske 0 -Wad
Farm Orta
Owraft Addm
OtrrtrY'l Pkft
tniPUM OPGF*10flo
Andreas
Opwatorb Phu" a
��jj €ram wast. UUQUgan Plan
Cray' Typo is t�n0 il4►t v) = 1Q r_ /
int rr flit rat fSt 191 rA !81 IQ] r181 rill
owmaeo�rw
Owiled Operator t MM)
Oper.toet sigrtattuo
Omator Cerltn mft d
• Weather CDdeB: GGlew. PC.2lrtty Cloudy, Ct-Qoudy. RAWn, S43n tw/FrWK w•Wint y
"• Pmanis coffTW nq the GltpaUm tnspettim oust V tlel to stgrdfy ftt fpaptletions ware *ompWW et }east *wry 120 rninuiaa.
owl
".00 IMME
, "m mmo
11M.
I
owmaeo�rw
Owiled Operator t MM)
Oper.toet sigrtattuo
Omator Cerltn mft d
• Weather CDdeB: GGlew. PC.2lrtty Cloudy, Ct-Qoudy. RAWn, S43n tw/FrWK w•Wint y
"• Pmanis coffTW nq the GltpaUm tnspettim oust V tlel to stgrdfy ftt fpaptletions ware *ompWW et }east *wry 120 rninuiaa.

FOP -2 t.egoon Liquid trrigr olds Reoord
One farm for Each F ;r Crap Cycle
Trac
Field Sias (woltad 80VO a
Farm Owy
Owreet Addm
Owren Pkn
trli�dJprrl Q�alnr
imptkw Opmr#lo�s
Address
Op waldla fta1" a
FoM* Nu nbw -
From Wada 11U[bm*n Pian
C"* Type PAoxnraardadPAN
Lamm_ .7 n _ 1
(lhraom) = 410 �?�
e.ti rr
1:11 1A1 f6l fel 171 181 121 1101 [111
Cr"EMS M
mom MM
Cyela Totals l { Tow V'M Imo_ ;
owrlcb -%rwwm 01"In ora Signature
C -cow Aperstw IpInt) o"Mwr C.erMMUI n 0
Waattw Codes: C -C -War, l'G?ar 4 Cloudy, C142oudy, R-Ratn, S4bvymr&aO+t. W -Windt
•• persons IArrtptethtQ the letgavw tnspedws must tf tial to 0w* that laepeetiom were complOw at mast awry 120 rrAnutas.

FOP -2
Prad N
Fk1d she ("POWd DM" - A
Farm Owren
Owhees AddM"
04wefs Phx* t
t.agoon Liquid Irr{g¢
One Flinn for Each F
ilds Record
jr CMp Cycle
wrrtpaytcn aper�lar
trrlprLbn Oparatarb
lyedr'vaa
op® 2mn Pham a
FBCRdy Nuntw - I a�.
Fran! Wazta VU11m00n Pon .
cop Typo I Fcriart-OWed PAN
13uMMv 0ywM) = 0"
eti rn tM 411 [61 01 m 00 lal 11e1 (11)
ow eft :r�gnotrao
Ceaw Operator (MI)
opardora slgnshm
Comtor Cerllft®Uon #
• weather Cates: C-Ckw. t'CrP'aruy cloudy, a-Ckwdy, R4Wrk, S4kvowrG4m0. w-wlnar
" persons CrJrnptetltlQ this Irrtpdm fnspedions must trrllial 10 818WI1 that Inspadtona ware compMed at least eoery 120 minutes.
MEMO
ow eft :r�gnotrao
Ceaw Operator (MI)
opardora slgnshm
Comtor Cerllft®Uon #
• weather Cates: C-Ckw. t'CrP'aruy cloudy, a-Ckwdy, R4Wrk, S4kvowrG4m0. w-wlnar
" persons CrJrnptetltlQ this Irrtpdm fnspedions must trrllial 10 818WI1 that Inspadtona ware compMed at least eoery 120 minutes.

FOP •2 Lagoon Liquid Inigr ;;lds ftecord
One Farm for Each F jr _cmp Cycle
Trac
Field Sha (w*W 2W
Fem► Olde
0rnu0s AddM
ovaln Ph"
trripallM t]perrlw
Wpkkm Opwalafe
Adows
OPiAWS PAuna r
Foaty Nur bw - I A
15 I
/� From Walla Ugltatlen Plan
Type ! Lon"{YOM)P
P (14 Q
i.L rJ� Ml ra► fel fill M rel fat Wn fill
CoMe,d Opomtw 4PInt)
Operata"a Signature
Operator ceirQ cetkn p
" Waoew Coot= Clear, PC.PwUy Cloudy, 043midy. R-FWn, S-Srow/84@4 W -Windy
"` po=M oofrlpWUM rile IntpOw InspoWwa must WWI to OpRy that Inspadlorta vwe completed et lead mmFy 124 minutes.

FOP •2 i.agoonLigAdlMge-tdsRsoard
One F'ann for Each t ,r Cwp Cydo
Trac
FWd Stns (■o►toa ac" •
Fame owr
Owrcr4 Addra
owra t ROW
M'IBt� OP��
wpv Opralofb
Adom
operators phou r
Patty Nummar� �C - v�
From waste umbattan Pon
Crop Typo I Rmu..,—Kw PAN r P
Lcaa np Qy�) o It11 + , t
c» M 131 141 t5i t81 M {e) M) 101 till
Gap Cjr J* Totals TOW PAM L
Ow cft OM%Wa stama,rm
Cegtified Operator IPrintl omatpr C-aaftwo q 0
- Weather codes: C -Clear, PC.4+aruy Curdy, Ct-aoudy, A4Wn, S4kmw /gkw% W -windy
•• Parcon tomptdhW the hs ption tnW-CdWS anust trtlltet to * day that tnspectbnm wwo oampleted at least mmiy 120 n0nutes.
wi�-
om-.,.m
Gap Cjr J* Totals TOW PAM L
Ow cft OM%Wa stama,rm
Cegtified Operator IPrintl omatpr C-aaftwo q 0
- Weather codes: C -Clear, PC.4+aruy Curdy, Ct-aoudy, A4Wn, S4kmw /gkw% W -windy
•• Parcon tomptdhW the hs ption tnW-CdWS anust trtlltet to * day that tnspectbnm wwo oampleted at least mmiy 120 n0nutes.

FOP .2
Lagoon Liquid Irrlgs ?Ids Record
One Form for Each F Jr Crop Cycle
Tract N I Field 0 Factiily NurnWr
Field alxo (wetted 8cr0s)1; (A)
Farm Owner Irrigallon Operator
Owners Addruas irrigation Operator'a
Address
Owner's Phone 1i Operator's Phone #
From Waste Utilization Plan
Crop Type Recommended PAN z'
B Loading (Ihlacre) c (13)1
w% rat 19% i8) '171 181 to% (10) 111)
Lagoon Date Start
ID (mmfddlyr) Time
End
Time
trri allon
Total w of Flow
Minute Sprinklers Rata
(3) - (2) Operating (gavr in)
Total volume .
(gallons)
(6) x (5) x (4)
urns
per Acre
(gellacrO
(7)1(A)
Waste Analysis
PAN'
(IW100o gal)
PAN Applled
(14facre)
r8) x fg1
1000
Nitrogen
Balance Weather
(Ihfacre) Code'
(B1- (10)
8�
Inspeotlone
(Initials) ••
11U
3Q
UO
I
3`1 �tso
ID,5S6
1,4
1
35,x. G
76
Crop Cycle Totals
Total PAN
Owner's Signature
Oerlifled Operator (Prant)
Operalol'a Signature
Operator Certification #
' Weather Codes: C -Clear, PC -Partly Cloudy, Ct-Ctoudy, R -Rain, S.SnowlSleet, W -Windy
— Persons completing (he Irdoatlon Inspections must Initial to signify that Inspections were completed at least every 12d minutes,

FOP a Lagoon Liquid Irrigr ?Ids Record
One Form for Each F jr Crop Cycle
Tiac
F fold Sko tlwattad aer"j e
Farm Oar
Ovn'fnr's A&M
trrigathx�ciperalor
OperWdare
Addraaa
Fadilty Number 13"-k - 5P--!5-'--]
Q From Vftste UUumlrwr Ptah
Crap Type i R*cwn*A tt PAN O
III M MI W In% !A► rri lei tlll ria► ti 11
man
ow"1%
CaWMQd Operator (Prins)_
Opemwe signaanm
t]PM(or C dff a &M El
Weather Codes; C -Clear, PC-Parlly Cloudy, CI-Cbudy, R -Rain, S,Snow/Sleek W*indy
Persons completing the frrlpal}on inspections must Initial to signify that Inapecilona were completed at least every 120 minutes.
ow"1%
CaWMQd Operator (Prins)_
Opemwe signaanm
t]PM(or C dff a &M El
Weather Codes; C -Clear, PC-Parlly Cloudy, CI-Cbudy, R -Rain, S,Snow/Sleek W*indy
Persons completing the frrlpal}on inspections must Initial to signify that Inapecilona were completed at least every 120 minutes.

FOP -2 lagoon Liquid IMge ;Ids Record
One Form for Each F jIr Crop Cycle
Trad A
Field Sizo (wottod acresi % (Al
Farm Owner
Owners Addraw
Ownar s Pholw #
hripatipra Qporalpr
Udgatlon aperalor's
Address
Operator's Phone p
1=s1lllyNumber Oo�► r��?
_ From Waste Ultitra tion Flan
Crop Typo ReoQsnnondod PAN
I __L_. � 1 man4 (Iwacre) a (Is)[_4 .
114h 146% 161 let 171 (el 101 1101 rill
'MEN
TOW
Ron
MM
Crop Cycle Totals L_ :f
Owners Slgnalurn
Celllfled Operator (Print)
♦ 1wI��M.wr n����, w /.1.-,� nf• M\�..... /.Iw.•J.. M f.1�..J.. A r•,l. /� n _ _, „In._ _• �a• ..w �.
Total PAN I
Oporaloes Signature
Operator Ceritlltatlon #

FOP -2
Trai:l tj
field ELCO (WAtud 63cre...') -(A
Form Dwitai
Oymees Addr.1v
0WIM's Pronil i
1.090011 U(juid PrICIF .his Record
Ono Form lor Each F 1r Crop Cycle
1,86111y NurnUar
ItrIgatIc-n Oporwor ...... ......
InIgOtbil Opanlorij
Opetator's thane It
FralirtWasce'UtIlIzallon Pian
Cmo lrSpa Rewfirru-ndad PAI'l
Gk 181 'RI 101 lot r 10 elft
Iran 0310
11)
1.) (rnnVddVy(j
a
-Start
r
Thre
Esid
Tma
Total
fiflnotat:
Al of
',litinkfum
Flow
Rate
(901fWa)
Utal Val
juallonI)
(61 x �15) :c (4)'
crH
�J�Jalhcrl:)
r(A)
Wz'%te Analyiiio
PAN,
(P4111100 -,);111
PAN Apfifed
Ilbfzcrii)
141;LM)
1001)
A IAO I
>
Crop Cycto rotas Trits I PAN
Ownuev Signature Clporaforo &.1
corufled CIP"Ur (Print)_—.T._....,. -- Cipefat(jr CerlInvallon
Vriather Cad= C-Cluar, P104:1861Y Cloudy, Ct-Claudy, P-Raln, S-Sno%MGIvat, W -Windy
Persons oarnt"Ung [tie Irfloatilm Inspocillons must Initial to signify that Inspaclions wero ctimpleted at legial nvery 121) minutes,

FOP r2
Lagoon Liqu)d Irrigr ?ids Record
One Form for Each F jr Crop Cycle
Tract #I� Field Il Facility Number
Field Size (wetted acres) m (A) 39
Farm Owner Irrigation Operator
Owner's Addruss Irrigation Operator's
Address
Owner's Phone # Operator's Phone 11
From Waste Utilization Plan .
Crop Typor, Recommended PAN 15q(� Loadlnq (ItVacre) = (B)
rz� rat l51 161 '171 tat 191 Mot It11
Lagoon
ID
hate Start
(mrNddlyr) Time
End
Time
Total
Minutes
(3)-(2)
lrri allon
fl of Flow
Sprinklers Rate
Operating (gal/min)
Total Volume
(gallons)
(6) x (6) x (4)
Volume
per Acre
(gal/acre)
(7) l (A)
Waste Analysis
PAN'
(Ib11000 gal)
PAN Applied
(lb/acre)
(5) x (91
1000
Nitrogen
Balance
(Iblacre)
(B) - (10)
Weather
Code.
InspactlDna
(lnitlals) "
B- O
!o
aP
Rb
.� �e
q 3
!r(p
4,5
I
C.
7rC
Crop Cycle Totals
Total PAN
Owner's Signature Operaloea Signature
Certified Operator (Print) Operator CertIncatlon #
" Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-Snow/Sleet, W -Windy
.' Persons completing the Irrigation Inspections must Initial to signify that Inspections were completed at least every 120 minutes,

FOP r2 i.agoon Liquid irrigE flds Record
One Form for Each F Jr Crop Cycle
Tract t!
field Size (welted acres) - (A)
Farm Owner
Owner's Address
Owner's Phone #
Irrigation Operator
Irrigation Operators
Address
Operator's Phone #
Facility Numbers-�
From Waste Utillxatlon Flan
Crop Typo Recommended PAN
Loading (Ituacre) = (l3)1
N1 fat t3) (a) (s) (s) (7) (a) (9) (10) (11)
Lagoon
10
Date
(mmldd/yr)
start
Time
End Total
Time Minutes
(3)-(2)
irri atlon
# of
Sprinklers
Operating
Flow
Rats
(gallmin)
Total Volume
(galions)
(6) x (6) x (4)
Volume
per Acre
(gallacre)
(7)! (A)
PAN Applied
Waste Analysis (Iblacre)
PAN' (81 x (91
(lb/1000 gal) 10oa
B�
Nitrogen
Balance
QWacre)
(s) - (ta)
G�
Weather
Code
Inspections
(Initials)"
1 o
A
1
So
16
9S q 2
1
3
C
03
go
Crop Cycle Totals ' I_ �� Total PAN L_ _
Owner's Signature Operator's Signature
Certified Operator (Print) Operator Cert(flcatlon #
• Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-Snow/Staet, W -Windy
•• Persons completing the irrigation inspections must Initial to signify that Inspections were completed at least every 120 minutes,

FOP r2 lagoon Liquid Irrigr ?Ids Record
One Form for Each F 1r Crop Cycle
Trail
F iald SW (waited scrim) e
farm OWT
Ods Addm
Own% Phan
. ktigalb^ f>�r�lor
krodkm e
Address
Opwatws "am I
Fadtlly NWnber .55 .]
From VYssta Utltl=iton Plan
Crop Tye �, 50
111 121 Al 1A M lot rn 191 ret 1165 fit!
BOB
WEE
momm
0
�=M�mm
��
I,
=
mmm
M-MMU01
- - ��
=
mmmmm
owwre Sig Wura
CerWerd Opermiw (Print)
operetces stgntm
0mawr cerlMmceam e
• weather codes: C-asaf, PC-Partty cloudy, a -clouds, R-Raln, s-Snowrsleet* w Windy
Persons cornple ft the ftaflon Inspections must inlllal to signify that Inspecilons were completed at least every 120 minutes.

FOP r2 Lagoon Llquld Irdar ?Ids Record
One Form for Each F or Crop Cyd e
Trac
Field Slto IwWledacres)
Farm qm
Burner's Addre
Ovmrfs Ph"
Fadllty Number - �
kroalim OWSler
WGISM s
Addraas
Op�lafs Frusta 9 '
�j From 1Naste UUltmtlan Plan ,
Crop T !3i" 1.MidMm R7/ =) = (6)1___.__�
i11 VI MI 111 (51 (e1 M 181 MI (10) (t1)
Crop Cydo Totals , I I Yate! PAN IJ
0%meft Slg�urq Operates Strtature
CwMad OPemtor (PrIN) OD[s'&tor Certiftca l m F
• weather CaJw.. C -near, PC-Parey Clardy. CI -Cloudy, R -Rain. S-Snow/Slaot, W Windy
Persons empieting die Wb2flon inspections must Initial to siyntry Thal Inspections were completed at laael every 12D minutes.
M
Eno
M"A
01 M, Mo
o�
Crop Cydo Totals , I I Yate! PAN IJ
0%meft Slg�urq Operates Strtature
CwMad OPemtor (PrIN) OD[s'&tor Certiftca l m F
• weather CaJw.. C -near, PC-Parey Clardy. CI -Cloudy, R -Rain. S-Snow/Slaot, W Windy
Persons empieting die Wb2flon inspections must Initial to siyntry Thal Inspections were completed at laael every 12D minutes.

FOP -2 Lagoon Liquid Irrbps ?Ids Record
One Form for Each F jr Cmp Cytlea
riad n
FkW SIX0 (wcilad1l.M)_ (A)
farmoww
Ow wt Address
In*Abn Op&ztor
it o&n Upeer"o
Add"=
opwaws PWA A
Fadnty Number
From VWtsts UIJ1hM1lon Pim
Crap TWO PAOX"MvW PnN 5
Low" Rvaas} 1; (6)1-
III
B)rsit M r►► M rc► rat M tat fm lent fill
UM
Cert ed Opealor (Mint). ��• _ .
Op mWb s ura
gator Ceruncia&M #
Weather Codes, C�Clear, PC -partly Cloudy, CI -Cloudy, R.Raln, S4now/Skw� W -Windy
�• Persons computing thea V01090n InspeclsanS must Initial to signify thal Inapecliom were completed at least every 120 minutes,
NEW
MIF
�MMM
M
MM
UM
Cert ed Opealor (Mint). ��• _ .
Op mWb s ura
gator Ceruncia&M #
Weather Codes, C�Clear, PC -partly Cloudy, CI -Cloudy, R.Raln, S4now/Skw� W -Windy
�• Persons computing thea V01090n InspeclsanS must Initial to signify thal Inapecliom were completed at least every 120 minutes,

FOA -2 Legoon Liquid IrN ?ids Record
One Form for Each F jr Crop Cyde
rmd a
F Wd Blzo (wotted Dcn*) d (A)
Farm oww
Owtmrs AddraW
Awns'a Ph" M
F oolfty Ntgnbw 7r' �..Z. 7
Irrigatktn Onaryta •..
Irrigation t]peratde
Addreae
OpfssWCs Pt►gr6e rl '
Flom Waste ttliliiatlon Pim
Crop TypeRtE0MV PAN O
' tae��p noraerey c !e1
fit nt tat eat ttn% r1 t1
certified operator
operatcea surd
Omator Ceftcam 0
• Weather Codas: C -Clear, PC-Paray Cloudy, CI -Cloudy, R -Rain. S-Snawfsiae4 W*Wy
Persons cornptafing the irrigaflon Inspections must initial to signify U mt inapeclions were completed at least every 128 rninutes.
MWIMMIN
MAM.-
MMM
MMMM
certified operator
operatcea surd
Omator Ceftcam 0
• Weather Codas: C -Clear, PC-Paray Cloudy, CI -Cloudy, R -Rain. S-Snawfsiae4 W*Wy
Persons cornptafing the irrigaflon Inspections must initial to signify U mt inapeclions were completed at least every 128 rninutes.

FOP -2 lagoon Liquid Irrigr Ids Record
One Form for Each F it Crop Cycle
7190 0
Field Sit* (wattadaem)= JA)
Farm Qr
Owrrds Addeasa
OwVw% Ph" Y
keg lhon C] Ew
Addreaa
Qpfntaft Phase A
Facility Number
From Wasto Ut11 mWW Plan
D --7
011 Mt M of ra► 10% M 0111 tel tin% 1144
Crop Cyrla Talars TOW! PMI
ou+ner'ssignatraa Operstaea Sigrotwe
CerNW Opemtor (Print) ---,....._ .. — , _ .._ -- CpeWor Caritflcaum 0
• Weather Codes: C-Ciear, FGParlly Cloudy, CI -C m dy, R -Rain, S-Snow/Slaek W -Windy
"' Persons Ccrnpiating thO i A0110n inspecUens must initial to signify that Inapeclions were wmpleted at least every 420 minutes.
Rum
=WIN
M1.1%
M
-'M
Crop Cyrla Talars TOW! PMI
ou+ner'ssignatraa Operstaea Sigrotwe
CerNW Opemtor (Print) ---,....._ .. — , _ .._ -- CpeWor Caritflcaum 0
• Weather Codes: C-Ciear, FGParlly Cloudy, CI -C m dy, R -Rain, S-Snow/Slaek W -Windy
"' Persons Ccrnpiating thO i A0110n inspecUens must initial to signify that Inapeclions were wmpleted at least every 420 minutes.

FOP ;Z lagoon Liquid Inigs rds Record
One Form for Eaolt F rr Crop Cycle
Trac
FioldSito (-Wlad acrft) a
Fane QM
Owner's AddM
ln40M Operator
kv9dion owaioft
Afteaa
opoostofa Phone 0
Fadilty Nurrim � •� �.
Franc Wasts eltllkmelan Plan
Crop Type Rreconwandd PAN Q
_ Laadlnp (IbVacre) � lg)
f1) n_1 MI fH rs1 !e1 'M 1al rat 1161 1111
Orap Cyctx TotalS Total PAN �J
Owner's Signature opmloea Slgrottom
CerWed Operator (Point j�—_ Openuor Ceruftwon i)
'Weather Codas C -near. P044arl)y Ctoudy, CI -Cloudy, A -Rain, S-Snow/Sleet, W -Windy
— Persons o mple ft the trsigation Inspections must InIM to slgntfy fti Inspections were completed at least every 120 minutes.
MIA
M�=
MM
MME
Orap Cyctx TotalS Total PAN �J
Owner's Signature opmloea Slgrottom
CerWed Operator (Point j�—_ Openuor Ceruftwon i)
'Weather Codas C -near. P044arl)y Ctoudy, CI -Cloudy, A -Rain, S-Snow/Sleet, W -Windy
— Persons o mple ft the trsigation Inspections must InIM to slgntfy fti Inspections were completed at least every 120 minutes.

FOA ;2 Lagoon Liquid ttrigs ?Ids Record
One Form for Each F ,r Crop Cycle
Trac
Field &tta (waded etas) -
Fa m Qm
Ow Ws Atldre
Owner; pbm
Faculty wmbm -
tttigallocti apa�tar �_
trtl�liCn Qperalors
/ddraaa
Dpo*Wr'%MOM rY
From Waste Utilization Fin .
Crop Type Pica"normw PAN 5o
t]1 171 Mt to t¢► Ja% m M tat rem H15
Crop CyrJa 'Totals -i Tatar AMI '_
Con's Signah" — _ L _.. ti Dpemicea SigrpEttttro
CwMlaid Operator (Mini) Operslcr QW011conan 8
• Wealhor Codes: C-Obar, PC-Partty Cloudy, CI-CIm*, R -Rain S.Snow/Sleek W indy
" Persons Completing the Uftatlan Inspections must initial to signify Ittmt Impectlons were completed at least every 120 minutes.
a
Crop CyrJa 'Totals -i Tatar AMI '_
Con's Signah" — _ L _.. ti Dpemicea SigrpEttttro
CwMlaid Operator (Mini) Operslcr QW011conan 8
• Wealhor Codes: C-Obar, PC-Partty Cloudy, CI-CIm*, R -Rain S.Snow/Sleek W indy
" Persons Completing the Uftatlan Inspections must initial to signify Ittmt Impectlons were completed at least every 120 minutes.

FOP -2 1A900r►Liquid Irdgr ?Ids Record
One Fomn for Each F jr Crop Cycle
Toad d
F IsW Sko (watted acres) -I A)
Farm Oww
Owww's Address
owrw% Phorm 0
lnlgatb�+�lpa'ata'
Address
Operator's Phare ti
FadlUy Ntl+rov -
�]From Waste UUthnwm Pim
� iRavommirowpm
�ypa uaft man) = mi 5 �
lit Qt A% PAI mk IA% rn let rat rtnt x111
Ownees
CwMad Opreratw (Print)
Operaaaea skjnatsq�
ODM*W C4ltillcaum 0,
' WeatharCodes; C- aear, frC.Partay Cloudy, CI -Cloddy, R -Rale, S-Enowl khat. W -Windy
Persons complattV the lrripailon Inspedtans must WtW to signify 1?tal inapecitona were oompleted at least ova ry 120 minutes,
OEM
Ownees
CwMad Opreratw (Print)
Operaaaea skjnatsq�
ODM*W C4ltillcaum 0,
' WeatharCodes; C- aear, frC.Partay Cloudy, CI -Cloddy, R -Rale, S-Enowl khat. W -Windy
Persons complattV the lrripailon Inspedtans must WtW to signify 1?tal inapecitona were oompleted at least ova ry 120 minutes,

FOP r2 Lagoon Uquld Irrlg& ?Ids Record
Dna Form for Each F ,r Crop Cycle
Trac
Flald Sim (w*tadBern) -
farm Ow
Owww's AddM
Faddy Nlurrixv - «�-
it+'tgaUon
/ktdreas
Dpgrsltuf's Pltm�a �
Frarn Waste UIIIIsnUon Plan ,
Crop Typo �� RRoarmwrdW PAN—
L �"J t 4d►aue) lel w .. _
nt at M ui M ra% M lat rot dint IM
Cmp CycW 'totals I I TWO PAN I l �J
owmees opermter'o slgrts+�,�
Corded Operator g3dn,� _ - ... _. -- oaa>>lor Ce COM
WeafM3r Codes: C Clear. PC -Partly Cloudy, CI -Cloudy, R -Rain. 5-Snow/Sleet W -Windy
Persons romptatbv the Wiptlan fnspawons must Wuw to slgnffy That Inapeclions were completed at least every 120 minutes.
Rum
M -V
Cmp CycW 'totals I I TWO PAN I l �J
owmees opermter'o slgrts+�,�
Corded Operator g3dn,� _ - ... _. -- oaa>>lor Ce COM
WeafM3r Codes: C Clear. PC -Partly Cloudy, CI -Cloudy, R -Rain. 5-Snow/Sleet W -Windy
Persons romptatbv the Wiptlan fnspawons must Wuw to slgnffy That Inapeclions were completed at least every 120 minutes.

FOP r2 t.egoon Liquid Irtigs ?Ids Record
One Porro (or Each F sr Cmp Cycle
ifac
F toW Situ (wcltcd ecres) a
form OM1
ownd'6 hddre
t]wrt" Phar
lrtisallon ��
trslSaUon aprr�e
Address
opo two Purrs 0
Faduy Numtfar 2 - E
FrornWaste Utlftatton Flm
Cmp 7yM ReomMeroled PAN
l craft Maas) = s1 5 O
fit n► rte% gig IG& lot rn Hu rot rim Nil
Crop Cyrls Totals - I _- .- - - Total FAN
cwnues m9aak �._ _ 0pereloea Slgtseture
Cwt1w Opesater (Fdni) _ Olwator CerMc Aon
• Weather Codas: CCtaar, PC4"arQy Mudy, Ct-Claudy, R -Rain, "naw/Gleet, W -Windy
•" Persons cmrptatIM the Sttipallon inspections must initial to signtty !het Inspections were completed at !seat avary 120 minutes.
me
NO
V- M -A,
MM
MM
MMM
Crop Cyrls Totals - I _- .- - - Total FAN
cwnues m9aak �._ _ 0pereloea Slgtseture
Cwt1w Opesater (Fdni) _ Olwator CerMc Aon
• Weather Codas: CCtaar, PC4"arQy Mudy, Ct-Claudy, R -Rain, "naw/Gleet, W -Windy
•" Persons cmrptatIM the Sttipallon inspections must initial to signtty !het Inspections were completed at !seat avary 120 minutes.

TOP -2
Lagoon Liquid IrrigF ?Ids Record
One Form for Each F sr Crop Cycle
Tract N Fl®Id # E Factlity Number oy
f=ield $ixe (wetted acres) = (A) r
Farm Owner irrigation Operator
Owner's Address Irrigation Operator's
Lagoon Dale Start
iD (mrrVdd/yr) Tlme
Weather Inspections
Coda " (lnitials) "
Crop Cycle Totals
Owner's Signature
Certified Operator (Print)
Total PAN LJJ
Operalor'a Signature
Operator Certification #
Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-SnowlSlael, W -Windy
— Persons completing the Irrigation inspections must initial to signify that Inspections were completed at least every 120 minutes.
Address
Owners Phone #
Operator's Phone ay
From Waste Utilization Pian . .
Crop Type
Recommended PAN
x�
G
Loading (lb/acre ) _ (B)
.J
(3)
(A)
(5)
(6) 'r'7) (a)
(9)
(10)
(11)
Irri ation
Volume
PAN Applied
Nitrogen
End
Total
# or
Flow Total Volume per Acre
Waste Analysis
(!Macre)
Balance
Time
Minutes
Sprinklers.
Rate (gallons) (gaVacra)
PAN"
f8) x (,
(Iblatra)
- 2
O eratln
aVmin 6 x 6 x 4)' (7 /(A)
Ib11080 nail
1 1000 i
Weather Inspections
Coda " (lnitials) "
Crop Cycle Totals
Owner's Signature
Certified Operator (Print)
Total PAN LJJ
Operalor'a Signature
Operator Certification #
Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-SnowlSlael, W -Windy
— Persons completing the Irrigation inspections must initial to signify that Inspections were completed at least every 120 minutes.

FOP ;2
Tract N
Field Sino (welled acres) = (A)
Farm Owner
Owner's Addruss
Owner's Phone #
Lagoon Liquid Irrig�-
One Form for Each F
'Ids Record
1r Crop Cycle
irrigation Operolor
Irrigation Operaior's
Address
Operator's Phone 0
Facility Number
From Waste Utilization Plan
Crop Typo Recommended PAN _
Loading (lblacre) = ($)
131 r41 (51 i6l (7) (a) (9) n01 1111
Lagoon
ID
Dale
(mrrdddlyr)
Irri elion
Waste Analysis
PAN*
(lb/1000 gal)
PAN Applied
(lb/acre)
(a) x 191
1000
Nitrogen
Balance
(Iblacre)
(B) - (t 0)
Bn p
Weather
t;ode"
laspeatlans
(Initials)"
Volume
Start End Total H of Flow Total Volume per Acre
Time Time Minutes Sprinklers Rate (gallons) (gallacm)
(3)-(2) Operating (gallmin) (6) x (6) x (4) (7)1(A)
7
I►
1$ o�
Pf
Mo Pr
Ian
I 9 D
16 Sty
q4-)+
I, l
Io, 4-
3`�.
C
TG
1
ra- ti� 6S
to
1�0
1
)o
b
3�P
5P
Ia o
1 90
loI.00
1 94-'14
1',
14.,
}�
C
Crop Cycle Totals f Total PAN 1±2 9 -
Owner's
Owner's Signature Operator's Signature
Certified Operator (Print) , Operator Cerli(lcation #
' Weather Codes; C-Ctear, PC -Partly Cloudy, Cl -Cloudy, R -Rain, 5-SnowlSiaet, W -Windy
Persons completing the Irrigation Inspections must Initial to signify that inspections were completed at least every 120 minutes.

FOA -2 lagoon Liquid Irrigs fids Record
One Form for Each F Jr Crop Cycle
Tract h
Field Si" (wellod acres) = (A)
Farm Owner
Owners Address
Owners Phone #
Irrigation Operator
Irrigation Operalaea
Address
Operators Phone #
Facility Number
From Waste Utilization Plan
Crop Type �1 Recommended PAN
t` Loading (Iblacre) = (B) tea-
rn rzI til 141 (51 (6) (7) (S) (9) (lal (111
Lagoon Date Start
ID (mmld(jlyr) Time
End
Time
Total
Minutes
(3)-(2)
Irrigation
H of Flow
Sprinklors Rata
Operating (gaVmin)
Total Volume
(gallons)
(6) x (5) x (4)'
a ma
per Acre
(gal/sere)
(7)1(A)
PAN Applied
Wasle Analysis (!Macre)
PAN' (8) x 19l
(lb11D00 gal) 1000
Nitrogen
Balance
Macro)
(Bj - (to)
Weather
Code
Inspections
(Initials) "
I Ili
Mks, 84
IO A
las
I 9 D
10 <2 cc
ciy�)L�
11 1 , 4
1 391'(0
C_ I
TG
I 1� a. tsg
I 4-C
90
o q a -D
11-.1 4-
I I f 4-
A9, 'X
0
T C�
1 1 ,�-I 3a o
6 io,
2-0
1go
! i> IRi-c ,
v) 4-
I 1
$
Crop Cycle Totals ' I i
Owner's Signature
Certified Operator (Print)
Total PAN 1 3 1.
Operator's Signature
Operator Certification #
Weather Codes. C -Clear, PC -Parity Cloudy, CI -Cloudy, R-Ra(n, S-SnowlSleot, W -Windy
" Persons completing the Irrigation Inspections must Initial to signify that Inspections were completed at least every 1120 minutes.

FOP r2
Lagoon Liquid lrrig� tlds Record
One Form for Each F 1r Crop Cycle
Traci # Field # Facllily Number
r=ield Sizo (wolied acres) a (A)
Farm Owner Irrigation Operator
Owner's Address Irrigation Operator's
Address
Owners Phone # Operator's Phone #
From Waste Utiltzation Plan
Crop Cycle Totals Total PAH 124'2J
Owner's Signature _ Operator's Signature
Certified Operator (Print)_ Opera(or CerUncetlon #
Weather Codes. C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, 5-SnowlSlee(, W -Windy
Persons completing the IrrIgatton Inspections must initial to signify that Inspections were completed at least every 120 minutes.
Crop Type
k
f
Recommended PAN
Loading =
-
(Ituacra) (8)
(3)
(4)
(5)
(6)
(7) (8)
(9)
(10)
(11)
Irrl ailan
o umo
PAN Applied
Nitrogen
Lagoon Date
Start
End
Total
# ofFlow
Total Volume per Acre
Waste Analysis
(lblecre)
Balance
Weather
Inspections
ID (mmlddlyr)
Time
Tima
Minutes
Sprinklers
Rata
(gallons) (gallacts)
PAN"
(B) x (9)
(lblacre)
Coda'
(Initlela) "
(3)-(2)
Operating
(gallmin)
(6) x (5) x (4) (7)! (A)
(lb/1000 gal)
1000
(e) - (10)
B=
(00
o
'dol
tl
yat3
C
7G
I 111;3 ct
`'
o
90
2013
I
,'?
3
C
`r
1 ).L101'D -0
g
P1
1
90
- 54CM ')o 13
) -I
I r3r`)
-�Gl
FE]
T�
Crop Cycle Totals Total PAH 124'2J
Owner's Signature _ Operator's Signature
Certified Operator (Print)_ Opera(or CerUncetlon #
Weather Codes. C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, 5-SnowlSlee(, W -Windy
Persons completing the IrrIgatton Inspections must initial to signify that Inspections were completed at least every 120 minutes.

FOP '-2
Lagoon liquid Irrigc ?Ids Record
One Form for Each F sr Crop Cycle
Tract # r, rWd # Facility Number
Field Sizo (wetted acresi - (A)
Farm Owner Irrigation Operator
Owner's Addruss Irrigation Operatoes
Address
Owner's Phone # Operator's Phone #
From Waste Utitlzatlon Plan .
Crop Typo La p Recommended PAN
Loading (Iblacre) W (B) t�
(3) (4) (5) (6) (7) (8) (9) (10) (111
Lagoon
ID
Dale
(mmlddlyr)
Start
Time
T
End
Time
Total
Minutes
(3) - (2)
Irri atlon
# of Flow
Sprinklers Rate
Operating (gallmin)
-
Take1 Volume
(gallons)
(6) x (5) x (4)'
- -
ume
per Acre
(gallacre)
(7) / (A)
-T
PAN Applied
Waste Analysts (Eblacre)
PAN` (8)x191
(lb11000 gal) 1000
Nitrogen
Balance
(iblacre)
(B) - 00)
gn
Weather
Code"
lnepectlans
(Initials)•'
��I�a
g�
loft
1ao
1 0
lo$671DRgl
Irl X0,8
3`�,�
C
1 i
90
119119
1-111
C
TG
a
Crop Cycle Totals j Total PAN LTJ
Owner's Signature _ _ .._ Operator's Signature
Certified Operator (Print) Operator Certification
• Weather Codes: C -Clear, PC -Partly Cloudy, CI-Ctoudy, R -Rain, S-SnowlSleet, W -Windy
•• Parsons completing the Irrigation Inspections must Initial to signify that inspections were completed at least every 1120 minutes.

FOP t2 Lagoon Liquid lrrigr ?Ids Record
One Form for Each F u Crop Cycle
Trarl #
Field Size (welled acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Irrigation 0"1111101
Irrigation Operator's
Address
Operator's Phone #
Facility Number
From Waste Utilization Plan .
Crop Type Recommended PAN
Loading (Iblacre) = (9) v
111 12) (3) (4) (5) (B) •(7) (8) (9) (10) (11)
Lagoon
to
Dale
(mrWddlyr)
Start
Time
End
Time
Total
Minutes
(3)-(2)
Irrigation
# ofFlow
Sprinklers Rala
Operating (pavrnin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gallacre)
(7)1(A)
PAN Applied
Waste Analysis (lblacre)
PAW (8) x Q}
(lb/1000 gal) 1000
Nitrogen
Balance
(Ituacre)
(e) - 00)
B. 7
Weather
Code
inspections
(tnilials)'"
It
i'l L2�'C
]
a
o
HiQ
D-1�oo
t C)
1
j
Crop Cycle Totals 1 j
Owner's Signalure _
Certified Operator (Print)
Total PAN 3i 3, � I
Operelor'a Signature
Operator Certification
Weather Codes; C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-SnowlSleet, W-Wlndy
" Persons completing the irrigation Inspections must initial to signify that Inspections were completed at least every 1120 minutes,

FOf ' -z
Ifac
rif..4d Size (waited sem%)
Farm Owr
owners Addrt
Owner's fton
I.agoon Liquid lrrig
One Farm for Each K.
)Ids Racord
Jr crop cycle i
Facility Number
Inigaiion Oparalor
Irrigation Opeiat4rB
Addmr.0
Oporator's Phone it
From Waste Utilization Plan
Rsoomnandad PAN
crop Typo ' t_mov ptvacm). Z (s) L9
{1) {7) (3) (4) - S5)- _16) --- -_91- - - - Ta)' — {9} (10) (14)
Ugoon Dole
ID (m%Wddlyr)
Start
Time
–`
Cnd
Tina
Totes
Minulep
rrn Iron
# of Fiore
8pdnkk►ra Rale
Uparallni (gallrnln}
Total Vahmm
( OW")
{8) >< (8} z (4)"
umo
per Ale
(ge!lacre)
(7) ! (�►)
Waste Analysis
PAN'
(ib11gOD gaI)
PAN Applied
JlWacre)
t85 x f91
itxla
'
Nitrogen
Balance
(IblaGra)
41s) • (to)
ga
Weather
Coda `
Inspxtiuu
(Inlilats} ••
D
90
�)
pt;
lo
Crap Cyclo Totals
Total PAN
a� ,
Owner's Signaturo Operator's Signature
Carolled Operator (Print) -- Operator Certification
Weather Codes: C -Clear, PC-Partty Cloudy, CI -Cloudy, R -Rain, SSnow/Sleet, W -Windy
`" Persons completing the Irrigation inspections must inilfat to signify that Inspactions Vera completed at least every M minutes.

FOP r2 Lagoon Liquid irrig� aids Record
One Form for Each F :r Crop Cycle
Tract #
Field Sizo (walled acres) - (A)
Farm Owner Irrigation Operator
Owner's Address Irrigation Operaloes
Facility Number
Address
Owner's Phone 4 Operator's Phone #
From Waste Utilization Plan .
Crop Type Recommended PAN
Loading (lb/acre) = (B)
(0) (4) (5) (6) (7) (a) (g) (10) (t1)
LagoonE(miWddlyr)
ID
te
Start End
Time Time
Total
MinutesSprinklers
Irri allon
# of Flown
Rate
(@aElrrun)
fiolel Volume
(gallons)
(6) x (6)x (4)
Volume
per Acre
(gallaare)
(7) l (A)
PAN Applied
Wasle Analysis (lblacre)
PAN' (8)x191
(1611000 gal) 1000
Nitrogen
valance
(Iblacre)
(B)•(10)
Bn�ago
Weather
Coda'
Impactions
(Initials)Dperaiin@
I� aa�
�o�g
III �1 �,
388
T-, ,
2
I 1 `30
.1 CM
:o 18
11'.1
aI), ("I
I C
7-C
1 0
).So
1610
q-
C
M-
Crop Cycle Totals ] ^_ ] Total PAN � f 3. •�
Ownees Signature_ " , _ Operator's Signature
Certified Operator (Print) _ _ Operator Cerlliicallon #_
'Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-SnowlSleet, W -Windy
Persons completing the Irrigation Inspections must Initial to signify that Inspections were completed at least every 120 minutes.

FOP f2
Traci
Field Sixo (welled acres) a
!1) (7)
Lagoon Liquid Irrigs Ids Record
One Form for Each F Ir Crop Cycle
FarmOwner Irrigation Operator
Owner's Add,.,, Irrigation Operator's
Facility Number cs�
Address
Owner's Phono # Operator's Phone #
From Waste Utilization Plan
Crop Type AN
P Load n9 (IWacre)mrnanded = (B) � s
(3) (4) is) (S) '(7) (a) (9) (10) (11)
Lagoon
ID
Dale
(mrNddlyr)
Start
Time
End
Time
Total
Minutes
(3)-(2)
Irc1 alion
# of Flow
Sprinklers Rate
Operating (gaVmtn)
Total Volume
(gallons)
(6) x (S) x (4)
Volume
per Acre
(gellacra)
(7) l (A)
PAN Applied
Waste Analysis (Iblacre)
PAN' (8) � (91
(Ib/1000 gal) 1000
Nitrogen
Balance
(lblacre)
M-00)
B=
Weather
Code `
Inspections
(lnlllais) •"
P,11
�So
I qp
I(�ao�Q
Mo l��
1,1 C1,3-
3B,g
C
T�
1 �o���
'
1 .90
���-esu
iS
I 11 "a
C76
Crop Cycle Totals i 'fatal PAN3��
Owner's Signature —..._ —.. —_... Operator's Signature
Cer0fled Operator (Print) _ Operator Certification #
' Weather Codes: C -Clear, PC -Partly Cloudy, Cl -Cloudy, R -Rain, S-Snow/Sleet W -Windy
"' Persons completing the Irrigation Inspections must Initial to signify that Inspections were completed of least every 120 minutes.

Fol -2
I rant #
r-ietd Size (welted acres - (A)
rearm Owder
owners Addmss
Owners Pham #
Lagoon Liquid brig
One Form far Each R.
W5 Record
.-r Crop Cycle �.
FaUlity Number
Irrigation Operator
irrigation Opel -aloes
Addresa
Operator's Phone #
From Waste Utilization Plan
Crop Type Reoommended PAN -
-- (iblacm) = (H)
(tl (2) (8) (41 (5) (Fi) (7) {al (g) (10) (t1)
�- --
Ligoon
iD
Dale
(rrur>rddlyr)
Start
Time
Und
Time
TotalMFlow
Minutes
Irrigation
Rain
grn)
Total Volume
(gxAons)
(6) x (5) x (4)
flume
per Acre
(gailacre)
(7)1(A)
PAN Applied
Waste Analysis (lbl=e)
PAN' ia) x I91
(Ib/10M gat) 1000
Nitrogen
Balance
(iblaare)
(M»(10)
Weather
Coda `
inspections
(lnitlals) •'
�
o'�
P,
o
,�
a o
X3 0
8 �
,
10 A-
la R
1�0
Iso
► � o
�O
►� a-�
10 goo
Doq 3
1069-3
5 1.5 ,1
1 ,�;
C
TG;
Crop Cycle Totals 1 _ - — - j
owner's Signature M
Certffied Operator (print)
Total PAN�4J
Operatoee signature - -
Operator Certliicatit7q
'Weather Codes: C -Clear, PC -Partly Cloudy. CI -Cloudy, R -Rain, 5-Snow/Sloe(, W -Windy
Parsons completing the irrigation Inspections must Initial to sigriity, that inspections were rampleted at least every 120 minutes.

FOP `2 Lagoon Liquid irrigr ?Ids Record
One Forth for Each F !r Crop Cycle
Tfact #
Field Sizo (welled acres) * (A)
Farm Owner
Owner's Addruss
Owner's Phone #
Irrigation Operator
Irrigation Operatoee
Address
Operator's Phone #
Facility Number
From Waste Utilization Plan
Crop Type Recommended PAN
Loading (Itllacre) = (B)
r11 (2) (3) (4) (5) (6) (7) (8) (91 1101 (111
Lagoon Date
ID (mrrdddlyr)
Start
Time
End
Time
Total
Minu(es
(3)-(2)
Irri ation
(I Of Flow
Sprinklera Rate
Operating (gailmin)
Total Volume
(gallons)
(6) x (6) x (4)
volume
per Acre
(gallacra)
(7)1 (A)
PAN Applied
Wesle Analyets (Iblecre)
PAN' 18) xj2
(lb/1000 (;al) 1000
Nitrogen
Balance
(IWacre)
(M-00)
Bn
Weather
code
Inspeadons
(Initials)"
+0
i go
X16
ay4-
R{o
41,0
t �a1�liA
aj (,(m
:9;�,4
t. t '3I C
3.� r o
C
G
I
a
za4L�
Crop Cycle Totals
Owner's Signature,
Certified Operator (Print)
Total PAN I r) V1 , Q
Operator's Signature
Operator Certification 0
• Weather Codes; C -Clear, PC -Partly Cloudy, Ci -Cloudy, R -Rain, S-SnowlSleot, W -Windy
" Persons completing the Irrigation Inspections must initial to signity that Inspections were completed at least every 420 minutes.

FOP !2
Lagoon Liquid irrigz Ids Record
One Form for Each F 11 Crop Cycle
Traci # 7 Fiald # F Facilily Number cam_
rield Sim (wetted acres) = (A)
Farm Owner Irrigation Operator
Owners Address Irrigation Operators
Address
Owner's Phone # Operator's Phone #
From Waste Utilization Plan
Crop Cycle Totals �^
Owner's Signature
Certified Operator (Print)
Total PAN
Operator's Signature
Operator Certification
Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-Snow/Sleet, W -Windy
" Persons Completing the Irrigation inspections must initlal to signify that Inspec((ons were completed at least every 120.minutes,
Crap Typo
J
Recommended AN
Loading re)P (B)�
-- --
_
(1)
(2)
{3)
(4)
(5
{8}
7 (S)
(g) (10)
01
IRI alien
Volume
PAN Applied
Nitrogen
Lagoon Dater_S_
End
Total
4 of
Flow
Total Volume per Acre
Waste Analysis (Iblacre)
Balance
Weather
inspections
ID (mmldd/
Time
Minutes
Sprinklers•
Rate
(gallons) (gavarre)
PAN' (11 x I91
(Ihlacre)
Code'
(Initials)'"
(3)-(2)
Operating
(gaVmin)
(6) x (5) x (4)' (7) / (A)
(Ib11000 pal) 1000
(B) - V 0)
E a
I d At
L
'9
It I -V� 3
3 3, 4-
L
T 6
I 6�
A
t
d era
c� o
�s n �75
III .3
5
C
` a
Crop Cycle Totals �^
Owner's Signature
Certified Operator (Print)
Total PAN
Operator's Signature
Operator Certification
Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-Snow/Sleet, W -Windy
" Persons Completing the Irrigation inspections must initlal to signify that Inspec((ons were completed at least every 120.minutes,

FOP r
Lagoon Liquid Irrigzggids Record
One Form for Each F h Crop Cycle
Tract # _ f Field # Facility Number :� S
Field Size (welled acres) m (A)
Farm Owner Irrigation Operator
Owner's Addruss Irrigation Operator's
Address
Owners Phone # Operator's Phone N
From Waste Utilization Plan .
Crop Typo1 8 P _ RtjmmmeplNacrended PAN ^
Loading acre) = (B)
Lagoon Dale
Start
End
Total
aY or Flow
Total Volume
Volume
per Acre
PAN Applied
Waste Analysis (lblacra)
Nitrogen
Balance
Weather
Inspections
ID (mmIddlyr)
Time
Time
Minutes
Sprinklers Rate
(gallons)
(oallacre)
PAN` 1
(Iblacre)
Code'
(Initials) •"
(3)-(2)
Operating (gallmin)
(f) x (5) x (4)'
(7)1 {A)
(lb/1000 gal) 1000
(5)-00)
B� Q
rJ
aL-p
id I 6�
4- oQ
TG
g
)a, rQ
a4-0
4 b
1 o -b
g;04
Id i o
3�
`40
I 10
i tva-0
oda 4-4
I I
3, o
C
T
I j69
A
I".)- 1-\,)
�-n
A _ _90_-.1�6
_
9,�Q.q
1t I q,a
!U. to
C
T6
Crop Cycle Totals
Owners signature
Certified Operator (Print)
Total PAN 13 6 , 0
Operaloee Signature
Operator Certification P
• Weather Codes: C -Clear, PC -Partly Cloudy, Cl -Cloudy, R -Rain, S-SnowlSleet, W -Windy
•" Persons completing the Irrigation inspections must initial to signify that inspections were completed at least every 120.minules.

FOP i2 Lagoon Liquid Irrigc Itis Record
One Form for Each F lir Crop Cycle
Tract #
Field Size (walled acres) _ (A)
Farm Owner
Owner's Address
Owner's Phone #
Irrigation Operalor
Irrigation Operator's
Address
Operator's Phone #
Facility Number L Lst^ 3
From Waste Utilization Plan . _
Crop Type Recommended PAN
Loading (Ituacra) = (B)l s e)
N% f21 131 f41 f51 (61 f71 (81 191 1101 [111
Lagoon
ID
Daie
(mm/dd/yr)
Start
Thee
End Total
Time Minutes
(3)-(2)
Irrigation
# of Flow
Sprinklers Rate
Operating (gallmin)
Total Volume
(gallons)
(6) x (5) x (4)'
Volume
per Acre
(gallacre)
(7)1(A)
Waste Analysis
PAN'
(ib/1000 gal)
PAN Applied
(lb/scre)
gam]
1000
Nitrogen
Balance
(Iblecre)
(B) - (10)
ga
Weather
Code
lospaauons
(Initials) •'
f
I5-16
S
1 I ��o
i �n
Ib �c�a
1D50
1,
a
40', I
C
T
-arses
1) O
QD
9D 54
as,�R
�Ao
C�
Ig,
9650
13,'5
3,a
Crop Cycle Totals 'I- f
Owner's Signature
Certified Operator (Print)
Total PAH+� ; I zs.J
Operetor's Signature
Operator Certlficallon #
• Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-Snow/Sleet, W -Windy
" Persons completing the Irrigation Inspections must Initial to signify that Inspections were completed at least every 120 minutes.

FOF r2
1
Lagoon Liquid Irrigs plds Record
One f=orm for Each F x Crop Cycle
Tract # Field # r Facility Number
Field Size (welled acres) - (A)
Farm Owner Irrigation Operalor
Owner's Address Irrigation Operators
Address
Owner's Phone # Operator's Phone #
From Waste Utilization Plan
Crop Cycle Totals
Owners Signature•
Certified Operator (Print)
Total PAN
Operator's Signature
Operator Certincatlon #
Weather Codes, C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-Sno%&Meet, W -Windy
11 Persons completing the irrigation Inspections must Initiai to signify that Inspections were completed at least every 120 minutes,
Crop Type
Recommended PAN
Loading
(Iblacre) = (B)
(3)
(4)
(5)
(6)
(7)
(a)
(9)
00)
(11
Irrigation
Lagoon Dale
Start
End
Total
# of
Flow
Total Volume
o ume
per Acre
Waste Analysis
PAN Applied
(Iblacra)
Nitrogen
Balance
Weather
Inspections ,
ID (mm/dd/yr)
Time
Time
Minutes
Sprinklers
Rate
(gallons)
(gal/acre)
PAN"
(8) x [91
(Iblacre)
Code
(intlials) "
(3)-(2)
Operating
(gallmin)
(6) x (5) x (4)
(7) l (A)
(16!1000 gal)
1000
(a) - (10)
g�
'o to
4-b
C
1� Il4
lin) Iaq
I
SIO
0
3O
:I
-n-+t '
a
(.0 cm
�10�l (�
, �
13Aa a
,a- (�a
�3
1 a r�
- a �'� _
`� c��
csro
vi o(n
S
130
C
Crop Cycle Totals
Owners Signature•
Certified Operator (Print)
Total PAN
Operator's Signature
Operator Certincatlon #
Weather Codes, C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-Sno%&Meet, W -Windy
11 Persons completing the irrigation Inspections must Initiai to signify that Inspections were completed at least every 120 minutes,

FOp r2
Trac
Field Size (wotled acres)
Farm Owr
Owner's Addre
Owner's Phonr
Lagoon Liquid brig
One Form for Each F
FIds Record
Jr Crop Cycle
Facility Number
Irrigation Operator
Irrigation Operalar, s
Address
Operator's Phone #
From Waste Utilization Plan
Crop Typa Recommended PAN
Loading (lblacre) W (B) �j O
(1) (2) 133 (4) -- -- (5)_ — (s) - {�] _ (a) (9) (10) (11)
Lagoon
lD
Date
(mrn/ddlyr)
51art
Time
End Total
Time Minutes
(3) - (2)
Irri atkon
# of
Sprinklers
Operating
Flow
Rate
(gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7)! (A)
Waste Analysis
PAN*
(Ib/1000 gal)
PAN Applied
(Iblacre)
tstx (9l
1000
Nitrogen
Balance
jiblacre)
(B) • (10)
9=
Weather
Code
tnspacUona
(Initials) "
T6
'09 91
Crop Cycle Totals ' - _ Total PAN !_ L_.J I I
Owner's Signature Operator's Signature
Certified Operator (Print) Operator Certification #
• Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-SnowlSleel, W -Windy
Persons completing ilia irrigation Inspections must Initial to signify that Inspections were completed at least every 120 minutes,

FOR r2 Lagoon Liquid lrrig�- Ids Record
One Form for Each F Jr Crop Cycle
Tract #
Field Size (welled acres) a (A)
Farm Owner
Owner's Addruss
Owner's Phone #
Irrigation Operator
Irrigation Operalar's
Address
Operalor's Phone #
Facility Number - �1
From Waste Utilization Plan
Crop Type Recommended PAN
Loading (lb/acre) m (H)
(11 (z) (31 (4) (5) (6).. (7) 18) (g) (10) (r'1)
Lagoon
ll3
Oale5tan
(mmldd/yr)
Time
End Total
Time Minutes
(3)-(2)
Irri atlon
# of Flow
Sprinklers Rate
Operating (gallmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gatlacre)
(7)1(A)
PAN Applied
Waste Analysis (Iblacre)
PAN' (8) x f91
(1411000 gal) 1000
B.
Nitrogen
Balance
(lblacre)
(l3) -00)
Weather
Code"
Inspeoliona
(Initials)
lio
I o
08
��
I 0
i(0 ,
B 3n
M
C
I� toy
g
�1 , I So
Ra
1t� ;LTD
Sia 9
3I3i�0`b
$
�b3a�
Crop Cycle Totals
Total PAIS
Owner's Signature
Certified Operator (Print)
Operator's Signature
Operator Cerllflcatlon
" Weather Codes. C -Clear, PC -Partly Cloudy, CI -Cloudy, R-Raln, S-Snow/Sleet, W -Windy
01 Persons completing the Irrigation inspections must Initial to signify that Inspections were completed at least every 120 minutes,

FOF F2 Lagoon Liquid Irrigr Ids Record
One Form for Each I` it Crop Cycle
Tract d Field # F Facility Number
field SiAo (wottod acres) - (A) .
Farm Owner Irrigation Operator
Owner's Addruss Irrigation Operators
(t1 (2)
Address
Owner's Phone # Operator's Phone #
From Waste Utilization Plan .
Crop Typo Recommended PANS
Loading (lb/acre) = (8)
(3) (4) - ($1 - - (6) (7)- — {81 (9) (to)
jLagoonLlale
rJddJyr)
Start
Time
End
Tme
Total
Minules
13)-(2)
Irri allon
# of Flow
Sprinklers Rata
Operating (gaVmin)
Total Volume
(gallons)
(6) x (5) x (4)
--Volume
per Acre
(get/acre )
(7) l (A)
PAN Applied
Waste Analysis (Iblacre)
PAN' (8} N (Q
(ib11000 gal) ioo0
Nitrogen
Balance
(Iblacre)
(a) - (10)
Weather
Goch `
Inspections
(1n11181s) "
III �� 6
�0
a c�
'9�6
t �r
c ,.
T`
Q o�
PL.
4-P�b
0
16 4-0
V-)0
1 I i�
3a ,
C
!
go
If, c a
S' -i o I
b
20
;�_b
qZ)
16(36b
12-)09 i, 1 I �a
1 t
C
Crop Cycle Totals
Owners Signature Operator's Signature
Certified Operator (Print) Operator Certification #
Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-Snow/Sleet, W -Windy
01 Persons completing the Irrigation Inspections must Initial to signify that Inspections were completed at least every 120 minutes.

FOR r2
Lagoon Liquid Irrig aids Record
One Farm for Each F Jr Crop Cycle
Tract fl Field # Facility Number
Field Size (wetted acres) =• (A)
Farm Owner Irrigation Operator
Owner's Addruss Irrigation Operator's �T
Address
Owner's Phone 0 Operator's Phone p
From Waste Utilization Plan
Crop Cycle Totals
Owner's Signature
Certified Operator (Print)
Total PAN
Operaloea Signature
Operator CerUncatlon
• Weather Codes. C -Clear, PC -Partly Cloudy, Cl -Cloudy, R -Rain, S-SnowlSlaet, W-Wlndy
•- Persons completing the Irrigation Inspections must initial to signify that Inspections were completed at feast every 120 minutes.
Crop Type
j
Recommended PAN 4
=
i
_ _ 1
Loading
(lblacre) (B)
{t)
(2)
(s}
(4)
(5)
(6)
(7)
(8)
(9) (10)
(11)
Irrigation
Volume
PAN Applied
Nitrogen
Lagoon
Dale
Start
End
Total
# of
Flow
Total Volume
per Acre
Waste Analysis (IWacre)
Balance
Weather
Ineaactiona
10
(mmldd/yr)
Time
Time
Minutes
Sprinklers'
Rate
(gallons)
(gallacre)
PAN- 181 x (9)
(lblacre)
Code
(Initlais)••
(3)-(2)
Operating
(gal/min)
(6) x (5) x (4)'
(7) l (A)
(Ib11000 gal) 1000
M-00)
L'-) S I
1#4
`<R 1(g
Id
39
TG
g)4
1��
1,)-oqa
lass's'
9gl
c��S
a�►
C
o
Ic
1zo
90
6,9
)is
°l i-)
IC)9 0
gig -
),I Ib_� —
TG
Crop Cycle Totals
Owner's Signature
Certified Operator (Print)
Total PAN
Operaloea Signature
Operator CerUncatlon
• Weather Codes. C -Clear, PC -Partly Cloudy, Cl -Cloudy, R -Rain, S-SnowlSlaet, W-Wlndy
•- Persons completing the Irrigation Inspections must initial to signify that Inspections were completed at feast every 120 minutes.

FOP �2
Tract #
Fluid Size (wetted acres) - (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrlgc aids Record
One Form for Each l' Jr Crop Cycle
Irrigation Operator
Irrigation Opera(ors
Address
Operator's Phone #
Fadlity Number
From Waste Utilization Plan
Crap TypoI 7 Recommended PAN
�l Loading {Iblacra)=(B)IL
(4) (5) {8} (7) (8) (D) (t0} (11}
Lagoon
ID
Dato
{rrxnldd/yr}
Start
Tune
End
Time
7olal
Minutes
{3} - {Z}
Irrigation
# or Flow
Sprinklers Rata
Operating (gallmin)
Total Valuma
(gallons}
(li) x (ti) x (4)
Volume
per Acre
(gaUacre)
(7) ! (A)
Waste Analysis
PAN*
(IbliDDO gal)
PAN Applied
(Iblacre)
(8) x !9f
1000
Nitrogen
Balance
(IWacre)
(B) - (i0)
B�
Weather
t,ode `
I
Inspections
(Initials) "
a )`l
C) dao
%9 IS
ll I
to j
-31" a-
a 11)0
J)
O A-
)ab
Q
16 ?&Z:>
4 ;L,3 aI
I,)- tJ
lay
1 `�o
96-0
9g 1$
5"
14,
13 r1
C
Crop Cycle Totals Total PANL_,�
Owners Signature Operator's Signature
Certified Operator (Print) Operator Certification #
• Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rale, S-Snow/Sloet, W -Windy
11 Persons completing the Irrlgatlon Inspections must initial to signify that Inspections were completed at least every 120 minutes,

hof -7 I.agoon Uquid Irrig 3ld:s Record j
One Farm for Each Jr Crop Cycle
'r rant k � d �Fiuirf 4 Facility Numbar �, - E__n__4 j
rwld Sizo (w0ttad aeras) n (A)
Farm Uwnor Irrigation Operator
Ownees Addr ss ! Irrigation Operalors
Addreca
Owners Phone g -- -. -- _-.-- OPM(ars Phone 8 - -- — -- --
lagoon 0310 Start
to I {nmwddlyr} I Tlnxr
WeatherIrrAWtloos .
Coda' (W11813) -
From Waste Utilization Plan
Crop Type
Reoomnrendad PAN
_
p
_ Loadit Macre) = (R)
�?
3)
(4)
1a3o aq
A
A
Erni tion
5gcso
14-
1, � ,5
--Vol
! (S
urrxa
PAN Applied
NiI.Moon
Und
Total
ffor
Flow Total Vol unto par Acre
Waste Analysis jibiwe)
Belarm
Tune
Minuieo
Sprinkksrx
Rato {gallonq) (OaVacro)
PAN' f81 x Q_
(Ihlatre}
(3) - (2)
0awnling
(gallrrtin) (6) x (5) x (4) (7)1(A)
(ibIlM0 gat) lone
(131-00)
WeatherIrrAWtloos .
Coda' (W11813) -
Crop Cycie Totals
ovmers Signature-
Certiliad Operator ((Tint)
Total PAN
Operaloes Signature___
Operalor Cert}i3catlon #
' Weather Codes. C-Cleaf, PC -Partly Cloudy, Cl -Cloudy, R -Rain, S-Snow/Sloot, W -Windy
•* Persons completing the irrigatlon lnspactions must initial to signify that inspocliens were completed at least every 12U minutes.
Ba
��f/_
1a3o aq
A
A
90
5gcso
14-
1, � ,5
33,o C_
! (S
46
54<so
5
1' 3
)
I
�(��
'���
�� I1 S
IIS"
T
Crop Cycie Totals
ovmers Signature-
Certiliad Operator ((Tint)
Total PAN
Operaloes Signature___
Operalor Cert}i3catlon #
' Weather Codes. C-Cleaf, PC -Partly Cloudy, Cl -Cloudy, R -Rain, S-Snow/Sloot, W -Windy
•* Persons completing the irrigatlon lnspactions must initial to signify that inspocliens were completed at least every 12U minutes.

FOP -z
Lagoon Liquid Irrige ?Ids Record
One Form for Each F Jr Crop Cycle
Tract # Field It Facility Number
field Size (welled acres) = (A)
Farm Owner Irrigation Operator
Owner's Addruss Irrigation Operator's
Crop Cycle Totals
Owner's Signature
Certified Operator (Print)
Total PAN
Operator's Signature
Operator Certlficalfon #
Weather Codes: C -Clear, PC -Partly Cloudy, Cl -Cloudy, R -Rain, S-SnowlSleot, W -Windy
" Persons completing the Irrigation Inspections must Initial to signify that inspections were completed at least every 1126 minutes.
Address
Owners Phone #
Operator's Phone #
From
Waste Utilization Plan
Crop Typo
Recommended PAN
6P
--
Loading (lUlacre) = (B)�
(3)
(4)
(5)
(6)
(7) (8)
(g)
(10)
(1 t)
irrigation
Lagoon
Dale
51aR
End
Tolai
# of
Flow
Volume �,
Total Vetume per Acre
Waslo Analysis
PAN Applied
(lblacre)
NlUogan
Balance
Weather
Inapacrkma
IO
{mrtVddlyr)
Time
Time
Minutes
Sprinklers
Rata
(gallons) (gaflacre)
PAN•
[8)xfgl
(Iblarra)
Coda"
(Initials)"
(3)-(2)
Opereling
(galrmin)
(6) x (5) x (4) (7} 1(A)
011000 gal}
1000
M-00)
0'
a
2
1 p
10
to $moo 18 a(v
B
�-
��
5'
-
)DID,3 io5
S Pt
, dPt
ea -l!,
1(1
ao
I
Wo
to TO—ID,
1
�Q
1� VUV r4�1(}
I {
1I1 �
{ T
�.
`
Tf
Crop Cycle Totals
Owner's Signature
Certified Operator (Print)
Total PAN
Operator's Signature
Operator Certlficalfon #
Weather Codes: C -Clear, PC -Partly Cloudy, Cl -Cloudy, R -Rain, S-SnowlSleot, W -Windy
" Persons completing the Irrigation Inspections must Initial to signify that inspections were completed at least every 1126 minutes.

roil -2 Lagoon Liquid Irrig ilda Record I
t One form for Each ,r Crop Cycle
Trac) k
Picld Sino (wailed acres) (A)
fHrm Qwncr
Ow eea Addru:.a
owner's Phone d
Fa6illy Nurnber L g—° — J -:: � SJ
lrrigation Operator
Irrigation Opesator's '
Addmsir
ara
Dptor's Phone #
Oti+ eft sigrkatute Operelor's Signature
Certitled Operator (Print)._ — - -- Operator CerGtkcation N
• Weather Cedes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-Snow/Stant, W -Windy
"" Persons complaung the irrigation lnspoctions must Inllial to signify that )nspactlons were completed at least every 12U minutes,
Froin Waste Utilization Plan . .
Crap Typo
I o DL 1�
ileoarn nendad FLAN
r�
16 .E
$S 1
I i S" 13 ,;• 1 r�
l naQinp {IUIaCre} c (R)
�- - .•Q
(1) (2)
(81 (41) (to)
(11)
13,
Irri tlon
T5
—
O limn
PAN Applied
Nitrogen
Lagoon Rale Slant CndFmTj).tals
# of
Flaw Total VUlurrna per Acre
Wasle Anaiyets (tblame)
Balance Weather
lnspncaton$ .
ID (rrrmlddlyr) Ttnw Timel4
8pdnklara
hate (gaibrw} (gaU[icre)
PAN' (@j x iRl •
(Iblaae) COO `
ttnlllala)-
(2)
pperaling
(Q01IR it) (6) x (5) x (4) (7)1 (A)
(IbItow gal) 1000
(13) • (i0}
9a
�
Oti+ eft sigrkatute Operelor's Signature
Certitled Operator (Print)._ — - -- Operator CerGtkcation N
• Weather Cedes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-Snow/Stant, W -Windy
"" Persons complaung the irrigation lnspoctions must Inllial to signify that )nspactlons were completed at least every 12U minutes,
I o DL 1�
�.�-�
1 0
16 .E
$S 1
I i S" 13 ,;• 1 r�
` 9
13,
C
T5
-
Crop Cycle Totals
Tatar Parc
T _
Oti+ eft sigrkatute Operelor's Signature
Certitled Operator (Print)._ — - -- Operator CerGtkcation N
• Weather Cedes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-Snow/Stant, W -Windy
"" Persons complaung the irrigation lnspoctions must Inllial to signify that )nspactlons were completed at least every 12U minutes,

FOf�' •2
7 rant d
riuld Sino twctS©d acres) R 1A)
Farm Ownor
owner's Adrim5s
owner's Phone rl
Lagoon Liquid brig fins Record
One Form for Each rr Crop Cycle
Irrigation Operator
Irrigation operators
Address
operator's Fume #
Fancily Number 'r5 c cad a
_ From Waste utilization Plan _
Crop Typo 7 Reooriurlendad AN
Loaaft ywacxa)r (B)i .15
IM rat 1(511 lei '171 (al tat (10) fill
-•
t spoon
lti
Dote
(mmlddlyT)
Start
Pow
t:nd
Tines
Total
Minuloa
{3) - (2)
Irr' tion
if or Flow
Sluinkters Rate
Qp@rating (GOVINM
-�
Tolel Voltmw
(gallons)
(6) x (5) x (4)
-
olumb
per Acre Waste Analy0s
{ggavacre) PAN"
{7) f (A) {ib11000 gal)
PAN Applied
(Iblec e)
IM x Q •
1000
Nitrogen
Balance
oblacre)
{o) - (i0)
Wea0wr
Code'
InoWtlons
(tnitlala) •`
A
U
10 A
1 0
1 go
:C�a�
,:-
3 Z �t
to
1�o
I coo
X0860
��oo
�,•
I3, 5'
�� r�
l C
Crop Cycle Totals Tota1 PAN L�L�
Ownees Signature__ OpeteWs 5rgrlalure
Gertitlod Qperalor (print) Operator Certincauon #
Weather Conies; C: -(Clear, PC-E'artty Cloudy, Cl -Cloudy, R -Rain, S-Bnow/Sleet, W -Windy
" Parsons completing the Irrigation Inspections must Inlllat to stgnily that inspections were completed at least every 120 minutes.

FO -2 Lagoon t_iquid )rrig aids Record '
One Form for Each rr Crap Cycle �.
7 (Sri rc+
f/ - Fiuld N FaLlHly Nurntmr
P' •ld Size twettod acres) ., (A) -7
Farm Ownce Irrigation OpOralor
Ownees Adrlrrsss -�� Irrigation Oparaloea
Crop Cycle Totals
Owners `signature___.---.
Cerfified Operator (Print)
Total PAN L j , 4J
operator's S)gru�turp
Operator Certiticalfan
' Wrrather Codes' C-Cleaf, PC -Partly Cloudy, CPID16udy. R -Rain, S-Snow/Stool, W -Windy
" Petsons cornpletlog the irrigation InspecUons must initial to signify that inspections were completed at least every 120 minutes,
AiJdatw
Owner's Phone tt
_
Operator's Phone Ir
From Waste Utillratlon Plan
Crop Typo,
kecortumndad PAN
(i)
t?)
3)
(4)
Icy
61
7) lg)
(n} (rn)
(tt)
lar Ilan
-
olumo
PAN Applied
Nllrogon
Lagoon
Dale
81ari
Elxl
Tolal
N of
Flow
TOW Volimm par Acre
Wasto Analysis (141acre)
9alanoe
Weather
Inspaaons
ID
(mml¢dlyr)
Thus
Time
Minulea
Sprinklars.
RrAo
(gallon) (gavaere)
PAN" (al x W
(114acte)
Code'
(lnilials) "
(3)-(2)
Operating
Wallreln)
(6) x (5) x (4) (7)1 (A)
(IhltpW gal) low
to) - (Io)
T6'
CI
� l 1�Isn _ - '
9, F
� O (0
Crop Cycle Totals
Owners `signature___.---.
Cerfified Operator (Print)
Total PAN L j , 4J
operator's S)gru�turp
Operator Certiticalfan
' Wrrather Codes' C-Cleaf, PC -Partly Cloudy, CPID16udy. R -Rain, S-Snow/Stool, W -Windy
" Petsons cornpletlog the irrigation InspecUons must initial to signify that inspections were completed at least every 120 minutes,

r=l7f� -2
Lagoon Liquid Irrig zlds Record
one farm for Each & Crop Cycle
Trar•1 d Field N Fagtlly Number-
r,otd Sizo (wettad acres) n (A)
Farm ownex Irrigaltnn Operator
()wnw's Adrlrar:s laigallon Operalm's
Addmm
Owner's Phone if _ Dparator's Ptmne k
From Waste UUlixallon Plan
Crap Cycle Totals
Ownees Signalure_
Certified Operator (Print)
Total PAN raj
Operator's Signature
Operator Certiftcalioa #
• Weather Codes, C -Clea(, PC -Partly Ciaudy, CI -Cloudy, R -Rain, S-Snow/Sloot, W -Windy
'" Persons completing the Inigallon InspecUons must Initial to signify that. Inspections were completed at least every 120 mimi"-
Crop Typo
Ret»mmernc)ad PAN
(t)
(2)
9)
(4Y
5) (s)
----
Irri lion
.
Lagoon
17a10 .�
-�
Start
End
Tani
N of Flow
Total VOIUnp
alums
par Acne
PAN Applied
Weato Analysis (lblarcre)
Nltroyen
Balance
Wgauw
,
inspwIlans
to
(rrKWddM)
tlnxr
'rine
Minufeo
(3)-(Z)
Speinklars Rata
Operating (gaflmin)
(PlIons)
(6) x (5) x (4)
(gavaore)
(7)! (A)
PAN' (1 x M
(lb11000 pal) 1800
(lblacm)
(tl) - 00)
Code
(initials) •'
13a
r
r-..
Crap Cycle Totals
Ownees Signalure_
Certified Operator (Print)
Total PAN raj
Operator's Signature
Operator Certiftcalioa #
• Weather Codes, C -Clea(, PC -Partly Ciaudy, CI -Cloudy, R -Rain, S-Snow/Sloot, W -Windy
'" Persons completing the Inigallon InspecUons must Initial to signify that. Inspections were completed at least every 120 mimi"-

+Of 2 Lagoon Liquid Irrig Sid%Record '
I One form !or Each :r Crop Cycle
7rer.1 4 Field 6 FacilityNurntrur
Field Size (weliod acres) n (A)
Farm Owner _ Irrigation Operator �
Owner's Ad+ir4ss Irrigailon Opaiatoeu
Addrt:ss
Own" Phone # Uparalor's Plione R
From Waste Utllizallon flan _
Crop Typo PAN
(1)
(R) .,......,...��....�
(1) (3) (4) (5) lg) 7 (8) (R) (Irl) (11) ...
•-_ IrTittallon '
anima PAN Applied Nilrowo
Lagoon para Start find Tolat # of Flow Totol Vnitmtn pw Arxo Weata Ane[ysfs (Iblacre) Balance Weather
Ip (rrmdddlyr) Thea Tine Minutes Sprinklers Rnte (patten)) (owscre) PAM' j$1 t ISS - (IWacae Coda'
2) p fi { allrnin► (at x (s) z (Q} (7} I (A} pwlrxm al) JAM (al • tio)
Inspcctl=* .
(initials)"
Crop Cycle Totals
Ownees ;Signature ._.
Certified Operator (Print) .._
Total PAN! A 5,
oporatoes Signature
Operator Certilicatiorl
• weather Codes: C -Clear, PC -Partly Cloudy, CI-Cl6tidy, R -matin, S-Snow/Sloet, W -Windy
•" Persons cornpleurig the Irrigation tnspecUans roust Inillat to signity that Inspections were completed at least every 120 minutes.
136
i}ac�u4
SA
la
���a 9 go lo��a
��10
Id sir
L-
id8
3a
��o �a o
0
1,
3©,
C
`1 -�
a
q 15 a
$ tl�
Ic) �c co
Io
� - �3
��, _._
c
Tc
T r3
Crop Cycle Totals
Ownees ;Signature ._.
Certified Operator (Print) .._
Total PAN! A 5,
oporatoes Signature
Operator Certilicatiorl
• weather Codes: C -Clear, PC -Partly Cloudy, CI-Cl6tidy, R -matin, S-Snow/Sloet, W -Windy
•" Persons cornpleurig the Irrigation tnspecUans roust Inillat to signity that Inspections were completed at least every 120 minutes.

t_auoon Liquid Irrig 3lds Rocord
Ona form for Each :r Crop Cycle
Irarl V PT Field f± FadlilyNumbar [ � ., c • « . y
c tweltad array n A . 1 -
Carm Qwnor Irripaliort Qriaralor
Uwne+'s Address Irripalivn Opr3raRars '
Addferu
ow wrls Phone)Y Operator's Phone it
From Waste Utilization Plan
crap Typo 1�e=wmnded PAN
j �' Loatlhng (ItUaore) » (a) t
3) (a) (s) (a) {e} (sa} {to} (11)
~-~— Irrislallon
"�"" olumo PAN Applied Nitrogen
I spoon Dale slant find 'total # of Flow Tofa1 Votumo por Ac7a Waste Analysis (IWacrvl Bratance Weather Ir>spextbns
Ip {nrmlddlyr} rmw Tine Minules Sprinkbrs Rnla (gallons) (gaUarxe) RAN' [81 x R91. (IWaae) Code • (lnlllals) ••
(a) . (2} Operating (gaVrnin) (6) x (5) x (4) (7 / N pb11000 Qat) tt300 (p) - (10)
80
110 Id C. �.
,�• �{- 1 � ll 4 `a {� I a A ,_.�. �1 a S(rq `� `1 I o � , S� � � � `7 � C � a
Pr
Crop Cycle Totals 1 1 Total PAN �s r
Owners Operator's Signature �-
Cerlillod Oneralor (Print) Operator Certification
• Weglher Codes: (;.Clear, PC -Partly Cloudy, CI -Cloudy, R -Rale, S-Snow/Slost, W -Windy
•" Parsons completing tile Irrigation }nspectians must Initial to signify that Inspections were campleted at least every 120 minutes,

FO ' -2
1 racer a
1=wid Sire (wettad acres) r- (A)
Farm ownor
Owner's Adrlrus4
ow„ors phone rt
Lagoon Liquid Irrig
One form for Each .
tads Record f
;r Crop Cycle
Fadlily Nlumt)w -
Irrl9arion operator
Irriyallon operator's
Address
Oparalors phone it
From Waste UUllration Plan
Crop Typo r� Reoonunen re FAN
(t) (2) 3) (d) (5) (s)
owners Signature _ �� Operalcea Signature
Cetli(hod Operator (Print) operator Certiticalfull f
• Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, 6-Snow/Sloet, W -Windy
persons completing the Irrigation lnspecltons must Initial to signity that Inspections vmre completed at least every 120 minutes.
Irrigation
olume
PAN Applied
Nitrogen
I.agaan
Dale
Start
Eitd
Total
M of Flow
-total Volmn
per Acro
Waste. Analysis (Varre)
Balance
Weather
Inspeelkurs
to
(rlmVddlyr)
Tlnv
Tines
Minule$
(3)-(2)
Spdrnkie.rs Rnte
Opemling WoUrrdn}
Wag-,')
(8) x (5) x (4)
(gaUaere)
(7)1(A)
PAW (S} x [Si
pt11000 Bal) 1000
(iWacre)
{d} • {10)
code
(Intllats) ••
84
1 1'to a
I
I �?
t ant
o
C.
.2
L jj n 169
1
1_.a_ fj
1 °1 p�
1 �n
10 2
I
C
-�go
TG
owners Signature _ �� Operalcea Signature
Cetli(hod Operator (Print) operator Certiticalfull f
• Weather Codes: C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, 6-Snow/Sloet, W -Windy
persons completing the Irrigation lnspecltons must Initial to signity that Inspections vmre completed at least every 120 minutes.

F O -2
M
Lagoon Liquid twig M5 Record
Ono Form for Each S, r Crop Cycle
I rant # _ Fiuld # Fadlly Numbor - EAa +r
Sd Si- watied acres . (A
Farm owner rrripatian Operator��
owner's Adrinm- Irrigarkm Ogeraaara
Addreau
owner's Phone 4 oporators Plxrne #
Lagoon I Dare I Start
ID (nMVEWyr) Tfine
_ From Waste Utilization Plan
AN
Crap TyRoRecommended T5LDaefng I( blacm)p (¢)
3) (4) (5) ($) 7 (8) (R) (10) (11)
lifiqa1ion
T a umu PAN Applied Nitrogen
Errd Toter M or Flow To1ur voltwr* par Acre Westo Anaiysis (iblacre) Balance
Time Minutoa Sprinklers Rate Wit-0(gauscre) PAW (d1 x f91 (Iblacm)
(3) - (z) l3perallrrg (gaVrtin) (6) x (5) x (4) (7)1(A) Ob/1000 gal) Iwo (131- (10)
WeaOW Inzpectlans
Cada • (lnillais) •'
BM
1 3 a I l 1 3t I �' 7(�t �o L� 1 71, 3�'� 3e `T'
yin &-6 r—> 1:0 &-)a E i _� ��, T
ILI C T(7i
Crop Cycle Totals t
owners .r ignarurc„__
CcrGtied Operator (Print)—
Total
Pring
Total PAN
Operator's Signature
Operator Certification
• Wealher Codes: C -Cleat, PC -Partly Cloudy, CI -Cloudy. R -Rain, S-SnowlStaet, W -Windy
•• Parsons comploting the irrigation Inspecttans must initial to signify that inspectlons were completed at least every 120 minutes,

r= C11� -2
lagoon Data
ID (rfnTddd/yr)
Lagoon Liquid Irrigs lids. Record
One Form for Eactt ;r Crop Cycle
t
'i rat -.I tat
l N .� i� FiolTi Facility Nulxa
mr - �;r}
., S7-1
rield Sizo (wottud ayes) r (A) 07 .._�
Farm Owner Y irT+gatioR Opara,w ��
Owner's Adrfrsss _ —� --�^� lrrtga,lon Operators
Start
Th -4
Weather tnspedlans
Coda ` (Initlala) ••
Addreau
Owner's Phone A
(
Opnrat(Ws Phone it
From Warte utilization Plan
Crap Typo
_
Recommended PAN
a}
141 ($} (6)
(8)
-n-- a -an 57 i
+ ._
lr" tion
oiunw PAN Applied Mfogen
L•r,d
To,et # Of Flow
Tool Volumo par Acre Waste Analysis (Iblaae) Balance
Tinto
Minelaa sprinldors• Rota
(gallons) (gavocra) PAW to) %t91 (iWacrc
(3) - (2) gperafir►g {gaVrnin}
(6) x (5) x (4) (7} ! (A) (Ibf 1f gal) ,Op(} (t5) - (, )
Weather tnspedlans
Coda ` (Initlala) ••
Crop Cycle Totals
owners ;signature
Certified Operator (Ptitil)„___,___
Total PAN��
Oporalor's Signature
Operator Certification #
Weather Codes: C -Clear, PC -Partly Cloudy, Cl -Cloudy, R -Rain, S-SnowlSteet, W -Windy
Persons completing the Irr(gatfon Inspections must Initial to signify that Inspoctions were completed at least every 120 minutes.
o tza IDoa
3
-n-- a -an 57 i
+ ._
` G;
Crop Cycle Totals
owners ;signature
Certified Operator (Ptitil)„___,___
Total PAN��
Oporalor's Signature
Operator Certification #
Weather Codes: C -Clear, PC -Partly Cloudy, Cl -Cloudy, R -Rain, S-SnowlSteet, W -Windy
Persons completing the Irr(gatfon Inspections must Initial to signify that Inspoctions were completed at least every 120 minutes.

rpt -2 Lagoon Liquid It -rig )Ids Record
One Farm for Each jr Crop Cycle
j .
iter,(k 1+ F(i�u_l':ir�N Facillty NirrnitGc -
CN;(d SRO (wetted SCM) ^ (A)
Farm Own(x Irriflatian Operator
Owner's Addrusa� Irrigallon (operator's
Addracu
O,rnwrs Phone 4 Operators Phone aY
_ From Waste UUllaatlon Plan
Crop Typo - --- -- 1 Remnutrxrtded PAN - - -
tat 141 (o} (IA) {tt]
Lagoon DoleStart krxl Total a of Plow Total Volume
ID (rigNddlyr) Tlme Time Minuies Sprinldors, Rnto (0altnns)
(3) - (2) Operating (gaYrrin) (6) x (5) x (4)
D
Vulurm PMN Applied
per Acre Waft Anaiysis (iMacs)
(UaVacre) Pw
(7)1(A) (Ib/1000 gal) i IDOO
Nitmgen
Balance Weather Ingwilons
pblacm) Co¢e • (Inlllala) •'
M-00)
Crop Cycle TWals y } Total PAN
Owneer, Signature _ -- _-- Operators Signature
Certified Operator (('tint} Operator Certiticallon
' Weather Cees: C.Clear, PC -Partly Cloudy, CI -Cloudy, R -Hain, S-Snow/Stool, W -Windy
•" Persons 001TIl eUrig the Irri()atfon Inspeclians must Initial to signify that inspections were tmpleted at least every 120 tn)nutos.
;- Ci, 3 1 i�
_ "� r 4 3-�
C
town
Crop Cycle TWals y } Total PAN
Owneer, Signature _ -- _-- Operators Signature
Certified Operator (('tint} Operator Certiticallon
' Weather Cees: C.Clear, PC -Partly Cloudy, CI -Cloudy, R -Hain, S-Snow/Stool, W -Windy
•" Persons 001TIl eUrig the Irri()atfon Inspeclians must Initial to signify that inspections were tmpleted at least every 120 tn)nutos.

FOP .2 U94on Liquid IMgr Lids Record
One Fumt for Each E 1r Gtap Cycle
Trao
Flow sirs )wawa Q>i ■
Fmm 04M
o,nrr. Addro
trrgatian taperator
wp� �
Addran
apee=^ Prions I
FaMfy Number -
Pram wafts utittratlan Flan .
c Two P&DOW"Orwad PAN
fit M 01 141 (61 MI rn (8) lst trot tttt
Crop Cyrda Totals TOW PAN
o*"ceim Slgrwzturo Apentwe S)2natwo
Cooed Operator (Print) operator Gdltfi MMM 0
Weather Codes: C Gear, PC4botly CJOUdr, C142aud)r, R4Wn, S-SrupAd )eel. W-Wlndy
"" persons aamptallnp ftllt bdoation insperttlone must U ttial 10 slaltl(y that Inspodlorm prem mrrtplt W at least every 120 minutes.

FOP •2
Upon Liquid Ird9f 1ld5 Record
One Form for Each f jr Crop Cycle
Trod N FWd R Far N kkmaw -
FWA Sam ( 4AW go'" u {qy
Fwm O%nw kdpkwn Cperaw
Ownbes Ntldrm>. WPUM op"Geo
rs�an
Addr�am
o"W''s Pkw* ■ phom e
From Wotr4 t)UftzvMan Ppm
C"* Typo P m"Wromw PAN �
i vum) o lm �
rb rt1 r51 f91 In fal 191 1101 ft11
OMKIffa Stgnafur opemk4 slonolum
C N"Ild operator (Fmfltl opemtw Certllbm*m 0
- Waaftmr Codes: C Clem. PCfttty Cwdy, a-aoudy. RA#n. S4 no W8Io t. W-tA My
"' Persons pp"#oflrlg ft (Poon InSpeWW9 MAW fnfliet 10 Stgatlyr Owt IA$podkm ware ranmPMW at least wmry 120 rminutw.
mum'.- mom
OMKIffa Stgnafur opemk4 slonolum
C N"Ild operator (Fmfltl opemtw Certllbm*m 0
- Waaftmr Codes: C Clem. PCfttty Cwdy, a-aoudy. RA#n. S4 no W8Io t. W-tA My
"' Persons pp"#oflrlg ft (Poon InSpeWW9 MAW fnfliet 10 Stgatlyr Owt IA$podkm ware ranmPMW at least wmry 120 rminutw.

FOP -Z Lagoon Liquid Ird9f lids Record
One form for Each F 1r Crop Cydo
area
FkiW Sae (.gate am" u
Farm Orm
,•T , a�
4. plhm oparataeo
Pd*M
Qper" n ptrana 0
From Wasto VuHmoan Pian
CIO*iypa R lum"T rmdad ITN
fit rn f31 W r81 f9h In 181 fol tt01 1i 11
Chmmft slon2tum
cowed Operstsr (Print)
opomwa olgmowlvs
Opmator Cerg%mtim #
weather Coosa: dear. PC f UV Ckudy, 042vAy, R-RoIn, S4km*JSloot, W -Windy
" Persons CDRVW Q the httpitoa tnWec bAS must Initial 10 h that Inapffiftm bare completed at least every 120 minutes.
M�mm-
m
M�m
mmm
i
Chmmft slon2tum
cowed Operstsr (Print)
opomwa olgmowlvs
Opmator Cerg%mtim #
weather Coosa: dear. PC f UV Ckudy, 042vAy, R-RoIn, S4km*JSloot, W -Windy
" Persons CDRVW Q the httpitoa tnWec bAS must Initial 10 h that Inapffiftm bare completed at least every 120 minutes.

FOP .Z Upon Liquid 1MW
One Faun for Each F
'frac! a O + Field R
FISW Ske (worse av*Q K iA)
Farm Oar
Ownbr l Nddrem
xlds Ata=d
it Cmp Cycle
opwater
trrlp kkm opa wcee
AddAm
cipwai ov p bag a
FOCBity Nurdnr = -
pram Wartf VUfteMan Plan
Crgl Typo ROUXftnmvbd PAN ►ti
t,neftWine) =(o1.
lot rn Y_II M ISI lot m B1 161 1141 MI
oymeftslgrawm_M... .�,..
CeNfled opemu r (Print)
Opemtoeaslarabm
operator cerWICH M #
Weather Codes, U;Ie . PC-Pwtly Goody, G-actudy. WUr1. t4Snaw/SWaa14 W-WWy
'• Pwrsorls am pW ON the tretgstlan tngieW ma must Mitis! to OpIty ttlat lnspedions were completed at Iaaa( mvary 120 minutes.

FOP -2 lagoon Liquid Intgr
One Form for Each F
TrAd Field A
FWd Siva (w*W atan* « (4 ► d
Form owler
Ow"ees A ddmm
OwrMn MPG i
Vds Record
jr Cmp Cycle
brWOm Opmtor
wpm= op"aft
Ams
ope -AM-2 Phu" e!
Front Wras4 UU[tcg*n Plan .
RaawmendW
Typo a- , .._ .— � ., � atraoa+ = (in � �
(it M 01 141 (61 lel M to) t41 1101 lttl
Crop CVda Totata L .� TOW PAH j
Owerfo Slgnofuro operewa ftna4us
Cerlilied Opmutor (Nnt) 0"Mtor Cf rttilMUM N
Weaaw Cafes: C, Ct w. PCA'arltlr CWdy, 04Ma dy, R4Wn, 94kKmdSWok W -Windy
11 persons aomplellnp the lielgatfaa trlspecslons;ni►st WW 10 that InapaCtIOM %WM epmpleted at feast Petry UG mine"
------------
Crop CVda Totata L .� TOW PAH j
Owerfo Slgnofuro operewa ftna4us
Cerlilied Opmutor (Nnt) 0"Mtor Cf rttilMUM N
Weaaw Cafes: C, Ct w. PCA'arltlr CWdy, 04Ma dy, R4Wn, 94kKmdSWok W -Windy
11 persons aomplellnp the lielgatfaa trlspecslons;ni►st WW 10 that InapaCtIOM %WM epmpleted at feast Petry UG mine"

FOP -z t.agoonLiquid prigs? vidsRecard
Ona Form for Each F jr Crop Cycle
Trac
FkAd Sbbs (woiWd a w" 9
Farm Ow
Ownor'i Addm
Owren Rom
WIPE Irripr
1perale�e
MOM
OpWRAM Photo 9
FttlAIV turrdaf i 1] 1 -
j�j Frmm Wad! UWhtallas Plan .
C91*Tyra AN
. _ G'- ri— . � � Od►W ) Mngw t` (a) 1
rn frit MI, m tat fot ltm nts
Crop Cycle Tolata TOW AAM ��__
Owueft Signature Operskee Sigrplttue
Ceatified Operatw (Print) Operstor C.eritrtq3tlon lt<
• Weathw tom: C -tear, PC.-PWUy Curdy, Gl-Cloudy. RAWM, S4W*Mte+t. W-Wbt4y
•. Parsons oorrrPWft th9 WWW KWOCUMS must triftil to *P* ftt WSPtrdlorm were **n,P W at least every M wfttas.
IM
Crop Cycle Tolata TOW AAM ��__
Owueft Signature Operskee Sigrplttue
Ceatified Operatw (Print) Operstor C.eritrtq3tlon lt<
• Weathw tom: C -tear, PC.-PWUy Curdy, Gl-Cloudy. RAWM, S4W*Mte+t. W-Wbt4y
•. Parsons oorrrPWft th9 WWW KWOCUMS must triftil to *P* ftt WSPtrdlorm were **n,P W at least every M wfttas.

FOP -7 t.egoon Liquid ItrlgF 4dsRecord
One Farm for Each F A crop cycle
Trac
FW Situ (wotWe am* •
Fenn ow
Orrthr"s Addra
hriyaAipn Operaler
trffpNoq t)prat w
Ad*wo
Op@(",ItfVri Pham M
Fa gly N imter l N:1 AA
From Warta titiihratWn Ptah
TPaoxworobd ISS �'� �.•• ��
Lauft (tqrmm} = (s)
IA% (fit III in ret to) lum t1 rt
Ovmceo 5lgrratuto
conk ed Operator (Pnnt)
@petawa signaume
[)pr:.rator Co9ftcat)at 0,
Weadter codes: C Catwir. Pc.Psrtly Cloudy, c143oudy. A- tn. s-snawdgWe% w-W+ndy
•• Petaon3 tomplet m the Islpdm m peolomo mnt ww to stpoly that Inophiliom i me aompletad at leant every 120 minutm

FOP .y l agoan Liquid 1ffW IIdsRawrd
One Farm for Each F 1r CMP Cycle
Trod I
FkAd Elsa OwOW son* In (A)
farm t
0wreelp Ad*nsa
taly:m fsperalar
�� �
Additn
ape AWA PNana
waw NuMb r ® .
From Wafts W11matlan Plan .
C.qp Typo Pjxo"T N%W PAN
Loaft ttt►►ar=i = ld1
ii, rr m ul rM an In nal M atin fill
I la
mum mJ.'';
mmmolam
O"Cft Stgr�7tws
CoMWed OWalnr 4Prtntj
Opmdera signak"
owator C&URcetlan #
Weather Coos: C -Gear, WAIwUy Ctoudr,1711-Cloudy. R441n, S43now/81ae% V 40idy
Pam ns wmpleunq the boptlon tnw llama must Vftl to sigrdly Wit Inspections ware completed at least awry 124 minubm

FOP -2 ugoon Liquid lrrtgF Vds Rem
One Form boy Each F jr Crop Cycle
Trac
Field Sire (w0ted Mcro+i a
Farm Ow
OwrRw% Pftn
Fe[litV MA ber -
lrrip C=
kw
kl t?p�er kw
A�Qrw�
aperslalt Pim I
F ram wast* tlgr w*M Plm
C" Type Ra wwwro W PAN a O S-
. t.OK" oWSM)= tal
eM Int tAl M% rh rat !d% rim fill%
O Heft slUran,ro
cooed Operator (Nnt)
opamwes ftrwwrvl
Ope Wr CedMwtlen
- weather *WW C-CWW. PC Pwtty Gway. a -Ca y. R-RaIn, s-snow/SWK w-WbWy
"• Parsons mmpWft the blip** tnspeCd= must hltilBl 10 that Inspad JWu ware completed at least suety 120 mb%utss.

FOP -2 i.egoon Liquid lrrige olds Record
Ons Fon for Each M A Cmp Cycle
Trac
FI@W Size (wNWd ac+esl
Farts ow
bri6vlfan Qperatar
il*p*cans Dpsraloee
Adder
opetil n Pt om tr
F404 iwnti., I e ZZ -I a, 5s—
FroM West& UU ttepan Wan .
Crop Type �-.. �. R c ft a a PAN V
t.epQrip 1lWemde) = i!f}
..t m r_n la% ml rel m 181 141 HIM [111
Owneb Slgrlatilll9
Ceylitlq,d Oparutar Iprt�+t1
opentals slarmla"
Operator Q"Rceft N
• Wazo r Coats: dear, PC -Paley ter, a-aoudy, MWn. S-8ncwl&aN, w -windy
•• Parsons wmpt ft ft "ptim ingwtions nwst hltliel 10 SIM* that lospscWm were completed of least every 120 minutm

FOP -2
Toad M
Field Sao (Wattod tares) w (A)
Farm Owner
Owners Address
owner's Phone 0
Lagoon Liquid Ird9F aids Record
One Form for Each F it Crop Cycle
Facitily Nun-oor F9-5 • �
$nigaUon Oporatcr
lrrigetlpn Optxxlor'a -
Addmas
OparaWs Phots g
From Waste Utilization Plan
Crop Type Reownymoded PAN
Loadno nb►aciv) A Mi
Mk ,IL iu r±;t rei M rel tat etot F1 11
n
u"
Lagoon Dole Start End ToW * ar Flow Total Valuma per Acro
ID (mrtrddlyr) Time Tim9 MmAn Sprinklers, Rats (gasart4) (gplrararq)
(3)-(2) Opamling Waft in) (s) x (a) 3t (4) (T) i (A)
•
PAN AppW Kdragan
Waste Anatysia Macre) Balance Weather
PAN' {g} x t9} (lhfaoe) Coca'
(INinoo gal) lou tel • {w)
Ba
laspectbrm
{lnRlela) «
Crop Cycle Totals
I
Tata$ PAN
ownefs Signature Opemloea Signature,
Certified Operator (Print) Opera(or Cagfic Uon #
Weather Codes: C -Clear. PC-PeAly Cloudy, Cl-Moudy, R -Rain, S-SnowlSlee{, W -Windy
" Parsons compWllnq the Intgatiorl InSpeCtions must In(ttal to stgttlry that Inspections were computed at least every 120 minutetr,

FOP •x Lagoon Liquid Inige fids Record
One Form for Each F jr Crop Cycle
Trod #
Field $ito iwouod acres) % (A)
Farm Owner
Owners Addross
Ownaes Pnono #
lnigatEon Operator
IrrigaUan Rperalare
Address
Operators lahana rf
Fwility Number S5 _
From Waste UtI ation Plan .
Crop Type R00ornne�ad PAN
wadno (IcuaMS) -1s) D
..s M% roti rak esti 481 171 (a► 191 1101 IM
Lag -n
ID(mdddV)
Date
Volurne PAN Applied WitrNan
starl F-nd TOW x d Flow Total Volume per Acm wasta Analysis (Iblersa) Swan"
itms TkM MrdAtrs Sprinklers. Itats lt�a) (ga WMI PAW (8) x ID (intoes)
(3} - (2) Oporuting (galhnin} (B) x (S) s (4) (7)1 (A) (lbl100[i gal) 1000 {p} . (10)
6=
weather
00".{tr,bl�)
IFISPOCOMW
••
Crop Cycle Totals I i Total PAN I
Ownees Signature Opamtoea signature
Certified Operator (Print) Operator Certlficatlon #
' Weathers Codes: C -Clear. PC -Partly Cloudy, CI -Cloudy, R•Raln. S-SnowBleat, W-WIndy
'• Persons tampleling the Intgatfon tnspedlons must Mal to signify that InsperAlons were completed at least every 120 minutes.

FOP -2 lagoon Liquid {rrlge ;Ids Record
One Form for Each F it Crop Cycle
Trad rl
Field Size (weltmd acres) % (A)
Form Owner
ownw-6 Address
owners Ph&* g
lrrigalfon Oporator
Irdgation Operaloft
Addreaa
Operalors Phone e
Fmdlily Nurnbor ® -
From Waste UUitraltan Ma .
P �yQg Rempmn�endW PAN
l oaplrrp ghrBQs) = (e) —170 --
fit M% 11tl I41 (61 lot 01 (81 191 1101 fill
I ' atimn
n ume PAN Applied hrdrogan
tagoon 13n1a Stars End To4a1 M d Flow 1'etai Vahmse per Acre Weal• Analysts (lbl8cra) Bnlarroe Weather
Ill tom) sirro TlrrRi hlrulte8 Sprinklers Rate tpbs) Wav=rel PAH (�j, 0 (I1tKm) Cada"
M - (2) opararav tgoUnin) (sl x (s) R (4) (r) r (A) (mrt000 gal) toxo tai i1o)
♦1a
Iris0ec11o+ir
("U")"
Crop Cycle Totals I i Total PAN
Owner's Signature operators signature
Certifled Operator (Print) operator Certl tcdllon
' Weather Codes: C Clear. PC- Parity Cloudy, CA -Cloudy. R -Rain, S-SnowtSleei, W -Windy
11 Poruons complatlrtg the Irrigation Inspections must Initial to signify ftt Inspections were completed at least ovary 120 minutes.

FOP -z Lagoon Liquid inig ;Ids Record
One Form for Each F :r Crap Cycle
Trad d
Field Size (welled acres) • (A)
Farm Owner
Owners Address
Ownefs Phone tl
Oparalar
Irdq Upn Operators
Addreas
OperaWs Pham d
Fac itily Number IBJ - FTA—ri
From Waste Ualtzedon plan
Grp Type Reaoniner" PAN r r a
1 l aadlgp (1Waae) _ (B)
1M Iat 161 181 171 18l 191 Itol fill
ISD
'n
Volume
Data Start End Total S of flow Total Vohmm per Arae Waal* Analyeka
ImrtYddlyr) Time Tlmo Moulas Sprinklem' { Rata a—v) (gaUU(rv) PAN`
(3) (2) Diorutm9 (galhrin) lel x (6): (a) (7)1 (A) (iW1000 gat)
PAN Appliod Niitmgan
(IWace) 9alanoe Weall" InspeaUNM
fal x to (Ibmm) Godo ` ("Uale) "
low nn M-00)
pR
Crop Cycle Totals
Total PAA
Owners Signature
Certified Operator (Rdfit)
Openatoea Signature
Operator Cerftatlon #
Weather Cafes: C -Clear, PC-ParUy Cloudy, 0 -Cloudy, R -Rain, S-SnowlSleet, W -Windy
01 Persons c+om*Ung the irrlgation Inspections must Initial to slgNfythat Insperdiorts were Completed at least every 120 minutes.

FOP -2 Lagoon Liquid trrigs ;Ids Record
One Form for Each F jr Crop Cycle
Trad R
Field Size (wailed acres) is (A)
Farm Owner
Ownees Address
Owna" mom 0
irrigation Operator
10i0suan operator's
Acidreaa
Operaws MUM d
q
Fadkty Number�r 1 I�J f`
From Waste Utilisation Plan I�
Crop TypeReomnnxYxWM9d PAN
1,pedtrlp (Ihlacre^ U �
] = Isl
,q,L1 rt, IA% 171 1R% rot 1101 rltt
Intalien
uma PAN Wind Nitneen
LagannDote Start End Tote) N Of Flow Total Vahan" par Acro Was* Anatyaw (tblaota) Balance Woattor
li) (rmVddt rr) T[rM TkM Minutes Spdnkler9 Fiats (021ans) (gavacm) PAW M x l%5 (bloc e) Colo'
(3)-12) oparerxra (gaYrnin) (fa) x (s) x (4) (T) l (A) QW1000 gal} 1000 (a} • (t0]
�o
inspaatbrn
(Intttate] "
Crop Cycle Totals L -- Total PAN i
Owneds Signature operaloea Signature
Certified Operator (Print) Operator Cerlifkatlon #
Weaa w Codes- C-Ctear. PC• 3,wity Cloudy. G -Cloudy. R -Rain, "nowlStest, W -Windy
-- Persons comr9ottng the Intgat)on inspections must tnMal to signify that inspections were completed at least every 120 minutes.

FOP Lagoon Liquid trri9r ,Ids Record
One Form for Each F it Crop Cycle
Trod #
Flaid Size (woltod weal • (A)
Farm towner
ownmla Addruss
Owner's Phono #
Irrigalron Oporaror
Irligstion Qperalor'e
Address
Operators Phone #
Fadliry Number
From Waste Utillsatlon Plan
CfW Type Reno mended PANr`�
,n
Pik rzs IN (Kt IBI (71 (81 IM 1101 fill
! ' ration
tagaan Date Starr End Total # er Flow
ID (mrshdd/yr) Time There kdlnutn Sprinklesa Rata
(a} - M Oporafwr (ga*Tin)
o ume
Total Vokamo per Acre
104-2) (gatracral
(ti) it (5) x (4) (7)1(A)
PAN Applied N'slrogen
woaks Anaiyats (]blase) Balance
PAN' (8) x 10 (Ipteae)
(thilow gal) 1000 (6} . (10)
B+
waalher lnspectlorm
Coft • (h als) ••
Crop Cyclo Totals I i Total PAN
Ownees Signature Operator's signature
Cerllfled Operator (Print) Operator Certlilcatlon # _
Weather Codes: Clear, PC Pertly Cloudy. Cl -Cloudy, R -Rain, 6-SnmWgleot, W -Windy
— Persons rampteling the Irrigation Inspections must Initial to sigrtt(ythat Inspections were oompleted at leant every 120 minutes.

FOP -2 Lagoon Liquid frrf9F aids Record
one Form (or Each F fr Crop Cycle
Trac
Field Size (wottod acres)
Farm Owl
OwnaA Addic
OwaeCrl PhON
trrigaUpa Oporalar
faigatian loparal:
Address
operators Phan d
Facility Number®® -
From Waste Utilization Plan C�
Crap Type � � ,� r 4' fie LaMno (I errt�ed PAN l — /, !
,.,
17, 1141 ray 151 (B% r» IM 141 1100 111)
Lagoon
10
Date
(mdddlyr)
'n
PAN Appfaor! Kdmean
Wasis Anatysts Wada) Balance weather
PAM* to) x to Whom!) COds •
W1000 pal) 1300 (61-001
e�
Insp"OUN a
(In wa) "
Start
Tim*
End Total * of
T1rm Mlnules Sprinklers,
(3)-(2) operefarg
Flow
Rata
(pallrnin)
volt"m
Tetai Vokmw per Acre
4010U) (gellacrw)
(s) x (5): (4) (7) l (W
Crap Cycle Totals I i Total l," I
Owner's Signature Operates Signature
CarGHed Operator (Print) Operator Certil)tatlon #
Weather Codes: C -Clear, PC.Partly Cloudy, CI-Ctoudy, R -Rain, S-SnowlSleet, W -Windy
11 Persons com* ing the Irrlgat)on trispedons must Initial to signify that Inspac(ions ware completed at least every 120 minutes,

FOP .Z I.egoon Liquid trrigr olds Record
One Fenn for Each F jr Cmp Cyde
Trac
FWd Sea (—tae awsy ■
Fpm Owr
Ind
4rf�lims DpRafar'b
AOdr�r17
oparalaft Puna r
: - mw
From WSSU V1litraftn Pon
Gop Typo Recwtum dad PAN ,..,
L0109 Marr) =feel
ii, rr fel IA% M rel 171 181 lot 1101 1111
a"oft 9grwtam
C WAed Operator (Print)
UpemWo Signawm
orator GerUltc eon # _ _-.–
• weadw rues: C -Clear. PC4"wuy CWdy. a-aa„ar, A-Raln. B44ww&*v% w-WbWy
11 pmens oompteltnp file Wptt m Inwotlons must blilisl 10 golly that trlapaCIII) l We oarl+pletetl at least awy 120 minutes.
U!''Emm;�
MOM
a"oft 9grwtam
C WAed Operator (Print)
UpemWo Signawm
orator GerUltc eon # _ _-.–
• weadw rues: C -Clear. PC4"wuy CWdy. a-aa„ar, A-Raln. B44ww&*v% w-WbWy
11 pmens oompteltnp file Wptt m Inwotlons must blilisl 10 golly that trlapaCIII) l We oarl+pletetl at least awy 120 minutes.

FOP -2 1490on Liquid Irrigc ?Ids Record
One Farm for Each F ,r Crop Cycle
rfac
FieldSlto jvattodacres) -
Farm om
owners Pun
trrigralan �Adftz
Fadkv Nwnim �
FFGM W ►rte 1111Uaetlon Pian
crs "I r_►► rl► M rat M 181 tat 1101 fill
Noun
M M
Crop Cycle Totals -1 �I TOW PAW ,_J
Owner% Signalum opamices signature
CwMad Operator (Print) operator CAN"Com a
' Weather Codes CClear, PC-Par!>y Cloudy. CI-CWtft R -Rain. 5-Snow/Slaot, W Windy
Persons oompleling the Irrlpallon Inspecoons must Wtlal to signify lt►at inapnilons ware rompleled at least every 120 wrkutes.

FOP rz Lagoon Llquld IMSF �Ide ReCord
One Form for Each F 1r Crop Cycle
Trac
Field Slip *ttad aCrtiRS)-
farm
nFarm 0M
Owner's Adds
Fadilty NUn*W - �
krigatlon Otiat;la
krigetion Operalare
I�ddreas
Opamtws Flo le N
�}FranlVYaste ttplb^Ilon Flan
CMp
RacciffowmW PAN
TVPD
i� LuadnO ( fa=j t; (8)
fit »t M ru rs► ra► 'M ret rn► 910% t111
owr►ef4 Signak"
CarWad Operator (Print)
Opamtoee Signatwe
Owator CertlflcaUaat p
• Weaftr Cache: C -tear, pe -Parity Cloudy, CI -Cloudy, R -Rain, S-SnawfSWk W -Windy
Persons compteting " Wiieatlon Inspections must Initkd to signify that Inspections were compteted at least every 120 minutes,
nMINIMUM
ow
owr►ef4 Signak"
CarWad Operator (Print)
Opamtoee Signatwe
Owator CertlflcaUaat p
• Weaftr Cache: C -tear, pe -Parity Cloudy, CI -Cloudy, R -Rain, S-SnawfSWk W -Windy
Persons compteting " Wiieatlon Inspections must Initkd to signify that Inspections were compteted at least every 120 minutes,

FOP r2
Toad is oZ
F cold tette (vmkad aems) m (A)
farm omw
oV1i1wS Addrew
0Wruuy PhOrte is
I.egoon Liquid Irrigr ?Ids Record
One Forel for Each F ,r Crop Cyde
N
i Op"Oes
Address
pp+prows Phow A
FWIlly NumkM
Frons W3sto LltlltZAtian Pian
Crop Type Reow a rokid PAN 50
tit r3k Pt 1n let jot M IAt 101 /tnt fill
Owner's Signature -- - .. , _ _-
C*stftd Operator Trinl)
Operators Signsium
0DOM101, CAWI(Scabon #
Weather Codes Clear, PC -Parity Cloudy, CI -Cloudy, R -Rain, S-Snow/Sleel, W -Windy
" Persons compleline titre irrigapon inspections must Initial to slsntiy that inspections were completed at least every 120 minutes.

FOP 2
TraC
F IeW Sko {vatted sem) a
Form Owt
Ownorb Addra
lagoon Liquid Irtgc ?Ids Record
One Fnml for Each F ,r Crop Cycle
GYfgaikat Opmsmtor
blgatio^ Qprorrtor's
Address
Op "W a Phare 8
Fadiuy Nw tw L__.1L. — J -
From Wast* Utilbatton Pian
Crop Type,{� Nwa�vdsdPAN r�O
(1) f21 M f11 (51 i81 'M W1 101 (10) (it)
Crop CY0e TOWS -- - Y4tW PAN
c mnees Signature_ opemtoes somture
CerWad C Watw (NN) cNas ar Gerttdoalion #
Weantr C Jw. C -Clear. PC-Parpy Cloudy, CI.Claudy, R -Rafe. S-Snow/Sleek W-Whdy
Persons mnpteltng the U*aUon trMmcltons must HOW to Blgnliy That Inspectlans were completed at least every 120 minutes.

FOP ;2 Lagoon Liquid Inigs olds Record
One Form far Each F if Crop Cyde
Toad e
F feW SLw {%shad acres) -(A)
Farm Awruer
o wra's AddMW
ownmra phom Y
trtlgaltar� ��
hig�ion opmrnare
Irddraas
Oprrniat'a MOM 9
FadMr Nurnbw.2 2
FmrnVUaate UtIltzation Plan
Crop Tye PAax"RwAid PAN
� L+o�Y1y R�tiOtA) � (gl
fit 0% M III Int rst M Lin rtrt 1161 Ht]
man
OEM
MMM
C4rwed Operator (Print)
operators Skjnature
omawr CertitttUn 0
Weather Codes: C.Ctear, PC-Partiy Cloudy, CI -Cloudy, R -Rain, S-SnowlSiaet, W.Wlndy
" Persons nwmplattng the trr pOon inspections must InItIal to signify that Inapectlom were wirnpletod W least every 120 minutes.

FOP r2 Lagoon Liquid Irriga ?Ids Record
One Form for Each F jr Crop Cycle
Trad U
Field Stm Iwalted &am) -(A)
farm tyww
Awna's Addrow
Own" Pham ti
s
Addretaa
Qparataf's MOM i
FadkyNumber
From Waste UUIFraUon Plan
Crop Typo R,e�arxte�rrM PAN 1 50
tAadMp (Raracre) = (e) --
f11 tl1 M1 r1i fel tc► M IAl ro% tin► 1111
man
Elm
MMM
M
�M=
MMM
Crop C & Totals -1 -- . - - _ _ ( Tata! PAN I
Owrw% g operstoes skpmwra
Cedifled Opesstor (IDMI)._ _ - Operator cora t ZIUM �t
• Weather Codas» C.Ciaar, P043•arDr Ctoady, CI-CIoL*, R -Rain, S-SnowlSlaek W -Windy
Persons completing th 9 UTIPtion Ins"cns must InItW to signify that Inspecliona were ccarrspleted at least ovary 120 minutes,

FOP I.egoort Liquid IrrlgE ?Ids Record
One Form for Each F /r Crop Cycle
imd 9
Field Sko (wattadacres)b (A)
Farm onnwer
ownara Afto a
owrtenF Phony V
hklatlon operator
Wsdbn operttaro
AdAN=
OpmWes Phone A
Fadttty Nun bar 2 Z
p Frain Wasto L1MAUan Pim . K
Crap Type C _) P AN
t.ogrAnp ppfawe) t;le)
Slt i2t ml rpt 1st tat 'M tat rat (rttt flit
Non
w
CWWWd Oparstar TON)
opamtera Signatum
aae�awr caru�®non �
WeaNt$r Codes; C.Clear, PC -Partly Ctoudy, Cl-Clau*, R -Rain. S-Sno vlSleal, W -Windy
Persons caMPlattng the Udgatlon lrtspectians must lnitlal 10 signify If tat tmpecilona were, completed at leaal every M minutes.

FOP -2 Lagoon Liquid InIgr ?Ids Record
One Form tar Each F n Crop Cycle
Trac
Field Sian twottedacres)-
Fa" OFA
Owneda Addle
Own" Phoma
. trri0atton QPeralar
lrliprpion Qpar�AWe
Addrauo
Qpgtntaw'et Ptrens d
FadlifyNun*V - I --15
FMM Waste 1f01hatlon Pian .
Crop TWO PjmxmMrgMd PAN
Lmft atift0a) L M
(11 01 IM IIA ret M M fal MI 11o1 fill
C*Mad C"Mtw 1PIinl)
Operator's Signaturo
OTA"Wr Ce NVUBan #.
' Weather Codes; C•0ear, PC -Party Cloudy, SCI-C$oL*, R -Rain, &-Snow/slast, W-Wlndy
Persons cnm*I ng the irrtpatlon Inspections must In{tial to stgnlly that Inapecliorla were completed at !anal a"ry 120 minutes,
USE
C*Mad C"Mtw 1PIinl)
Operator's Signaturo
OTA"Wr Ce NVUBan #.
' Weather Codes; C•0ear, PC -Party Cloudy, SCI-C$oL*, R -Rain, &-Snow/slast, W-Wlndy
Persons cnm*I ng the irrtpatlon Inspections must In{tial to stgnlly that Inapecliorla were completed at !anal a"ry 120 minutes,

FOR ,2 lagoon Liquid Irrlgs Ids Record
One Form fpr Each f if Crop Cyclo
Trod B
F fold Stw (watled acm) _ (A)
Farm Oww
Owna's Addrwa
Owrlalr Ftam U
. lrrlgaUon malar
Irt�tbn opralnro
Add"=
opwow ft Phone A
Fadity Nufflkw -
From Waste ufllt aucp Pfaa
Crap Type Roca nnandad PRM D
13
t-a�inG ltormrel Uel
Stl nt Al ru M IRI M lot rat rtot flit
Crop Cycle Totals ' I 7atw PAM I
Cis Opemiaea $ignat im
CarWed Operator (FAM OWator Cdrdi uMlon tF
Weather Codes: C-aear, pC•pariy Cloudy, CI -Cloudy, R -Rain, S-SnowlSlaat, WWindy
Persons complatho the ftalion Inspeedons must initial to stgntly Ihel Inspections were rompieted at legal every 120 minutes.

FOP r2 lagoon Llquld Irrlgs Ids Record
One Form for Each F jr Crop Cycte
Tract f
Fuld Sko {wasted acres) a (A)
Farre omw
0*rwea Address
Irrtgat><xr ap�ator
W A
Jhddreas
oporatad's P!►ons
Faaruy 1L.=J -
From V%,9a Uil02 mVan P1m
Crap Typo Reamom drd PAN d
I,oadr� pgtacre) = l�1
131 rn rsti m m tet rot rtoti [tt)
Crop cydp Tatars -I ITotal RAN I _
Cwnars stgnature .,. ,;_. .__ ,. operateea Sigrsaiure
CerMad Opermtar (PAnj) Operator C.ertftmU n
" Wea"W Galas. GGear, PC -Partly Cloudy, CI-Owdy, R -Rale, S,Snow/Sl"t, W -Windy
`" Persons emple ft the IftsUan inspections must WW to sWy that Inapecllom ware completed at least every 120 minutes.

FOR f2 Wgoon Liquid I"r ?Ida Record
One Form for Each F ,r Crop Cycle
Traci 6
F fow Sbm (rnrilad acm) 01 ai
Farm Oww
Ow w's Addroae
Owrmry Reno M
• lrrlgstbn t]peraior
Addreaa
• Dpwaliw's Flrfui® fI
Padlty Nurrbw - �
Frani Waste Ut anwan Plan
Crop Type PUKGff erAW PARI
P
[3 t.a� oar s= l�z 5 D
til 121 191 fit f51 Ink M Inl rat fin% fi t1
Cerltlled OpMtw (Prim .
OpsMW8 Signatm
Ch)mwr CerillkcaUon d
Weaftr Codes C.Clear, PC•Aarlly Cloudy, Cl -Cloudy, R -Rale, SSn&*Slavk WWindy
Persons Compl6ling 1118 lfripatlon InSpecfions must InIM to siQntfy hat Inspectiane were completed at least every 124 minutes.
0 0 P, P. ", RIP M.
Cerltlled OpMtw (Prim .
OpsMW8 Signatm
Ch)mwr CerillkcaUon d
Weaftr Codes C.Clear, PC•Aarlly Cloudy, Cl -Cloudy, R -Rale, SSn&*Slavk WWindy
Persons Compl6ling 1118 lfripatlon InSpecfions must InIM to siQntfy hat Inspectiane were completed at least every 124 minutes.

FOR 2 Legion Liquid Irrigs ?[do Record
One Form for Each F ar Crop Cycle
rmc
Fiold840 (wattada*")-
FWM QwV
Ownaft Addra
Own" PtMUM
irrigrAbn Operator
trrig�ian Operators
Address
QpYrriler8 PtICrMB �
Faddy tvunrtrer a - I-;Z:"L 5
From Waste UUltmtlatr Pian .
c4w Type Reoww andd d PAN
... ... _Loaft {data? C toy
111 12% M% M Un fa IM) till
Crop Cysts Totals ' I --— I Tata! PAN I
owneft Stgnattae - .. . _ ,_.,. OpembWa Signature
03100d Operator (Print} .. _ OCeMtor Cert csbon p
' W630M Codes; C -Clear, PC^Partly Cloudy, CI -Cloudy, R -Rain, 5-&rewf5laet, W -Windy
Persons romplaling the Irripallon Inspections must initial to signify ftt inapecllons were completed at least every 1120 minutes,
NEW
Crop Cysts Totals ' I --— I Tata! PAN I
owneft Stgnattae - .. . _ ,_.,. OpembWa Signature
03100d Operator (Print} .. _ OCeMtor Cert csbon p
' W630M Codes; C -Clear, PC^Partly Cloudy, CI -Cloudy, R -Rain, 5-&rewf5laet, W -Windy
Persons romplaling the Irripallon Inspections must initial to signify ftt inapecllons were completed at least every 1120 minutes,

FOP -2 t.egoon oquld brigs ?Ids Record
One Farm for Each F 1t Crop Cycle
Toad p
NNW Slto (waltcdwrgs)"SA?
Farre 0~
Oww'a Address
. usigatian Opermto►
1�ton OperrAafe
AddM=
OpYrtrtor'a Ptlarra if
Padifty Numbw -
From Waste Upibaflan Pian
Crop lrypp 4AemRaodsd PAN
Slnla�i C SS) , � J
i11 0% rsr I'll 141 res M Lai rat 1101 fill
cerci ed Operator (FAM
opewtceb,Slq�_
o>Malar CANIMUMM 0
Weather Codes. GCtear, pC parcy Cloudy, CI-Ckn*, R -Rain. -SoW, W-UVindy
"Persons empleft use irrigation Inspections must WUal to signify oral inapealions were completed at least every 00 minutes.
CC=
CSC
cerci ed Operator (FAM
opewtceb,Slq�_
o>Malar CANIMUMM 0
Weather Codes. GCtear, pC parcy Cloudy, CI-Ckn*, R -Rain. -SoW, W-UVindy
"Persons empleft use irrigation Inspections must WUal to signify oral inapealions were completed at least every 00 minutes.

FOA r2 Lagoon Liquid Irrigs ?Ids Record
One Form for Each F ,r Crop Cycle
Trad 0
Hold Siw {wetted ac es)" (A)
Farm Orrw
Own es Mdress
Ownahl Phar" V
Addrdaa
OpWoWft Plana 0
Fadtlry Numbw - 5,5
From Wasts Uu1bation vim ,
Crop TYM)PAN le) '50
tis 17s rss r41 M tel M tai (at (161 rill
Crop cYtIV Yoials -L --I-- j Total PMN I
Owner's Signature Open t ee SkStatwn
C f(ftd Operator (Pdni) __ _ _ _ _ OM(or CeMcWan
Weathw Codes: CCDe r, F' ft* Cloudy, CI -Cloudy, R -Rain, SSnoWSlaei, W -Windy
" Persons cornplalir g the lfftaBon Inspedlons must initial to signify Mat Inapeciions were completed at least every 120 minutes.

FOP r2
0
Lagoon Dale
ID I (mmlddlyr)
Lagoon Liquid Irrigz Ids Record
One Form for Each F lir Crop Cycle
Tract fi Field # FaCitly Number Z
Field Size (welled acres) a (A)
Farm Owner Irrigation Operator
Owner's Addruss Irrigation Operalor's
Start
Time
Owner's Signature
Certified Operator (Print)
Crop Cycle Totals
B.
Total PAN �� J
Operatoea Signature
Operator Cerilticatlon
* Weather Codes, C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-SnowlSleet, W -Windy
•" Persons completing the irrigation Inspections must Initial to signify that Inspections were completed at least every 120 minutes,
Weather Inspections
Cade I (Initials)'"
Address
Owner's Phone #
OperatoPs Phone #
From Waste Utilization Plan . ,
Crop Type
Recommended PAN
Loading (Iblacre) = (8)
(3)
(4)
(5}
(6)
(7) (S}
(g)
(10)
(14)
Irriciation
Vol=
Applied
Nitrogen
EndTotal
Hof
Flow
Total Volume per Acre
Waste Analysis
(iblacxe)
Balance
Time
Minutes
Sprinklers
Rate
(gallons) (gallacre)
PAN"
181A i9i
(lblacre)
(3)-(2)
Operating
(gallmin)
(G) x (b) x (4) (7)1(A)
(lbH1000 gal)
4000
(a) - (10)
Owner's Signature
Certified Operator (Print)
Crop Cycle Totals
B.
Total PAN �� J
Operatoea Signature
Operator Cerilticatlon
* Weather Codes, C -Clear, PC -Partly Cloudy, CI -Cloudy, R -Rain, S-SnowlSleet, W -Windy
•" Persons completing the irrigation Inspections must Initial to signify that Inspections were completed at least every 120 minutes,
Weather Inspections
Cade I (Initials)'"

FOP -z I.agoon Liquid Irrlgr• ?Ids Record
one Form for Each F it Crop Cycle
Trac
FW Sire (wetWd acres) •
Farm Owr
Owners Addre
Owners MOM
Irr4laum Operator
trdglkWn Operator's
Address
Operator's Phone a
Fad ity Number
From Waste Utlitratlon Plan
Crop Type Reomnnemied PAN
Lmdno owmo = (Sl
...
101L ru M1 raw 171 rAl" lot 1101 ►111
!' n
Volurm PAN Appli0d Ntlmgan
tagom Date Start Er Total # d Hoer Totol Volams per Acre Wsats Anat sls (IbWaca) aulanae
ID ( 1 tuns Thea Mmias Sprinklers, Rals ( AWS) (gavaw) PAN' (a) x 181 (Ihtacm)
(31-(2) Ope-flww (aavain1 (F) x (s) s (s,) (T) t JA) (awl 000 gall 1000 (t3) . 001
B6
Weather
Coda•
kispacrior�
{krHFalej
Crop Cycle Totals
Total PAN
Owners Signature
C Afled Operator (Print)
Operatora Signature
Operator Cet ncaUon #
Weather Codes: C -Clear, PCePertly Cloudy, CA -C oudy, R4;atn, S-5now/Sleet, W-1Nindy
" Parsons compleiing the irrtgallon tnspecUons must Initial to sign#y that Inapedlons ware completed at least eery 120 ris nutos,

Incident Report
Report Number: 201002513
Incident Type: Non -Compliance Reporting
Category: Discharge
Incident Started: 09/10/2010
County: Sampson
City:
Farm #: 820225
Responsible Party:
Owner:
Permit:
Facility:
First Name: Thomas
Middle Name: H
Last Name: Godwin
Address 2476 Share Cake Rd
CitylState/Zip: Clinton NC 28328
Phone:
Material Category: Estimated Qty: UOM
On -Site Contact:
FirstlMid/Last Name: Thomas Godwin
Company Name:
Phone:
Pager/Mobile Phone: /
Reported By:
FirstlMidlLast Name: Thomas Godwin
Company Name:
Address:
City/State/Zip:
Phone:
Pager/Mobile Phone: [phone]
Chemical Name Reportable Qty. lbs. Reportable Qty. kgs.
DD:MM:SS Decimal Position Method: Aerial photography with ground control
Latitude: +35°09'01" 35.150390 Position Accuracy: Nearest Second
Longitude: —78°22'43" -78.378600 Position Datum: NAD83
Location of Incident: Facility 82-225, Irrigation System
Address: 1111
City/State/Zip 11111 NC 11111
Report Created 09/13/10 11:19 AM Page I

Cause/Observation:
Malfunction of irrigation gun, with run-off reported.
Action Taken:
Operator brought soil to the spray field that pulls 30 & 31 occupy.
Locations on the perimeter of the field that allow surface water
runoff were diked to stop wastewater from leaving said field.
Incident Questions:
Directions:
Take Hwy 421 north from Clinton and tum right onto Church Rd. Go
approx. 3 miles and tum right onto Keener Rd. Upon crossing the Great
Coharie Creek, tum right onto a soil farm road and the field with Pulls 34
& 31 is on the immediate right.
Comments:
The connection used to attach the spray irrigation gun to the cart riser
rusted and caused the irrigation gun to separate from the cart riser. Upon
irrigation gun separation, wastewater flowed from the riser, causing a
non-uniform application of wastewater to the field. Run-off did occur to
the south portion of the field into the wooded area adjacent to said field.
Wastewater migrated approx. 400'+/- into the wooded area, but did not
contact surface waters.
Facility owner was proactive in trying to stop off field migration by diking
areas around the spray field to capture over land flow of wastewater from
the damaged equipment.
Did the Material reach the Surface Water? No Conveyance
Surface Water Name?
Did the Spill result in a Fish Kill? No Estimated Number of fish?
If the Spill was from a storage tank indicate type.
(Above Ground or Under Ground)
Containment? Yes
Cleanup Complete? Yes
Water Supply Wells within 1500ft : Yes
Access to Farm
Structure Questions
E Animal Population
Groundwater Impacted : Unknown
■ Spray Availability
Report Created 09/13/10 11:19 AM Page 2

Access to Farm
Farm accessible from the main road?
Yes ❑ No ❑ NA ❑ NE
Animal Population
Confined?
❑ Yes ❑ No 0
NA ❑ NE
Depop?
❑ Yes ❑ No 9NA ❑ NE
Feed Available?
❑ Yes ❑ No 10 NA ❑ NE
Mortality?
❑ Yes ❑ No 0
NA ❑ NE
Spray Availability
Pumping equipment?
Yes ❑ No ❑ NA ❑ NE
Available Fields?
Yes ❑ No ❑ NA ❑ NE
Structure Questions
Breached?
❑ Yes
❑ No
NA [-]NE
Inundated?
❑ Yes
❑ No
NA ❑ NE
Overtopped?
❑ Yes
❑ No
NA ❑ NE
Water on outside wall?
❑ Yes
❑ No
NA ❑ NE
Poor dike conditions?
❑ Yes
❑ No
NA ❑ NE
Event Type Event Date Due Date Comment
Requested Additional Information
Referred to Regional Office - Primary Contact
Incident closed 2010-09-13 11:15:00
Report Entered 2010-09-10 09:36:00
Incident Start 2010-09-10 08:52:00
Report Received 2010-09-10 08:52:00
Report Created 09/13/10 11:19 AM Page 3

Standard Agencies Notified:
Agency Name Phone First Name M.I. Last Name Contact Date
Other Agencies Notified:
Agency Name Phone First Name M.I. Last Name Contact Date
DWQ Information:
Report Taken By: Report Entered By: Regional Contact:
Stephen A Barnhardt Stephen A Barnhardt Jim Barber
Phone:
DaterTme: 2010-09-10 08:52:00 AM 2010-09-10 09:36:00 AM
Referred Via: Phone Phone
Did DWQ request an additional written report?
If yes, What additional information is needed?
Report Created 09/13/10 11:19 AM Page 4

Narrative of the Incident:
On Friday morning September 10, 2010 we were completing an irrigation event that was
started Thursday September 9, 2010. At approximately 7:OOam on pull number 30 a
worker started the irrigation system, at approximately 8:30am which was about the
time the event was to end I found the gun on the gun cart had broken off and waste
water was overflowing from the gun cart. I immediately shut the pump down and had
one of my workers to take a tractor with a front end loader and build a berm along the
edge of the spray field in several places to stop wastewater from entering the woods.
Wastewater had entered the woods which is a surface drain for the surrounding area
and had travelled approximately 300 feet and was still on our property. I stopped what I
could with the building of the berms. The gun will be repaired soon as possible.
Steve Guyton with DWQ was called at 8:34am to report the discharge. I did not receive a
call back within a few minutes so I called the DWQ office and the call was forwarded to
Art Barnhardt's voice mail at approximately 8:53am. Soon after the call to DWQ, I called
Steve Guyton the second time and spoke to him and he told me someone from DWQ
was going to the farm. At approximately 10:45am Jim Barber and others with DWQ
arrived to investigate the incident.
Submitted by Glenn Clifton Technical Specialist with Prestage Farms for:
Thomas H Godwin
Godwin Farms
Facility 82-225
Sampson County
(-I AjT o Ur- -tD �C-;r,,., Jjt2�F6 AW to
t�10 5e I N l -=W\ 5 j A, F
Tuzow'-W�06-b , ?A 1-0
0(,13

Barber, Jim
To: Barnhardt, Art; Honeycutt, Tony; Guyton, Steve
Subject: RE: 201002513 Incident Number for Godwin Farm (AWS 82-0225) Spill
Attachments: MVC-001S.JPG; MVC-002S.JPG; MVC-003S.JPG; MVC-004S.JPG; MVC-005S.JPG;
MVC-006S.JPG; MVC-007S.JPG; MVC-008S.JPG; MVC-009S_JPG; MVC-010S.JPG;
MVC -011 S.JPG
Art;
Attached with this email are the photos taken at the Godwin farm incident investigated on 10 September 2010 at 10:45am.
According to Tommy Godwin, pull #30 was started on Thursday evening and stopped approximately 200' from the reel parked
along the farm road. Around 7am on 10 September the irrigation of pull #30 started (MVC -009). Sometime during this morning,
between 7am and 8:30am when he first called Steve Guyton, the gun broke from the cart riser (MVC -002, 003, 010 & 011) and
gushed wastewater until the cart stopped at the reel. According to Glenn Clifton, the pressure sensor didn't function properly to
stop the flow of wastewater once the gun broke from the cart riser.
The wastewater migrated across the field to the wood line and exited the field (MVC -004 & 007) into a natural drainage feature.
Wastewater migrated approximately 400' and stopped inside the wood line in a area approx. 20'x 30' (MVC -006) on Mr.
Godwin's property. A very small area of wastewater is located adjacent to the farm road (MVC -001), but didn't enter the wood
line.
Wastewater didn't reach a surface water during this event. The Great Coharie Creek is approximately 300'+ from the small
pooled area in the wood line (MVC -006). A conservation easement (MVC -005) owned by the State Of North Carolina is
approximately 150' from the terminus of the spill area (MVC -006).
Glenn Clifton (Prestage Foods) was on-site when DWQ arrived and was providing assistance to Mr. Godwin and his worker with
addressing the spill incident and will provide paperwork to DWQ with facts of the incident.
Based on wastewater leaving the spray irrigation field, but not reaching surface waters of the State, no samples were taken at
this time. I will provide a folder with maps and diagrams for the permit file.
Jim Barber
From: Barnhardt, Art
Sent: Friday, September 10, 2010 9:40 AM
To: Barber, Jim; Honeycutt, Tony; Guyton, Steve
Subject: 201002513 Incident Number for Godwin Spill
FYI- BIMS # In Subject
Stephen A. Barnhardt, L.G.
Aquifer Protection Section Supervisor
NC Division of Water Quality
Fayetteville Regional Office
[e-mail]
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.

Barber, Jim
From: Bamhardt, Art
Sent: Friday, September 10, 2010 9:40 AM
To: Barber, Jim; Honeycutt, Tony; Guyton, Steve
Subject: 201102513 Incident Number for Godwin Spill
FYI- BIMS # In Subject
Stephen A. Barnhardt, L.G.
Aquifer Protection Section Supervisor
NC Division of Water Quality
Fayetteville Regional Office
[e-mail]
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.

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ontact Us Download Soils Data Archived Soil Surveys Soil Survey Status Glossary Preferences i Logout I Help A p ,A
Area of Interest (AOI) Soil Map Soil Data Explorer Shopping Cart (Free)
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Laj
Soil Map
K NEI J ^LD1 1 J a A AJ "soma
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'1P 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.
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of the detail of mapping and accuracy of soil line placement. The maps do not
)
Search
Map Unit Legend
Sampson County, North Carolina (NC163)
Map Unit Map Unit
Acres in
Percent of
Symbol Name
AOI
AOI
Jo Johns fine
0.0
0.6%
sandy loam
KaA Kalmla loamy
5.0
99.4%
sand, 0 to 3
percent slopes
Totals for Area of Interest
5.0
100.0%
Laj
Soil Map
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'1P 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
)

Map Unit Description: Kalmia loamy sand, 0 to 3 percent slopes —Sampson
County, North Carolina
Sampson County, North Carolina
KaA—Kalmia loamy sand, 0 to 3 percent slopes
Map Unit Setting
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
Map Unit Composition
Kalmia and similar soils: 85 percent
Description of Kalmia
Setting
Landform: Stream terraces
Landform position (three-dimensional): Tread
Down -slope shape: Convex
Across -slope shape: Convex
Parent material: Loamy alluvium over sandy alluvium
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: 20 to 40 inches to strongly contrasting
textural stratification
Drainage class. Well drained
Capacity of the most limiting layer to transmit water
(Ksat): Moderately high to high (0,57 to 1.98 inlhr)
Depth to watertable: About 40 to 72 inches
Frequency of flooding: Rare
Frequency of ponding: None
Available water capacity: Low (about 3.8 inches)
Interpretive groups
Land capability (nonirrigated): 1
Typical profile
0 to 8 inches: Loamy sand
8 to 12 inches: Loamy sand
12 to 32 inches: Sandy clay loam
32 to 60 inches. Loamy sand
Data Source Information
Soil Survey Area: Sampson County, North Carolina
Survey Area Data: Version 11, Jun 5, 2009
AWS 52-0225
Natural Resources Web Soil Survey 9/10/2010
Conservation Service National Cooperative Soil Survey Page 1 of 1

Contact Us Download Soils Data Archived Soil Surveys Soil Survey Status Glossary Preferences Logout Help A A ill
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+11
Warning: Soil Map may not be valid at this scale. A
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
I
Search
Map Unit Legend
Sampson County, North Carolina (NC163) C
Map Unit Map Unit Name
Acres in
Percent of
Symbol
AOI
AOI
JT Johnston mucky
30.5
91.0%
loam
KaA Kalmia loamy
3.0
9.0%
sand, 0 to 3
percent slopes
Totals for Area of Interest
33.5
100.0%
Printable Version I Add to Shopping Cart I
+11
Warning: Soil Map may not be valid at this scale. A
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
I

11
Map unit Description: Johnston mucky loam —Sampson County, North Carolina
Sampson County, North Carolina
JT—Johnston mucky loam
Map Unit Setting
Elevation: 80 to 330 feet
Mean annual precipitation: 38 to 55 inches
Mean annual airtemperature: 59 to 70 degrees F
Frost -free period: 210 to 265 days
Map Unit Composition
Johnston, undrained, and similar soils: 80 percent
Johnston, drained, and similar soils: 10 percent
Description of Johnston, Undrained
Setting
Landform: Flood plains
Down -slope shape: Concave
Across -slope shape. Linear
Parent material- Sandy and loamy alluvium
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: More than 80 inches
Drainage class: Very poorly drained
Capacity of the most limiting layer to transmit water (Ksat)
to 5.95 inihr)
Depth to water table: About 0 inches
Frequency of flooding: Frequent
Frequency of ponding: Frequent
Available water capacity: High (about 9.4 inches)
Interpretive groups
Land capability (nonirrigated): 7w
Typical profile
0 to 30 inches. Mucky loam
30 to 34 inches: Loamy fine sand
34 to 80 inches: Fine sandy loam
Description of Johnston, Drained
Setting
Landforrn: Flood plains
Down -slope shape: Concave
Across -slope shape: Linear
Parent material. Sandy and loamy alluvium
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: More than 80 inches
Drainage class: Very poorly drained
High (1,98
Godwin 82-0225
USDA Natural Resources Web Soil Survey 9/1012010
conservation Service National Cooperative Soil Survey Page 1 of 2

Map Unit Description: Johnston mucky loam—Sampson County, North Carolina Godwin 82-0225
Capacity ofthe most limiting layerto transmit water (Ksat): High(1.98
to 5.95 inihr)
Depth to water table: About 0 inches
Frequency of flooding: Frequent
Frequency of ponding: Frequent
Available water capacity., High (about 9.4 inches)
Interpretive groups
Land capability (nonirrigated): 4w
Typical profile
0 to 30 inches: Mucky loam
30 to 34 inches: Loamy fine sand
34 to 80 inches: Fine sandy loam
Data Source Information
Soil Survey Area: Sampson County, North Carolina
Survey Area Data: Version 11, Jun 5, 2009
USDA Natural Resources Web Soil Survey 9/10/2010
Conservation Service National Cooperative Soil Survey Page 2 of 2

AW582-0225:
U.S. Fish and Wildlife Service
Godwin Farm
"National Wetlands
Inventoriv
Sep 10, 2010
Wetlands
- Freshwater Emergent
- Freshwater Foresled/Shrub
- Estuarine and Marine Deetwaler
- Estuarine ants Marine
- Freshwater Pond
- Lake
Riverine
;x
aiher
ti
Status
Digital
scan
Nan-Drgilal
- No Data
This atop Ie for general reference enty. The US Flan and Wlldhh earHae fe net
napanslbie for the a nnicy or curve W-1 of the bass data shown on this nup. All
wetlands related data sheuW to used in accardanca with the layer metadaU found on
the Wellands Mapper web site,
User Remarks:

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Classifications Erents Structures I Comments Permits j Wells
Details': � Regulated lktivities. Affiliations Treatment Units. SICs Tax Certification Numbers
Facility Name. kiodwin Farms - Fa # 2-.0225 -.Pretreat Plan Status _None
'Owner Name: oQrvin; Thomas H. ii'Facility Status Actire_ i
Avallable 'Selected ❑ Receives Pretreated Waslewati
Usa usage ❑PrimaryPretreatment Facility.
Contamination Source --- Farm ❑NorrExposure Exemption
Disposal Site ❑ Registered for eDMR
Start Dt it011199i Orlg Registered: 1MH1 m Closed Dt Inactive Dt
Ong CAWMPDt if0.Ht1S97 Latest CAWMP... 110HJ1997 Integrator. restage Farms Inc Ctear
Location Atldl. 8 Godwin Farm Ln Region Fayetteville
Atltl2: County Sampson
Citi! Crrdc - _ --
State NC_ zip: 8328- Country
Directions: .701 norm towards Newton Grove, gp past Can Memonal church (on ngho and tum at the held left (about 314
�llepast church) onto SR 1818, go 2 314 miles and turn left Into farm. _I
USGS Map Num: NEWTON GROVE SOUTH I-!
yap..I Decimal DD:MM:SS Accuracy. Nearest Second
Latitude: 35.152311 � 35.09.08 Method: Remote Sensing
Longitude: 8373088 78.22.33 Datum NAD83
Last Updated By. aansMneler - - Last Updated On:
_4112010 234.PM

FindFacility
Incidents Inspections viola Billing Enfarcements r History
I Classifications _ Events structures Comments Permits �- Wells
Details Regulated Activities Affiliations TreaFmeritUrrilS SICs TaxCerlficationNumbers
Facildr- dmn Farms
Permit_ LOcTVon Classification j EtTeetive Dt Explrati0n €7t htotlilftailOti Pt
Mgtlified BYf .
'JVS820225 i jAWA ;1111 ffi1993 Li4ID712i)09
trimsprod.c
Permit Li Ckass CErt R 0 er.... Name Status Role E1Tective DF Expiration Dt Notif. Dt —_Cant
AYU ,820225 WA 22557 WA bodvvin, Thomas H. ctivo CIC 11f16l1993 1 ❑
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