820044_Response to NOV_20211001

H u.4:19itJ,
D.EQI eWR
OCT 0 7 2021
WOWS
FAYETTEVILI F pr-rini\IAt OFFICE
jr Pietro
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Ott ail re 5_2o.al
Dear 5;c,
IN /'C'{NrerrCe- 41, 'your
Ac¢><er 4la#ed j el. �auer,
tv//. SCdNd Ike/ r emrer ,v ✓/ V'CC rds cl ref'`
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wG feGe: ✓el 11,1 ; alb
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Sr dicer e rl
Oa

Cate Stan
(mmlddlyr) Time
7.25 3i
$-)3-2-!
Q- IN•21
FORM: COMBINED 1RR-1 & IRR-2
Tract IF
Fluid Site (Wailed acres) n (A)
Form Ownnr
Owner's Address
Lagoon Liquid Irrigation Fields Record
Ono Form for Each Field per Crop Cycle
if l Field N r
._.�C 41.® _.-
Owner's Pimait .... ..- -.-r .—..-""••
_ From Wnste Utilization Plan
• Rocrnnmended PAN / 3' kJ -
Crop Typo c• 2, `oo,r f✓5
rl,,,,�.- 4utiding (llltanrn)" (BE,
I�__._ r s (3) ...(4), Tn(Ta_j_nton
la) .2_w l._ (s ) w_fat pi)
µ
_ •0 PAN Applied Nitrogen
Total Mof Flow Total Volume per Aare Waste Analysis (Ibleere)
Balance
Minutes sprinidero Rote (gallons) (ya N) PAN' (lhll po gag raiaat91 P) •tic)
(3) • (2) Cpereling lgelimin) (5) x (5) ,t (4) (TV (A) En: _ __
t O ° j,2• 5 tilt, it 4_ . ;
o .
I n C 3 /03' h"_.�_ , 6•
FndlltyNumber a z. 1 - t ➢-/-7_--_.1
End
Time
DelaiDunilm
OCT 0 7 2021
s' )0 370
c, 37`o
Crop Cycle Totals
Owner's
Certified Operator (Print)
Irrigullon Cporator
Irrigation °peroinr'e •_..._l-•~•-.�,-�_T---
Atldmxe
Opormor's Plebe #
562ip.._ f Atn _
S‘,2w Lzer.
Total FAN
Optimist's Signature -'/-2 - --•
Operator Certification 6 ._____,.!-....!_M........_..
1
I :p.rns
o'c,,I,fNAL OFFICE
Weather impactions
Cade ° (Initials) "'
Woafhar Codes; C-Clear, PC -Partly Cloudy, CI -Cloudy, R-Rain, S-SnowiSloat, W-Windy
°f Persons completing tho Irrigation inspections must Initial to signify that Inspectluns were campiotad at least every 120 minutes.

FORM: COMBINED IRR-1 a IRR-2 Lagoon Liquid Irrigation Molds Record
One Form for Each Field per Crop Cysts
Tract 11
Mold Size (walled acres) _ (A)
P'aml Owner
Ownor's Addmoe
Ownor'n Phone fl
Irrigation °ponder
Irrigation Oporatar'a
Address
Oparntor'i Phone fl
Facility Number [ 3iT] - I 4
From Waste UtlItentlotr Plan
Crop Typo nocmmmendud PAN
L?)+� �c Loading (Ibtaam) ' (B) _ . � r `f 5
a n f d) la) (r) Sp) ID) (lo) (11
Lagoon
ID
...V.!
1 ,S..4
Ir gallon
Miele Analysis
PAN'
(Ibli009 gal)
PAN Applied
Ublaore)
J0) x (9)
Nitrogen
Balance
(Ibficre)
(8) • 00)
Weather
Cade °
Inspocllona
(initials) "
Oats
(mmlddlyr)
Stan
Time
End
Time
Total
Wages
(3) • (2)
flof
Sprinklers
Oparaling
Flow
hate
(9allrnin)
Total Volume
(gallons)
(G) x (5) it (4)
Vuh me
par Aura
(galfeore)
(7Pp1(A)
1000
=
2
7-2L-
/;co
7: jv
37v
1
dvd,-
56
/am
a 91
//.3
/254
L
,i'.4
7.3b•2i
9"oo
2,: jn
fa 0 .._._
370
C5Z
52.,�
c4. -lf®
toy®
! xt9fie
-__ l d_..._,.._.
, y/
11.3
'3.._-_
j/1[r3
Jv/
.
A •e•
_._ _.._.______
-12.21
q°po
._.._!,I
r_...._
.
y
Owner's Signature
Crop cycle Totals
.sly
Cadged Oporator (Print)
Total PAN 1_. D.'1
Oporalar's Signature
Operator Codification if .�.._fir..._2. A.! i
" Woollier Codes: C-Clear, PC -Partly Cloudy, CI-Cloudy,R-Rain, S-SnowlSleet, W-Windy
'" Persona completing the Irrigation Inspections must Initial In signify that Inspections ware completed al least every 120 minutes,

FORM: COMBINED IRR-1 & IRR-2
1
Tract N
Flnld Siza (welted acres) : (Aj
Farm Owner
ownor's Addams
Ownar'a Pismo P
Crop Typo
2) la)
Lagoon Lldulcl Irrigation Fields Record
One Farm for Each Field par Crop Cycle
Field N
5 © 4c4,ri$
4 (a
6
IrripuIIon Oporelor
Inlgolbn Oparalnr'n
Addmea
Facility Number
operator's Plato fi _,,•,�,_,,,_v,_„
From Waal* Utilization Finn
Nanommanded FAN
Loading (Ildertm) n ME__ °4. ._.._..._.__.
7
n) (a) (10) CI
A'YE T?eV,tt Fr?F(fUil,HL(jFF'C;t
Lagoon
ID
Irrigation
Wnato Analysis
PAN'
(IbII000 gal)
PAN Applied
(lbiecre)
MAD)
Nllregarr
Balance
(Ibinore)
(B) • Hal
Weathar
Code °
Inapaaeano
pnirlab) "'
Dale
(mm)ddiyr)
Sled
Time
End
Time
Total
Minutes
(a) -(2)
For
apdnklera
Operating
Flow
Rote
(galenin)
Tote! Volume
(gallons)
(5) x (5) s (4)
Voltlmo
per Anm
(gall1aom)
(7y) (A)
Joao
et f)4. Sr
/
7-24-ai
/; as
, .rid
70
r
I5.z
ivihto
//g22
/. 0
Al
/2511
—
A , a,
l
7.2,(»2;
g:oo
t't.75
/.5
/
/52
gig°
ifln
J.0
j0:'
/i4f, 2
—
12
---
Owner's Signature
Crop Cycle Totals ,7 ©5,2 0
Cart eed Opormor (Friel)
'total PAN % % i
Opnralor's Signature 62-`7 egeerslet
Operator Cortlpeation N`,tj±f -
Weather Codas: C-Cloar, PC -Partly Cloudy, CI -Cloudy, R•Raln, S-SnawlSiee1, IN -Windy
°• Parsons completing the Irrigation Inspections must Initial to signify Ihal inspections ware cotnptotnd at least every 120 minutes,

FORM: COMBINED IRR-1 B IRR-2
Trace #
Lagoon Liquid Irrlgallcn Fields Record
One Form far Each Field par Crop Cycle
.' •f ( Field /1 r
Fined Size (walled acres) n (A)
Farm Owner
Owner's Address
(21
Ownot'o Phone rf
Crop Typn L
Inienllan Operator
Inigelion Oporeinr's
Addeo's
Opernmr% Phone M
Pro r Waste Utilization Plan
Fenlllty Number L� xj - ` 41 4
Racomtnanded PAN
,5'G ' %l N4 wS Loading (lb/sore), (B) 4 • & S
.I3•a) (s) m rot (9) 10) t'w
Lagoon
ID
irdgelon
Waste Analysis
PAN'
(Ibftaa0 gui)
PAN Applied
(Iblecre)
Onti.(e)
Nitrogen
Balance
(Ib/acre)
(0) • (10)
Weather
Gode°
Inspections
(initials)"
Ouse
(mmrddfyr)
Sled
Time
End
Time
Total
Minutes
(0) _ (2)
M of
Sprhlldars
°paroling
Flow
Bete
had/mint
Total Volume
(gallons)
(a) x (5) x (4)
Volume
per Acre
(pgalfaore)
(7)'? IA)
tape
Be
j
17-22-zf
3; to
i, `;lo
2vc
i
15).
30/¢0o
/2)4b
10
1,2.1
/-234?
_
.
I''
7 23-?-►
_—
/b,'ve.
,; jt,
i?o
!..__
_____._.,_.
i51—
zfgvo
—_..
i155,,
_____ ----_�,—_..
/,o._.
_a,5 .__.Ii3,..,3.__�
__- _
_____
'g: _
_ __ ______
---.—_-_
—_
Owner'r, Signature
Crop Cycle Totals
1.200
Certified Operator ('dm).____.�.______....
Total PAN L231 )r
Operator's Signature !`
or
Operator Cersldcatlan M,
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,

FORM: COMBINED IRR-1 81 IRR-2 Lagoon Liquid Irrigation Maids Record
Ono Form for Each Field per Crop Cycle
Tract i{
Mold Size Milted acroe) = (A)
Farm Cwnnr
Owner's Addmnn
4
I Mold
/ .3
Facility Number L_..A a 1 • I * w
WON Opmalor
Inl(1ollon Oporatnr'n ..-,....--.�.�r....-.._...•_.w �� ........,.--
Addams
OYgrar'n Phone {! ..,..,.-.----. r ...- .�r._.....�... °parano'n Phone 11 I,..ro.....r—•-...r..,..-....w,.--,-._.......r....._.....,.....
Prom Wattle Ulrllknilan Plan
Crop Typo dt Motummnandad PAN(" N
y @!.F fr ] Leading pigeon) (H)L w ., .. .._r., --R= .,-1 T
_Sal Ott is (g)
na) LI1)
.4.1.....,
Crop Cycle Totals j ).C+`,i u• 'Total PAN ,-•_J
Uwnei"r,8ign:duro Opnfotot'u if{naturaw___� _, .
Cargged Operator (print) Operator CertificationI[ __..___....,PPP
" Weather Codes: C•Clear, PC -Partly Cloudy, Ci-Claurly, li-f nln, S•8nowtSleet WWlndy
°° Persons completing the Irrigation inspections mat Initial to signify that Inspections wars completed at ioest every 120 minutes,

FORM: COMBINED IRR-1 & IRR•2
Tract 0
Field Size (wetted eared) n (AJ
Perm Owner
Owner's Widnes
Siert
Time
Owner's Pima !)
Cmp Typo
a
End
Tlma
Lagoon Liquid Irrigation Flelda Record
�ttrat One
Form For Each Fleld per Crop Cycle
Field it 1
."'".,.,.5ti) alien
Total
MInetOs
(3,1-tx)
fd of
apdnlders
operating
litigation Opm ain:
Initiation Operable°
Address
FacilityNurnber
—
OCT 0 7 2021
'y{ixa �v•Q
�V t..ROS
FPFGIONALOFF?CE
( 0i)
Operntot's Phone A
From Waste Utilization Plan
Ratommendad PAN
Loading.(Itdecra)+' (S)�____.._.._....._----
Plow Total Volume
Rate (gallons)
(eolhnln) (a) x (e) x (A)
/51 22$Dt.
ISz_ !�c(.3n_.jnif..._
_z._..
1eHr3 �._.
i5-2 nap_
rop Cycle Totals
7 320
Owner'r, Signutura_„_-_,,,,-_,__._...,._...••--•--------------_—'..'
Codified Operator• —.--•------___,_--_---•-
—Verne—
par Acre
) (gella14
(1yI (A)
Waste Analysis
PAN'
Ilbl100L gal)
PAN Applied
(Iblacro)
Nil x191
1000
Total FAN ..-
a9�
Operator's Signature_._.. f''1 ` -'"�
513.....__.
Operator Certification fF„_.___.._._..__....._%.....--..--..... ...
Nllrapan
aalancd
( i• 10)
Weedier
Cade °
n Weather Codas: C-Clear, PC -Partly Cloudy, CI -Cloudy, R.Rnin, S•SnowlSlsat, W-Windy
Persons completing the Irrigation Inspections must Initial to Bl9Nty that Inspections were completed at (nest evoty 120 ndnutea.
Inspections
(Initials) "'

FORM: COMBINED IRR•1 & IRR-2 Lagoon Liquid Irrigation Fields Renard
One Form for Each Field per Crop Cycle
Tract O
Field Size (welted ncrca) A)
Perm Owner
Ownor'e Andreae
Ownar'e Phone rl
Crop Type
facility Numbed_ _ 1 • (T 'i
IrrienPon Operator
Menem Operator's
Milton
Oparalm'a Phone it
_ Fro " Waste Utillenilun Plan
C a4:5fzi
Reeolmnandati PAN Z
t.uading.pltlnntn) s (B)L c^.
!�
(1), (2) , (3) 1O7 tar t"r
Lagoon
ID
et41 „au,•
r gnllnn
"girtin
Waste Anslyals
(Ibngggsei)
PAN Applied
(Iblacre)
Pis an
Nilmeen
Balance
(®} re)
Weather
Code °
Inspections
Unhlals)"'
Dale
(mmlddlyr)
Sled
Time
End
Time
Total
Wailes
(3)-(2)
Oaf
Operating
Flow
(nRate
Total Volume
(6Waila)
(pparUAcre
I7/cure)
Eie
a.
5=6_1)
J/,,,5
,5
a't
2/p
/
/5z
3)T2v
/2z77
;•4 4
24.4
269•5i
6
A.0.
gsa7-.2.1
5:,ao
6 .35
Ili 0 S
275
!
15)-
A
324 0
I T/2o
/2544
lo !L
/ . 4
f
12i
254,IV
02. 54,0
u
G.,'"
,0,.�__
_.._. erg
5-)Tr
Coo
l 0 ..._f._�..._i`'
•
-. ... —«. ero
C.n .1
Owner's Signature
Crop Cycle Totals
Operator's Signature
alaiGFt
etzli
jf,3gLf
Certified Operator (PrIn)_.,_._�..____._.. .__ ___..__. Operator CortInratlon tL
Weather Codes; C•Clear, PC -Partly Cloudy, CI -Cloudy, R•Ratn, S•Snow/Blest, W-Windy
" Parsons completing the irrigation inspections must Initial to signify that inspections ware completed al least every 12D minutes,

FORM: COMBINED IRR-1 & IRR-2
Tract 6
Field Size (welted acres) a (A)
Farm Owner
Owner's Address
Owner's Phone 0
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
!� 1 Field M I
Irripn ion Operalor
Inigotion Operator's
Address
Operator's Plume l
Facility Number [fe. 3- 1 . 1_ 41
From Waste Utilization Plan
Crap Typo I c 4. l Rarmmmendod PAN [ O
l ._... ....._! fz......_...._.__..� loading.(Ihlanm) ., (e)_....._...._ i ._._ _.. -- ._..._..
a) (4 a) (e)7 0) (e) (10) ('11
Lagoon
ID
Irdpagan
Waste Analysis
PAN'
(IWN000 gel)
PAN Applied
(Iblacre)
fill x (@I
1000
on
Balance
(Ibrnae)
(®) - (10)
Weather
Cade •
Inesacllana
(Initials)"
oats
(mndddryr)
Shan
Time
End
Time
Tole!
Minutes
(a) -(y)
of
tit of
8prinlders
Operating
Flow
Rate
(gallrnin)
Total Volume
(gallons)
(a) x (5) x (4)
�a 4(
om
Aare
(gatlaore)
(7YYl(A)
Rc
/
7-2s-21
2 /0
y. 05
JiS
j
/ 52-
1 I no
y-flW
/r o
/2, 5
e213, 5
c
i1.r'
a
'tel9lz1
j0;15
j3:/v
Its
i
15,4
17Itn°
eA-iftie
1.0
tz"5
271,0_._G
.. 4
Owner's Signature
Crop Cycle Totals
JIC/ IP o Total FAN L.&&2
Operator's Signature itir_9
Certified Operator (Print),�_�__._.._._.- Operator Certification it
" Weather Codes: C-Clear, PC -Partly Cloudy, CI -Cloudy, R-Rain, $-Snow/sleet W-Windy
Parsons completing the irrigation inspections must Initial to signify that Inspections were completed at least every 120 minutes.
_rn...3-.yr:+.

FORM: COMBINED IRR-1 & IRR-2 Lagoon Llciulcl Irrigation Fields Record
One Form for Each Field per Crnp Cycle
Tract 11
Field Size (welted twee) a (A)
Farm Owner
Owner's Addrnoa
Owner's Phano g
77
1 Field lir__
Irrlgullon Oporalor
Initiation Oparnlar'n
Address
Facility Number L • ( 17 1
Operator's Phone ll._...,..,_.__ ..............
From Ws Utilization Plan w,,,,_,_,
Grog Typo
.__._.�„...._..m_—._.»..�._Mudsliaamm�tendud PAN
�.�1 Loading.11lytnrn) H (B) ,„„_.._.._.....
12) 111 SI cal 1'i i"(, . ..1.".L.-, ' '
Lagoon
ID
01
'aim
lr
Waste Analysis
PAN'
(1611n00 gel)
PAN Appllud
(iblacre)
ta)x!�
teen
Meagan
Balance
(tbfecre)
(9)•(10)
Weather
Cade°
Inepacllana
(Initials)"
Date
{mmlddlyr)
"Stan
Time
End
limo
Tole!
Minutes
(e)-(2)
Not
8prinldare
operating
Flow
Rale
(galfrnln)
Total Volume
(gallons)
(a)xlg)x(4)
Varga
par Aare
{ggattlamaj
(7yl(A)
Be
I I
J-3 1
f1, eb
y-
JY'f b
7b
l
1s2
a!
5(o2yo
V ials
/.30
15,19
2 goi y
cc
4,fi ,
>-
rj'y-»r
1; I
30
26°
';
/5Z
c3J5.2d
itVo*
2. 17
/1.2.
.2 Lea. a
el
Zit
v-•
7• I
vc
rroa
too
7.120
�r5%y4 —.__
);os
7o _
3& ._..!
j3&5
t ....._•_._
_,__•
/
r1
ley
152
0260 __.i1.yCb.,_...2a!
-S i2
.1 44.
j..1 *451
..__
_.3r17
2.17
z51
2 ._3
35:4
_ _2 , 4ti_
.,42)1, t _.
15.4
1:-..___._.
�._..___
t,
' .__._..
. b -_
p
J
2.
,
2
7°'.521
5 52flc
.2_
gut-2-1
/;°10'
5":30
260
II
/52-
30.20
*OS
hi
, P
177.`1
t
A. a
2_
1-1kl1
/too
5;0
3 70
/
i52
$L24'°
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to. g
/‘7, (
6
,�
1
f-11.2.1
/o:vo
4c0 d
3106
t-
152-
5-#720
/14113
r54
/0,4
151ei5
11A
,
/
9-.13..21
q,` 3c
3;1v
320
t
t' S1-
'fishy?
3y;
For
14A X
c
Owner's Signature
Crop Cycle Totals
Certified Operator (Pdn)_._..._ ..._._...._
j/� �
<e• Total PAN /1 i !
Operator Certification it.,_.__.._._.__. if3y454
Operator's Signature
" Weather Codas: C-Clear, PC -Partly Cloudy, CI-Clourdy, fi-Rain, S•Snow/Sleet, VP -Windy
" Persona completing the Irrigation inspections must Initial to signify that inspections were completed at least evetY 120 minutes,

FORM: COMBINED IRR-1 & IRE-2 Lagoon Liquid Irdgallon Fields Record
One Form for Each Field per Crop Cyclo
Tract &
Plntd Size (waited astern_ (A)
Farm Owner
Owner's Address
Owner's Phan 11
..2 FFleld 8 l ~
Irrigullon Operator
Inlgollon Operator's
Addruae
Operator% Flume 0
Faculty Number [ r 241
_ _ From Waste Utilization plan
erop Typn Recommended PAN �. ds,�� •�CL loading.(Ildnrsu)=(B)..V..._._...__..___...__._�. •.`•
'"""""'","'""-_")"„
Lemon
ID
(2)
• ,n) ... •- 'I's
sal w, �:L_.
I !Igatlorl
,,.r
Westa Analysis
PAN'
(Ibf1000gaI)
.1. It
PAN Appliod
(Ibinaro)
1s1 x (Q.)
1000
Nlecgon
Balance
ilblacre)
I)-(10)
Weather
Code °
Inepoaeene
(Initials) "'
Ogle
(mmlddlyr)
clad
Time
End
Time
Total
Mattes
(3)..(1)
IA of
eprinidere
Operating
Flaw
Plate
(gallndn)
Total Volume
(gallons)
(6)8(S)N(4)
Volmns
per Aare
(gqel7aoro)
1T 1(A)
2
3-/�-.21
9r C+
113o
fo
1
152
/31p t9
117i
I' 30
127
oZ 63. 3
L
Z
I
I
j 3 2i
GUr go
�7,�
iaLi 5
Of 30
236
y
`
1
I
15,
Jg2-
f {z ...-..--._i
00
Jl ._..-__•g�`.__..
i %fie-7,71
3 Cteib
12-
`mil 7 / 1
i.3°
° -__iG......-_2.LL.
,2 ,) G
/Q,(n_.__4
i..._
„t I. J
)2.7
_ 31177
_..,___-_....__w.....
Z 3c, b...._
�_,_-
ew_..,_.
%�� _.
11r.9 _._,_...
i-�
. To
1 a
t-'r11-1
7- l ' 21
_...il' o°
a % to
—,.
T
Cron Cycle Totals
a s iS , 0
Total PAN
Cannar'r, Signature
Certified Oporuter (PrIny,_._,_,_,.
Operator's Signature6r7
/ fire
Operator Certification It
Waalher Codes: C-Clear, PC -Partly Cloudy, CI -Cloudy, R RaIn, 8.8nowfSleat W-Windy
" Persons completing the Irrigation Inspections must Initial to signify that Inspections were completed at least every 120 minutes.

FORM: COMBINED IRR•1 & IRR•2 Lagoon Liquid Irr)galion Fields Record
Ono Form for Each Fleld per Crop Cycle
Treat #
Field size (waited acme) n (A)
Farm Owner
Owner's Acidness
°M or's Phase #
.254 I Field 1 F^
Irrigation Operator
litigation Oparntetea
Addles°
Opnrnlnr'n Phnne l
Nuaillly mu nUer [ _i` , . 4.
_ _ Prom Wargo Ulillanticu Plnn
Carp Type Naamnmm�dad PAN ci
L. f CZ i, _ .. ...w _ l.°mding.( ifitere) (0)
(11
I.egaon
ID
...1.'.l,
uw •rl w1.:.1w. .a. ! • .} I ...cLen
Ip gnrlart.
nWt... rr
Verne
per Acre
OH tA)
3
Wuste Analyals
PAN'
llbllnua gal)
.xri+ H.
PAN Applied
(bawd
Mal
100D
I
Nitrogen
Balance
Pleas)
g). (10)
Weather
Coda •
inapaonana
(imitate) •'
Onle
(mmfddiyr)
Stan
Time
End
'rime
Total
Minutes
(e) •(a)
#or
6ptlnttlers
Operating
Plow
Rats
(0aernln)
Total Volume
Wile*(opattleare)
(6)it (6)It (4)
tin
I
RYy. qp
&t {-y�
y�A
N 43-
/
), d 1*
y �f}{
/{gig,
tin y'5
r.
_e ..rrn..nr
a M
_:.r+.nr.wr..w..
rw.......
gg~ qqPr1'
a.7 � ¢a'G.f
.F^.�54
I''
C ^L
_ e`.rww....
._._.....
....._._.....—
/ rr "
�ccd Mt
Yj'�u%S
Fa it £' a's
.a��py�. •f`
..WL. ++.Y.s n..
�^�''d 8 Sr',^i}',
b .....w.1..,._e,r
n..
I^�� �jjr
✓xnd+v.w .n xrun
x.r�•_�..nr
E ��F�..
r p ....
a.rk ~ ..n'W�
u..—..Pw...x.....
�� ��jy�...rA14
.u•_n„
dp
.r........._ rv.x.ra_.r
i^3
,5y a a
°g5j;'.r
in w+ n_..
-e0. t
r wn
,Mij' &A"),'4ay9` w.
~ �__n.0
✓{��[(9n...J.q�.
L2 ..w
.niw.
r.e D $E [,.
� @ K
....n ...
€Q tYgt'
.n .+..w.«.....
+..wwrr...r_.nr
Fyd Crp ._.
flf F �...
.. ` Lem_;
t,r
� .. f
r..«....nn.r
..„ 4 11. 59 x++nr..n..w...
..; ��.��qq.@@++r TTt tt^^^^}}��'44
.un... X .+.nnrFs+rrn
Wpip
r. p.+.
w..r.r
S/t
+xrr. .......
er✓
r Fir . x. rr.
.�
wog.
.... '�. e n...n..
wr1...
r...w.,_... ....wr
..�.i..._....._...r_.
rv! wi,.
f ....._.'.�.
Ji:
---......4....
Owner`° Signature
Crop Cycle Totals slec:i
Certified Operator (Pttnl).__,r.._..__
Total PAN (_! m + ' J
Operator's Blitlra(ure_.,............._........_,.._.:_---w..,:
n7
Operator Certification if„_,".,_._.__........._...L.... `.'-:..._ '.....
" Weather Codes: C,Claar, PC•Pdrlty Cloudy, CI -cloudy, R•Raln, SS:tow/Sleet, WWtndy
" Persons completing the Irrigation Inspections must Initial to signify that Inspections warp completed at least ovary 120 ndnutasr

FORM: COMBINED IRR-1 & IRR-2 Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract 8
Plaid Size (wetted acme) n (A)
Farm Owner
Owner's Addreen
Owner's Phuno it
Field 8
Irrigation Oporntor
Intention Opomlur'o
Addmas
Opnrelm'e Phone 8
Facility Nurnhsr.L iiI-, • I _ didi
Fro , Wanld Ulilixntion Plan
Crap Typo Recommended PAN
Vole � C>eci Loadinp.uwaorn)r (B) _..__.__
(li
fEULUVEiw
EQ�(uR
OCT 0 7 2021
`J1ia QR S
Yc CTEVI_LE REG:'ONALOFFICE
w.....,.....
Lagoon
ID
(I)
(. ..,.._..'__
. (al
....).�..1..,...,�,.
Su . tar '•r �••y
Trdgatlon
,-r
Waste Analyals
PAN'
(alien0 gal)
.a. .
PAN Appllod
(Iblema)
Je) x rg)
.
Nitraeen
Balance
(Itrleore)
(8) - (10)
Weather
Cede °
Inepocaone
(Initials).*
______..
Olga
(mmldd/yr)
Stan
Time
and
Time
Total
Wales
(0). (a)
Oaf
epdnlders
Operating
Flow
Rats
(Ocrhnln)
Tolsl Volume
(gsllone)
(a)x Matti)
Volalne
per Aore
(gaVeora)
(7Yyl (AI
1000
By
/
1-2e'z4
(rid
/ZS70
,2/b
/
/5)•-
Si fla
/z277
1,;A
IS'9
- ..1',/
f , ay
Z
2`25-24
4__4n.--1—.4..44.4..4..4_.._....
�;ia
jl`75
_...._._x..__i..,,,.n,.+•,..4
21 `
1
.....,._w..ry
1 v2
..._._....,......w._..
?.16!0
•n_.._nun......A.+.'..
/ 561
rv._w_.,x.s...........
,. /. 10 .
1 �.3-
_ ._. ......I�........�...u_._�.__,_w
-.....L2 i
nrvx..n.+.+.,.
,+._._.ui._...._.......ux_..
I.
Cron Cycle Totals
17 <74r'
Total PAN
Owner's Operator's elgnntu
Certified Operator (Pant)__..,.,,_,..—.
Operator Certification 8
" Weather Codes: C-Clear, PC•Partly Cloudy, CI -Cloudy, R.Raln, s-anaw!sleat, W-Windy
Persons completing tho Irrigation Inspections must Initial to signify that Inspections were campletad al least may 120 maculae,
rs
9.4,74

FORM: COM8INED IRR-1 & MR-2
•
Tract g
Field Size (welted acres) A (A)
Farm Owner
Owner's Memos
0wnor'n Phone ll
Crop Typo
•
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Field
1 APPNIV
Irrigation Oparalnr
Irrigation Oporaarr'a
Addraae
FgcllllyNurnher
t Oparnlnr'a Phone # �• _•,-,_,
Prom Wantn Utilization Plan _
"-'.-'- �' tioonmrnnndod PAN 1I'
Lading (IbIacre) n (e) _________n_ j (2......
Ls ;el 4
1JQw SN��
Lagoon
ID
gntian
VaTlane
par Acra
(BgaaII/eera)
(7yi(A)
Waste Anolynle
PAN'
(Ibt1000 flop
PAN Applied
(Ibiacrol
ling fel
Nli agan
Selena*
(Ibfaore
(S) - (10)
Weather
cod*"
Inapocllone
(Initials) "'
•
Onta
(mntddlyr)
Stan
Time
End
'lima
Total
Wades
(3)-(2)
Mof
apdnldera
Operating
Plow
Mao
(aallrnln)
Total Valuate
(gaHans
(0) s(a)t(4)
1000
Bo
1
Ia,-)_b-7sb'Pd
4".51a
alpf.'
1
1,52-
6fiif°
lfq'f
i,31
/1,2a
_n,N'
Cl
.I -5
,2- 2L-4
2,4:z)
_.___.__._._
l,*i a
5' 3e
51)t3
.__..
Z
32°
.__
+
f
____ _._..._.__.._........---____._.
f sy
K2"
3I5,0
542310
Vint
1ifi e
_..._-_ ,._
alirz'
i, /I
....._,.__..__
a i Di
) ::'+...._-...._.....143
____..-- -
bgenli
<
CI
_.
_.__
_._._..._�___•..._..
14'be
____
_ .__..._____.._..__,_.
a
Owner's Signature
Crop Cyclo Totals
06
Codified Operator Wring
Total PAN L_s9, -r
Op*ratar's Slgnaturgr,-„ ` , _ /!
Operator Certification
" Weather Codes: C-Clear, PC -Portly Cloudy, CI -Cloudy, R-Rain, S-enow/Sleet, W-Windy
•' Persona completing the Irrigation Inspections must Initial to nlgnlly that Inspections were completed at least every 120 minutes,
4

1f21: COMBINED IRR-1 & IRR-2
I'mB
Plaid Slzo Wolin() acroc) (A)
Farm Ownar
Owner's Addmoa
Owom'e Mono 11
Lagpon Liquid Irrigation Fields Regard
One Form for Ennh Plaid per Crop Cyute
2arg1 FmWd
jr 310
FndlilySlumber
Irripullon Opornlor
Macllan Opar %
Address —�—•—.—_....M
OparohMa Pleaho
Prod Thuile Ullllxotlon Plan
Cop Typo
.,.W.._....w.. Nodummnendud PAN ty
0 (1 G' 5 Ceti Laadingphleera) Idl
.J9t » lgt d11
Gaon
Ip
t..
,:—.-111.....,_._.... .....
.. r+ '',w,
imam
"Rj ""'
Wools Analysis
PAN'
(Iminoogal)
PAN Appllod
(Moro)
tdl x tg)
lobo
*Kapp
Milano
(Iblaore)
MI.110)
WallowInepoellone
Code °
(Inhale) •'
.xi_
--,:_
Dole
(mmlddfyr)
finer!
Time
End
Time
Total
Agnes
(o)-(2)
A' of
epilnidere
Oparedna
Plow •
ROW
(gatrnin)
Tole' Valuma
(gallons)
(e)x(e)a(e)
aT nTd
r Amu
(galleefe)
71tA)
Bs
/l. -2,1
it G 0
0;15
75
1
ill-
isepo
t 116t--
,.(, zl
loci
.fro. t
.
.4
..w.+-.
--
•
Corp Cyclo Totals
/ f /74 D
Total PAN
_,`jt _ ef
/
n
Owner's Biennium
Coddled Qporutor (Printl.
Operator's Sbinature_,__S
Operator codldcedon It„_,_—_.__.1.�!................
',Weather Codes: C-Cloar, PC -Partly Cloudy, CI -Cloudy, R•RsW, 9'8nowlSloet, WWlndy
" Person completing the Irrigation Inspections must irdgal to slgtdy that Inspections ware ramplo)ad at least every 120 minutes.

IRM: COMBINED IRR•1 & IRR-2
Total
Field Slre (wsltnd own) n (A)
Form Owrmr
Owner's Addrnae
Ownel'a Phone it
Lagpon Liquid Irrigation Plaids Record
Ono Form for Earth Field per Crop Oywla
ea A j moor
Put9111yNumbnr '
Irdpullon Opomlet
InitfMlan Opamtor'a
Addroex
CPamlm'e Plow
_ From Wrote u11111<rlalloo Plan
Mop Typo lrxtentnendod PAN
L f% V e ci a Lauding (INaam) * le)
• (p) (er 110)• (11
10
Tr
Woe
"Pc
Waste Analysis
PAN'
(Imineo ad)
PAN Applied
(Ibfacro)
al)s (et
Mllropon
Delano
Pe/twoCode
PTO • (10)
Woollier
•
Inepoatlone
(Inllieia) "•
fee
..... ............. _,..-»_..,_•
note
(mmldtWyr)
Store
Time
kind
'rime
Tale)
MWbulea
(3) - (7)
ear •
epdnktera
Oporaling
Plow •
Role
(aevmin)
TolalValuma
(gallons)
(6)re (5) re (4)
its
or Aare
` aWrs's)
t7p1(A)
lane
ToI(
At
/ "%f 2:
7f oD
r A/5
175
/
/52
bile
.17,7eV
.�
/, 1
.5; t
4fr,2
,....,...l......._
_.-._ram.
._,•.....-__,_
..«_..,-.,......-..,...._........_......
......_.....___..,.__.y_
.... .»._,....... _,....._......._.......
..,,..._.._._...,_._...-»_
,.......»....._..,..»,.,»..,.....__.
,
a
Crop Cycle Totals
4. f V O
Total PAN 5.
r
Omen Slgnnlura
Codllad eporutor (Print),_„_,,,, r f 3 ......_....._...._...�._�-._.._...�. CpnmbrCunlOuadanp..-.T_._1...._,_.......it.
Operator's Signature
4.Wealhor Codes: C-Claar, PC -Partly Cloudy, CI•Cloudy, R•F1ain, 8.8ttawfSloat, W-Windy
"Parsons completing the Irrigation Inspections must Inlllul lo.etgnly lest Inspacllons ware completed et lent every 120 minutes,

NM COMBINED IRR-1 & IRR-2
'I,ra t #
Pnid 81zo (woltld acroa) n (Aj
Form Minor
Ownor'x Addreoo
Ownto%Phuno N
1-1
Lagpon Liquid Irrigation Fields Record
One corm tot Each Field per Crop Gycle
Fluid N
Fro , Waale U1111xnuae Plan
Crop Typo a
rot?
_....,,..._..
Nuoarnmendod PAN
Wading (Ihlanto) A (6) ...«.._ el L.
PeclUty Numher �g iz . (,_.... L/ .,
Irrigation OpanIrrieullon Ovando? -Y, ,,.,.. ._...... _.... OCT Q % 2021
sarrb
°pintoes Mono
A+
Mrusx
_ FAVETTEI/iiLE,REG'ON,A? OFFI E
(o} « 5)dl (11
gnon
(p
Wools Anolynio
tlbrPAN'as0
PAN Applied
(Ibracra)
MU
NUragon
Selena
((IWErp)y
Weether
Cbdn'
Inepoalbns
OnlUela) n
Ante
(mndddlyr)
91ert
tie
End
'rims
Tolnl
Minutes
(s) _(a)
*of
sgknklete
°paroling
Plow •
Belo
(eayrnin)
Tolol Volume
(gallons)
(a) x (e) t 14)
Velurno
per Am
(Pry) sr)
F
A
N-23,4
/;ao
tog
«f25
/
157--
Ce0,00
lag
a.t6
.24,9
,8t.7
'�
2
4...33,./-21
/o'aa
3;15
I $'
7:_ ._...
31 ,._
31 S
25 .......«(
!
t _
_..._......
(5'i--
/57-
-
117774
57Q0"
..M h9'.4c b
7034_.....2.
112754_...
f .21 ,1
Re
2.:.. 4 .,...23v_
I‘ ..__
Jg 5._ ...�...45,2-
__,...._...V
2 •
0..,«_4--.
t s, 7
___
A se
id• ti _._.
lg.._.._...
.
i«.«....:..4=42:
.-2.-11
..0a-8.
®v.
.a.,
t «
zkm
.
"
Crop Cyclo Totals
1344t%'
'PatelPAN
__1S Az_
Owner's 8lgnnturo
Operator's 81gnnture__ � i ! Zf'!i2
Codified Oporutor (Prhm) „ „ _._ __.�_ ._ . _. Operator Conincanon N.
r Weather Codes: C,Cloar, PC•Pailly Cloudy, CI -Cloudy, R.Retn, 8.8nowl81ee1, WWindy
!! Persons completing the Irrigation InepecUuns ntus(InMul to slgnlly Utet inepediona warm camptotad al least every 120 ndnutse.

RMt COMBINED IRR-1 & IRR-2
Lagoon Liquid Irrigation Fields Record
One Porto for Each Plaid per Crop Cycle
TmatM —Tr-1
it . FhddMI
pod Elm (vndhrd ocean) n (A) __ !,C x ,,._,-__...,,,,.,,�„_,,,
Farm Owner C„_,-,,...,_,..,-.„,..„„.,,,,,._.,.,w,.......-,.,,,
OwnarM Addreaa
Owner's Fhuna M
•
_._.. �. From Wnolo Utlllzatlou plan
.,._.__,..._....,.._,,......,.._....-......... Roamrunendud PAN
Crop Typo r r% load th)aom B /
FnclIlly Number
Irrlpullan Oporalar .,,,.....-,,.„....,..-__•.._
InitlallanOpamlarb .._._....._._-
Addreax __-• __ •. _ ._... _ _....._
Operator's Minna 0
p - (la( ,4
peon
Ip
(a_—
.
,�r .> t— .;. —.—
t�elon
Waste AnalySIB
WAN'
phneeogo»
PAM Appdod
(IWactn)
tat x let
Mllraaen
Balance
flWaara)
11-NO)
Weather
Cnda
Inmpsneone
(lnisals) •'
Onle
(mmhkllyr)
61ed
Tlme
and
'time
Total
fylnules
(a) -tap
Mof
epdnhlete
Oparaang
Flaw•
Retu
(eatnnln)
Total Volume
(gellone)
(A)x(e)it(A)
Volume
par Aare
(geyeott)
)(A)
10a0
Bn
>f-7-21
1:)5
2,`!5
940
/
/5,1
ry92IP
/24(34
2, Jftl
24.r4
gAi, i
C
!
)4•14.21
5-2 °` `I
fp'pc
1 ' qt
S(too
3
i.._.
151_
i s
54d. 7.20 _/2•1#2L
S4
h z 7!y1,
16
2.1/_
A. / 4
2lei 5`
27, r 4_..•.-._a
_7.
.r.
-
_•,
,.....
G
_d ".
,_,
�._!
,__-_.
4..._ ...__..
gibe,
iv,
s
1
9
y
Prop Cycle Totals
-'.Note
Total PAN
/97'1
I
4
Owner's Bignaluro
Operator% Signature
Collided Oporumr (Print),_,_,-._.„.. ...._..._..,.._..__.__.__......._. Operator Codification p.-,.__._.__�._ . 3
fWanlher Codes: C-Clear, PC -Parry Cloudy, Cl-Cloudy, R-thin, s-stlowlsleo(, W-WIndy
'Pomona completing the Irrigation Inspections must Inluut to signify that Inspections ware completed et least twit/ 120 minutes.
Pr— Pt.

FRY: COMBINED IRR-1 & IRR-2
Treat
Mold Slag (wntlnd soon) n (A)
Farm Ownnr
Ownor'tl Mdreaa
Owna'n Phone y
Laggo(1 Llquld Irrigation Fields Record
One norm for Each Maid per Orop Cyala
/ 01 meal
l_
F S 3
(lop Typo I G D Cr)
FnckIlVNumka „� . I�
Inlpullan Operator
NOW Operator's
AAdron
opernue'e Phan
From Wanlo ullllxnUan Plan
Rneammended PAN
larding (IWauto) n (8) .__.._.._.__...,_...... °'_..._.._.._-_,_......._..,....._..
' (8 IU� • .111
,..,..,..
goon
ID
!11
•.mil.
(y,) ! I L Vr ,��,w of 4• .
_W�.L xww1 Irgnollan
Wntlle Analyele
116hnnnaeq
PAN Apollo('
(iblacte)
taoti
Nkrotlsn
Beano
lB1n rs))
Weather
Cade•
inspections
pnlllate)"
Onte
(mntlddfyr)
Start
Tine
and
Time
Tagil
Minutes
(3).(8)
110r
8pllnktete
Oparollng
Plow
Rate
(eellrrdn)
Total Valuing
Views)
(6) x (e) x (4)
Vows
er Anrtl
�))
.�.,
Apt- 4`>-.)
`7:roo
2;°cf
4i2 '
/
iC;2,
hilto
/,3°
1.5' ge
7,5:1
C-
"• 3.
..4,
-21'
4rbL
L`v
J�L,Dis
m s�s
4:10
1`'
.,.'.�.l3g4
!._�_.�W?.
51
_pits'
%,26+45
lcs,
1'�°
2 J%.
l.ir
� __.
/f:ic,.,,
?��
�_,.
_. _
,_ _
_._
/
5-ccu
•
Crop Cycle Totals
2 S 41:La
Intel PAN)
3• 4
Owner's Bignatura
Cortlned Operator (tInn),_,,,,,,_„„,_,........__.._
Oparalar'e Bignntura..„. "dr--- ZJ6 _ g%o
Opnrator CurUncmlan it_ _I(3"C,..
IWeather Codes:O•Claar, PC•PartlyCloudy, GI -Cloudy, R•Raln, 8.8nowl$leet, WWimly
'" Portions completing the initiation Inapoelluns must Initial to signify that Inspections were annotated at mast every 120 minutes,
Su'

FORM: COMSIN
D IRR-9 & IRR-2
Tract 6
Field Size (wollnd moat ra (A)
Perm Owner
Owner's Addraas
Owner'' Phone rl
Lagoon Liquid Irrigation Flelds Record
One Form for Each Field per Crop Cyule
/5 • 1 aField II
Irrlgution Operator
irrhlaeon Operator's
Addrese
Opnmloee Plume #
Facility Number [flAn � • t 4 4-1
_ _ pram Waal* Utilization Plan
Crop Typo i W' I Recmnmand id PAN
L E� $ . _ J Lasding (Wanru) r
10
'
Owner's Signature
Certified Operator > of
Ctals
Tutus PAN
Operator's Signature � uu////.����
Operator Carll6ca6un M /9 3 3' 1'
" Weedier Codes: C-Clear, PC -Pertly Cloudy, CI -Cloudy, R-Rain, 5-Snow/Sleet, W-Windy
°" Persons completing the Irrigation Inspections must Inlgel to signify that Inspections ware completed et toast every 120 minutes.

FORM: cOMBINEIT IRR-1 & IRR•2 Lagoon Liquid Irrigallon Fields Record
�! Ono Form for Each Field par Crop Cycto
Tract H / `ri 1 Field II
(1
Flnld Size (wound agree) n (A)
Farm Owner
Owner% Address
2
Owner's Phuno II
:fo,J
Irrigation Operator
6dgollon Oporator'a
Addrene
Opnrslnr's Plane 0
pram Wattle Ullllxngon plan
Crap Typo
Nscom
mendud PAN
loading (INeara) n (S) ...,. .__..
Facility Number
2, - IT ', 7]
tl) (4) f0) (s) (7) (0) (9) (10) ((1
Lagoon
ID
Irdrnlion
WasPAN0lyals
1lbtl000 gal)
PAN Applied
(Ibl ��
Nitrogen
Balance
(Ibfecre)
(B) -(10)
Weather
pnUIaW)••
W
Date
(mmlddlyr)
la
Stan
Time
End
Time
Total
Minutes
(3)-(2)
it of
Spdnldere
Operating
Flow
Rele
(gailrnin)
Thiel Volume
Wane)
(s)N (0)i (4)
Tar
per Aura
(iyl;A)
1000
2'
WJ Siati23
m2
0/d
31°
J
15'
542ya
12/08
I.'31
I7,l
�'
/ez 9
.i
2:6a
$:0s
31,5
i52
55fle'
J23xf
1.3°7
1,37
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Owner's Signature
Crop cycle Totals
Certified Operator (Print) _,_.,....___._.__�... _
Total PAN
Operator's elgnature_,.-___
Operator Certlnreaan N„_..
" Weather Codes: C.Cloar, PC -Partly Cloudy, CI -Cloudy, R-Rein, S-SnowlSieat, W-Windy
"" Portions completing the Irrigation Inspections must Initial to signify that Inspections ware emaciated at least every 120 minutes.

HERR, Inc.
303 S. Maultsby St.
Whiteville, NC 28472
Phone # [phone]
Fax # [phone]
Bill To
[e-mail]
W W W.HERRTEAM.COM
Smithfield Foods
19600 Andrew Jackson Hwy
Laurinburg, NC 28352
P.O. Number
1731995
Quantity
ID
Terms
Net 30
Item Code
104.95 Tanker
117 Tanker
114.5 Tanker
52.25 Supervisor
50.5 Personnel
Remit To
Ship To
1/19/2021
Description
HAZMAT EMERGENCY RESPONSE AND
REMEDIATION, INC (HERR) FEDERAL TAX 1D
01-0740178
Transportation of lagoon water from Baggett Farms PO
1731995 Work Jan 4-7, 2021
Bulk Tanker (per hour) Jan 5
- Bulk Tanker (per hour) Jan 6
Bulk Tanker (per hour) Jan 7
Supervisor (per hour) Jan 4-7
Personnel (per hour) Jan 4-7
Total 79 loads
his ror',e
Remit To:
HERR, Inc.
303 S. Maultsby St.
Whiteville, NC 28472
*We accept VISA and MasterCard payments with a 4%
surcharge per transaction*
ALL PAST DUE INVOICES SUBJECT TO A 1.5% (18% PER ANNUM) LATE FEE
OCT 0'72m m
rag/ ,/-QrG)ARig1OFFICE
Project
T-210011-W
Price Each Amount
0.00
125.00
125.00
125.00
45.00
35.00
0.00
0.00
13,118.75
14,625.00
14,312.50
2,351.25
1,767.50
0.00
Total $46,175.00

FORM TRAM-1
Farm Owner
Owner's Address
Owner's Phone #
Animal Waste Transfer Record
Record Each Transfer of Waste Between Lagoons or Third Party
Sari ,eastet+
1/jf3 �ecd m;if eel,
goseio rt, JJ.Cr
P - 5123
Facility Number
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
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fier ..ANC.
rJ t;4) {C , do, € :
y/o _ ‘1C-0 —,26o -7
Date
Time
Nutient
Analysis
Transfer From
(lagoon ID)
Transfer To
(lagoon ID or third party)
*Volume
Transferred
**Third Party Information
Permit #
Name
Phone #
/-6-21
Voo
1.30
Z
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fbbo©
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5'm:+AF:cict roofs
7 z/
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t a
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kinFatty%
//f%'D°°
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*Volume Transferred must be recorded in gallons, tons, or cubic yards.
**Third Party must be provided with nutrient analysis.
Waste Transfers over 4 cubic yards must be accepted by a permitted facility or a field in the permittee's WUP.
3/14/03

FORM TRAN-1
riz
Farm Owner
Owner's Address
Owner's Phone #
Animal Waste Transfer Record
Record Each Transfer of Waste Between Lagoons or Third Party
Gctry 0o555c1"i
045 )' e t d yh ;► I dtd .
R ©9ti3 y r °> iv, _ � S J t L
q/n - 3f 5f',2 3
Facility Number
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
%f err,
Date
Time
Nutient
Analysis
Transfer From
(lagoon ID)
Transfer To
(lagoon ID or third party)
"Volume
Transferred
"Third Party Information
Permit #
Name
Phone # "
5-1
f-10c)
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/
E2f6'% f 4rm
/$6o'o
f?t''Z) 4,
Set,:4 k 4-tc (d. 'JbQL5.
jab -if
ic.,>
j.:a'
l
(77tii sre.
% Vc,n
12ax1 te
5'^,• if%cjd Ft'ads
`Volume Transferred must be recorded in gallons, tons, or cubic yards.
"Third Party must be provided with nutrient analysis.
Waste Transfers over 4 cubic yards must be accepted by a permitted facility or a field in the permittee's WUP.
3/14/03

FORM SLUR-2 Slurry and Sludge Application Field Records
One Form for Each Field per Crop Cycle
Tract
Field Size(Wetted Acres)=(A)
Farm Owner
Owner's Address
Owner's Phone
Crop Type
1
(3)
Field
Facility Number
Spreader Operator
and Address
Operator's Phone
From Animal Waste Management Plan
Recommended PAN
Loading (lb/acre) = (B)
.
"' w, tot in (8)
"'Nutrient
Source
Date
(mm/dd/yr)
Number
of Loads
per Field
Volume of
each Load'
(gallons)
Total Volume
(gallons)
(2) x (3)
Volume per Acre
(gallons/acre)
(4) / (A)
Waste Analysis
PAN"
(lb/1000 gal)
PAN Applied
(lb/acre)
(6) x (6) / 1000
Nitrogen Balance*"
(Ib/acre)
(B) • V)
e=
143DM/ i
-al
3opo
itbco
/05-t
t, �l
/ 3'
il"r, ii-
1
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3A/,,21
39')0
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Vi t
gym" }�
$ gnm&
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y) 9
i
- .V
7
3o©p
3 7,
121, 0
Crop CyPcls Totals: 17 L10 t)
Owners Signature 193•elate-- Cry
Certified Operator (print)
Spreader Operator's Signature
Operator Certification No.
/ -3+r/e
* Can be found In operator's manual for the spreader. Contact a local dealer if you do not have your owner's manual.
See your waste management plan for sampling frequency. At a minimum, waste analysis Is required within 60 days of land application events.
"'Enter the value received by subtracting column (7) from (B). Continue subtracting column (7) from column (8) following each application event.
***Enter nutrient source (le. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.)
3/14/03

FORM SLUR-2 Slurry and Sludge Application Field Records
One Form for Each Field per Crop Cycle
Tract #
Field Slze(Wetted Acres)=(A)
Farm Owner
Owner's Address
Owner's Phone
Crop Type
(1
2
Field
Facility Number
Spreader Operator
and Address
Operator's Phone
From Animal Waste Management Plan
Recommended PAN
Loading (Ib/acre) = (®)
"""Nutrient
Source
Date
(mm/dd/yr)
_
Number
of Loads
per Field
-
Volume of
each Load*
(gallons)
Total Volume
(gallons)
(2) x (3)
wr
Volume per Acre
(gallons/acre)
(4) / (A)
(s)
Waste Analysis
PAN"
(Ib/1000 gal)
N.
PAN Applied
(lb/acre )
(6) x (5) / 1000
(a)
Nitrogen Balance^'
(I8) (7 )
{B) - (7)
e=
2
_3 3o- f
'r�. =
/0 y1
3o
7,2 7
p
G [/ »r
L'tr
�pq
ei
Mace)=
17j,ce
194.1eJ
;
1.2,7
Crop
Cycle Totals:
3 7 00c
1 Q 3
Owners Signature
Certified Operator (print)
Spreader Operator's Signature
Operator Certification No.
f1 e? seM 60pt
Care be found In operator's manual for the spreader. Contact a local dealer if you do not have your owner's manual.
"" See your waste management plan for sampling frequency. At a minimum, waste analysis Is required within 60 days of land application events,
"*Enter the value received by subtracting column (7) from (B), Continue subtracting column (7) from column (8) following each application event.
"'Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry Utter, etc.)
3/14/03