820708_Response to NOV_20211106

• IRRIGATION EQUIPMENT
FLOW METER
'XEUJ CAI,113 TION
LOCATION: ILE)(Pxk
.
L+hone.
DATE OF FIELD CALIBRATION:
FLOW METER' SERIAL NUMBER: cfl s(Gar
'x: P4 YFrrFi
REEL/GUN/SPRINKLER MAKE AND MODEL:
(see reverse for solid set system)
MEASURED RING SIZE (from irrigation .design):
Is ring 'within .01" of expected inanufa darer size?
If not, ring must be replaced.
PRESSURE READINGS AT PUMP: psi (optional)
AT REEL: si (optional)
AT GUN : psi (required)
FLOW RATE (GPM) , E•(PJCTED;
u/ .
:from manufacturers crt _ MEASURED: 1 __
and flow meter readout) VARIANCE: • 0 'fo
?ThCi Aiti
WETTED DIAI'ETER (ft)
(see wettable acres determination
for expected diameter)
if wetted diameter is greater than 15% or flow rate variance is greater than 10%,
contact a Certified Technical Specialist or irrigation specialist for assistance.
And/or Explain findings:
xn
EXPECTED:
MEASURED:
VARIANCE:
CALIBRATOR: frkL ]2L'J
_. .. ..... _ (pant name) _.....•..••--
Phone:
(signature)
5V) fL/IX Email ()Il1X-- 4)---0
Nic i�IVEA &sThrNRSITY
COOPIRATIVE
,+1EXTENSION
/WritPeopte Pul fnowle4gc to froth

IRRIGATION EQUIPMENT
'LOW METER
FIELD CALXJ3RA.TION .
LOCATION; k ) L,b3
phone}. s
DATE OF FIELD CALIBRATION: C II
now METER.` SERIAL IOMBER:
t-ii:Neren
REEL/GUN/SPPJNKLER MAKE AND ,IYIODEL:
(sec reverse for solid set system)
E)(
MEASURED RING SIZE (from irrigation design): -tiri, „§
Is ring within .01" of expected nnanUfacturer size?
If not, ring must be replaced.
PRESSURE READINGS AT PUIY : psi (optional)
AT REEL: psi (optional)
AT GUI : psi (required)
FLOW RATE (GEM) . E ' CT ,,D; (7
(from mannfac#arm. chart MEA,S,UREI);
and flow meta readout) VARIANCE:
WETTED DIAMETER (ft)
(see wettable acres determination
for expected diameter)
EXPECTED: ft
MEASURED: ft
VARIANCE;
If wetted diameter is greater than 15% or now rate variance is greater than I0%,
contact a Certified Technical Specialist or irrigation specialist for assistance,
And/or Explain findings:
CALIBRATOR: /1lY khOk/k- •
{pxiut,aine)...... ,..,..
Phone:
� I VwgcOA 4 c( . Email
NC5atilEalaWsrrY
COOPERATIVE
AIM EXTENSION
NeWrfe,Psopfr l'w1 friowiap ro Broth
(signature

Appendix 1. Lagoon Sludge Survey Form Revised August 2008
A. Farm Permit or DWQ Identification Number Whitewoods (Pumping Lagoon)
8, Lagoon Identification Whitewoods (Pumping Lagoon)
C. Person(s) Taking Measurements Max Knowles
D. Date of Measurement 9/18/21
E. Methods/Devices Used for Measurement of:
a. Distance from the lagoon liquid surface to the top of the sludge layer.
Depth Sonar
b. Distance from the lagoon liquid surface to the bottom (soil) of the lagoon.
Sonar
c, Thickness of the sludge layer if making a direct measurement with "core sampler".
N/A
F. Lagoon Surface Area (using dimensions at inside top of bank): 1,87 (acres)
(Draw a sketch of the lagoon on a separate sheet, list dimensions, and calculate surface area, The lagoon
may have been built different than designed, so measurements should be made.)
G. Estimate number of sampling points:
a, Less than 1.33 acres: Use 8 points >24
b. If more than 1.33 ac. acres x 6 = , with maximum of 24.
(Using sketch and dimensions, develop a uniform grid that has the same number of intersections as the
estimated number of sampling points needed. Number the intersection points on the lagoon grid so that data
recorded at each can be easily matched.)
H. Conduct sludge survey and record data on "Sludge Survey Data Sheet" (Appendix 2). Also, at the
location of the pump intake, take measurements of distance from liquid surface to top of sludge
layer and record it on the Data Sheet (last row); this must be at least 2.5 ft. when irrigating.
I. At the time of the survey, also measure the distance from the Maximum Liquid Level to the Present Liquid
Level (measure at the lagoon gauge pole): 1.8
J. Determine the distance from the top of bank to the Maximum Liquid Level 1.6
(use lagoon management plan or other lagoon records)
K. Determine the distance from the Maximum Liquid to the Minimum Liquid level: 2.0
(use lagoon management plan or other lagoon records)
L. Calculate the distance from the present liquid surface level to the Minimum Liquid Level 0.2
(Item K Minus Item 1, assuming the present liquid level is below the Maximum Liquid Level)
M. Record from the Sludge Survey Data Sheet the distance from the present liquid surface level to the
lagoon bottom (average for all the measurement points) 8.6
N. Record from the Sludge Survey Data Sheet the distance from the present liquid surface level to the top
of the sludge layer (average for all the measurement points): 4.6
0. Record from the Sludge Survey Data Sheet the average thickness of the sludge layer:
P. Calculate the thickness of the existing Liquid Treatment Zone (Item N minus Item L):
Q. If Item 0 is greater than Item P, proceed to the Worksheet for Sludge Volume and Treatment Volume.
If Item 0 is equal to or less than Item P, you do not have to determi e volumes.
//
Completed by: Date: '
4.0
4.4
Print Name !Signature

Appendix 2. Sludge Survey Data Sheet*
Lagoon Identification
Revised August 2008
Completed by: Max Knowles
Print Name
Signature
Date:
(A)
Grid Point
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
( B )
Distance from liquid surface
to top of sludge
Ft. & in.
>24 Readings
Ft. (tenths)
0.0
0,0
0.0
0.0
0,0
0,0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
(C)
Distance from liquid surface
to lagoon bottom soil)
Ft. & in.
Ft. (tenths)
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0,0
0,0
(C)-(B)
Thickness of sludge layer
Ft. &
Ft. (tenths)
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0,0
0,0
0.0
0.0
0.0
0.0
0.0
0,0
Number of points with readings
Average of
points
X X
#DIV101
X X
X X
#DI V/0I
X X
X X
#Df V/0I
At pump
intake
4,9
4.9
*All Grid Points and corresponding sludge layer thicknesses must be shown on a sketch attached to this
Sludge Survey Data Sheet.
Appendix 3. Worksheet for sludge volume and treatment volume Revised August 2008
The average thickness of the sludge layer and the thickness of the existing liquid (sludge -free) treatment zone are determined
from the information on the Lagoon Sludge Survey Form ( Items 0 and P, respectively). In this example, the average sludge

layer thickness is 2.5 feet and the existing liquid treatment zone is 3.5 feet. If the lagoon has a designed sludge storage volume,
see notes at end of the worksheet. The dimensions of the lagoon as measured and the side slope are needed
for calculations of sludge volume and of total treatment volume, If the lagoon is a standard geometric shape, the sludge
volume and the treatment volume in the lagoon can be estimated by using standard equations. For approximate volumes
of rectangular lagoons with constant side slope, calculate length and width at the midpoint of the layer, and multiply by layer
thickness to calculate layer volume, as shown in the example. For irregular shapes, convert the total surface area to a square
or rectangular shape. For exact volumes for lagoons with constant side slope, the "Prismoidal Equations" may be used.
Example Your Lagoon
1 Average sludge Layer Thickness (T) 2.5 ft. 4.0 ft.
2, Depth of the lagoon from top of bank to bottom soil surface (D) 11 ft. 12.0 ft.
3. Slope = Horizontal! vertical side slope (S) 3 3.0
4. Length at the top of inside bank (L) 457 ft. 340,0 ft.
5. Width at top inside slope (W) 229 ft. 240.0 ft.
6, Length at midpoint of sludge layer Lm = L-2S(D-(T/2)) 398.5 ft. 280.0 ft.
7. Width at midpoint of sludge layer Wm= W-2S(D-(T/2)) 170.5 ft. 180.0 ft.
8. Volume of sludge (Vs) Vs=L", Wm T 169,860 ft3 201,600 ft3
9. Volume in gallons: VsQ=V*7,5 gal,/ft3. 1,273,950 gal. 1,512,000 gal.
10. Thickness of existing liquid tmt, zone (Y) 3.5 ft 4.4 ft
11. Thickness of total treatment zone (Z) Z= T+Y 6 ft 8.4 ft
12. Length at midpoint of total tmt. zone Lz = L-2(S)(D-(Z12) 409 ft. 293.2 ft.
13. Width at midpoint of total tmt, Zone WZ = W-2(S)(D-(Z12) 181 ft. 193.2 ft.
14. Volume of total treatment zone (Vz) Vz = LZ WZ Z 444,174 ft3 475,828 ft3
15. Ratio ( R) of sludge layer volume to total Treatment Volume
R = Vs/Vz 0,38 0.42
if the ratio R exceeds 0.50, than a sludge Plan of Action may be required. Check with DWQ for information
on filing the Plan of Action.
Note: If the lagoon has a designed sludge storage volume (DSSV), subtract that volume from both the volume
of sludge (Vs) (item 8) and from the volume of total treatment zone (Vz) (Item 14), and take the ratio.
Then, R = (Vs-DSSV) / (Vz - DSSV)
Example: If DSSV = 85,000 ft3, then R = (169,860 - 85,000) / (444,174 - 85,000) = 84,860 ! 359,174 = 0.24.
16, Design sludge storage volume (DSSV) 85,000
17. Ratio (R) of sludge layer volume to treatment volume adjusted
for designed sludge storage volume
0.24 0.42

Appendix 1. Lagoon Sludge Survey Form Revised August 2008
A. Farm Permit or DWQ identification Number Whitewoods (Transfer Lagoon)
B. Lagoon Identification Whitewoods (Transfer Lagoon)
C. Person(s) Taking Measurements Max Knowles
D. Date of Measurement 9118/21
E. MethodslDevices Used for Measurement of:
a. Distance from the lagoon liquid surface to the top of the sludge layer.
Depth Sonar
b. Distance from the lagoon liquid surface to the bottom (soil) of the lagoon.
Sonar
c. Thickness of the sludge layer if making a direct measurement with "core sampler".
N/A
F. Lagoon Surface Area (using dimensions at inside top of bank): 1.83 (acres)
(Draw a sketch of the lagoon on a separate sheet, list dimensions, and calculate surface area. The lagoon
may have been built different than designed, so measurements should be made.)
G. Estimate number of sampling points:
a. Less than 1.33 acres: Use 8 points >24
b. If more than 1.33 ac. acres x 6 = , with maximum of 24.
(U sing sketch and dimensions, develop a uniform grid that has the same number of intersections as the
estimated number of sampling points needed, Number the intersection points on the lagoon grid so that data
recorded at each can be easily matched.)
H. Conduct sludge survey and record data on "Sludge Survey Data Sheet" (Appendix 2). Also, at the
location of the pump intake, take measurements of distance from liquid surface to top of sludge
layer and record it an the Data Sheet (last row); this must be at least 2.5 ft. when irrigating.
I. At the time of the survey, also measure the distance from the Maximum Liquid Level to the Present Liquid
Level (measure at the lagoon gauge pole): 0.7
J. Determine the distance from the top of bank to the Maximum Liquid Level 1.6
(use lagoon management plan or other lagoon records)
K. Determine the distance from the Maximum Liquid to the Minimum Liquid level: 2.0
(use lagoon management plan or other lagoon records)
L. Calculate the distance from the present liquid surface level to the Minimum Liquid Level 1.3
(Item K Minus Item 1, assuming the present liquid level is below the Maximum Liquid Level)
M. Record from the Sludge Survey Data Sheet the distance from the present liquid surface level to the
lagoon bottom (average for all the measurement points)
N. Record from the Sludge Survey Data Sheet the distance from the present liquid surface level to the top
of the sludge layer (average for all the measurement points):
O. Record from the Sludge Survey Data Sheet the average thickness of the sludge layer:
P. Calculate the thickness of the existing Liquid Treatment Zone (item N minus Item L):
Q. If Item 0 is greater than Item P, proceed to the Worksheet for Sludge Volume and Treatment Volume.
If Item 0 is equal to or less than Item P, you do not have to determine volumes.
Completed by:
MPly
Print Name /Signature
Date:
10.7
6,2
4.5
4,9

Appendix 2, Sludge Survey Data Sheet*
Lagoon Identification
Completed by: Max Knowles
Print Name
Revised August 2008
Signature
Date:
(A)
Grid Point
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
(B)
Distance from liquid surface
to top of sludge
Ft. & in.
>24 Readings
Ft. (tenths)
0.0
0.0
0.0
0.0
0,0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
(C)
Distance from liquid surface
to lagoon bottom (soil)
Ft. & in. [ Ft. (tenths)
0.0
0.0
0.0
0.0
0.0
0.0
0,0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
( C ) - ( B )
Thickness of sludge layer
Ft. & in.
Ft. (tenths)
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Number of points with readings
Average of
points
#DIV/0!
#DIV/01
#DI V/O!
At pump
intake
5,8
5.8
*All Grid Points and corresponding sludge layer thicknesses must be shown on a sketch attached to this
Sludge Survey Data Sheet.
Appendix 3. Worksheet for sludge volume and treatment volume Revised August 2008
The average thickness of the sludge layer and the thickness of the existing liquid (sludge -free) treatment zone are determined
from the information on the Lagoon Sludge Survey Form ( Items 0 and P, respectively). In this example, the average sludge

layer thickness is 2.5 feet and the existing liquid treatment zone is 3.5 feet. If the lagoon has a designed sludge storage volume,
see notes at end of the worksheet. The dimensions of the lagoon as measured and the side slope are needed
for calculations of sludge volume and of total treatment volume. If the lagoon is a standard geometric shape, the sludge
volume and the treatment volume in the lagoon can be estimated by using standard equations. For approximate volumes
of rectangular lagoons with constant side slope, calculate length and width at the midpoint of the layer, and multiply by layer
thickness to calculate layer volume, as shown in the example. For irregular shapes, convert the total surface area to a square
or rectangular shape. For exact volumes for lagoons with constant side slope, the "Prismaidal Equations" may be used.
Example Your Lagoon
1. Average sludge Layer Thickness (T) 2.5 ft. 4.5 ft.
2. Depth of the lagoon from top of bank to bottom soil surface (D) 11 ft. 13.0 ft.
3. Slope = Horizontal/ vertical side slope (S) 3 3.0
4. Length at the top of inside bank (L) 457 ft, 290.0 ft.
5. Width at top inside slope (W) 229 ft. 275.0 ft.
6. Length at midpoint of sludge layer Lm= L-2S(D-(T/2)) 398.5 ft. 225.5 ft.
7. Width at midpoint of sludge layer W,,,= W-2S(D-(T/2)) 170.5 ft. 210,5 ft.
8. Volume of sludge (Vs) Vs=Lm Win T 169,860 ft3 213,605 ft3
9. Volume in gallons: Vsg=V*7.5 gal./ft3. 1,273,950 gal. 1,602,037 gal.
10. Thickness of existing liquid tmt. zone (Y) 3.5 ft 4.9 ft
11. Thickness of total treatment zone (Z) Z= T+Y 6 ft 9.4 ft
12, Length at midpoint of total tmt. zone LL = L-2(S)(D-(Z12) 409 ft. 240.2 ft.
13. Width at midpoint of total tmt. Zone Wz = W-2(S)(D-(Z/2) 181 ft, 225.2 ft.
14. Volume of total treatment zone (Vz) Vz = Lz Wz Z 444,174 ft3 508,475 ft3
15. Ratio ( R) of sludge layer volume to total Treatment Volume
R = Vs/Vz 0.38 0.42
If the ratio R exceeds 0.50, than a sludge Plan of Action may be required. Check with DWQ for information
on filing the Plan of Action.
Note: If the lagoon has a designed sludge storage volume (DSSV), subtract that volume from both the volume
of sludge (Vs) (Item 8) and from the volume of total treatment zone (Vz) (Item 14), and take the ratio.
Then, R = (Vs-DSSV) / (Vz - DSSV)
Example: If DSSV = 85,000 ft3, then R = (169,860 - 85,000) / (444,174 - 85,000) = 84,860 / 359,174 = 0.24,
16. Design sludge storage volume (DSSV) 85,000
17. Ratio (R) of sludge layer volume to treatment volume adjusted
for designed sludge storage volume
0.24 0.42

Ken Spell
484 Horse Pasture Rd
Salemburg, NC 28385
11/06/2021
Mr. Trent Allen
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
225 Green St, Suite 714
Fayetteville, NC 28301
Dear Mr. Allen,
DEQIDV°trR
NOV 08 2021
WORDS
FAYETTEViLI._E REGIONAL OFFICE
ENTERED
LA SERF/C/4g
NOV 0 8 2021
=A YE�EV Q/DVVR VVQROS
LLE REG/ONAL OFFt
CE
In response to your Notice Of Violation NOV-2021-PC-0463 for Whitewoods Farm (82-0708)
dated September 30, 2021 and received by me on 11/05/2021, (my son signed for letter on
October 2 and failed to give letter to me), I submit the following:
1. Violation 1: Failure to calibrate all waster application equipment.
Extension agent Max Knowles performed the calibration of the waste application equipment on
September 17, 2021 and has been emailed to DWR staff Diane Harrison. In the future technical
specialist Nathan Bridgers will be assisting with all aspects of the waste application protocols
and record keeping. I will be working closely with Nathan Bridgers in conducting timely
calibrations of my waste application equipment in the future.
2. Violation 2: Failure to collect an analysis of a representative sample of the animal
waste to be applied in accordance with the time of application.
In the future technical specialist Nathan Bridgers will be assisting with all aspects of the waste
application protocols and record keeping. Nathan Bridgers has performed a waste analysis and
will be emailed to DWR staff Diane Harrison. Another waste analysis will be performed within a
week from today and a copy will be emailed to DWR staff Diane Harrison. I will be working
closely with technical specialist Nathan Bridgers in the future in collecting on time waste
analysis.
3. Violation 3: Failure to conduct a sludge survey accumulation in all lagoons every year.
Extension agent Max Knowles performed a sludge survey for both lagoons on September 17,
2021 and report has been emailed to DWR staff Diane Harrison. In the future technical
specialist Nathan Bridgers will be assisting with all aspects of the waste application protocols
and record keeping and I will be working closely with him in conducting timely sludge surveys in
the future.

4. Failure to record all irrigation and land application events(s) including hydraulic
loading rates, nutrient loading rates and cropping information.
In the future technical specialist Nathan Bridgers will be assisting with all aspects of the waste
application protocols and record keeping. I will be working closely with Nathan Bridgers on
completing the IRRI & IRR2 forms for the pumping events using the calibration and nitrogen
concentration. I am working with Nathan Bridgers on getting records up to date and will be
working/talking/emailing records to DWR staff Diane Harrison.
5. Failure to have a representative Standard Soil Fertility Analysis conducted.
In the future technical specialist Nathan Bridgers will be assisting with all aspects of the waste
application protocols and record keeping. I will be working closely with Nathan Bridgers on
conducting soil fertility analysis every year. A current Soil Analysis will be performed this week
and emailed to DWR staff Diane Harrison.
6. Failure to have a protective vegetation cover on all earthen lagoon/storage pond
embankments, berms, pipe runs and storm water diversions with the goal of preventing
erosion.
I am working closely with engineers at Smithfield Hog Production to correct the eroded areas
around discharge pipes and reseeding grass on the lagoon tops. I will be working closely with
technical specialist Nathan Bridgers in these areas as well. Removal of trees of lagoon has
been completed.
7. Failure to keep collection, treatment and storage facilities, and the land application
equipment and fields properly operated and maintained at all times.
Fields are being bush hogged now and will be completing this process this week and fields will
be sprayed and documentation will be sent to DWR staff Diane Harrison. I will be working with
technical specialist Nathan Bridgers and extension agent Max Knowles closely in the future
spraying spray fields for weeds in a more timely manner. The spray fields (Coastal Bermuda
Hay Fields) have been leased out to local cattle farmer and were sprayed once at the beginning
of the summer with Cimarron herbicide. However, the herbicide worked in some areas and did
not work as well in other areas. I cancelled the cattle farmer's lease this year and I will be
managing the weed control and crop harvesting for the spray fields in the future, with Nathan
Bridgers and Max Knowles assistance.
I hope that my answers to the violations and planned changes will be sufficient so as to avoid a
fine. I will be managing all aspects of waste disposal system to the highest level in the future. To
manage at a higher level, I will be working closely with technical specialist Nathan Bridgers and
extension agent Max Knowles. Thank you for your attention to this matter.
Sincerely,
Ken Spell

74-
FACILITY #: %.�:� FARM NAME:
FREEBOARD ACTUAL LAGOON LEVEL
PERMIT (#19)
- DUE EVERY 5 YEARS
- EXPERIATION DATE
OIC CARD YES OR NO
NUMBER OF ANIMAL
S 6/ V
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES
CROP TYPES f 77
THE UTLIZATION PLAN SHOULD HAVE A (-) NEGATIVE NUMBER
ODOR CONTROL CHECK LIST'Y�ES� R NO
Irrigation Plan Maps
WASTE REPORT (#21)/ ,v
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATE 6l ()% �r� / 9 NITROGEN LEVEL f Y
SOIL REPORT (#21)
EVERY 3 YEARS: DATE
P-I (NO MORE THEN 400) PH (Note if 4 or Tess)
Cu/ZN (NO MORE THEN 3000) CU ZN
(IF PEANUTS NO MORE THEN 300)
MENTAL CHECK OF CROP AND FIELD NUMBERS
IRR2 (#21)
ZONE ACRES PAN CROP TYPE
FLOW RATES NITROGEN (N)
120 Min inspection initialed Weather Codes
Commercial Fertilizer Chicken Litter

CALBRIATION (#24)
- EACH REEL SHOULD BE CALIBRATED
- DATE DUE EVERY TWO YEARS 7/-')A q7'5-
- FLOW RATES
/
RAIN FALL (#21)
-INITIAL AFTER 1" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED
-LOOK FOR BIG NUMBER DIFFERENCES SEE THAT THEY MATCH THE IRR2
FORM
SLUDGE (#21 & 2 5 ) , ef/
-DUE EVERY YEAR: DATE /73- '(//c-/ A
0: P: % RATIO OF SLUDGE
ti
(,,
,) OTHER FORMS (#22 AND
RAIN BREAKER FORM CROP YEILDS MORTALITY ?S
VISUAL CHECK
FOUNDATION OR PIT LEAKS PIPE LEAKS LAGOON
SEEPAGE LAGOON BARE AREAS TREES OR GRASS NEED TO
BE REMOVED EROSION DITCHES
WINTER CROP(OVERSEEDED) ALIVE CROP HARVESTED
FIELDS GOOD HEALTHY CORPS CORRECT
CROPS NO PONDING REELS FEED
BINS LAGOON GARBAGE

Ihcip
Facility Number
Division of Water Resources
0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: ,,atompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ,'Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
Owner Name:
t// Arrival Time:
Ild//1440)7Vr4
Mailing Address:
/(77
Departure Time:
11; JU frill
Owner Email:
Phone:
Regiono
Physical Address:
Facility Contact:
Onsite Representative:
Title:
1/
Integrator:
Certified Operator: � Certification Number: / q /19
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
,t/Feeder to Finish
Farrow to Wean
Design C
Capacity
d
Farrow to Feeder
Farrow to Finish
Gilts
Boars
/0o
Other
ao .2/ . p
c
g6/
Turkeys
Certification Number:
Longitude:
ent
P.
Turkey Poults
Other
Cattle
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes ErN.o ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) 0 Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes •rrNo ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ,. No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3
5/12/2020 Continued

Facility Number: II -
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1
t
Structure 2
Structure 3 Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed 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 DWR
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement`?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes ]-No ❑ NA ❑ NE
❑ Yes ..❑'No ❑ NA ❑ NE
Yes ❑ No
❑ Yes No
❑ NA
❑ NA
❑ NE
❑ NE
Yes ❑ No El NA ❑ NE
❑ Yes 0-No ❑ NA ❑ NE
[`Yes ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window
12. Crop Type(s):
13. Soil Type(s):
❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
r
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? if yes, check
the appropriate box.
❑ WUP ❑Checklists ❑ Design n Maps ❑ Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
,❑ Waste Application ❑ Weekly Freeboard ,❑ Waste Analysis oil Analysis
❑ Yes
❑Yes
❑ Yes
-4. No ❑ NA ❑ NE
❑ No ❑ NA ❑ NE
0-No ❑ NA ❑ NE
❑ Yes ,allo ❑ NA ❑ NE
n Yes jallo ❑ NA ❑ NE
❑ Yes „ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
El Other:
Yes ❑ No ❑ NA ❑ NE
El Waste Transfers ❑-Weather Code
[l Rainfall ❑ Stocking ]`Crop Yield _["120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ,Mudge Survey
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?
Page 2 of 3
❑Yes ❑No ❑NA ❑NE
❑ Yes ❑ No El NA ❑ NE
5/12/2020 Continued

Facility Number: 1
2Xl
24. Did the facility fail to calibrate waste application equipment as required by the permit?
ZrYes ❑ No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 'Yes ❑ No ❑ NA ❑ NE
the appropriate box(es) below.
,ailure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
,❑ Yes .11--No ❑ NA 0 NE
❑ Yes No ❑ NA ❑ NE
❑ Yes 1No ❑ NA ❑ NE
O Yes Er No ❑ NA ❑ NE
❑ Yes .E'No ❑ NA ❑ NE
El Yes ..E3 No ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes No El NA ❑ NE
❑ Yes j'No ❑ NA ❑ NE
O'es ❑ No ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
i!#f2/?6bI4J
Phone:
Date:
Q/6
//vba,a
5/12/2020