100021_IRR Forms_20210601 (2)

Form IRR-1
Farm:
Carolina Bay Sow
Facility #: 10-21
Year:
2021
Lagoon
Pull
Date
Start
End
Total
Crop
Operator
Initials
Weather
Code
Inspections
Initials
1 (Aeiway)
28,29
3/26/2021
12:45 PM
1:45 PM
60
Bermuda Pasture
LS
C
LS
1 (Aerway)
28,29
3/26/2021
2:45 PM
3:30 PM
45
Bermuda Pasture
LS
C
LS
1 (Aerway)
28,29
3/26/2021
4:00 PM
4:30 PM
30
Bermuda Pasture
LS
C
LS
1 (Aerway)
25,26,27
3/27/2021
9:30 AM
2:30 PM
300
Bermuda Pasture
LS
C
LS
1
14
4/27/2021
7:30 AM
4:30 PM
540
Bermuda Pasture
LS
C
LS
1
25
4/27/2021
7:30 AM
4:30 PM
540
Bermuda Pasture
LS
C
LS
1
CP
4/28/2021
9:30 AM
10:30 AM
60
Bermuda Pasture
LS
C
LS
1
CP
4/29/2021
2:30 PM
4:45 PM
135
Bermuda Pasture
LS
C
LS
4
,
1
By signing this form, you certify that all of the information an this form is rue, provided by you. and complete to the best of your
knowledge, and that inspections were completed at least every 120 minutes.
Owner Signature:
/
Operator's Signature: QI Of 0
1°6—
Operator's Cert. No.:
20897

FORM MR-2
Hydrant 0
Field size (wetted sues) ° (A)
Farm Owner
Owners Address
Owners Phone 0
Crop Type
Apdic. Period
(1)
CP1
79.7
Field 4
Flow Rare:
T1060
886
Maguire Farm. LLC (Carolina Bay Sow)
1122 Oberlin Road
Raleigh, NC 27605
(910) 8664395
Bermuda Pasture
3/1 - 9/30
(3)
(4)
(5)
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
(6)
Irrigation Operator
irgation operators
Address
Operators Phone e
From Waste Utilization Plan
Recommended PAN
Loading ONaue) _ (B)
(71
(8)
Faddty Number
10
21
Leslie L. Stutis
608 Midway Rd Se
Bolivia, NC 28422
[phone]
206
(9)
(10)
2021
CP1
•^Nutrient
Source
DareVolume
( )
IMnadon
Waste Analysis
PAN'
(I12/1000 gag
PAN Applied
Odeae)
(81 (81
Nitrogen
Balance°
QWaae)
(B) - (16)
Hours
Remaining
on Field
Inches
Per/Acre
Remaining
StartEnd
Time
Time
Total
Minutes
(3). (2)
a d
Spdniders
opemdng
Flow
Rate
(gal/min)
Total Volume
(galons)
(8) x (5) x (4)
per Acre
(gel/acre)
(7)/(A)
1000
B° 208.00
1
4/282021
9:30 AM
10:30 AM
60
1
850
51,000
640
1.33
0.85
205.15
241.05
5.68
1
4292021
2:30 PM
4:45 PM
135
1
850
114,750
1,440
1.33
1.91
203.23
238.80
5.63
1
Owners Signature
Certified Operator (Print)
165,750
Operators Signature
Operators Certificedon No.
ci 2.77 7o—'
AWA 20897
• NCDA Waste Anaylsis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events.
Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each inigalion event.
***Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.)
IRR•2 Form 0Yte12
CP1
Carolina Bay Sow - (Bermuda Pasture) 2021
1 of 7

FORM IRR-2
Hydrant #
Field Size (wafted ayes) _ (A)
Farm Owner
Owner's Address
Owner's Phone
Crop Type
Applia Period
1
14
5.44
Field #
Flow Rate:
3075
128
Maguire Farm, LLC (Carolina Bay Sow)
1122 Oberlin Road
Raleigh. NC 27605
[phone]
Bermuda Pasture
3/1 -9/30
3
4
(5
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
8
Irrigation Operator
Inigation Operator's
Address
Operator's Phone #
From Waste Utilization Plan
Recommended PAN
Loading (10/acre) = (B)
7
8
Facility Number
10
21
Leslie L. Stutts
608 Midway Rd Se
Bolivia, NC 28422
[phone]
206
9
10
11
2021
14
•-•Nutrient
Source
Dete
(rim /01611
lineation
Waste Analysis
PAN'
Ob/1000 gal)
PAN Applied
(Ibraae)
181 z (8)
Ndrogen
Balance••
(IWac°)
(B) • (10)
Hours
Remaining
on Field
Inches
Per/Acre
Remaining
Start
Time
End
Time
Total
Minutes
(3) - (21
*of
Sprinklers
Operating
Flow
Rate
(gavmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
B
(gayacra)
(7) / (A)
1000
B= 206.00
1
4/272021
7:30 AM
4:30 PM
540
1.00
128
69.120
12,706
1.33
16.90
189.10
100.71
5.24
Crop Cycle Total
69,120
Owners Signature /
Certified Operator (Print)
le L Stutts
Operators Signature
Operators Certification No.
�,/�/ 16.90 I —
AWA 20897
• NCDA Waste Anaylsis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events.
Enter the value received by subtracting column (10) from (B)• Continue subtracting column (10) from column (11) following each irrigation event.
—Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.)
IRR-2 Pam 8eg012
14
Carolina Bay Sow - (Bermuda Pasture) 2021
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FORM IRR-2
Hydrant a
Field size (wetted acres) _ (A)
Farm (Water
Owners Address
Owners Phone a
Crop Type
Appllc Period
26
6.23
Field It
Flow Rate:
3075
128
Maguire Farm, LLC (Carolina Bay Sow)
1122 Oberlin Road
Raleigh, NC 27805
[phone]
Bermuda Pasture
3/1 -9/30
(4)
Lagoon liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Irrigation Operator
irrigation Operators
Address
Operators Phone a
From Waste UBltzatlon Plan
Recommended PAN
Loading (Iblaae) • (B)
7
Facility Number
10
21
Leslie L. Studs
608 Midway Rd Se
Bolivia, NC 28422
(910) 9958797
206
a
10'
11
2021
25
**Nutrient Source
•.•
Date
(mnvddlF)
,-. ,-, _ . Irrisation
Waste Analysis
PAW
(IIt/10000a0
PAN Applied
(Ib/aae)
Ili) x (9)
Balance—
(lease)
(B)-(10)
Hours
Remaining
on Field
Inches
Per/Ave
Renaming
Stan
Time
End
Time
Total
Minutes
(3) - (2)
f of
Sprinklers
Operating
Flow
Rate
(gevmin)
Total Volume
(gallons)
(6) x (5) x (4)
VeNme
per Acre
(galacre)
(7)/IA)
1000
B= 206.00
1 (Aerway) 25.26.27
327/2021
9:30 AM
2:30 PM
300
0.41
1000
123,693
19,854
1.33
26.41
179.59
34.01
4.97
1
4272021
7:30 AM
4:30 PM
540
1.00
128
69,120
11,095
1.33
14.76
164.84
100.64
4.56
owners Signature
Certified Operator (Punt)
Crop Cycle Totals
192,813
slie L. Stutts
Operators signature
Operators Certification No.
AWA 20897
• NCDA Waste Anaylais or Equivalent. Al a minimum, waste analysis i5 required within 60 days of land application events.
•• Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) foltowing each irigation event.
***Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter. etc.)
IRR¢ kern wY2012
25
Carolina Bay Sow - (Bermuda Pasture) 2021
3 of 7

FORM IRR-2
Hydrant a
Field Size (waved acres) a (A)
Fart Clymer
Owners Address
Owners Phone a
Crop Type
Apollo. Period
(11
26 Field a
6 Flow Rate:
3075
128
Maguire Fans, LLC (CartAna Bay San)
1122 Oberlin Road
Raleigh, NC 27605
[phone]
Bermuda Pasture
3/1 - 9/30
3
4
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
a
Irrigation Operator
Irrigation Operators
Address
Operators Phone 0
From Waste UdlWvon Plan
Recommended PAN
Loading (IWarre) _ (B)
7
Facility Number
10
21
Leslie L Stutts
608 Mielway Rd Se
BolNie, NC 28422
[phone]
169
9
1
2021
26
"'Nuulent Source
Date
1rti9e0on
Waste(
e Analysis
PAN'
OW7000 gall
Appfied
PAN cre)
a
1g1))71tr f91
Nitrogen
Balance'
(� )
03)-(10)
Hours
Remaining
on Field
Inches
Per/Acre(mntld�Yr)
Remaining
Stan
Tlwe
End
Time
Total
Minutes
(3)- (2)
a of
SprinklersRate
Opening
Open
Flow
(gal/min)
Total Volume
(gallons)
(6) x(5)x (4)
Volume
per °
(gavaae)
(7)/ (A)
000
B= 169.00
1 (Aerway) 25,26,27
3R7/2021
9:30 AM
2:30 PM
300
0.40
1000
119,126
19,854
1.33
26.41
142.59
27.00
3.95
Owners Signature
Certified Operator (Print)
119,126
Operators Signature
Operators Certification No.
26.41
AWA 20897
• NCDA Waste Anaylsis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events.
" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
"'Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.)
IRR.2 Form 8412012
26
Carolina Bay Sow - (Bermuda Pasture) 2021
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FORM IRR-2
Hydrant #
Flew Sae (wetted axes) • (A)
Fam Owner
Owners Address
Owners Phone #
Crop Type
Apollo. Period
271 Field #
2.88 Flow Rate:
3075
128
Maguire Farm, LLC (Carolina Bay Sow)
1122 Oberlin Road
Ralelob, NC 27605
[phone]
Bermuda Pasture
3/1 - 9/30
3
4
5
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Inigation Operator
Irrigation Operators
Address
Operators Phone #
From Waste UtAlratlon Plan
Recommended PAN
Loading (Iblwe) _ (B)
7
Faddy Number
10
21
Leslie L. Slues
608 Midway Rd Se
Bolivia, NC 28422
[phone]
169
10
2021
27
"'Nutrient Source
.
Date
(mmw
.. unitatCn
Waste Analysis
PAN'
Oa1000 ge6
PAN Applied
(Ib/acre)
! l
Nitrogen
Balance —
(lb/acre)
(B)- (10)
Hours
Remaining
on Flaw
Inches
Per/Acre
Remaining
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gaymin)
ter
ToVolume
faelfox(
(8) x (5) x (4)
Volume
per Ave
(ge0avay
(7) / (A)
tow
Be 169.00
1 (Aerway) 2528,27
3/27/2021
9:30 AM
2:30 PM
300
0.19
1000
57,181
19,854
1.33
26.41
142.59
27.00
3.95
1
Owners Signature
Certified Operator (Print)
57,181
°potatoes Signature
Operators Certification No.
/28.41
AWA 20897
• NCDA Waste Anaylsis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events.
Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
"'Enter nutrient source (ie. LagoorVStorage Pond ID, commerical fertilizer, dry litter, etc.)
RR-2 Form 8/3/2012
27
Carolina Bay Sow - (Bermuda Pasture) 2021
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FORM IRR-2
Hydrant#
Field Size (wetted acres) _ (A)
Fenn Owner
Owners Address
Owners Phone
Crop Type
Applic Period
(11
28
6.16
Field e
Flaw Rate:
3075
128
Maguire Fann, LLC (Carolina Bay Sow)
1122 Oberlin Road
Raleigh, NC 27605
[phone]
Bermuda Pasture
311 - 9/30
3'
4
5
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
6
Irrigation Operator
Inigeeon Operators
Address
Operators Phone 0
From Waste Utilization Plan
Recommended PAN
Loading (Ibraae) _ (B)
7
Facility Number
10
21
Leslie L Stutls
608 Midway Rd Se
BolWia, NC 28422
[phone]
206
(10)
tl
2021
28
•"NUMam
Source
Date
(mmdddlyr)
Irrigation
Waste Analysis
(Ibr1000gal)
PAN Applied
(aMazre)
Ntrogan
OlWacre)
MS - (10)
Flows
Remaining
an Field
Inches
Per/Aae
Remaininge)1
Slam
Time
End
Time
Total
Minutes
(3) - (2)
trot
SpdnWere
Operating
Flaw
Rate
(gal/min)
Total Volume
(gallons)
(8) x (6) x (4)
Volume
per Acre
(gaaaa
(7)) (A)
8= 206.00
1 (Amway) 28,29
3/26/2021
12:45 PM
1:45 PM
60
0.47
1000
28,149
4,570
1.33
8.08
199.92
32.89
5.54
1 (Aerway) 28,29
3/26/2021
2:45 PM
3:30 PM
45
0.47
1000
21,112
3,427
1.33
4.58
195.36
32.14
5.41
1 (Amway) 28,29
3126/2021
4:00 PM
4:30 PM
30
0.47
1000
14,075
2,285
1.33
3.04
192.33
14.85
5.33
—
•
r
Owners Signature
Codified Operator (Print)
Crop Cycle Totals
63,336
Lbsl)e L. Stutts
Operators Signature
Operators Certification No.
13.67
AWA 20897
NCDA Waste Anaylsis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events.
Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) folcrwing each irrigation event.
"'Enter mdrlent source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.)
IRR-2 Form e3r2012
28
Carolina Bay Sow - (Bermuda Pasture) 2021
6 of 7

FORM IRR-2
Hydrant #
Reid Size (waned sass) a(A)
Fawn Owner
Owner's Address
Owner's Phone
Crop Type
Apple. Period
1
29
6.97
Field #
Row Rate:
3075
128
Maguire Farm, LLC (Carolina Bay Sow)
1122 Oberlin Road
Raleigh, NC 27605
[phone]
Bermuda Pasture
3/1 - 9/30
(31
4
5
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
6
Imgaeon Operator
Irrigation Operator's
Address
Operatots Phone*
From Waste Utilization Plan
Recommended PAN
7
Loading (iblaae) _ (B)
18)
Facility Number
10
21
Leslie L Stutte
608 Midway Rd Se
Bolivia, NC 28422
[phone]
206
9
10
11
2021
29
"'NuMent
SourceTotal
Date
(mod )
initiation
Waste PAN*
(W1000 gat)
PAN Applied
fe stud,
?ij�
Nitrogen
Balancon
(Ideas)
(B) • (10)
Hours
R emsdng
on Feld
Inches
Per/Acre
Remaining
Start
Time
EndPer
Tone
Minutes
(3) • (2)
0 of
SprinNsra
Operating
Flow
Rate
(geymtn)
Total (gallons)Volume
(8) x (5) x (4)
Acre
(9egeae)
(7)/(A)
1in"'
B= 206.00
1 (Agway) 28,29
3/26/2021
1245 PM
1:45 PM
60
0.53
1000
31,851
4,570
1.33
6.08
199.92
32.89
5.54
1 (Aerway) 28.29
3/26/2021
2:45 PM
3:30 PM
45
0.53
1000
23,888
3,427
1.33
4.56
195.36
32.14
5.41
1 (Aerway) 28,29
3/26/2021
4:00 PM
4:30 PM
30
0.53
1000
15,925
2,285
1.33
3.04
192.33
16.80
5.33
Donets Signature
Certified Operator (Print)
71,664
Operator's Signature
Operator's Certification No.
. 13.87 I _
AWA 20897
• NCDA Waste Anaylsis or Equivalent Al a minimum, waste analysis is required within 60 days of land appiicadon events.
Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
"'Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.)
IRR.2 Form scams
29
Carolina Bay Sow - (Bermuda Pasture) 2021
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