820599_NOV-201-PC-0073 Enforcement Packet w photos_20210521

NOTICE OF VIOLATION AND/OR
NOTICE OF INTENT

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA.
Environmental Quality
February 15, 2021
CERTIFIEDMAIL
RETURN RECEIPT REQUESTED 7020 0090 0001 7206 9412
Mr. Keith B Butler
5242 High House Rd.
Roseboro NC 28382
Subject: NOTICE OF VIOLATION/NOTICE OF INTENT
Administrative Code 15A NCAC 2T .1304
NOV-2021-PC-0073
Keith B Butler Farm Facility Number 82-599
Permit AWS820599
Sampson County
Dear Mr. Butler:
On January 15, 2021, staff of the NC Department of Environmental Quality (DEQ) Division of
Water Resources (DWR), Water Quality Regional Operations Section (WQROS) inspected the
Keith B Butler Farm and the permitted waste disposal system. We wish to thank Mr. Keith
Butler and your farm employee for his assistance 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:
Failure to maintain the maximum waste level in lagoons/storage ponds that shall not exceed that
specified in the facility's CAWMP. At a minimum, maximum waste level for lagoons/storage
ponds must not exceed the level that provides adequate storage to contain the 25-year, 24-hour
u `u±gym:i�i �i ilmloo.«n.im uwwiv
North Carolina Department of Environmental Quality 1 Division of Water Resources
Fayetteville Regional Office 1 225 Green Street, Suite 7141 Fayetteville. North Carolina 28301
910.433.3300

Page 2
Keith Butler
February 15, 2021
storm event plus an additional one (1) foot of structural freeboard except that there shall be no
violation of this condition if:
a. there is a storm event more severe than a 25-year, 24-hour event;
b. the Permittee is in compliance with its CAWMP and
c. there is at least one (1) foot of structural freeboard. — [1 SA NCAC 02T .1304(b)].
(Permit No. AWG100000 Section V2)
On January 15, 2021, DWR staff was conducting random Structure Evaluations in your area
because of the above average non -compliant lagoon levels reported due to the recent rain events.
DWR staff contacted you prior to the site inspection, and you were not at the farm but gave
permission to conduct the inspection. You advised DWR staff your lagoon was non -compliant
with a level around 13 inches and your employee was conducting a waste application event.
Additional DWR staff arrived to conduct a survey of your lagoon. The current waste level was
14 inches and your level had been as high as 6 inches based on the survey of water marks on
several solid objects in the lagoon and waste level marks on the lagoon bank. DWR staff asked
you when the lagoon level was non -compliant, and you stated it was non -compliant about two
(2) weeks prior to Christmas 2020. You also confirmed that the waste level in your lagoon was
consistent with the water marks on several solid objects in the lagoon indicating the level was
less than 12 inches for a period of time.
Required Corrective Action for Violation 1:
Follow 30-day plan of actions provided to the DWR, and take all necessary additional steps to
insure lagoon levels remain in compliance with Section (V2) of your permit.
Violation 2:
The Permittee shall report by telephone to the appropriate Division Regional Office as soon as
possible, but in no case more than twenty-four (24) hours following first knowledge of the
occurrence of any of the following events:
e. Failure to maintain storage capacity in a lagoon/storage pond greater than or equal to
that required in Condition V. 2. of this General Permit. (Permit AWG No.100000 Section
17 e).

Page 3
Keith Butler
February 15, 2021
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. DWR has no record of receiving the 24-hour notification and the 5-day written report.
During an interview at your farm during this inspection you stated that the lagoon level was non-
compliant about two (2) weeks prior to Christmas and had remained so. Reporting to your
Technical Specialist or your Integrator does not meet the Permit condition requirements and they
are not obligated to report for you. The DWR has no record of you reporting non -compliant
lagoon levels prior to January 15, 2021.
Required Corrective action for Violation 2:
In the event of a high freeboard situation, call the regional office within twenty-four (24) hours
of the first knowledge of the high freeboard. Prepare and submit within 48 hours a 30 day a Plan
of Action (POA) for lowering the lagoon/storage pond to an acceptable level as described in your
CAWMP and General Permit.
Violation 3: V
The Permittee shall report by telephone to the appropriate Division Regional Office as soon as
possible, but in no case more than twenty-four (24) hours following first knowledge of the
occurrence of any of the following events:
f. Failure to maintain waste level in a lagoon/storage pond below that of the designed structural
freeboard (twelve (12) inches from top of dam or as specified in lagoon/storage pond design)
Note that this notification is in addition to the report required by Condition III 17 e.
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. During the interview at your farm lagoon with DWR staff, you agreed the lagoon
level had been as high as the waste level marks indicated. The survey of these marks indicated
the lagoon level was at 6 inches for a period of time prior to this inspection.
Required Corrective Action for Violation 3:
In the event of your lagoon level reaching the structure (twelve (12) inches or less, call the
regional office within twenty-four (24) hours of the first knowledge of the high freeboard.
Prepare and submit within 24 hours a 5 day a Plan of Action (POA) for lowering the
lagoon/storage pond to an acceptable level as described in your CAWMP and General Permit.

Page 4
Keith Butler
February 15, 2021
Violation 4:
In no case shall land application result in excessive ponding or any runoff during any given
application event. [15A NCAC .02T .1304(b)] (Permit AWG1 00000 Section II 5.).
On January 15, 2021, you were conducting a waste application event in a field of harvested
soybeans, and no winter crop was planted. Due to the saturated condition of the field, waste was
ponding and running to other areas of the field. DWR staff documented the ponding of waste
with run off and no winter crop planted with pictures.
Required Corrective Action for Violation 4:
Do not apply to fields that are near field capacity with water or to saturated fields. Make sure no
over application occurs that causes excessive ponding and run off. A winter crop must be planted
within 30 days of the first application of waste on this soybean field.
ft
Violation 5: t/
Failure of the Operator in Charge (OIC) or a person under the supervision of an OIC to inspect the land
application site as often as necessary to ensure that the animal waste is land applied in accordance with
the CAWMP. In no case, shall the time between inspections be more than 120 minutes during the
application of waste. Inspection shall include but not be limited to visual observation of application
equipment, spray fields, subsurface drain outlets, ditches, and drainage ways for any discharge of waste.
If neither the OIC or designated Back-up OIC was present during land application, then the OIC or
designated Back-up OIC shall inspect the land application area within twenty-four (24) hours. (Permit No.
AWG100000 Section II 17).
On January 15, 2021, you were conducting a waste application event in a field of harvested
soybeans, and no winter crop was planted. Due to the saturated condition of the field, waste was
ponding and running to other areas of the field. DWR staff documented the ponding of waste
with run off and no winter crop planted with pictures. During the time DWR staff was on site,
neither you or your employee went out into the field to look at the condition of the waste
application. DWR staff did talk with your employee, and he stated that he did not go into the
field, he just looked from the farm path in his golf cart.

Page 5
Keith Butler
February 15, 2021
Required Corrective Action for Violation 7:
In the future, require the OIC or a person under the supervision of an OIC to inspect the land application
site as often as necessary to ensure that the animal waste is land applied in accordance with the CAWMP.
Inspection shall include but not be limited to visual observation of application equipment, spray fields,
subsurface drain outlets, ditches, and drainage ways for any discharge of waste. If you as the OIC are not
present during the waste application, you are required to inspect the application area with in twenty-four
(24) hours of the application. If you are present on the farm and your employee is doing the waste
application, you and your employee are required to inspect the application area to prevent any ponding or
runoff. Provide training for your employees concerning the proper operation and maintenance of this
waste collection, treatment, storage and application system operated under this General Permit.
The Division of Water Resources requests that, in addition to the specified corrective action
above, please submit the following items on or before (March 15, 2021):
1. An explanation from the OIC for this farm regarding how these violations occurred.
2. A list from the OIC concerning the steps that will be taken to prevent these violations
from occurring in the future.
3. Provide a copy of your lagoon levels with rainfall for 2020 up to present date.
4. Provide a copy of your IRR 1 and IRR 2 forms for 2020 up to present date.
You are required to take any necessary action to correct the above violations on or before
March 15, 2021 and to provide a written response to this Notice by March 15, 2021. 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
response will be reviewed, and, if an enforcement action is still deemed appropriate, it will be
forwarded to the Director and included for consideration.

Page 6
Keith Butler
February 15, 2021
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)
433-3336.
Sincerely,
,—Docusiggnned by:
CLAM
'-5189C2D3DD5C422...
J. Trent Allen
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
cc: DWR - WQROS - CAFO Unit — Central Office
FRO Compliance Animal Files-Laserfiche

INSPECTION REPORT / NOTES

Type of Visit:
Reason for Visit:
1.�av— D pc'—fxr?3
� i2( ,2-r
ompliance Inspection 0 Operation Review 7Structure Evaluation 0TechnicalT�Assistance
`outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency Qvlher 0 Denied Access
Date of Visit:
Farm Name:
Owner Name:
1 /5 j tt Arrival Time: 49:315 Departure Time:
IrerTr
Mailing Address:
Physical Address:
. Facility Contact: AY u.7L/r✓"
Onsite Representative:
Certified Operator: 3',76„.,,.e_.
Back-up Operator:
Location of Farm:
Owner Email:
Phone:
snCounty: �j;n 5tn-- Region: t_ U
Title: p/r%/%YC'
Latitude:
Phone:
Integrator: try e'
Certification Number:
Certification Number:
Longitude:
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Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes jo El NA ❑NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes []'flo ❑ NA ❑ NE
❑ Yes 121- o ❑ NA ❑ NE
Page 1 of 3
2/4/2015 Continued

Facility Number: - cg
(Date of Inspection: / ,1na -(
12. Crop Type(s):
13. Soil Type(s):
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier: .S26"tr:n,
Spillway?: Ara/
Designed Freeboard (in):
Observed Freeboard (in):
/9
/b
Er< ❑ No ❑ NA ❑ NE
❑ Yes 'ago ❑ NA ❑ NE
Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement?
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 bel
o ❑NA ❑NE
L ❑NA ❑NE
❑ Yes lErIo ❑ NA
Erfcs ❑ No ❑ NA
❑ Yes g-IQo ❑ NA
❑ Yes No ❑ NA
ow. ❑ Yes
❑ No El NA
Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
Vo Ctor
❑ NE
❑ NE
❑ NE
❑ NE
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?
lEr< ❑ No ❑ NA ❑ NE
' es ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA[IE
❑ Yes ❑ No ❑ NA la‘
❑ Yes ❑ No ❑ NA Et E
❑ Yes ❑ No ❑ NA Etiir
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA u wL
the appropriate box.
❑WUP ID Checklists ❑Design ❑Maps Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes
Page 2 of 3
❑ Soil Analysis ❑ Waste Transfers
❑ No ❑ NA
❑ Weather Code
❑ Sludge Survey
❑ No ❑ NA l a 1E
El No ❑NAE
2/4/2015 Continued
El-Nr

Facility Number: y - - ,69 9-
(Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No ❑ NA
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
EKE
I_fN�
26. Did the facility fail 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 ❑ No ❑ NA 124,
❑ Yes ❑ No ❑ NA L'J "I
❑ Yes Ici ❑ NA ❑ NE
❑ Yes Er< ❑ NA ❑ NE
es ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ESIC ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes la< ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? 0<es ❑ No ❑ NA ❑ NE
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Reviewer/Inspector Name:
Phone: t-/l '3t)3 e/3/
Reviewer/Inspector Signature: �ry Date: /
Page 3 of 3
2/4/2015

VIOLATORS RESPONSE AND NOTES

IlLLFLIvCL;
DEQIDINR
MAR 1 5 2021
Dear Sir:
WQROS
FAYETT ALLFRECIONAi OFFICE
My lagoon level fell below 19" back in the middle of November. I should had reported it then but didn't
thinking I could quickly get it back in compliance in several days. A stupid mistake on my part that will
not ever happen again. The rain kept coming and the field stayed saturated and I didn't won't to risk
runoff. I was also trying to let the field dry some so the farmer who farms the land could pick his beans.
In hindsight I should have had my lagoon lower last summer but didn't expect the whole year to stay so
wet.
I have instructed my worker that he must visited the gun hourly and make sure there is not any ponding
of the waste water. I have written the instructions for him so he has a check list to go by. I will also
check the on him and the pumping regularly during the time we are pumping.
The following is a list for my worker and myself
1: Do not pump on a saturated field.
2: Visit the field at the gun location to monitor field conditions. Shut gun off if ponding is
Occurring.
3: Call the regional office within 24 hours for high freeboard.
4: Call the regional office within 24 hrs for freeboard of 12 inches and submit a 5 day action
Plan.
We follow up with a cover crop of rye. I went over on some pulls with my pan. I was under on the
previous crops pf soybeans and wheat and should stay under on the corn crop on six of the pulls and the
other three pulls of coastal.
I am so sorry I let this happen and I apologize for letting it happen. Not to make excuses but this past
year and a half has been somewhat difficult as my wife had a medical issue that took me away from the
farm at times each week. She will not never be the person she was but the situation has improved a lot
and I have additional help in taking her therapy.
Again I feel terrible that I let this happen and any other advise on handling this would be greatly
appreciated.
Thank You,
Keith Butler

PLAN OF ACTION(Poa) FOR HIGH FREEBOARD AT ANIMAL FACILITIES
Facility Number: 82-599 County: Sampson
Facility Name: Keith Butler
Certified Operator Name: Keith B. Butler Operator Number. 17815
1. Current liquid level(s) in inches as measured from the current liquid level in the lagoon to the
lowest point on the top of the dam for lagoons without spillways; and from the current liquid level
in the lagoon to the bottom of the spillway for lagoons with spillways.
Lagoon 1 Lagoon 2 Lagoon 3 Lagoon 4 Lagoon 6
Lagoon Name/ID: 1
Spillway(Y or N): N
Level(inches): 11
2. Check all applicable items
Liquid level is within the designed structural freeboard elevations of one or more structures.
Five and 30 day Plans of Action are attached. Hydraulic and agronomic balances are
within acceptable ranges.
X Liquid level is within the 25 year 24 hour storm elevations for one or more structures. A
30 day Plan of Action is attached. Agronomic balance is within acceptable range.
Waste is to be pumped and hauled to off site locations. Volume and PAN content of waste
to be pumped and hauled is reflected in section IN tables. Included within this plan is a list
of the proposed sites with related facility numbers, number of acres and receiving crop
information. Contact and secure approvat from the DW4 prior to transfer of waste to a site
not covered in the facility's CAWMP.
Operation will be partially or fully depopulated.
*Attach a complete schedule with corresponding animal units and dates fro depopulation
*if animals are to be moved to another permitted facility, provide facility number, lagoon
freeboard levels and herd population for the receiving facility
3. Earliest possible date to begin land application of waste: 1/19/21 Weather permitting.
1 hereby certify that 1 have reviewed the information listed above and included within the
attached Plan of Action, and tattle best of my knowledge and ahil)1y, the information is
accurate and correct.
Keith B. Butler Phone: [phone]
Facility Owner/Manager (print)
FacilityOwner/Manager (signature)
Date: 1/26/2020

Faye Name:
11.214
Facility No.:
w
bear: '2a2 k
Reeonf In Inches
J N . 'V." FEB
'1
'2
3
4
5
8
7
8
9
10
11
12
13
14
15
16
17
18
19
20
a.
3
21
22
23
24
26
28 r'T.
27
28 a `(
29
30
31 .V
.3
z
fs
34
Operator:
MAR: APR MAY
JUL i
AUG
nitlal after each Monthly Inspection and after all storm events greater than one (1) Inch -In 24 hours
SEP °s
'OCT NOV '� w:DEC
n.;, r br>
Total for Year
J

Facility No.:
bear: -0 2.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
18
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Farm Name: K jk,
ea - S'i 5
Operator: iee,, e
Record In Inches
JAN
11
FEB
MAR
APR
n1
iy
1
AUG
nitial after each Monthly Inspection and after all storm events greater than one (1) Inch In 24 hours
sEP
12!
NOV ;
Total for Year
DEC

1
Lagoon Freeboard & Available Storage Capacity Log
Farm
FaName: Q 2.c.u4 c,drit Year
Operator:
at_ 04.„3.+
Z020
Facility No. Pa- j qc
Record freeboard plus available • < : m ides
2
2 1I1 / 4 2-'1
3 1t
4
z2
5 II- it 7 "j
i=
T€/J tl
8 Jc-/f3 z 1
yPHs,, z o z. l 9
10„ 1
11
12
it 3
f % 24
/
2
15 z'/2' . It
6 3Jr a3
17 :JF 2_
19
20
21
22
23
24
25
26
27
26
29
39
31
32
33
35
36
38
39
40,
41
44
45
46
47
48
49
50
51
52

Lagoon Freeboard & Available Storage Capacity Log
Penn Name: ada Year Zinc - 2.020
Operator: Facility No. P2.-
1 \
V
A 9 1
fTh
11
2
2
2
2
2
3
3
34
41
45
46
44
48
50
51
52
Record freeboard plus available
DATE
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FORM InR-2
(1)
Field Size (wetted acres) a (A)
Farm Owner
Owner's Address
2)
Owners Phone #
Crop Type
Lagoon Liquid Irrigation Fields Record
One Form for Each Pield per Crop Cycle
n
441 `
iyteith Sutler
5242111gh House Rd., Rosebcro "
NC 28382
4 6io400-253e
Rye
Irrigation Operator
Irrigation Operator's
Address
Operators Phone*
Facility Number
( 59a
{
{
FrpM Waste Utllzation Plan
Recontmanded PAN
Loading (Ib/acre)
SO
{
.-i. N 1 . .
`r' t "i ' $11/
repo n
Date
(nmV dd/Yr)
{w/
rS' h R
Irtiga5en
4 r%'D)
4 4 e(19 -
PAN Applied
41b/acts)
Sta(Il1
1000
Nitrogen
seism***
(Iblacre)
Weather
Code
Inspections
(Initial$)
Start
Time
End
Time
9
Total
Minutes
(3) - (2)
a of
Sprinklers
Operating
'n
Flow
Rate
(gal/fnin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gel/acre)
(7) / (A)
Waste Analysis
PAN*
(Ib/1000 gal)
50
62.596
1ty21/2020
9:00 AM
7 00 PM
600
1
114
68400
16931
1.99
27,72
2-.; 8
c
Al
1/10/2021
1 D0.AM
7:00`PM
640
1
1 4
6; r
12536
.61
c
Al
{
t
r
m
V 1
5 5" .
9
sue+-V.h•
l
: N (
t
.
rep
e
y
Owners Signelure
Operators Signature
Certified Operator (Print) - Operator's Certification No,
" NCI: A Waste Anaylsis or Equlvalenf. At a minimum, waste analysis is required within 60 days of land application events.
** Enter the value received by subtracting column (10) from (13). Continue subtracting column (10) from column (11) following each inlgation event,
""Enter nytrlent source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) Combined IRR1/2 Porn - 8/3/2012

FORM ircR-2
1
Field Site (wetted acres) a (A)
Farm Owner
Owner's Address
2
Owner's Phone 4
Crop Type
(3)
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Zone
4.13
iteah Butler
5242 High House Rd., Rosebom,
NC 28382
410.990-2540
Rye
(5)
Inigation Operator
Irrigation Operator's
Address
Operator's Phone #
From Waste ptlilzatlon Plan
Recommended PAN
Loading (Ib/acid)
(7)
Facility Number
599
50
1
Lagoon
IO
Date
(mm/dd/yr)
�- Y4 .i .. IA L, �/_..
�. Irrigation
s. �I/ a
Ibl(p)
PAN Applied
(1b/acre)
(@) x (9)
v.
.. It, i/
Nitrogen
Belanor
(Ib/acre)
_.
Weather
Code
t
Inspections
(Initialt))
Start
Time
End
Time
Total
Mini4es
(3) - (2)
a,.
*of
Sprinklers
Operating
Flow
Rate
(gal/min)
t
Total Volume
(gallons)
(6) x (5) x (4)
,
Volume
per Acre
(gaI/acre)
(7) / (A)
Waste Analysis
PAN*
(Ib/1000 gal)
1000
50
82,599
10/ 9/2020
10:00 AM
i
7;00 PM
540
1
,
+-
114
61560
14906
1.99
29,66
2p•34
c
Al
1
1/4/2021
1Zt:00AM
6200 PM
4s 0 ,
1
11t '
5020 c _
' 13249.
.61
4,68
1+t,2
r c
5.Al
,
.�
, -
t
t
1
.
I.
,. t
1
4
...
1. A
Owner's Signature
Operator's Signature
Certified Operator (Print) Operator's Certification No,
* 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 (16) from (B), Continue subtracting column (10) from column (11) following each litigation event,
***Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc,) Combined IRR1/2 Form - 8/3/2012

FORM IKR-2
Field Size (wetted acres) = (A)
Faun Owner
Owner's Address
Owner's Phone*
Crop Type
(3)
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
4.13
Keith Buser
5242 High House Rd„ Roseboro,
NC 28382
910.990-2546
Irrigation Operator
Irrigation Operators
Address
Operator's Phone*
From Waste Utilization Plan
Recommended PAN
Loading (Ib/acre)
Rye
t5)
Facility Number
82
599
50
l •r 1'? tif let (a) (10) (11)
Lagoon
ID
Date
(m ciyr)
_l
Irrigation
PAN Applied
(Ib/acre)
(8) x (9)
Nitrogen
Balance"*
(lb/acre>
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
of
Sprinklers
Operating
Blow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per
(galacre)
(7) / (A)
Waste Analysis
ly
PAN*
(Ib/1000 gal)
1000
50
82-599
1
10/20/2020c
8;00 AM
5:00 PM
540
1
114
61560
14906
1.99
29.66
20.3
Al
1
1/7/2021
10:00 AM
5E00 PM
420
1
114
47880
11593
2.61
30,26
-9 9.34
c
Al
Crnn Cvrla Title is
' ntflwn
__ __
I s (
Owner's signature Operator's Signature
Certified Operator (Print)
Operator's Certification No.
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 (0). Continue subtracting column (10) from column (11) following each irrigation event.
***Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry sitter, etc.) Combined IRR1/2 Form - 8/3/2012

FORM IKR-2
Field Size (wetted acres) = (A)
Faun Owner
Owner's Address
Owner's Phone*
Crop Type
(3)
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
4.13
Keith Buser
5242 High House Rd„ Roseboro,
NC 28382
910.990-2546
Irrigation Operator
Irrigation Operators
Address
Operator's Phone*
From Waste Utilisation Plan
Recommended PAN
Loading (Ib/acre)
Rye
t5)
Facility Number
82
599
50
l •r 1'? tif let (a) (10) (11)
Lagoon
ID
Date
(m ciyr)
_l
Irrigation
PAN Applied
(Ib/acre)
(8) x (9)
Nitrogen
Balance"*
(lb/acre>
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
of
Sprinklers
Operating
Blow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per
(galacre)
(7) / (A)
Waste Analysis
ly
PAN*
(Ib/1000 gal)
1000
50
82-599
1
10/20/2020c
8;00 AM
5:00 PM
540
1
114
61560
14906
1.99
29.66
20.3
Al
1
1/7/2021
10:00 AM
5E00 PM
420
1
114
47880
11593
2.61
30,26
-9 9.34
c
Al
Crnn Cvrla Title is
' ntflwn
__ __
I s (
Owner's signature Operator's Signature
Certified Operator (Print)
Operator's Certification No.
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 (0). Continue subtracting column (10) from column (11) following each irrigation event.
***Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry sitter, etc.) Combined IRR1/2 Form - 8/3/2012

FORM IKR-2
Field Size (wetted acres) = (A)
Faun Owner
Owner's Address
Owner's Phone*
Crop Type
(3)
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
4.13
Keith Buser
5242 High House Rd„ Roseboro,
NC 28382
910.990-2546
Irrigation Operator
Irrigation Operators
Address
Operator's Phone*
From Waste Utilisation Plan
Recommended PAN
Loading (Ib/acre)
Rye
t5)
Facility Number
82
599
50
l •r 1'? tif let (a) (10) (11)
Lagoon
ID
Date
(m ciyr)
_l
Irrigation
PAN Applied
(Ib/acre)
(8) x (9)
Nitrogen
Balance"*
(lb/acre>
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
of
Sprinklers
Operating
Blow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per
(galacre)
(7) / (A)
Waste Analysis
ly
PAN*
(Ib/1000 gal)
1000
50
82-599
1
10/20/2020c
8;00 AM
5:00 PM
540
1
114
61560
14906
1.99
29.66
20.3
Al
1
1/7/2021
10:00 AM
5E00 PM
420
1
114
47880
11593
2.61
30,26
-9 9.34
c
Al
Crnn Cvrla Title is
' ntflwn
__ __
I s (
Owner's signature Operator's Signature
Certified Operator (Print)
Operator's Certification No.
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 (0). Continue subtracting column (10) from column (11) following each irrigation event.
***Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry sitter, etc.) Combined IRR1/2 Form - 8/3/2012

FORM IKR-2
Field Size (wetted acres) = (A)
Faun Owner
Owner's Address
Owner's Phone*
Crop Type
(3)
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
4.13
Keith Buser
5242 High House Rd„ Roseboro,
NC 28382
910.990-2546
Irrigation Operator
Irrigation Operators
Address
Operator's Phone*
From Waste Utilisation Plan
Recommended PAN
Loading (Ib/acre)
Rye
t5)
Facility Number
82
599
50
l •r 1'? tif let (a) (10) (11)
Lagoon
ID
Date
(m ciyr)
_l
Irrigation
PAN Applied
(Ib/acre)
(8) x (9)
Nitrogen
Balance"*
(lb/acre>
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
of
Sprinklers
Operating
Blow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per
(galacre)
(7) / (A)
Waste Analysis
ly
PAN*
(Ib/1000 gal)
1000
50
82-599
1
10/20/2020c
8;00 AM
5:00 PM
540
1
114
61560
14906
1.99
29.66
20.3
Al
1
1/7/2021
10:00 AM
5E00 PM
420
1
114
47880
11593
2.61
30,26
-9 9.34
c
Al
Crnn Cvrla Title is
' ntflwn
__ __
I s (
Owner's signature Operator's Signature
Certified Operator (Print)
Operator's Certification No.
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 (0). Continue subtracting column (10) from column (11) following each irrigation event.
***Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry sitter, etc.) Combined IRR1/2 Form - 8/3/2012

FORM 11,44•2
1
Field Size (wetted acres) _ (A)
Faun Owner
Owner's Address
2
Owner's Phone#
Crop Type
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
one
4.91
Keith. Sutler
5242 Nigh House Rd., Roseboro,
NO 28382
9104990-2546
/5)
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone
From Waste Utilization Plan
Recommended PAN
Loading (Ib/acre)
7)
Facility Number
82
137
.. /... t cvi t?/ tiv) 01)
Lagoon
ID
Date
(mm/dd/yr)
Irrigation
PAN Applied
(Ib/acre)
(8),x (9)
Nitrogen
Balance**
(Where)
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
operating
Slow
Rate
(g*)min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gaolers)
(7) / (A)
Waste Analysis
PAN*
(Ib/1000 gal)
1000
17
82-599
7
7/27/2020
8:00 AM
8:00 PM
720
1
114
82080
16717
2.97
49.65
87.35
c
8
8/25/2020
9;00 AM
8:00 PM
(160
1
114
75240
15324
239
km
52.26
c
Owner's Signature Operator's Signature
Certified Operator (Print) Operator's Certification No.
* NCOA 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. LagoonlStorage Pond ID, commerical fertilizer, dry litter, etc.) Combined IRR1/2 Form - 8/3/2012

FORM 11,44•2
1
Field Size (wetted acres) _ (A)
Faun Owner
Owner's Address
2
Owner's Phone#
Crop Type
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
one
4.91
Keith. Sutler
5242 Nigh House Rd., Roseboro,
NO 28382
9104990-2546
/5)
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone
From Waste Utilization Plan
Recommended PAN
Loading (Ib/acre)
7)
Facility Number
82
137
.. /... t cvi t?/ tiv) 01)
Lagoon
ID
Date
(mm/dd/yr)
Irrigation
PAN Applied
(Ib/acre)
(8),x (9)
Nitrogen
Balance**
(Where)
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
operating
Slow
Rate
(g*)min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gaolers)
(7) / (A)
Waste Analysis
PAN*
(Ib/1000 gal)
1000
17
82-599
7
7/27/2020
8:00 AM
8:00 PM
720
1
114
82080
16717
2.97
49.65
87.35
c
8
8/25/2020
9;00 AM
8:00 PM
(160
1
114
75240
15324
239
km
52.26
c
Owner's Signature Operator's Signature
Certified Operator (Print) Operator's Certification No.
* NCOA 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. LagoonlStorage Pond ID, commerical fertilizer, dry litter, etc.) Combined IRR1/2 Form - 8/3/2012

FORM IKR•2
(1)
Field Size (wetted acres) (A)
Faris Owner
Owner's Address
Owner's Phone #
CroP Type
(3)
Lagoon Liquid Inigation Fields Record
One Fonn for Each Field per Crop Cycle
one#l: BB
4,13
Keith Butter
5242 High House Rd., Rtisebero,
NC 28382
910-991)-2548
Irrigation Operator
Irrigation Operator's
Address
Operators Phone #
From Waste Utilization Plan
Recommended PAN
Loading (Itilacre)
Soybeans
4)
5
6
Facility Number
137
(10)
Lagoon
ID
Date
(mnvdd/yr)
.. . -. 4 .. ,,... ...� ..
Irrigation
N
'
Waste Analysis
PAN*
(lb/1000 gal)
PAN Applied
(Ib/acte)
(8) x ( )
i '
Nitrogen
Balance*"
(lb/acre)
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
1000
137
82-599
5/4/2020
10:00 AM
4;00 PM
380
1
114
41040
s i w
9937
2.97
29.61
.
107.49
c
7/12/2020
8:00 AM
7i00 PM
860,
1
114
75240
18218
2.29
41.72
65.77
c
8(12/2021
9:00 AM
WOO PM
720
1
114
820 0
19874
2.29
45,51
20.28
c
M
Crop Qycle i s 196Y40 J
116.74
Owners Signature Operator's Signature
Certified Operator (Print) , Operators Cerfncation No.
* NCOA 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 inigation event.
*""artier nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc,) Combined IRR1/2 Form 8/3/2012

}
FORM IttR-2
1)
Field Size (wetted acres) I' (A)
Farm Owner
Owner's Address
2
Owner's Phone*
Crop Type
(3)
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Zone # 1 BC
4.91
eIth Butler
5242 High House Rd., Rpseboro,
NC 28382
910.990-2546 A ,
Irrigation Operator
Irrigation Operator's
Address
Operators Phone #
From Waste Utilization Plan
Recommended PAN
Load)ng (Ib/acre)
Soybeans
4
5
(7)
Facility Number
82
.599
137
(101
Lagoon
ID
Date
(mm/dwyr)
Imgation
Waste Analysis
PAN*
(lb/1000 gal)
PAN Applied
(Ib/acre)
($)x(9)
Nitrogen
Balance*"
(Ib/acre)
Weather
Code
Inspections
(Initials)
Start
Time
t
End
Time
Total
Minutes
(3) • (2)
*of
Sprinklers
Operating
Flow
Rate
(gat/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
1000
137
82.599
5/8/2020
10:00 AM
4:00 'M
.
380
1
114
41040
8358
r :
2,97
24.82
-
11218
i
pc
t 7/11/2020
9,00 AM
9:00 OM
720
1
114
82080
16717 m
2.29
38.28
73.89
c
8/11/2020
9:00 AM
8:00 PM
880
1
114
75240
15324
2.29
35,09
38180
c
p cycle Total; = 1 198360
98.20
Owners Signature Operators Signature
Certified Operator (Print) Operators Certification No.
* NC®A Waste Anaylsis of Equivalent. At a minimum, waste analysis is required within 60 days of land application( events.
" Enter the value received by subtracting column (10) from (S). Continue subtracting column (10) from column (11) following each irrigation event,
"'Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) Combined IRR1/2 Form - 8/3/2012

FORM IRR-2
Tract #
Field Size (wetted acres) = (A)
Farm Owner
Owner's Address
(1)
Date
(mm/dd/yr)
11/19/2019
1/23/2020
3/13/2020
Owner's Phone #
Crop Type
(2) (3)
Start
Time
10:00 AM
8:30AM
9:00 AM
End
Time
6:00PM
5:30 PM
8:00 PM
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
BA I Field# IT3714
4,91
Keith B. Butler
5242 High House Rd.
Roseboro, N.C. 28382
910-564-4772
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
From Waste Utilization Plan
Recommended PAN
Loading (Ib/acre) = (0)
'Wheat
S4)
Total
Minutes
(3) - (2)
(5)�
Inipation�
# of
Sprinklers
Operating
)
Flow
Rate
(galtmin)
540
660
1
1
1
114.
114
114
1')
Total Volume
(gallons)
(6) x (5) x (4)
Se)
Volume
per Acre
(gal/acre)
(1) / (A)
Facility Number
1
821
1599
Keith Et. Butler
5242 High House Rd.
Roseboro, N.C. 28382
910-564-4772
125
(a�
Waste Analysis
PAN*
(Ib /1000 gal)
(101
PAN Applied
(lb/acre)
(8) x (61
1000
Nitrogen
Balance"
(tblacre)
IQ)-(10
54,720
61,560
75,240
0
11,144.6
1.7'
12,537.7 2.97
15,323.8
0.0
2.97
18.95
37.24
45.51
0
0
0
0
0.0
0.0
p.0
0.0
0
0.0
0
0
0.0
0.0
DR: 11/iti
Owners Signature
Crop Cycle Totals
0
0'
0
191,520
0.0
0.0
0.0
Operators Signature
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
8=12
106.05
68.82
23.31
23.31
23.31
23.31
23.31
23.31
23.01
23.31
23.31
23.31
23.31
23.31

FORM IRR-2
Tract #
Field Size (wetted acres) _ (A)
Farm Owner
Owner's Address
(1)
Owner's Phone #
Crop Type
(2) (3)
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
BB 1 Field #173714
4.13
Keith B. Butler
5242 High House Rd,
Roseboro N.C. 28382
910-564-4772
Wheat
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
From Waste Utilization Plan
Recommended PAN
Loading (Ib/acre) = (B)
Facility Number
82
1599
Keith B. Butler
5242 High House Rd.
Rosebgro, N.C. 28382
910-564-4772
125
10
Date
(mm/dd/yr)
Irrigation.-, s'a a%
t.7
(. (
PAN Applied
(lb/acre)
(8),, t (0)
1000
in)
Nftrogen
Balance**
(Ib/acre)
(B) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(f) / (A)
Waste Analysis
PAN"
(Ib/1004 gag
8=125
11/20/2019
10:00 AM
6:00 0MVI
480
1
114
54,720
249.4
1.7
' 22.52
102.48
1/22/2020
9:00 AM
3:00 PM
380
1
114
41,040
n1
9,937.0
2.97
29.51
72.96
3/11/2020
10:00 AM
7:00 pM
540
1
114
61,560
_ 14t905.6
2.97
44.27
28.69
0
0.0
0.00
28.69
0
0.0
0.00
28.6,
0
A.
0.0
0.00
28.69
0
0.0
0.00
28.69
0
0.0
0.00
28.69
0
00
0.00
28.69
0
0.0
0.00
28.69
0
0.0
0.00
28.89
0
0.0
0.00
28.88
0
0.0
0.00
28.69
DR 111013
-
*
0
0.0
0.00
28.69
Owner's Signature
p ye
Totals
Operator's signature

FORM 1RR-2
Tract #
Field Size (wetted acres) = (A)
Firm Owner
Owners Address
Owners Phone #
Crop Type
(2) (3)
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
> C Field # 1T3 14
4.91
Keith B. Butler
5242 High House Rd.
Roseboro^, N.C. 28382
910-$64-4772
Irrigation Operator
Irrigation Operator's
Address
Operators Phone #
From Waste Utilization Plan
Recommended PAN
Loading (lb/acre) _ (B)
Wheet
Facility Number
821
599
Keith B, Butler
5242 High House Rd.
Roseboro, N.C. 28382
910.584-4772
125
Date
(mm/ddlyr)
l• '1
lrr�gatiCri
'e{
n
PAN Applied
pb/acre)
(MI (9)
G„�
Nitrogen
Selene'"
(lb/acre)
(8) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Spaniard
Operating
Flow
Rate
(gavmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
Waste Anatysis
PAN*
(Ib/1000 gal)
1009
Br- 125
11/18/2019
10:00 AM
7:00 PM
540
1
114
61,560
14537.7
1.7
21.31
103.69
1/21/2020
9:00AM
6:00'PM
540
1
114
61,560
11,537.7
2.97
37.24
66.45
3/9/2020
9:00 AM
8:00 PM
- 660
1
114'
75,240
16,323.8
2,97
45.51
20.94
0
0.0
0,00
20.94
0
0,0,
0.00
20.94
0;
0,0
"
0.00
20.94
0
0.0
0.00
20.94
0
0.0
0.00
20.94
0
0.0
0.00
20.94
0
0.0
0.00
20.94
0
0.0
0.00
20.94
0
0.0
0.00
20.94
0
0.0
0.00
20.94
OR! 1MIa
0
0.0
0.00
20.94
Owners Signature
rap GVC
Operators Signature

FORM h.oi-2
Field' 'Size (wetted acres) _ (A)
Farm Owner
Owner's Address
Owner's Phone*
Crop Type
2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Zone #
3.64
Keith Butler
5242 High House Rd., Roseboro,
NC 28362
910-990-2546
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
From Waste Utilization Plan
Recommended PAN
(Loading (lb/acre)
Rye
4
5
(7)
8
Facility Number
62
I 599
50
9
1
11
Lagoon
ID
Date
(mm/ddlyr)
Irrigation
PAN Applied
(lb/acre)
(8) x (91
Nitrogen
Balance**
(lb/acre)
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
*of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x(4)
Volume
per Acre
(gal/acre)
(7) / (A)
Waste Analysis
PAN*
fib/1000 gal)
1000
50
82599
1/20/2021
10:00 AM
5:00 PM
420
1
114
47880
13154
2.61
34.33
15.67
c
Al
2/10/2021
10:00 AM
4:00 PM
380
1
114
41040
11275
2.61
29.43
-13.76
cI
Al
rop Cycle *Ms = ` 88920 1
63.78
Owner's Signature Operator's Signature
Certified Operator (Print) Operator's Certification No,
* NCDA Waste Anaylsis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events.
"* Etter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
"**Etter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) Combined IRR1/2 Form - 8/3/2012

FORM i,.R-2
(1)
Fie!d.Size (wetted acres) _ (A]
Farm Owner
Owner's Address
(2
Owner's Phone #
Crop Type
(3)
Lagoom Liquid Irrigation Fields Record
One Form for Each Field per Crop Cyde
Zone # 1 FE
3.09
Keith 6utier
5242 High House Rd., Roseboro,
NC 28382
910-990-2546
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
From Waste Utilization Plan
Recommended PAN
Loading (Ib/acre)
Rye
4
5
8
7) (8'
Facility Number
82
I 599
9
10
1
_agoon
ID
Date
(mm/dd/yr)
Irrigation
Waste Analysis
PAN*
QW1000 gal)
PAN Applied
(Ib/acre)
f8) x (9)
Nitrogen
Balance*"
(0,/acxe)
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Plow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gat/acre)
(7) / (A)
1000
50
82599
1/23/2021
10:00 AM
5;00 PM
420
1
114
47880
15495
1.99
$0.84
19.16
c
Al
2/9/2021
10:00 AM
4;00 PM
360
1
114
41040
13282
2.61
34.68
-15.50
c
Al
—
Crop Cycle Totals
=
88920
85.50
Owner's Signature Operator's Signature
Certified Operator (Print) Operator's Certification No,
* NCUA Waste Anayisis 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 (8). Continue subtracting column (10) from column (11) following each irrigation event.
***Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) Combined IRR1/2 Form - 8/3/2012

FORM LJk-2
(1
Field:Size (wetted acres) = (Ai
Farm Owner
Owner's Address
2
Owner's Phone*
Crop Type
(3)
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cyde
Zone # t FC
3.84
Keith Butler
6242 High House Rd„ Roseboro,
NC 28382
910-990-2548
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
From Waste Utilization Plan
Recommended PAN
Loading (lb/acre)
Rye
4
5
;(e
(7
8)
Facility Number
82
1
1 599
50
4agoon
ID
Date
(mm/ddlyr)
Irrigation
PAN Applied
(lb/acre)
!s) x (91
Nitrogen
Balance**
db/acre)
Weather
Code
Inspections
(Initials)
Start
Time
Sid
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Plow
Rate
(gel/min)
Total Volume
(gallons)
(8) x (5) x (4)
Volume
per Acre
(gavacre)
(7) / (A)
Waste Analysis
PAN*
(Ib/1080 gap
1000
50
82599
1/25/2021
9•00 AM
4:00 PM
420
1
114
47880
13154
2.61
34.33
15 67
cl
Al
2/8/2021
10:00 AM
4:00 PM
360
1
134
41040
11275
2.61
29.43
-13.76
cl
Al
Crop Cycle Totals
=
88920
63.76
Owners Signature
Operators Signature
Certified Operator (Print) Operator's Certification No,
* NC21A 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.) Combined IRR1/2 Form - 8/3/2012

FORM I. A-2
(1
Field Size (wetted acres) _ (A:
Farm 'owner
Owner's Address
2
Owner's Rhone #
Crop Type
Lagoon Liquid Inlgatiuti Fields Record
One Fawn for Each Field per Crop Cycle
Zone
3.64
keith Buller
5242 High House Rd., Roseboro,
NC 28382
910-990-2548
Irrigation Operator
Irrigation Operator's
Address
Operators Phone #
From Waste Utilization Plan
Recommended PAN
Loading (lb/acre)
Soybeans
4
5
(7)
Facility Number
82
599
137
Lagoon
ID
Date
(mm/ddlyr)
..
Irrigation
,_�
_
-.
Analysis
PAN*
gal)
---.
PAN Applied
(lb/acre)
18) x (9)
\Y,,
Nitrogen
Balance"*
(lar/acre)
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Plow
Rate
(get/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
Waste
(lb/1000
1000
137
82599
4/6/2020
10:00 AM
5:00 PM
420
1
114
478$0
-
13154
w
2.97
39.07
1
97.93
c
7/28/2020
10:00 AM
4:00 PM
360
1
114
41040
11275
2.29
25.82
72.11
c
8/26/2020
9:00 AM
3:00 PM
360
1
114
41040
11275
.:
2.29
25.82
49.29
c
---
mP
4
Owners Signature Operator's Signature
Certified Operator (Print) Operators Certification No.
* NCDA Waste Anaylsis or Equivalent. At a minimum, waste analysis is required within 60 days at 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.) Combined IRR1/2 Form - 8/3/2012

FORM IrtR-2
1
Field Size (wetted acres) = (A;
Farm Owner
Owner's Address
Owners Phone*
Crop Type
(31
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
3.09
Keith Butler
5242 High House Rd., Roseboro,
NC 28382
910-990-2548
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
From Waste Utlliastion Plan
Recommended PAN
Loading (lb/acre)
Soybeans
(5)
Facility Number
I 599
437
._ ] •, VW, (7L 1v1 `) "(I (11)
agocan
ID
Date
( mm/dd/yr)
Irrigation
_
P
PAN Applied
(lb/acre)
(8) x (9)
Nitrogen
Balance**
(b/acre)
Weather
Code
Inspections
(Initials)
State
Time
End
Time
Total
Minutes
(3) - (2)
,
* of
Sprinklers
Operating
Flow
Rate
(gaUmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
Waste Analysis
PAN*
(lb/1000 gal)
1000
137
82-599
4
4110/2020
10:00 AM
5:00 PM
420
1
114
47880
15495
2.97
46.02
90.98
c
5
5/7/2020
10:00 AM
2:00 PM
240
1
114
27360
8854
2.29
20.28
' 70.70
c
7
7/29/2020
9:00 AM
3:00 PM
360
1
114
41040
13282 '
2.29
30.41
40.29
pc
grin Cvr_la Tussle ®
1 I Aeon ,
_-
Owner's Signature Operator's Signature
Certified Operator (Print) Operator's Certification No,
* MCDA 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.
***EIYer nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc) Combined IRRt/2 Form - 8/3/2012

FORM IRR-2
(1
Field Size (wetted acres) (A)
Fami Owner
Owner's Address
2
Owners Phone #
Crop Type
can
Lagoon Liquid irrigation Fields Record
One Form for Each Fieldper Crop Cycle
Zone#1 PC
3.64
Keith Butler
5242 High House Rd., Roseboro,
NC 28382
910-990-2548
Irrigation Operator
Irrigation Operator's
Address
Operators Phone #
From Waste Utllizatlon Plan
Recommended PAN
Loading (lb/acre)
Soybeans
4
5
(7)
Facility Number
82
599
137
9)
10
11
_agoon
ID
Date
(mm/ddyr)
Irrigation
Waste Analysis
PAN*
(lb/1000 gal)
PAN Applied
(lb/acre)
(8) x (9)
Nitrogen
Balance*"
(lb/acre)
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
-
Plow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
1000
137
82-599
4/11/2020
10:00 AM
5:00 PM
420
1
114
47680
13154
2.97
39.07
g7 93
0
5/5/2020
9:00 AM
5:00 PM
480
1
114
54720
15033
2.29
34.433
63.51
pc
8/1/2020
10:00 AM
4:00 PM
360
1
114
41040
11275
2.29
25.82
37.69
c
Crop Cycle Totals ®
143840
99.31
Owners Signature
Operator's Signature
Certified Operator (Print) Operators Oertification No.
* 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 (8). Continue subtracting column (10) from column (11) following each irrigation event.
***Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) Combined IRR1/2 Form - ft/3/2012

FORM IRR-2
1
Tract #
Field Size (wetted acres) = (A)
Farm (firmer
Owner's Address
Owner's Phone #
Crop Type
2 c3l
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
FB I Field # IT3714
3.09
Keith B. Butler
5242 High House Rd.
Roseboro, N.C. 28382
910-564-4772
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
From Waste Utillzation Plan
Recommended PAN
Loading (Ib/acre) = (8)
Wheat
4
(5
6
6)
Facility Number
82
Keith B. Butler
5242 High House Rd.
Roseboro, N.C. 28382
910-564-4772
125
Date
(mm/dd/yr)
Irrigation
Waste. Analysis
PAN*
(Ib/1000gal)
PAN Applied
(Ib/acre)
fai x (g),
Nitrogen
Balance`"
lb/acre)
40) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) w(5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
1000
B=125
1/28/2020
10:00 AM
3:00 PM
360
1
114
41,040
1%281.6
2.97
39.45
85.55
#VALUEI
#VALUEI
#VALUE'
#VALUEI
#VALUE!
#VALUEI
#VALUE!
#VALUEI
#VALUE'
#VALUEI
#VALUEI
#VALUE!
*VALUE!
#VALUE'
#VALUE!
#VALUE!
0
0.0
0.00
#VALUEI
#VALUE!
0
0.0
0.00
0
0.0
0.00
#VALUEI
#VALUE!
#VALUE!
#VALUEI
#VALUEI
0
0.0
0.00
0
0,0
0.00
0
0.0
0.00
0
0.0
0.00
0
0.0
0.00
#VALUEI
#VALUEI
0
0.0
0.00
Owner's Signature
Certified Operator (Print)
Crop Cycle Totals #VALUEI J
Operator's Signature
Operator's Certification No.

FORM IRR-2
Tract #
Field Size (wetted acres) = (A)
Farm Owner
Owner's Address
1
Owner's Phone #
Crop Type
l3)
2
Lagoon Liquid irrigation Fields Record
One Form for Each Field per Crop Cycle
FABB f Field # IT3714
3.64
Keith B. Butler
5242 High House Rd.
Roseboro, N.C. 28382
910-564-4772
irrigation Operator
irrigation Operator's
Address
Operator's Phone #
From Waste Utilization Plan
Recommended PAN
Loading (lb/acre) _ (3)
Wheat
(5)
Facility Number
1
821
)599
Keith B. Butler
5242 High House Rd.
Roseboro, N.C. 28382
910-564-4772
125
-
- . .._ - ,•i 4:i.. ,„/ to)) (11)
Date
(mmrdd/yr)
Irrigation .
PAN Applied
(lb/acre)
(8) x (91
Nitrogen
Balance"
(lb/acre)
(6) - (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gavacre)
(7) / (A)
Waste Analysts
PAN*
OIl1000 gal
1000
8=125
11/21/2019
11:00 AM
6:00 PM
420
1
114
47,880
13,153.8
1.7
22.36
102.64
1/27/2020
9:00 AM
4:00 PM
420
1
114
47,880
13,153.8
2.97
' 39.07
63.57
#VALUEI
*VALUE!
#VALUE! '
#VALUE!
0
0.0
0.00
#VALUEI
0
00
0.00
#VALUE!
0
0.0
0.00
#VALUE!
0
0.0
0.00
#VALUE!
0
0.0
0.00
#VALUE!
0
0.0
0.00
#VALUE!
0
0.0
0.00
#VALUEI
0
0.0
0.00
#VALUE!
0
0.0
0.00
#VALUE!
0
0.0
0.00
#VALUE!
no 11lo
0
9
0.0
0.00
#VALUE!
Owner's Signature
crop Cycle Totaisl #VALUE!
Operators Signature

FORM IRR-2
Tract #
Field Size (wetted acres) 0 (A)
Farm Owner
Owner's Address
1
Owner's Phone #
Crop Type
21 (3)
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
FC I Field # 1T3714
3.64.
Keith B. Butler
5242 High House Rd.
Roseboro, N.C. 28382
910-564-4772
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
From Waste !utilization Plan
Recommended PAN
Loading (lb/acre) _ (B)
Wheat
4
5
Facility Number
82
1599
Keith B. Butler
5242 High House Rd.
Roseboro, N.C. 28382
910-5644772
125
(9)
(10
11
Date
(mmldd/yr)
Irrigation
Waste Analysis
PAN*
0b/1000 gel)
PAN Applied
()blade)
im x (91
Nitrogen
Balance"'
(Ib/acre)
(8)- (1D)
Start
Time
End
Time
Total
Minutes
(3) - (2)
*of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
os) x (5) x (4)
Volume
per Acre
(geI/ad e)
(7)1114
1000
8=125
1/29/2020
9:00 AM
3:00 PM
360
1.
114
41,040
11,274.7
2.97
33.49
91.51
#VALUE!
#VALUEf'
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUEI
#VALUE!
#VALUEI
#VALlE1
#VALUE!.
#VALUEI
#VALUEI
#VALUEI ;
#VALUEI :
#VALUE!
0
0,0;
0.00
#VALUE!
0
0.0'
0.00
#VALUEI
0
0.0
0.00
#VALUEI
0
0.0
0.90
*VALUE!
*VALUE)
0
0.0
0.00
0
00
0.00
*VALUE!
#VALUE!
0
0.0
0.00
0
0.0
0:00
#VALUE!
0
0.0
000
#VALUEI _
DR: 11/98
Crop Cycle Totals! #VALUEI
Owner's Signature Operator's Signature
Certified Operator (Print) Operator's Certification No.

FORM INA-2
1
Field'$Ize (wetted acres) g (A)
Farm Owner
Owner's Address
(2
Owner's Phone /
Crop Type
(3)
Lagoons Liquid Irrigation Fields Record
One Fowl for Each Field per Crop Cycle
ZoneRI MC
4.38
Keith Butler
5242 High House Rd., Roseboro, I'
NC 28382
910-990-2548
Coastal
Irrigation Operator
Inigatlon Operator's
Address
Operators Phone 0
From Waste Utilization Plan
Recommended PAN
Loading (Ib/acre)
Facility Number
82
599
230
Lagoon
ID
Date
(mm/ddyr)
I hon�'��t:.�,1.
PAN Applied
(lb/acre)
f8) x (9)
?
Nitrogen
Balance""
(9rlacre)
_
Weather
Cods
Inspections
(Initials)
Start
Time
Time
Minutes
Spanklers
Operating
Hew
Rate
(gS/Min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) i(A)
Waste Analysis
PAN*
(Ib/1000 gal)
1000
200
82-599
2/23/2021
9;00 AM
r r '
r
114'
47880
10982
2.61
28.66
201.34
pc
Al
.,
-4
V
al
Coop Cycle retail
=
4i880
28.66
Owners Signature Operators Signature
Certified Operator (Print) Operators Certification No.
* NOM Waste Anayisis 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.) combined IRR1/2 Form - 8/3/2012

)
FORM INR-2 Lagoom Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Field Size (wetted acres) = (A)
Farm Owner
Owner's Address
Owner's Phone*
Crop Type
(8)
Zone* 1 ARC
4.36
Keith Sutler
5242 High House Rd., Roseboro,
NC 28382
910-990-2546
Coastal
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone *
F m Waste Utilization Plan
Recommended PAN
Leading (lb/acre)
8
Facility Number
82
599
230
9
10
11
Lagoon
ID
Date
(mm/ddryr)
Irrigation
Waste Analysis
PAN*
(Ib/1000 gal)
PAN Applied
(lb/acre)
fa) xf9)
Nitrogen
Balance*
(Ib/acre)
Weather
Code
Inspections
(initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
0 of
Sprinklers
Operating
Flew
Rate
(gal/Min)
Total Volueie
(gallons)
(6) x (5) x'(4)
Volume
per Acre
(gal/acre)
(7) / (A)
1000
23*0
82599
2/22/2021
10:00 AM
5:00 PM
420
1
114
47880
10982
2,61
28.66
201.34
cl
Al
fop Cycle Tota18 _ ' 47880 s.
Owners Signature Operators Signature
Certified Operator (Print) Operator's Certification No.
* NCVA Waste Anaylsis or Equivalent. At a minimum, waste analygis 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.) Combined IRR1/2 Form - 8/3/2012

FORM IKR-2
1
Field Size (wetted acres) = (A)
Farm Owner
Owner's Address
2
Owner's Phone #
Crgp Type
(3)
}
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
zone# I A
5.25
Keith Butler
5242 High House Rd., Roseboro,
NC 28382
9110-990-2546
Facility Number
82
599
Irrigation Operator
Irrigation Operators
Address
Operator's Phone #
From Waste UtilizfHon Plan
Recommended PAN
Loading fib/acre)
Rye
(5)
(.
50
Lagoon
ID
Date
(mm/ddyr)
Irrigation
Waste Analysis
PAN*
(lb/1000 gal)
PAN Applied
(Ib/acre)
%8)x(91
Nitrogen
Balance**
fib/acre)
Weather
Code
Inspections
(Initials)
Start
Time
End
Tam
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Plow
Rate
(gatlmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
1000
50
82590
1/4/2021
1 iQ:00 AM
5:00 PM
420
1
114
47880
9120
2.61
23.60
28,20
c
Al
______=..E.EN
____________AIL_____________
- . _
.._.
.___
1
Owner's Signature Operator's Signature
Certified Operator (Print) Operator's Certification No,
* NCDA Waste AnayiSis 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.
***Erdsr nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) Combined IRR1/2 Form - 8/3/2012

FORM IHR-2
1
Field size (wetted acres] ;e (A)
Farts Owner
Owner's Address
2
Owner's Phone #
Crop type
(3)
Lagoon Liquid Irrigation Fields Record
One Foni9 for Each Field per Crop Cydle
Zone # 1 .AB
4.36
Keith Butler
5242 High House Rd., Rosegcaro,
NC 28382
910-990-2546
4
5
Irrigation Operator
Irrigation Operators
Address
Operator's Phone #
From Waste Utilization Plan
Recommended PAN
Loading (lb/acre)
Facility Number
50
(10)
Lagoon
ID
Date
: (mm/dd/yr)
Irrigation
Waste Analysis
PAN*
fib/1000 gal)
PAN Applied
(Ib/acre)
(8) x (9)
•
...��r
Nitrogen
Balance"
(b/acre)
Weather
Code
•Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
$ of
Sprinklers
Operating
Plow
Rate
(gat/min)
Total Volume
(gallons)
(6) x (5) x(4)
Volume
per Acre
(gal/acre)
(7) I(A)
1000
50
82-599
1/4/2021111111111111111111
1(:00 AM
5;00 FM
420
1
114
47880
10982
2.81
28.86
21 34
c
Al
rap Gycle Totals = 1 47880
28.66 1
Owner's Signature Operator's Signature
Certified Operator (Print) Operators Certification No,
* NCOA 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.
**Triter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) Combined IRR1/2 Form- 8/3/2012

FORM 1KR-2
(1
FieldSite (wetted acres) ti (A)
Fann Owner
Owner's Address
(2
Owner's Phone #
Crop Type
3
Lagoon Liquid Irrigation/Fields Record
One Form for Each Field per Crop Cycle
Zone#I Al
5.25
Keith Buller
5242 High House Rd., Rosebero,
NC 28382
910-990-2548
Rye
4
5
Irrigation Operator
Irrigation Operators
Address
Operators Phone #
From Waste Utilization Plan
Recommended PAN
Loading (Ib/acre)
Facility Number
50
(101
Lagoon
ID
Date
(mm/ddyr)
.Irrigation
Waste Analysis
PAN*
(lb/1000 gal)
PAN Applied
(lb/acre)
(8) x (91
Nitrogen
Balance'"'
(@nacre)
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
ROW
Rate
(gal/min)
Total Volume
(gallon$ '
(8) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) /'(A)
1000
50
82-599
1/5/2021
10:00 AM
5:00 PM
420
1
114
47880
9120
2.61
23•80
26,20
c
2/12/2021
9:00 AM
4:00 PM
420
; 1
114
47880
9120
2.61
23.80
2.39
pc
crop Cycle Totals ®j 95760 I
47.61
Owner's Signature Operator's Signature
Certified Operator (Print) Operator's Certification No.
* 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.) Combined IRR1/2 Fprm - 8/3/2012

FORM IKR-2
1
Field Size (wetted acres) s (A
Farm owner
Owner's Address
2
Owner's Phone*
Crop Type
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
1
5.25
Keith Butler
5242 High House: Rd., Rossboro,
NC 28382
910-990-2548
Irrigation Operator
Irrigation Operators
Address
Operators Phone *
From Waste Utilization Plan
Recommended PAN
Loading (Ib/acre),
1
Coastal
5
Facility Number
82
1
599
230
're ni .LW (/1_ (8) (9) 10)
agacrl
ID
Date
(mm/ddyr)
Irrigation
PAN Applied
(lb/acre)
18)x(91
(11)
Nitrogen
Balance*
([here)
230
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Blow
Rate
(gat/min)
VolumeTotal Volua
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) RA)
Waste Analysis
PAN"
(lb/1000 gal)
1000
82-599
8/5/2020
8:00 AM
5:00 PM
540
1
114
61560
11728
297
.1'95.17
34.83
7
7/2/2020
10/30/2020
8:00 AM
7:00 PM
660
1
144
75240
14331
2.29
32.82
a
9:00 AM
7:00 PM
800
1
114
68400
13029
2,29
29.84
192.E
132.52
c
drop Cycle
Male ra
205200
97.48
Owner's Signature
Operators Signature
Certified Operator (Print) Operators Certification No.
* 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, commericalfoertiNzer, dry litter, etc.)
Combined IRR112 Form - 8/3/2012

FORM IKR-2
1)
FieId:SIre (wetted acres) *4(A)
Farm Owner
Owner's Address
(2
Owner's Phone*
Crop Type
3
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Zone # I A
4236
Keith Butler
i
5242 High House Rd.,Roseboro,
NC 28382
910- 90-2548
Coastal
Irrigation Operator
Irrigation Operator's
Address
Operators Phone #
Facility Number I 82 I
Ftern Waste Udlintlon Plan
Recommended PAN
Loading (Ib/acre)�
230
11)
Lagoon
ID
Date
(mm/dd/yr)
Irrigation
%
PAN Applied
(lb/acre)
f8) x (9)
Nitrogen
Balance*`
(10/acre)
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gat/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(galfacre)
(7) / (A)
Waste Analysis
PAN*
(1b/1000 gal)
1000
230
82 599
�/2/2020
10:00 AM
5:00 PM
420
1
114
47880
10982
2.97
82.62
1a .38
c
6/11/2020
10:00 AM
6:00 PM
4t30
1
114
54720
12550
2.29
814
16(3.6Y3
10/25/2020
9:80 AM
5:00 PM
480
1
11,4
54720
12550
1.99
t 4.98
148.67
Gtrop toy cle mars ) 157320 )
Owner's Signature Operator's Signature
Certified Operator (Print) Operator's Certification No.
* NC A 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 fortilizer, dry litter, etc.) Combined IRR1/2 Form - 8/312012

FORM InR-2
Field Size (wetted acres) = (A;
Farm Owner
Owners Address
Owners Phone
Crop Type
1
5.25
ith Butler
524 kligh House Rd., R4sebohn,
NC 28382
Ia990-2
Lagoon Liquid Irrigation Fields Record
One Foiltit for Each Field per Crop Cycle
one# ACC Facility Number I ,82, -
sso
Irrigation Operator
Irrigation Operator's
Address .
Operators Phone I
From Waste Utilization Plan
Coastal Recommended PAN
Loading (Ib/acre)-
van
230
le (e) 10 (11
_agates
ID
Date
(mm/dd/yr)
Irrigation . }
PAN Applied
(ib/aere)
(8) x (9)
Nitrogen
Balance"
(lb/acre)
Weather
Coda
inspections
(Initials)
Start
Time
End
Tane
Total
Minutes
(3). (2)
0 of
Sprinklers
Operating
Flow
Rate
,(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume -
per Acre
(gal/acre)
(7) / (A)
Waste Analysis
PAN*
gb/1000 gal)
1000
82.599
6/1/2020203.i5
10i;00 AM
7:00 PM
540
1
114
61560
11726
2.29
2685
.
6/9/2020
10;00AM
8.00PM
600
440
1
114
60400
13029
2,29
29,84
173.31
pc
10/22/2020
9:60 AM
5,00 PM
1
114
54720
10423
1.99
20,74
152.57
c
..
. Mn nle
e_s ,.
"o en
Camera signature Operators Signature
Certified Operator (Print) , Operators Certification No.
NCIDA Waste Anaylsls or Equivalent. At a miflimonl, waste analysis is required within 60 days cf 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 (le. Lagoon/Storage Pond ID, commerttai fertilizer, dry fitter, etc.)
Combined IRR1/2 Form - 8/3/2012

FORM IRR-2
Tract #
Field Size (wetted acres) * (A)
Farm Owner
Owner's Address
Owner's Phone #
Crop T$ e
(1
Lagbon Liquid Irrigation Fields Retard
One Form for Each Field per Crop Cycle
Field a` T37 4
4.38
Keith B. Bt. .d(-r
5242 High House Rd.
Roseboro.N C, 28382
910564-4772
Rye
Irrigation Operator
irrigation Operator's
Address
Operator's Phone #
From Waste utilizationn Platt Recommended PAN,
Loading (Ib/ecre) a (0)
Facility Number I 821 -
599
Keith B. %tier
5242 High House Rd.
Roseboro,;N.C. 28382
910-504-4772
Date
(mm/dd/yr)
. ve
Irrigation
tree i.:
PAN Applied
(Ib/acre)
18) $ (92
lU
Ni M yen
Balance.
(Ib/acre)
(� (8j- (10)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
How
Rate
(gal/min)
Total Volume
(gatlohs)
(8) x (5) x (4)
Volume
per Ape
(gaUacre)
in / (A)-
Waste Analysis
PAN*
eti/1000 gat)
1000
B= 50
11/5/2019
10:00 AM
7:00 PM
540
1
114
81,560
14,119,3
1.7
24.00
28.00
2/12/2020
°I0:00 AM
3:00 (M
30C
1
114
34,200
7,944.0
2.97
23.00
20
0
0.0
0.00
�.
0
0.0
0.i
2.70
0
0.0
0.00
2. 0
0
0.0
00
_.: 0
0
0.0
0.00
.70
0
0.0
0.0y0d
•To
0
Ott
o.oN'
$.y70
o
0.0
O.00
i ! 0
i(11/AL ( El
#VALUE!
#VALWEI
#VALUE!
#VALUE!
#VALUE!.
0
0.0
O.
0
0,0
0.M10
Tit: trree
—._ ,._
wn
Owner's Signature
Certified Operator (Print)
crop cycle Tatale
J
Operator's Signature
Operator's Certification No.

)
FORM IRR-2
Tract #
Field Size (wetted acres) (A
Farm Owner
Owners Address
Owner's Phone e
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
AB, Field # T3714
4.38
Keith =. Bu er
5242 High I4oase Rd.
Roseboro, N.C. 28382
910-564-4772
From Waste ULI
Irrigation Operator
Irrigation Operators
Address
Operators Phone
Facility Number I 82 -1599
Keith B.'Butler
5242 High house Rd.
Rosehoro, , N1, C. 28382
910-5$4 4772
Crop Type
f
(Byre
t Recommended PAN
Loading pb/acre) = (t3)
50
(1)
(2) (3) . (4) (0) (5)m ($) ) (10) 11).
A.
knoll
Date
(mm/ddyr)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flaw
Pete
Tglal Volume
(gallons)
Volume
per Acre
(gal/acre)
Waste Analysis
PAN`
PAN Applied
(Ib/acre)
0) x (91
Nft$gen
Balance
((IMxcre)
(gaUmin)
(6) x (5) x (4)
(7) / (A)
gb/1000 gal)
1000
(S) - (10)
$
2$;8$3
2/9/2020
1 Q:00 AM
5:Oi� t Ml
1
114
1,040
44. 12.5
a412,8
2,97
27;96
079,
0
0,0
0,00:
0.71
0
0.0
0.00
0.71
0
a.
0.0
ad)
0.71
o
d,0
0.080.71
0
0,0
0.00
0.71
o
0,0
0.00
0.71
o
" 0.0
0;;(14
P.71
0
do
o.oq
0.71
#VALUE;!
#VALUER
#VALUEI
#VALUIE(
—
0
0;0
0:00
#VALUIE;I;
0
0,0
0.00
#VALUE
0
d.o�
Tin. hags
0.00
#VALUE!
Crop Cycle Totals
#VAE.I)E!
Owners Signature
G er$ed Operator (Print)
Operators Signature
Operators Certification No.

FORM IRRd2
Trsci #
Field Site (wetted acres) c (A)
Farm Owner
Owners Address
(1)
Owners Phone*
Lagoon Liquid irrigation Fields Record
One Corm for Each Field per Crop Cycle
AC : Field # T3714
4
Keith 13. B 1,=r
5242 High House Rd.
Roseboro N C, 28382
910-564-477
Facility Number d S21 - For 1
Irrigation Operator Keith 0. B ler
Irrigation Operators 5242 High Ouse Rd,
Address Roseborq,:C. 28382
Operator's Phone # 910-5$4-4 72
Prom Waste Utilisation Plan
Crop Type Rye Recommended PAN 50
Loading (Ibtacre) = ($3
..tee' Ao) ti
(0) (10) )
Date
(mmldd/yi)
11/4/2019
PAN Appplied
pWecre)
L8IOW
1t10[f
(11)
Nitrogen
Balance.*
E -i (1 )
(B�-(tt)),
Start
Time
End
End
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Pate
� eVntln)
Total Volume
(g) 8 xs(4)
(
Upturns
pergal Arse
CO) ar»)
A?
Waste Anillysis
I000
gbtipOoSal)
P=50
12:00 PM
7;00 PM
42Q
1
114
47,880
10191,7
1.
�88
31.33
2/5/2020
10:QO AM
4:0fi j?M
360
1
114
41 ti040
9,4 8
P,�7;
27. a s
3
0
g.0`
0.00
.38
0
0,0
0.0C
338
,
3
0
00
c 0.0Lt7
0.00
3.P8
0
100
do
0:0q
3.08
0
0,0
�00
_
0
0.0
.0
o.0d
38
8.
0
0.0
woo
3.6
#VALt1E!
#V.AL i
#VALUER
#VAL(E!
0
0.o
0.od
#V,LiE!
0
00
0.(>S
#VALuE?
0
0.0
ftVAI.V!GI�
ti
-
Croft Mitt Tama
'!Ft/Al tICI0•
Owners Signiptilro
Certified Operator (Print)
Operators Signature
Operators Certification No.

SITE PHOTOS

PHOTO #2
•
,U)
a
3
3

"1".!-.11111,1/47,g,:.

A' 0.
0-44 I
VtA
HOTO #4

PHOTO #5
.:;.,,.,,a..,.,;..; ,.,,w.,«ai',..,..:,., ,r,�

PHOTO 6

PHOTO #7: picture shows the reel
actively spraying on the spray field
::..'::::.%_..iikt,'—is.,7".-:_7-...;11....41:::-:'
Ts-JdF�,,. -'-- IJ!r' t '��til4f ],� r
vpr
ti lS.Y Jam;..,...,„,,..,_,,,,...,„..„ ' 2'' '''' '- -
otit,s
Sri < w.
ii
(

PHOTO #8: Spray
Event on Spray Field

PHOTO #9: Saturated Spray Field
that was sprayed on