780072_Sludge Survey (Reporting)_20230516

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- -12/23/21,8;07 AM AT AmIMAII FACILITIES -9
J & A SLUDGE
Invoice 0000166 J&A SLUDGE,INC.
y-41
Neal Hill e Flae j INVOICE
Mo White Fla R ad e is-Aq. y1
Mount Olive, N 2 365 919-738-0970
Stone Farms Tommy Invoice # 0000166
582 PersimStonemon Rd
Roland NC Invoice Date 12/22/2021
Due Date 12/22/2021
Item Description Unit Price Quantity Amount
Service 11/10-11/14/21 0.02 2000000.00 40,000.00
Agitated, pumped, hauled and land applied 2,000,000
gallons
Subtotal 40,000.00
Total 40,000.00
Amount Paid 0.00
Balance Due $40,000.00

_..�_..� CnR HIGH FREEBOARD AT ANIMAL FACILITIES
pl �
F
F Form SLUR-2 Slurry and Sludge Application Field Record
C One Form for Each Field Per Crop Cycle
Tract# 0li Field# (0 Facility Number �g� J-
I� Field Size (acres)= (A) 54
i Farm Owner o , Sd•o Spreader0perator 1,1,
Spreader Operator's j 4y Q�,,d A-kSA
Owner's Address PL^ �^""' Address A-Ak0h, /V_-_
Owner's Phone# 910 3 3-7 e` Operator's Phone# 4 iq_
From Animal Waste Management Plan
Crop Type Recommended PAN
(,J Loading (lb/acre)=(B) 01
(�) (2) (3) (4) (5) (6) (7) (gl
9
Date
Total Volume Volume Per Acre Waste Analysts 2 PAN Applied Nitrogen Balance'
1
(mm/dd/yr) #of Loads Per Field Volume of Loads (gallons) (gal/ac) PAN(lb/1000 gal) x(lb/a+) (lblac)
(2) x (3) (4)+(A) 1(5) (6)I 1,000 (B)-(7)
F
Crop Cycle Totals U
g
Owner's Signature Operator's Signature
Certified Operator(Print) _L,I . �,,,.,,
��(,(1) Operator Certification#
1 ran he found In ooerator's manual for the spreader.Contact a local dealer If you do not have your owner's manual.
.._�i i....... .... _ ., i 1--,.,.,d—A,..utit,an.love of Innri nnnlirntinn P.vents.

U T
PLAN OF ACTION(Poa) FOR HIGH FREEBOARD AT ANIMAL FACILITIES h
Form SLUR-2 Slurry and Sludge Application Field Record
One Form for Each Field Per Crop Cycle
Tract# (p Field# 3 Facility Number
Field Size(acres)= (A)
Farm Owner q, �j ,vv Spreader Operator W
Spreader O
Owner's Address Address �u Q
8 a
Owner's Phone# R(O- g�4— 3 y Operator's Phone#
From Animal Waste Management Plan
Recommended PAN
Crop Type �f�,,� Loading(lb/acre)_(8) ��d
(t) t2) (3) (4) (5) (s) l7) (e)
_ Total Volume Volume Per Acre Waste Analysis 2 PAN Applied Nitrogen Balance' I
Date #of Loads Per Field Volume of Loads (gallons) (gal/ac) (lb/ac)
(mm/dd/yr) PAN(ib/1000 gal) x + (Iblac)
(�) "(3) (4)+(A) I(5) le)1 1,000
I 3L 1Q a Sa Sig (9�50 Soo �oo� 03 _ Ell
1i I3�al
Crop Cycle Totals Epp$ 3
NwIA
Owner's Signature Operator's Signature 6w
Certified Operator(Print) Operator Certification# �CR�6
' Can be found In operator's manual for the spreader.Contact a local dealer If you do not have your owner's manual.
See your animal waste management plan for sampling frequency.At a minimum,waste analysis Is required within 60 days of land application events.
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