240029_Permit Renewal Application 2019_20190410

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Animal Waste Management Systems
Request for Certification of Coverage
Facility Currently covered by an Expiring Sate Non-Discharge General Permit
On September 30, 2019, the North Carolina State Non-Discharge General Permits for Animal Waste Management Systems will
expire. As required by these permits, facilities that have been issued Certificates of Coverage to operate under these State
Non-Discharge General Permits must apply for renewal at least 180 days prior to their expiration date. Therefore, all applications
must be received by the Division of Water Resources by no later than April 3,2019.
Please do not leave any question unanswered. Please verify all information and make any necessary corrections below.
Application must be signed and dated by the Permittee.
1. Farm Number: 24-0029 Certificate Of Coverage Number: AWS240029
2. Facility Name: Shan Spivey Topping Operation
3. Landowner's Name(same as on the Waste Management Plan): Shan H Snive�
4. Landowner's Mailing Address: 171 Sine: Chem Grove Rd
City: Clarendon State: NC Zip: 28432-9375
Telephone Number: 000-653-3208 Ext. E-mail:
5. Facility's Physical Address:
City: State: Zip:
6. County where Facility is located: Columbus
7. Farm Manager's Name(if different from Landowner):
8. Farm Manager's telephone number(include area code):
9. Integrator's Name(if there is not an Integrator,write"None"): Smith Farms
10. Operator Name(OIC): John David Hardwick Phone No.: 910-653-2516 OIC#: 20207
11. Lessee's Name(if there is not a Lessee,write'None"):
12. Indicate animal operation type and number:
Current Permit: Operations Type Allowable Count
Swine-Feeder to Finish 600
Operation Types:
Swine Cattle Dry Poultry Other Types
Wean to Finish Dairy Calf Non Laying Chickens Horses-Horses
Wean to Feeder Dairy Heifer Laying Chickens Horses-Other
Farrow to Finish Milk Cow Pullets Sheep-Sheep
Feeder to Finish Dry Cow Turkeys Sheep-Other
Farrow to Wean Beef Stocker Calf Turkey Pullet
Farrow to Feeder Beef Feeder
Boar/Stud Beef Broad Cow Wet Poultry
Gilts Other Non Laying Pullet
Other Layers

13. Waste Treatment and Storage Lagoons (Verify the following information is accurate and complete. Make all necessary
corrections and provide missing data.)
Estimated Liner Type Estimated Design Freeboard
Structure Date (Clay,Synthetic, Capacity Surface Area "Redline"
Name Built Unknown) (Cubic Feet) (Square Feet) (Inches)
1 + 6 V00 19.00
Mail one (1) copy of the Certified Animal Waste Management Plan (CAWMP) with this completed and signed application
as required by NC General Statutes 143-215.1OC(d)to the address below.
The CAWMP must include the following components:
1. The most recent Waste Utilization Plan(WUP),signed b, the owner and a certified technical specialist,containing:
a. The method by which waste is applied to the disposal fields(e.g.irrigation,injection,etc.)
b. A map of every field used for land application(for example:irrigation map)
c. The soil series present on every land application field
d. The crops grown on every land application field
e. The Realistic Yield Expectation(RYE)for every crop shown in the WUP
f. The maximum PAN to be applied to every land application field
g. The waste application windows for every crop utilized in the WUP
h. The required NRCS Standard specifications
2. A site map/schematic
3. Emergency Action Plan
4. Insect Control Checklist with chosen best management practices noted
5. Odor Control Checklist with chosen best management practices noted
6. Mortality Control Checklist with selected method noted-Use the enclosed updated Mortality Control Checklist
7. Lagoon/storage pond capacity documentation (design, calculations, etc.) Please be sure the above table is accurate and
complete. Also provide any site evaluations, wetland determinations, or hazard classifications that may be applicable to
your facility.
8. Operation and Maintenance Plan
If your CAWMP includes any components not shown on this list, please include the additional components with your submittal.
(e.g.composting,digesters,waste transfers,etc.)
As a second option to mailing paper copies of the application package, you can scan and email one signed copy of the
application and all the CAWMP items above to: [e-mail]
APR 02 2�19

I attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that,
if all required parts of this application are not completed and that if all required supporting information and attachments are not
included,this application package will be returned to me as incomplete.
Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B,•any person' who knowingly makes any false statement,
representation, or certification in any application may be subject to civil penalties up to $25,000 per violation. (18 U.S.C.
Section 1001 provides a punishment by a fine of not more than $10,000 or imprisonment of not more than 5 years, or both for
a similar offense.)
Printed Name of Signing Official (Landowner, or if multiple Landowners all landowners should sign. If Landowner is a
corporation,signature should be by a principal executive officer of the corporation):
Name: "S�iQxI /�I, L710! V eY _ Title: IQGt/
w a_
Signature: � Date: y L J-9
Name: Title:
Signature: _ _ Date:
Name: Title:
Signature: Date: .
THE COMPLETED APPLICATION SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NCDEQ-DWR
Animal Feeding Operations Program
1636 Mail Service Center
Raleigh,North Carolina 27699-1636
Telephone number:[phone]
E-mail:[e-mail]
FORM: RENEWAL-STATE GENERAL 02/2019

ROY COOPER
Gaaernar TT Icy
feu
MICHAEL S.REGAN
Secretary
LINDA CULPEPPER NORTH CAROLINA APR 0 2 ?019
Dilertar Environmental Quality
February 27,2019'
Shan H Spivey
Shan Spivey Topping Operation
171 Sidney Cherry Grove Rd
Clarendon,NC 28432-9375
Subject: Application for Renewal of Coverage for Expiring State General Permit
Dear Permittee:
Your facility is currently approved for operation under one of the Animal Waste Operation State Nfon-Discharge General Permits,
which expire on September 30, 2019. Copies of the new animal waste operation State Non-Discharge General Permits are available
at htIVs:L&qnc LPov/about/divisions/water-resources/wateE:guality-:mgional-orierations/afo or by writing or calling:
NCDEQ-DWR
Animal Feeding Operations Program
1636 Mail Service Center -7 ID-7
Raleigh,North Carolina 27699-1636
Telephone number:[phone] C4"4'.k_' 0—cou�An- �-
7 — '
cite, — —10 S(0 lip
In order to assure �our continued coverage under the State Non-Discharge General Permits. you must submit an application for
permit coverage to the Division. Enclosed you will find a "Request for Certificate of Coverage Facility Currently Covered by an
Expiring State Non-Discharge General Permit." The application form must be completed, signed and returned by April 3, 2019•
Please note that You must include one (11 cork: of the Certified animal 3yaaft Management Plan (CAWNIP) with the
completed and signed application form. A list of items included in the CAWMP can be found on vase 2 of the renewal
application form.
Failure to request renewal of your coverage under a general permit within the time period specified may result in a civil penalty.
Operation of your facility without coverage under a valid general permit would constitute a violation of NCGS 143-215.1 and could
result in assessments of civil penalties of up to$25,000 per day.
If you have any questions about the State Non-Discharge General Permits, the enclosed application, or any related matter please feel
free to contact the Animal Feeding Operations Branch staff at 919-707-9100.
Sincerely,
Jon Risgaard,Section Chief
Animal Feeding Operations and Groundwater Section
Enclosures
cc(w/o enclosures): Wilmington Regional Office,Water Quality Regional Operations Section
Columbus County Soil and Water Conservation District
AFOG Section Central Files-AWS240029
Smith Farm
North Cara !!&DeFartmav,tvf Envroarrenta QL&,ty 1 D%,sion aft'.'ate�Reso"rDes
B12 N.S.- sbLn,St.I ISSSE, o M Sv.,>-Ceuta,I R t�'Z a's gh,Noraro re 27EI&S-1836

Version—November 26,2018
Mortality Management Methods
Indicate which method(s) will be implemented.
When selecting multiple methods indicate a primary versus secondary option.
Methods other than those listed must be approved by the State Veterinarian.
Primary Secondary Routine Mortality
a Burial three feet beneath the surface of the ground within 24 hours of knowledge of animal
death. The burial must be at least 300 feet from any flowing stream or public body of water
(G.S.106-403). The bottom of the burial pit should be at least one foot above the seasonal
high water table.Attach burial location map and plan.
LandA2at 00municipal solid waste facility permitted by NC DEQ under P.5_1.5A�N13BCq
u Rendering at a rendering plant licensed under G.S. 106-168.7. APR U 2 2019
Complete incineration according to 02 NCAC 52C .0102.
A composting system approved and permitted by'the NC Department of Agriculture&Con-
sumer Services Veterinary Division (attach copy of permit). If compost is distributed off-farm,
additional requirements must be met and a permit is required from NC DEQ.
In the case of dead poultry only, placing in a disposal pit of a size and design approved by the
NC Department of Agriculture&Consumer Services(G.S. 106-549.70).
D Any method which, in the professional opinioniof the State Veterinarian,would make possible
the salvage of part of a dead animal's value without endangering human or animal health.
(Written approval by the State Veterinarian must be attached).
Mass Mortality Plan
Mass mortality plans are required for farms covered by an NPDES permit. These plans are
also recommended for all animal operations. This plan outlines farm-specific mortality man-
agement methods to be used for mass mortality. The NCDA&CS Veterinary Division sup-
ports a variety of emergency mortality disposal options; contact the Division for guidance.
• A catastrophic mortality disposal plan is part of the facility's CAWMP and is activated
when numbers of dead animals exceed normal mortality rates as specified by the State
Veterinarian.
• Burial must be:done in accordance with NC General Statutes and NCDA&CS Veterinary
Division regulations and guidance.
• Mass burial sites are subject to additional permit conditions(refer to facility's animal
waste management system permit).
• In the event of imminent threat of a disease emergency, the State Veterinarian may enact
additional temporary procedures or measures for disposal according to G.S. 106-399.4.
Signat a of Fa Owner/Manager Date
�-ZQ-
Signature of Technical Specialist Date

Nutrient Management Plan For Animal Waste Utilization
11-03-2004
This plan has been prepared for: This plan has been developed by:
Shan Spivey Topping Edward E Davis
Shan Spivey Columbus SWCD
171 Sidney Cherry Grove 45 Government Complex Road
Road Suite B
Clarendon, NC 28432 Whiteville, NC 28472
910-653-3208 910-642-2196 Ext. 3
Developer Signature
Type of Plan: Nutrient Management with Manure Only
Owner/Manager/Producer Agreement
I(we)understand and agree to the specifications and the operation and maintenance procedures
established in this nutrient management plan which includes an animal waste utilization plan for
the farm named above.I have read and understand the Required Specifications concerning animal
waste management that are included with this plan.
Signature(owner) Date
Signature(manager or producer) Date
This plan meets the minimum standards and specifications of the U.S.Department of Agriculture-
Natural Resources.Conservation Service or the standard of practices adopted by the Soil and Water
Conservation Commission. '
Plan Approved By:
Technical Specialist Signature Date
--- ------••---------------------------------------------- ----------------------
473353 Database Version 3.1 Date Printed: 11-03-2004 Cover Page 1

Nutrients applied in accordance with this plan will be supplied from the following
source(s):
Commercial Fertilizer is not included in this plan.
S7 Swine Feeder-Finish Lagoon Liquid waste generated 556,200 gals/year by a 600 animal
Swine Finishing Lagoon Liquid operation. This production facility has waste storage
capacities of a roximately 180 days.
Estimated Pounds of Plant Available Nitrogen Generated per Year
Broadcast 1281
Incorporated 2200
Injected 2423
Irrigated 1392
Max.Avail. Actual PAN PAN Surplus/ Actual Volume Volume Surplus/
PAN(lbs) * Applied(lbs) Deficit Obs) Applied(Gallons) Deficit(Gallons)
Year 1 1 1,392 1439 -47 574,931 -18,731
--- - ----- -- ------------------ ---------------------------------------------- ............................
source - - - - - - -
Note: In source ID,S means standard source,U means user defined source.
*Max.Available PAN is calculated on the basis of the actual application method(s)identified in the plan for this source.
473353 Database Version 3.1 Date Printed: 11-03-2004 Source Page Page 1 of 1

Narrative
Shan's operation,a 600 head topping operation, is considered an independant operation. PLAT shows
that the "P2O5" is Low therefore this Nutrient Management Plan is written according to"N". If there
are questions pretaining to this plan,contact me at the Columbus Soil and Water Conservation District
office. Written and recorded this the third day of November,2004 by Edward E.Davis,District
Technician.
---------------------------------------------------------------------------------------g-----------
473353 Database Version 3.1 Date Printed: 11-03-2004 Narrative Page Page 1 of 1

?le table shown below provides a summary of the crops or rotations included in this plan for each field. Realistic Yield estimates are
so provided for each crop;as well as the crop's P205 Removal Rate. The Leaching Index(LI)and the Phosphorous Loss Assessment
I'ool(PLAT)Rating are also provided for each field,where available.
1 f a field's PLAT Rating is High,any planned manure application is limited to the phosphorous removal rate of the harvested plant
biomass for the crop rotation or multiple years in the crop sequence. Fields with a Very High PLAT Rating should receive no
additional applications of manure. Regardless of the PLAT rating,starter fertilizers may be recommended in accordance with North
Carolina State University guidelines or recommendations. The quantity of P205 applied to each crop is shown in the following table if
the field's PLAT rating is High or Very High.
Planned Crops Summary
P205
Total Useable Plat Removal Applied
Tract Field Acres Acres Rating LI Soil Series Crop Sequence RYE (ibslacre) Qbs/acre)
92564 Z1 0.88 0.88 Low N/A Lynchburg Small Grain Overseed 1.0 Tons 15 N/A
H brid Bemiudgg s Hay 5.5 Tons 68 N/A
92564 Z2 0.88 0.88 Low N/A Lynchburg Small Grain Overseed 1.0 Tons 15 N/A
Hybrid Bermudagrass Hay 5.5 Tons 68 N/A
92564 Z3 0.88 0.88 Low N/A Lynchburg Small Grain Overseed 1.0 Tons 15 N/A
Hybrid Bennudagrass Hay 5.5 Tons 68 N/A
"92564 Z4 0.8 0.88 Low N/A Lynchburg Small Grain Overseed 1.0 Tons 15 N/A
Hybrid Bermudagrass Hay 5.5 Tons 68 NIA
92564 Z5 0.73 0.73 Low N/A Lynchburg Small Grain Overseed 1.0 Tons 15 N/A
Hybrid Bermudagrass Hay 5.5 Tons 68 N/A
92564 Z6 0.58 0.58 Low N/A Lynchburg Small Grain Overseed 1.0 Tons 15 N/A
Hybrid Bermudagrass Hay 5.5 Tons 68 N/A
PLAN TOTALS: 4.83 4.83
473353 Database Version 3.1 Date Printed 11/3/2004
PCS Page Page 1 of 2
NOTE: Symbol*means user entered data.

Ld: ' ... 'ppteiltiul Leac�iFrag.:.
TeAniral Guiitgiice-.
<2 Low potential to contribute to soluble None
nutrient leaching below the root zone.
>=2& Moderate potential to contribute to soluble Nutrient Management(590)should be planned.
<=10 nutrient leaching below the root zone.
High potential to contribute to soluble Nutrient Management(590)should be planned. Other conservation practices that improve the soils
nutrient leaching below the root zone. available water holding capacity and improve nutrient use efficiency should be considered. Examples
>10 are Cover Crops(340)to scavenge nutrients,Sod-Based Rotations(328),Long-Term No-Till(778),
and edge-of-field practices such as Filter Strips(393)and Riparian Forest Buffers(391).
AL:i.T:frcle;�. :Rating. 1'.:4frrna�rrnc?rt l�ee��mmendatir�rr
0-25 Low No adjustment needed;N based application
25-50 Medium No adjustment needed;N based application
51- 100 High ^^ Application limited to crop P removal
>100 Very High Starter P application only
473353 Database Version 3.1 Date Printed 11/3/2004
PCS Page Page 2 of 2
NOTE: Symbol*means user entered data.

The Waste Utilization table shown'below elow summarizes the waste utilization plan for this operation. This pian provides an estimate of the number of acres of cropland needed to use
the nutrients being produced. The plan requires consideration of the realistic yields of the crops to be grown,their nutrient requirements,and proper timing of applications to
maximize nutrient uptake.
This table provides an estimate of the amount of nitrogen required by the crop being grown and an estimate of the nitrogen amount being supplied by manure or other by-products,
commercial fertilizer and residual from previous crops. An estimate of the quantity of solid and liquid waste that will be applied on each field in order to supply the indicated quantity
of nitrogen from each source is also included. A balance of the total manure produced and the total manure applied is included in the fable to ensure that the plan adequately provides
for the utilization of the manure generated by the operation.
Waste Utilization Table Year 1
Nitrogen Comm. Res. Manure Liquid Solid Liquid Solid
PA Fert. (lbs/A) PA ManureA Manure Manure Manure
Nutrient Nutrient NutrientA pplied Applied Applied Applied
Req'd Applied pplied (acre) (acre) (Field) (Field)
(Ibs/A) (lbs/A) (lbs/A)
Source Total Use. APplic. Applic. 1000
Tract Field ID Soil Series Acres Acres Crop RYE Period N N N Method N gal/A Tons 1000 gals tons
92564 Z1 S7 Lynchburg 0.88 0.88 Small Grain Overseed 1.0 Tons 1011-3/31 50 0 0 Irrig. 50 19.97 0.00 17.58 0.00
92564 Zl S7 Lynchburg 0.88 0.88 Hybrid Bermudagrass Hay 5.5 Tons *3/1-10/15 *248 0 0 Irrig. 248 99.06 -0.001 87.17 0.00
92564 Z2 S7 Lynchburg 0.88 0.88 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 17.58 0.00
92564 Z2 S7 Lynchburg 0.88 0.88 Hybrid Bermudagrass Hay 5.5 Tons *3/1-10/15 *248 0 1 0 Irrig. 248 99.06 0.00 87.17 0.00
92564 Z3 S7 Lynchburg 0.88 0.88 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 17.58 0.00
92564 Z3 S7 Vynchburg 0.88 0.88 Hybrid Bermudagrass Hay 5.5 Tons *3/1-10/15 *248 0 0 Irrig. 248 99.06 0.00 87.17 0.00
92564 Z4 S7 Lynchburg 0.88 0.88 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 17.58 0.00
92564 Z4 57 ynchburg' 0.88 0.88 Hybrid Bermudagrass Hay 5.5 Tons *3/1-10/15 *248 0 0 Irrig. 248 99.06 0.00 37.17 0.00
92564 Z5 S7 Lynchburg 0.73 0.73 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 14.58 0.1-
92564 Z5 S7 ynchburg 0.73 0.73 Hybrid Bermudagrass Hay 5.5 Tons *3/1-10/15 *248 0 0 Irrig. 248 99.06 0.00 72.32 0.00
92564 Z6 S7 Lynchburg 0.58 0.58 Small Grain Overseed 1.0 Tons 10/1-3131 50 0 0 Irrig. 50 19.97 0.00 11.58 0.00
92564 Z6 S7 Lynchburg 0.58 0.58 Hybrid Bermudagrass Hay 5.5 Tons *3/1-10/15 *248 0 0 Irrig. 248 99.06 0.00 57.46 0.00
473353 Database Version 3.1 Date Printed: 11/3/2004 WUT Page Page 1 of 2

Waste Utilization Table Year 1
Nitrogen Comm. Res. Manure Liquid Solid Liquid Solid
PA FerL (lbs/A) PA ManureA Manure Manure Manure
Nutrient Nutrient NutrientA pplied Applied Applied Applied
Req'd Applied pplied (acre) (acre) (Field) (Field)
(lbs/A) (lbs/A) (lbs/A)
Source Total Use. Applic. Applic. 1000
Tract Field ID Soil Series Acres Acres Crop RYE Period N N N Method N gal/A Tons 1000 gals tons
Total Applied,1000 gallons 574.93 "
Total Produced,1000 gallons 556.20 '!;;;
Balance,1000 gallons -19.73"mot y i
Total Applied,tons r ` "' 0.00
Total Produced,tons: 0.00
Balance,tons ` 0.00
Notes: 1. In the tract column,—symbol means leased,otherwise,owned. 2. Symbol*means user entered data.
473353 Database Version 3.1 Date Printed: 11/3/2004 WUT Page Page 2 of 2

The Nutrient Management Recommendations table shown below provides an annual summary of the nutrient management plan
developed for this operation. This table provides a nutrient balance for the listed fields and crops for each year of the plan.
Required nutrients are based on the realistic yields of the crops to be grown,their nutrient requirements and soil test results. The
quantity of nutrient supplied by each source is also identified.
The total quantity of nitrogen applied to each crop should not exceed the required amount. However,the quantity of other
nutrients applied may exceed their required amounts. This most commonly occurs when manure or other byproducts are utilized
to meet the nitrogen needs of the crop. Nutrient management plans may require that the application of animal waste be limited so
as to prevent over application of phosphorous when excessive levels of this nutrient are detected in a field. In such situations,
additional nitrogen applications from nonorganic sources may be required to supply the recommended amounts of nitrogen.
Nutrient Management Recommendations Test
YEAR 0 N P205 K20 Mg Mn Zn Cu Lime
(Ibs/A) (Ibs/A) (lbs/A) (Ibs/A) (lbs/A) (lbs/A) (lbs/A) (tons/A)
Tract 1 Field 92564 Z1 Req'dNutrients 50 0 0 0 0 Or 0 0
Acres I App.Period 0.88 10/1-3/31 Supplied By:
CROP Small Grain Overseed Starter 0 0 0 0 0 0 0 0
Commercial Fert. 0 0 0 0 0 0 0 0
Soil Series Lynchburg Residual 0 0 0 0 0 0 0 0
RYE Sample Date 1.0 Tons 1 02-24-04 Manure 50 27 68 6 0 1 0 0
P Removal Rating 15 Ibs/ac. Low BALANCE 0 27 68 6 01 1 0 0
Tract Field 92564 Z2 Req'd Nutrients 50 0 0 0 0 0 0 0
?Acres I App.Period 0.88 10/1-3/31 Supplied By: ;, ,
CROP Small Grain Overseed Starter 0 0 0 0 0 0 0 0
Commercial Fort. 0 0 0 0 0 01 0 0
Soil Series Lynchburg Residual 0 0 0 0 0 0 0 0
RYE Sample Date 1.0 Tons 1 02-24-04 Manure 50 27 681 6 0 1 1 0 0
P Removal Rating 15 Ibs/ac. Low BALANCE 0 27 681 6 0 1 0 0
Tract Field 92564 Z3 Req'd Nutrients 50 0 0 0 0 0 0 0
Acres I A Period 0.88 10/1-3/31 Supplied B : x "
PP• PP Y _ _ s•.� �-
CROP Small Grain Overseed Starter 0 0 0 0 0 0 r 0 0
Commercial Fert. 0 0 0 0 0 0 0 0
Soil Series Lynchburg Residual 0 0 0 0 0 0 0 0
RYE Sample Date 1.0 Tons 02-24-04 Manure 50 27 68 6 0 1 0 0
P Removal Rating 15 lbs/ac. Low BALANCE 0 27 68 6 0 1 0 0
Tract I Field 92564 Z4 Req'd Nutrients 50 0 0 0 0 0 0 0
Acres A Period 0.88 lo/l-3/31 Su liedB �`1 r i
PP• PP Y� �:-�' •
CROP Small Grain Overseed Starter 0 0 0 0 0 0 0 0
Commercial Fert. 0 0 0 0 0 0 0 0
Soil Series Lynchburg Residual 0 0 0 0 0 01 0 0
RYE�Iampleate 1.0 Tons 02-24-04 Manure 50 27 68 6 0 1 0 0
P Reing 15 Ibs/ac. Low BALANCE 0 27 68 6 0 1 0 0
473353 Database Version 3.1 Date Printed: 11/3/2004 NMR Page Page 1 of

Nutrient Management Recommendations Test
YEAR 0 N P205 K20 Mg Mn Zn Cu Lime
(lbs/A) (lbs/A) (lbs/A) (lbs/A) (lbs/A) (lbs/A) (lbs/A) (tons/A)
Tract Field 92564 Z5 Req'd Nutrients 50 0 0 0 0 0 0 0
Acres App.Period 0.73 10/1-3/31 SuppIiedBy: ? r�.OP.� " y �;
CROP Small Grain Overseed Starter 0 0 0 0 0 0 0 0
Commercial Fert. 0 0 0 0 0 0 0 0
Soil Series Lynchburg Residual 0 0 0 0 0 0 0 0
RYE Sample Date. 1.0 Tons 1 02-24.04 Manure 50 27 68 6 0 1 0 0
P Removal IRating 15 Ibs/ac. row BALANCE 0 27 68 6 0 1 0 0
Tract Field 92564 Z6 Req'd Nutrients 50 0 0 0 0 0 0 0
Acres I App.Period 0.58 10/1-3/31 Supplied By:
CROP Small Grain Overseed S taner 0'1 0 0 0 0 0 0 6
Commercial Fert. 01 0 0 0 0 0 0 0
ESoilSeries Lynchburg Residual 0 0 0 0 0 0 0 0
le Date 1.0 Tons 02-24-04 Manure 50 27 68 6 0 1 0 0
Rating 15IN/= 11,ow BALANCE 01 271 68 61 0 1 0 0
NOTE: Symbol*means user entered data.
473353 Database Version 3.1 Date Printed: 11/3/2004 NMR Page Page 2 of 4

The Irrigation Application Factors for each field in this plan are shown in the following table. Infiltration rate varies with soils. If
applying waste nutrients through an irrigation system,you must apply at a rate that will not result in runoff. This table provides the
maximum application rate per hour that may be applied to each field selected to receive wastewater. It also lists the maximum
application amount that each field may receive in any one application event.
Irrigation Application Factors
Application Rate Application Amount
Tract Field Soil Series (inches/hour) (inches)
92564 Z1 Lynchburg 0.50 1.0
92564 Z2 Lynchburg 0.50 1.0
92564 Z3 Lynchburg 0.50 1.0
92564 Z4 Lynchburg 0.50 1.0
92564 ZS Lynchburg 1 0.50 1.0
92564 Z6 Lynchburg 0.50 1 1.0
473353 Database Version 3.1 Date Printed 11/3/2004 IAF Page Page 1 of 1

Nutrient Management Recommendations Test
VA .Period
R 1 N P205 K20 Mg Mn Zn Cu Lime
(lbs/A) (lbs/A) (Ibs/A) (Ibs/A) (lbs/A) (lbs/A) (lbs/A) (tons/A)
Field 92564 Zi Req'dNutrients *248 0 0 0 0 0 0 0
0.88 *3/1-10/15 Supplied By:
t .
CROP Hybrid Bermudagrass Starter 0 0 0 0 0 0 0 0
Hay Commercial Fert. 0 0 0 0 0 0 0 0
Soil Series Lynchburg Residual 01 0 0 0 0 01 0 0
RYE Sample Date 5.5 Tons 02-24-04 Manure 248 135 340 30 1 61 1 0
P Removal I Rating 681bs/ac. Low BALANCE 0 135 340 30 1 6 1 0
Tract j Field 92564 Z2 Req'd Nutrients *248 0 0 0 0 0 0 0
Acres I App.Period 0.88 *3/1-10/15 Supplied By: 770,
CROP Hybrid Bermudagrass Startcr 0 0 0 0 Hay Commercial Fert. 0 0 0 0 0 0
Soil Series Lynchburg Residual 01. 0 0 0 0 0
RYE Sample Date 5.5 Tons 02-24-04 Manure 248 135 340 30 1 6 1 0
P Removal I Rating 681bs/ac. Low BALANCE 0 135 340 30 1 6 1 0
Tract Field 92564 Z3 Wd Nutrients *248 0 0 0 0 0 0 0
IV ' r
Acres App.Period 0.88 *3/1-10/15 Supplied By: _ r,
CROP Hybrid Bermudagrass Starter 0 0 µ 0 0 0 0 0 0
Hay Commercial Fert. 0 0 0 0 0 0 0 0
Soil Series Lynchburg Residual 0 0 0 0 01 0 0 0
RYE Sample Date 5.5 Tons 02-24-04 Manure 248 135 340 30 1 6 1 0
P Removal I Rating 68 Ibs/ac. Low BALANCE 01 135 340 30 1 6 11 0
Tract I Field 92564 Z4 Req'd Nutrients *248 0 0 0 0 0 0 0
Acres App.Period 0.88 *3/1-10/15 Supplied By:
CROP Hybrid Bermudagrass Starter 0 0 0 0 0 0 0 R 0
Hay Commercial Fert. 0 0 0 0 0 0 0 0
Soil Series Lynchburg Residual 0 0 0 0 0 0 0 0
RYE Sample Date 5.5 Tons 02-24-04 Manure 248 135 340 30 1 6 1 0
P Removal I Rating 68 lbs/ac. Low BALANCE 0 135 340 30 1 6 1 0
Tract Field 92564 Z5 Req'd Nutrients *248 0 0 0 0 0 0 0
Acres App.Period 0.73 3/1-10/15 Supplied By: _ ;•,a.
tre
CROP Hybrid Betmudagrass Starter 01 0 0 0 0 0 0 0
Hay Commercial Fert. 0 0 0 0 0 0 0 0
Soil Series Lynchburg Residual 0 01 01 0 0 0 0 0
RI—Qjl Sample Date 5.5 Tons 02-24-04 Manure 248 135 340 301 61 11 0
PRemoval Rating 68lbs/ac. ILOW BALANCE 0 1351 3401 301 1 6 1 0
473353 Database Version 3.1 Date Printed: 11/3/2004 NMR Page Page 3 of 4

Nutrient Management Recommendations Test
YEAR j N P205 K20 Mg Mn Zn Cu Lime
(lbs/A) (lbs/A) (lbs/A) (lbs/A) (lbs/A) (lbs/A) (lbs/A) (tons/A)
Tract Field 92564 Z6 Req'd Nutrients *248 0 0 0 0 0 0 0
Acres App.Period 0.58 *3/1-10/IS Supplied By: �, _ . �� 1L 1
CROP Hybrid Berrnudagrass Starter 0 0 0 0 0 0 0 0
Hay Commercial Fert. 0 0 0 0 0 0 0 0
Soil Series Lynchburg Residual 01 01 01 01 01 01 0 0
RYE Sample Date 5.5 Tons 1 02-24-04 Manure 248 135 340 30 11 6 1 0
I?Removal Rating 68 lbs/ac. row I BALANCE 01 135 340 301 11 61 1 0
NOTE: Symbol *means user entered data.
413353 Database Version 3.1 Date Printed: 11/3/2004 NMR Page Page 4 of 4

The Required Soil Test Values shown in the following table provide a summary of recommended actions that should be taken if soil tests indicate excessive levels of copper
or zinc. Fields that receive manure must have an annual soil analysis for these elements. High levels of zinc and copper can adversely affect plant growth. Alternative crop
sites must be used when the concentration of these metals approach excessive levels. Site life can be estimated by dividing the amount of copper and zinc to be applied in
lbs/acre by 0.036 and 0.071,respectively and multiplying the result by 0.85. By adding this quantity to the current soil index for copper or zinc,we can predict life of the site
for waste disposal.
In addition to copper and zinc indices,this table also provides a summary of lime recommendations for each crop based on the most recent soil sample. Application of lime
at recommended rates is necessary to maintain soil pH in the optimum range for crop production.
Required Soil Test Values
Lime Recom.
Tract Field Crop pH (to-/—) Cu I Copper Recommendation Zn I Zinc Recommendation
92564 Zl Small Grain Overseed 6.7 0.0 44 None 273 None _
92564 Zl Hybrid Bermudagrass Hay 6.7 0.0 44 None 273 None
92564 Z2 Small Grain Overseed 6.7 0.0 1 44 None 273 None
92564 Z2 Hybrid Bermudagrass Hay 6.7 0.0 44 None 273 1 None
92564 Z3 Small Grain Overseed 6.7 0.0 44 None 273 None
92564 Z3 Hybrid Bermudagrass Hay 6.7 0.0 44 None 273 None
92564 Z4 Small Grain Overseed 6.7 0.0 44 None 273 None
92564 Z4 Hybrid Bermudagrass Hay 6.7 0.0 44 None 273 None
92564 Z5 Small Grain Overseed 6.7 0.0 44 None 1 273 None
92564 Z5 Hybrid Bermudagrass Hay 6.7 0.0 44 None 273 None
92564 Z6 Small Grain Overseed 6.7 0.0 44 None 273 None
92564 Z6 Hybrid Bermudagrass Hay 6.7 0.0 44 None 273 None
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
473353 Database Version 3.1 Date Printed: 11-03-2004 STV Page Page 1 of 1

The following Lagoon Sludge Nitrogen Utilization table provides an estimate of the number of acres needed for sludge
utilization for the indicated accumulation period. These estimates are based on average nitrogen concentrations for each source,
the number of animals in the facility and the plant available nitrogen application rates shown in the second column.
Lagoon sludge contains nutrients and organic matter remaining after treatment and application of the effluent. At clean out,this
material must be utilized for crop production and applied at agronomic rates. In most cases,the priority nutrient is nitrogen but
other nutrients including phosphorous,copper and zinc can also be limiting. Since nutrient levels are generally very high,
application of sludge must be carefully applied.
Sites must first be evaluated for their suitability for sludge application. Ideally,effluent spray fields should not be used for
sludge application. If this is not possible,care should be taken not to load effluent application fields with high amounts of
copper and zinc so that additional effluent cannot be applied. On sites vulnerable to surface water moving to streams and lakes,
phosphorous is a concern. Soils containing very high phosphorous levels may also be a concern.
Lagoon Sludge Nitrogen Utilization Table
Maximum Maximum Sludge
Crop PA-N Rate Application Rate Minimum Acres Minimum Acres Minimum Acres
lb/ac 1000 gal/ac 5 Years Accumulation 10 Years Accumulation 15 Years Accumulation
Swine Feeder-Finish Lagoon Sludge- Standard
Com 120 bu 150 13.16 7.52 15.04 22.57
Hay 6 ton R.Y.E. 300 26.32 3.76 7.52 11.28
Soybean 40 bu 160 14.04 7.05 14.10 21.16
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473353 Database Version 3.1 Date Printed: 11-03.2D04 Sludge Page Page ! of

The Available Waste Storage Capacity table provides an estimate of the number of days of storage capacity available
at the end of each month of the plan. Available storage capacity is calculated as the design storage capacity in days
minus the number of days of net storage volume accumulated. The start date is a value entered by the user and is
defined as the date prior to applying nutrients to the first crop in the plan at which storage volume in the lagoon or
holding pond is equal to zero.
Available storage capacity should be greater than or equal to zero and less than or equal to the design storage
capacity of the facility. If the available storage capacity is greater than the design storage capacity,this indicates that
the plan calls for the application of nutrients that have not yet accumulated. If available storage capacity is negative,
the estimated volume of accumulated waste exceeds the design storage volume of the structure. Either of these
situations indicates that the planned application interval in the waste utilization plan is inconsistent with the
structure's temporary storage capacity.
Available Waste Stor a Ca aci
Source Name Swine Feeder-Finish Lagoon Liquid
Design Storage Capacity(Days)
Start Date 9/1 180
Plan Year Month Available Storage Capacity(Days)
1 1 66
1 2 51
1 3 67
1 4 78
1 5 88
1 6 99
1 7 109
1 g 119
1 9 130
1 10 146
1 11 129
1 12 104
*Available Storage Capacity is calculated as of the end of each month.
--------------------------------------------- --------------
473353 Database Version 3.1 Date Printed: 11-03-2004 Capacity Page Page 1 of 1

Required Specifications For Animal Waste Management
1. Animal waste shall not reach surface waters of the state by runoff, drift,
manmade conveyances, direct application, or direct discharge during operation
or land application. Any discharge of waste that reaches surface water is
prohibited.
2. There must be documentation in the design folder that the producer either owns
or has an agreement for use of adequate land on which to properly apply the
waste. If the producer does not own adequate land to properly dispose of the
waste, he/she shall provide evidence of an agreement with a landowner,who is
within a reasonable proximity, allowing him/her the use of the land for waste
application. It is the responsibility of the owner of the waste production facility to
secure an update of the Nutrient Management Plan when there is a change in the
operation,increase in the number of animals, method of application, receiving
crop type, or available land.
3. Animal waste shall be applied to meet, but not exceed, the nitrogen needs for
realistic crop yields based upon soil type, available moisture,historical data,
climatic conditions, and level of management,unless there are regulations that
restrict the rate of applications for other nutrients.
4. Animal waste shall be applied to land eroding less than 5 tons per acre per year.
Waste may be applied to land eroding at more than 5 tons per acre per year but
less than 10 tons per acre per year provided grass filter strips are installed where
runoff leaves the field (see USDA,NRCS Field Office Technical Guide Standard
393 - Filter Strips).
5. Odors can be reduced by injecting the waste or by disking after waste application.
Waste should not be applied when there is danger of drift from the land
application field.
6. When animal waste is to be applied on acres subject to flooding,waste will be soil
incorporated on conventionally tilled cropland. When waste is applied to
conservation tilled crops or grassland, the waste maybe broadcast provided the
application does not occur during a season prone to flooding(see "Weather and
Climate in North Carolina" for guidance).
7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such
that runoff does not occur offsite or to surface waters and in a method which does
not cause drift from the site during application. No ponding should occur in order
to control odor and flies.
----------------------- ------------------------------------- ---------- ---------------------------------- -----------------------------------------------------
473353 Database Version 3.1 Date Printed: 11/3/2004 Specification Page 1

8. Animal waste shall not be applied to saturated soils,during rainfall events, or
when the soil surface is frozen.
9. Animal waste shall be applied on actively growing crops in such a manner that
the crop is not covered with waste to a depth that would inhibit growth. The
potential for salt damage from animal waste should also be considered.
10. Nutrients from waste shall not be applied in fall or winter for spring planted
crops on soils with a high potential for leaching. Waste/nutrient loading rates on
these soils should be held to a minimum and a suitable winter cover crop planted
to take up released nutrients. Waste shall not be applied more than 30 days prior
to planting of the crop or forages breaking dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall comply with the
following: The outer perimeter of the land area onto which waste is applied from
a lagoon that is a component of a swine farm shall beat least 50 feet from any
residential property boundary and canal. Animal waste, other than swine waste
from facilities sited on or after October 1, 1995, shall not be applied closer that 25
feet to perennial waters.
12. Animal waste shall not be applied closer than 100 feet to wells.
13. Animal waste shall not be applied closer than 200 feet of dwellings other than
those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property and public
right-of-ways.
15. Animal waste shall not be discharged into surface waters, dfainageways,or
wetlands by a discharge or by over-spraying. Animal waste may be applied to
prior converted cropland provided the fields have been approved as a land
application site by a "technical specialist". Animal waste shall not be applied on
grassed waterways that discharge directly into watercourses, and on other
grassed waterways,waste shall be applied at agronomic rates in a manner that
causes no runoff or drift from the site.
16. Domestic and industrial waste from washdown facilities, showers, toilets, sinks,
etc., shall not be discharged into the animal waste management system.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------
473353 Database Version 3.1 Date Printed: 11/3/2004 Specification Page 2

17. A protective cover of appropriate vegetation will be established on all disturbed
areas (lagoon embankments, berms, pipe runs, etc.). Areas shall be fenced, as
necessary, to protect the vegetation. Vegetation such as trees, shrubs,and other
woody species, etc., are limited to areas where considered appropriate. Lagoon
areas should be kept mowed and accessible. Berms and structures should be
inspected regularly for evidence of erosion, leakage,or discharge.
18. If animal production at the facility is to be suspended or terminated,the owner is
responsible for obtaining and implementing a "closure plan" which will eliminate
the possibility of an illegal discharge, pollution, and erosion.
19. Waste handling structures, piping, pumps, reels, etc.,should be inspected on a
regular basis to prevent breakdowns, leaks, and spills. A regular maintenance
checklist should be kept on site.
20. Animal waste can be used in a rotation that includes vegetables and other crops
for direct human consumption. However, if animal waste is used on crops for
direct human consumption,it should only be applied pre-plant with no further
applications of animal waste during the crop season.
21. Highly visible markers shall be installed to mark the top and bottom elevations of
the temporary storage (pumping volume) of all waste treatment lagoons.
Pumping shall be managed to maintain the liquid level between the markers. A
marker will be required to mark the maximum storage volume for waste storage
ponds.
22. Waste shall be tested within 60 days of utilization and soil shall be tested at least
annually at crop sites where waste products are applied. Nitrogen shall be the
rate-determining nutrient, unless other restrictions require waste to be applied
based on other nutrients, resulting in a lower application rate than a nitrogen
based rate. Zinc and copper levels in the soils shall be monitored and alternative
crop sites shall be used when these metals approach excessive levels. pH shall be
adjusted and maintained for optimum crop production. Soil and waste analysis
records shall be kept for a minimum of five years. Poultry dry waste application
records shall be maintained for a minimum of three years.
Waste application records for all other waste shall be maintained for five (5)
years.
23. Dead animals will be disposed of in a manner that meets North Carolina
regulations.
----------------------- ---------------------------------- --------- ------------ -----------------------------................................................
473353 Database Version 3.1 Date Printed: 11/3/2004 Specification Page 3

' Crop Notes
The following crop note applies to field(s): Z1,Z2,Z3,Z4,Z5,Z6
Bermudagrass Coastal Plain,Mineral Soil, Poorly Drained to Somewhat Poorly Drained.
Adaptation: Effective artificial drainage MUST be in place to achieve Realistic Yield Expectations
provided for these soils.
In the Coastal Plain,hybrid bermudagrass sprigs can be planted Mar.1 to Mar. 31. Cover sprigs 1"to 3"
deep(1.5"optimal). Sprigs should be planted quickly after digging and not allowed to dry in sun and
wind.For Coastal and Tifton 78 plant at least 10 bu/ac in 3' rows,spaced 2'to 3' in the row.Generally a
rate of 30 bu/ac is satisfactory to produce full groundcover in one or two years under good growing
conditions. Tifton 44 spreads slowly,so use at least 40 bu/ac in 1.5'to 2' rows spaced 1'to 1.5' in row.
For broadcast/disked-in sprigs use about 60 bu/ac. Soil test for the amounts of lime,phosphorus,
potassium and micronutrients to apply preplant and for annual maintenance.Apply 60 to 100 lb/ac N in
the establishment year in split applications in April and July.For established stands apply 180 to 240
lb/ac N annually in split applications,usually in April and following the first and second hay cuts.
Reduce N rates by 25%for grazing. Refer to NCSU Technical Bulletin 305 Production and Utilization
of Pastures and Forages in North Carolina for more information or consult your regional agronomist or
extension agent for assistance.
The following crop note applies to field(s):Z1,Z2,Z3,Z4,Z5,Z6
Small Grain: CP,Mineral Soil, low-leachable
In the Coastal Plain,oats and barley should be planted from October 15-October 30;and rye from
October 15-November 20.For barley,plant 22 seed/drill row foot and increase the seeding rate by 5%for
each week seeding is delayed beyond the optimum time. See the seeding rates table for applicable
seeding rate modifications in the current NCSU"Small Grain Production Guide". Also, increase the
initial seeding rate by at least 10%when planting no-till. Oats should be planted at 2 bushels/acre and
rye at 1-1 1/2 bushels/acre.Plant all these small grains at 1-1 1/2"deep.Adequate depth control is
essential.Review the NCSU Official Variety "green book"and information from private companies to
select a high yielding variety with the characteristics needed for your area and conditions.Apply no more
than 30 lbs/acre N at planting. Phosphorus and potash recommended by a soil test can also be applied at
this time. The remaining N should be applied during the months of February-March.
- -- --------- ----------------------------------------------------------------- ---------------------
473353 Database Version 3.1 Date Printed: 11-03-2004 Crop Note Page Page 1 of 1

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iE.

WASTE :MANAGEMENT
EMERGENCY ACTION PLAN
FACILITY: SHAN SPIVEY TOPPING FARM
OWNER/OPERATOR: Shan Spivey
ADDRESS: 171 Sidney-Cherry Grove Rd
Clarendon NC 28432
FACILITY NUMBER: 24-29
CERTIFICATION NUMBER:
This plan will be implemented in the event that wastes from your
operation is leaking, overflowing, or running off site. Do not wait
until waste reach surface waters of leave your property to consider that
you have a problem. You should make every effort to ensure that this
does not happen. This plan should be posted in an accessible location
for all employees at the facility. The following are some action items
you should be taken in the event of an emergency.
Emergency Phone Numbers:
DWQ (Bus . Hrs . ) : (910) -RAZOM0 DWQ (After Hrs) : (919) -733-3942
70 .7a15
Emergency Managment Coordinator: (910) -640-6610
SWCD: (910) -642-2348
NRCS:, (910) -642-2348
ACTION PLAN GUIDLINES:
1. Contact the appropriate agencies immediately!
a. Contact the Technical Specialist who certified the lagoon.
b. Contact the Division of Water Quality (DWQ) regional office.
Your phone call to the Division of Water Quality should include :
1. Your Name
2 . Facility Name and Number
3 . The location of the incident
4 . The direction of movement of the spill
5 . Weather and wind conditions
6 . Description of the corrective measures already completed
7 . Description of the seriousness of the situation
c . If the spill leaves the property and enters surface waters
call the Columbus County Emergency Management Coordinator and
the Columbus County Health Department.

d. Contact the Columbus County MRCS-SWCD office for technical
assistance and advice on how to handle the spill or leak that
has occurred.
2 . Immediatly stop the release of waste. Depending on the situation,
this may or may not be possible but, some suggested responses to
some problems are listed below:
A. Possible solutions for lagoon overflow are :
a. Add soil to berm to increase elevation of the dam
b. Pump waste to fields at an acceptable rate.
c. Call a pumping contractor.
d. Immediately stop all flow to the lagoon.
e. Make sure no surface water is entering the lagoon,
B. To Control the waste runoff :
a. Immediately stop waste application.
b. Create a temporary diversion to contain waste.
c. Incorporate waste to reduce runoff .
d. Evaluate and eliminate the reason (s) that caused the runoff .
e. Evaluate the application rates for the fields where runoff
has occurred.
C. To control waste leakage from pipes and sprinklers :
a. Stop the recycle pump .
b. Stop the irrigation pump.
c. Close valves to eliminate further discharge.
d. Repair all leaks prior to restarting pumps.
D. To control leaks from flush systems, houses, or solid
seperators.
a. Stop the recycle pump.
b. Stop the irrigation pump.
c . Make sure no siphoning occurs .
d. Stop all flow in the house, flush systems, or solid
separators .
e . Repair all leaks prior to restarting pumps .
E. To control leaks from the base or sidewall of the lagoon.
(This may be seepage and not a flowing leak situation. )
a. Dig a small sump or ditch away from the embankment to catch
all seepage, put in a submersible pump, and pump Waste back to.
the lagoon.
b. If holes are caused by burrowing animals, trap or remove
animals and fill holes and compact with a clay type soil .
c . Have a proffesional evaluate the condition of the side walls
and lagoon bottom as soon as possible.

3 . Asses the extent of the spill and note any obvious damages.
a. Did the waste reach any surface waters .
b. Approximate how much was released and for how long.
c. Note any damage or injury to facility employees, wildlife
or property resulting from the leakage or the spill that
occurred.
d. Did the spill leave the property or was it contained on the
property.
e . Is there potential for the spill or leakage to reach surface
waters.
f . Is it possible for a future rain event to cause the spill or
leakage to reach surface waters.
g. Are potable water wells both on and off the property in danger
of being affected by the spill of leakage.
h. Determine how much of the spill or leakage reached surface
waters .
4 . If none of these courses of action listed in the Emergency Action
plan prove beneficial in alleviating the problem or you are unable
to contact any of the agencies listed then immediately dial 911 or
contact the Columbus County Sheriff' s Department and explain your
situation and ask for their assistance in contacting the appropriate
agencies and personnel.
5 . Implement the procedures as advised by the agencies contacted to
rectify the damage, repair the system, and reasses the Waste
Management Plan to keep the release of waste through spills or
other types of discharge from occurring again.
6 . You may contact a contractor of your choice to assist you with
repairs to minimize off-site damage.
Contractor' s Name : Robert Ward
Address : 1344 Feedmill Road
Whiteville, NC 28472
Phone : [phone]
NOTICE
This Emergency Action plan has been established to assist you in
the event that there is a spill or leak of waste from your facility or
operation. This plan ,however, does not free you from any Criminal or Civil
actions that may be levied against you by the regulatory powers of the
State of Forth Carolina.

Emergency Action Plan
This plan will be implemented in the event that wastes from your operations are leaking, overflowing, or
or leave ur proprty to
running off the site. You should NOT wait until wastes reach surfaceensure thaxsthis does not happene This
consider that you have a problem. You should make every effort to
plan should be available to all employees at the facility, as accidents, leaks, and breaks can happen at any
time.
1) Stop the release of wastes. Depending on the situation, this may or may not be possible. Suggested
responses to problems are listed below:
a) Lagoon overflow:
• add soil to the berm to increase the elevation of the dam
• pump wastes to fields at an acceptable rate
• stop all additional flow to the lagoon (waterers)
• call a pumping contractor
• make sure no surface water is entering the lagoon
Note: These activities should be started when your lagoon level has exceeded the temporary storage level.
b) Runoff from waste application field:
• immediately stop waste application
• create a temporary diversion or berm to contain the waste on the field
• incorporate waste to reduce further runoff
c) Leaking from the waste distribution system:
■ pipes and sprinlders:
OO stop recycle (flushing system) pump
2 stop irrigation pump
0 close valves to eliminate further discharge
rJ separate pipes to create an air gap and stop flow
• flush system, houses, solids separators:
stop recycle (flushing system) pump
2 stop irrigation pump
3 make sure no siphon effect has been created
J separate pipes to create an air gap and stop flow
d) Leakage from base or sidewall of the lagoon. Often these are seepage as opposed to flowing
leaks:
• dig a small well or ditch to catch all seepage, put in a submersible pump, and pump back
into the lagoon

■ if holes are caused by burrowing animals, trap or remove animals
and fill holes and compact with a clay type soil.
0 other holes may be likewise temporarily plugged with clay soil.
Note: For permanent repair measures, lagoon problems require the
consultation of an individual experienced in their design and installation.
2) Assess the extent of the spill and note any obvious damages.
a) Did the waste reach any surface waters?
b) Approximately how much was released and for what duration?
c) Any damage noted, such as employee injury, fish kills, or property damage?
3) Contact appropriate agencies.
a) During normal business hours, call your DWQ regional office: 9101395-3900_ after
hours, emergency number: 1/800-_662-7956. Your phone call should include: your
name, facility, telephone number, the details of the incident, the exact location of the
facility, and the location or direction of movement.of the spill, weather and wind
conditions, what corrective measures have been taken, and the seriousness of the situation.
r b) If the spill leaves the property or enters surface waters, call the local EMS:
640-66 10
c) Instruct EMS to contact the local Health Department: 6 4 0-6 6 1.7
d) Contact CES: 6 4 0-6 6 0 6,,
local NRCS office: 6 4 2-�-� :2 19 b V. 3
and your integrator:
4) Implement procedures as advised by DWQ and technical assistance agencies to rectify the
damage, repair the system, and reassess the waste management plan to keep problems with
release of wastes from happening again.
5) Contact contract pumping and/or irrigation equipment companies:
a) - -
b)
c) --
6) Contact dirt moving and/or heavy equipment companies:
a)
b) -- — -- - - - ---

EMERGENCY ACTION PLAN FOR NATURAL DISASTER SITUATIONS
Farm Name: �'1ta•. 5 tl tle 7-veRiolq © Pr-a .t
Owners Name: .5 K
Certified Operator Name: : -5 as+ 5etseg-��._ -
Address:
Facility Number: --
Type and Number of Animals:
Type of Operation,(Wean-Feeder, Peeder-Finish, Farrow-Wean,Farrow-Feeder, Gilts, Boars):
• In most emergency situations for confined animal operations, power failure is the
first problem an operation faces. Does this operation have an emergency back-up
system, in case of power failure?(Circle one�Dor No Please explain the system
�. used. 1`7'0 d�%v�h er4.Tor
• On large-scale operations it is understandable that evacuation may not be possible.
If evacuation is considered, explain the route used, place of sheltering until disaster
is over and equipment needed or used to move animals. (Must have letter of
approval from landowner if someone other than you owns shelter.)
_tJ GP ea!d et 7A&N __ / l L+_ —A f—
IN CASE OF SUBSTANTIAL MORTALITY, DISPOSAL OF ANIMAL CARCASSES WILL
BE AS FOLLOW:
Rendering
• Rendering must be done within 48 hours following disaster.
• Name and address of rendering plant.
• Identify clean out crew:. _
• Identify equipment for handlingftuling dead animals:
S'-

Y
BURIAL (Follow "Animal Burial Guidelines During A Declared Emergency"as listed on the '
attachment of this plan.)
• If on-site burial is used for mortality, it must be done within 48 hours of known
animal death. Include location maps identifying fields, topographic maps, and soils
map of the area.
• Is the site of adequate size and depth to accommodate population on Farm. (Circle
one) ( or No
• Is the site easily accessible for hauling equipment. (Circle one) Y�e or No
• Farm tract number for burial: S' a
• Is the designated area above possible flood stage: (Circle one) es r No
• Identify clean out crew: F 'armn c,
• Identify equipment for handling/hauling dead animals:
Fro.tiT• r-na k dmr Gpwad
COMPOSTING
• Primarily for poultry
• Possibly used for cover until burial arrangements are made.
INCINERATION
• Considgr as last option due to past track record.
Contact Persons to Report Damages and Request Assistance From:
(Please insert names and emergency phone numbers.)
Company Representative: _ . G-V�4%4,S — ��'f✓e� �'�^ ' ° Sag 9-73
Emergency Services Coordinator: o 2 4
NC Veterinary Representative: _ -n
Health Department Representative:
Soil& Water Representative: ��
Cooperative Extension Service Representative: _ �.�e D �ba bIo -Ge, &S
Animal Control Representative: D
Others:
2

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Insect Control Checklist for Animal Operations
Source Cause IZMI's to Control Insects Site Specific Practices
Liquid Systems
Flush gutters Accumulation of solids Flush system is designed and operated — -- —
sufficiently to remove accumulated solids from
butters as designed
Remove bridging of accumulated solids at
discharge
Lagoons and pits Crusted solids Maintain lagoons, scaling basins and pits where
pest breeding is apparent to minimize the crusting
of solids to a depth ot'no more than 6 to K inches
over more than 30 pere-ent of surface
Excessive vegetative Decaying vegetation Maintain vegetative control along banks of
growth lagoons and other impoundments to prevent
accumulation of decaying vegetative matter along
water's edge on impoundment's perimeter.
Dry Systems
Feeders • Feed spillage O Design, operate, and mainlain feed systems
(e.g., bunkers afid troughs) to minimize (lie
accumulation ofdecaying wastage
O Clean up spillage on a routine basis (e.g., 7- to 10-
day interval during summer; 15- to 30-day interval
during winter)

Insect Control Checklist for Animal Operations
Source Cause 13M1's to Control Insects Site Specific Practices
Feed storage • Accumulations of feed 0 Reduce moisture accumulation within and around
residues immediate perimeter of feed storage areas by
ensuring drainage is away from site and/or
providing adequate containment(e.g., covered bin
(ur brewer's grain and similar high moisture grain
products)
Inspect for and remove or break up accumulated
solids in filler strips around Iced storage as needed
Aninial holding • Accumulations of animal O laiminate low areas that trap moisture along fences --
areas wastes and Iced wastage and other locations where waste accumulates and
disturbance by animals is minimal
iJ Maintain fence rows anti filter strips around animal
holding areas to minimize accumulations of wastes
(i.e., inspect for and remove or break up
accumulated solids as needed)
Dry manure • Accumulations of animal Cl Remove spillage on a routine basis (e.g.,
handling systems wades 7- to I 0-day interval during sunumcr; 1 S- to 30-day
interval during winter) where manure is loaned For
land application or disposal
Cl Provide (or adequate drainage around manure
stockpiles
O inspect for'and remove or break tip accumulated
wastes in filter strips around stockpiles anti niamire
handling areas as needed
For more information contact:
Cooperative Extension Service, Department of Entomology, Box 7613, North Carolina Slate University, Italeigli, NC 27695-7613.

Insect Control Checklist for Animal Operations
Cause gMys to Cooira sec
l Ints
Site SpeciCic Practices
Source Liquid Systems
Flush Guners • Accumulalion of solids Husb system is designed and operated
sufficiently to remove accumulated solids from
metiers as designed.
GY Remove bridging of Accumulated solids at
discharge -
• Crusted Solids -_��- _! waling lagoons, basins and p
L,Bgoons and Pits its where
pest breeding is apparent to minimi=the
crusting of solids to a depth of no more than 6-
B inches over morn than MA,of surface.
Maintain vegetative control along banks of
Excessive Vegesative Decaying vegetateon lagoons and other impoundments to prevent
Growth accumulation of decaying vegetative matter
along watees edge on impoundment's perimeter.
Dry Systems
Feed Spillage Design,aperate and maintain feed systems(e.g.,
Feeders bunkers and troughs)to minimize the
— /aceumul"ation of decaying wastage.
GV t tan up spillage on a routine basis(e•g•,7- 10
F•• day interval during summer; 15-30 day interval v
during winter). '
Feed Storage • Accumulations of feed residues educe moisture accumulation within and
around immediate perimeter of feed storage
areas by insuring drainage away frarn site
and/or providing adequate containment(e.g.,
covered bin for brewer's grain and similar high
slurs grain products).
i aspect for and remove or break up accumulated
solids in filter strips around feed storage as
needed.

Source Cause BKPs to Control Insects Site Specific Practices
Animal Holding Areas Accumulations of animal:wastes Cl Eliminate low areas that trap moisture along
and feed wastage fences and other locations where waste
accumulates and disturbance by animals is
minuoal.
O Maintain fence rows and Alter strips around
animal holding areas to minimize
accumulations of wastes(i.e.,inspect for and
remove or break up accumulated solids as
needed).
Dry Manute Handling • Accumulations of animal wastes a Remove spillage on a routine basis(s.g..7 - 10
Systems day interval during summer, 15-30 day interval
during winter)where manure is loaded for land
application or disposal.
Q provide for adequate drainage around manure
stockpiles.
a )aspect for and remove or break up accumulated
wastes in filter strips around stockpiles and
manure.handling areas as needed. _
For mole information contact the Cooperative Extension service,Department or Entomology,Box 7613,North Carolina State University,
Raleigh,NC,27695-7613.
AM1C-November I L 1"6. P&Zc 2

Swine Farm Waste Management Odor Control Checklist
Source Cause Odor She Specific Practices
Storage lank or Partial microbial 0 Bottom or midlevel loading
basin surface decomposition 0 'Tank covers
• Mixing while filling 0 Basin surface mats of solids
• Agitation when emptying
Proven biological additives or oxidants
Settling basin Partial microbial C7 Extend drainpipe outlets underneath liquid level
surface decomposition [Q Remove settled solids regularly
• Mixing while.filling
• Agitation when emptying
Manure, slurry, or • Agitation when spreading Cl Soil injection of slurry/sludges
sludge spreader a Volatile gas emissions 0 Wash residual manure from spreader after use
outlets
0 Proven biological additives or oxidants
Uncovered manure, • Volatile gas emissions while 0 Soil injection of slurry/sludges
slurry, or sludge on drying G Soil incorporation within 48 hours
field surfaces
0 Spread in thin uniform layers for rapid drying
0 Proven biological additives or oxidants
Dead animals • Carcass decomposition Proper disposition of carcasses - —
Dead animal • Carcass decomposition Complete covering of carcasses ill burial hits
disposal pits V Proper location/cohstruclion of disposal pits
incinerators • incomplete combustion 0 Secondary stack burners
-Standing water • Improper drainage (.irade and liln(ISeahe such (hat \Vi11C1'drains alva)' —
around facilities . Microbial.deeomposition of fi•rnn facilities
organic matter

Swine Farm Waste Management Odor Control Checklist
Source _Cause 13M1's lei Minimize Odor Site Specific Practices
Farmstead • Swine production Q Vegetative or wooded buffers
Recommended best management practices
Good judgment and common sense
Animal body • Dirty manure-covered Dry floors
surfaces animals
Floor surfaces • Wet manure-covered (doors C1 Slotted floors
Cl Waterers located over slotted floors
0 Feeders at high end of solid floors
0 Scrape manure buildup.from floors
0 Underfloor ventilation for drying
Manure collection • Urine 0 Frequent manure removal by flush, pit recharge,
pits . Partial microbial or scrape
decomposition 0 Underfloor ventilation
Ventilation exhaust • Volatile gases Cl Fan maintenance
fans . Dust 0 Efficient air movement
Indoor surfaces • Dust N Washdown between groups of animals
O Feed additives
91 Feeder covers
Deed deliver-y,clownspout extenders to feeder
covers
Flush tanks Agitation of recycled lagoon 0 Flush tank covers
liquid while tanks are filling 0 Extend rill lines to near bottom ol'tanks with
anti-siphon vents

Swine Farm Waste Management Odor Control Checklist
Source Cause IIMl's to Minimize Odor Site Specific Practices
17 lush alleys • Agitation during wastewater C] Underfloor Ilusl; with underfloor ventilation
conveyance
Pit recharge points • Agitation of recycled lagoon C] Extend recharge lines to near bottom of hits with
liquid while pits are filling anti-siphon vents
Lift stations 0 Agilation during sump tank 0 Sump tank covers
filling and drawdown
Outside drain • Agitation during wastewater f7 Box covers
collection or conveyance
junction boxes
land of drainpipes • Agitation during wastewater CJ Extend discharge point of pipes underneath
at lagoon conveyance lagoon liquid level
Lagoon surfaces • Volatile gas emissions Proper lagoon liquid capacity -- -- -
• Biological mixing Correct lagoon startup procedures
• Agitation 13 Minimum surface area-to-volume ratio
Minimum agitation when pumping
O Mechanical aeration
O Proven 61ological additives
Irrigation sprinkler • I ligh pressure agitation Irrigate on dry clays with little or.no wind
nozzles . Wind drill �1 Minimum recommended operating pressure
Pump intake near lagoon liquid surface
0 Pump From second-stage lagoon

Swine Farm Waste Management Odor Control Checklist
Source Cause BMPs to Minimize Odor Site Specific Practices
Manure tracked onto • Poorly maintained access Farm access road maintenance
public roads from roads
farnl access
Additional Information: Available From:
Swine Manure Management; .0200 Rule/13MP Packet NCSIJ, County Extension Center
Swine Production farm Potential Odor Sources and Remedies; EIBAL3 Fact Sheet NCS1J—IIAE
Swine Production Facility Manure Management: Pit Recharge—Lagoon'l'realntent; I BAE 128-88 NC'SLI—IIAl
Swine Production Facility Manure Management: Underfloor Flush—Lagoon 'Treatment; EBAE 129-88 NCSU—IIAE
Lagoon Design and Management for Livestock Manure Treatment and.Storage; EBAE 103-83 NCSU—BAE
Calibration of Manure and Wastewater Application Equipment; EBAE Fact Sheet NCSU—BAE
Controlling Odors from Swine Buildings; P111-33 NCSU—Swine Extension
Environmental Assurance Program;NPPC Manual N.C. Pork Producers Assoc.
Options for Managing Odor; a report from the Swine Odor Task Force NCSU Agricultural Communications
Nuisance Concerns in Animal Manure Management: Odors and Mies; PROI07, 1995 Conference Proceedings Florida Cooperative Extension

Swine Farm Waste lVanagement Odor Control Checklist
Source Cause BMPi to Minimize Odor Site Specific Practices.
Farmstead • Swine product ion Vegetative or wooded buffers;
"Corontended best management practices;
A-tood.judgment and common sense
Animal body surface* • Diny.manuro-covered animals 61-6ry floors
Floor surfaces • Wei-n:arture-covered floors 0 Slotted floors;.
O /Waterers located over slotted floors;
0, Feedcrs at high end of solid floors;
GF-IScrape manure buildup fmos floors;
a Underfloor ventilation for drying
Manure collection pits • Urine; 9-'Frequent manure removal by flush,pit recharge,
• Partial microbial decomposition or scrape;
O Underfloor ventilation
Ventilation exhaust fans • J Volatile gases; 0, 'Fan maintenance;
Dust sr"Etrcical air movement
Indoor surfaces • Dust C.-Washdown between groups of animals;
O Feed additives;
G"'Feeder covers;
f►YF`eed delivery downspout extenders to feeder
covers _
Flush tanks Agitation of recycled lagoon O Flush lank.covers;
liquid while tanks am filling O Extend rill'lines to near bottom.of tanks with
anti siphon vents
Flush alleys • Agitation during wastewater O Underfloo'r flush with underfloor ventilation
conveyance
Pit recharge points • Agitation of recycled lagoon O Extend recharge lines to near bottom of pits
liquid while pits are filling with anti-siphon vents
Lift stations O Agitatioc during sump tank O Sump lank-covers
filling and drawdown
Outside drain collection • Agitation during wastewater 0 Sox covers ^�
or ju Ilion boxy conveyance
AMOC•November 11, 1996, Page 3

Source Cause SMPs to 1lrllainsize Odor Site Specific Practices
End of drainpipes at • Agitation during wastewater @--Extend discharge point of pipes underneath
lagoon conveyance lagoon liquid level
Lagoon surfaces • Volatile gas emissions; Irl—Proper lagoon liquid capacity;
• Biological mixing; EYCorrect lagoon stamp procedures;
• Agitation G ,-Minintum surface am-to-volume ratio;
@Minimum agitation when.puraping;
O Mechanical aeration;
O Proven biological additives
Irtigation sprinkler • High pressure agitation; fYfrcigate an dry days with little or no wind;
nozzles • Wind drift "inimurn recommended operating pressure;
pump intake near lagoon liquid surface;
0 Pump from second-stage lagoon
Storage tank or basin * Partial microbial decomposil ion; O Bottom or midlevel loading;
surface a Mixing white filling; U Tank covers;
• Agitation when emptying C1 Basin surface mats of solids;
O Proven biological additives or oxidants
Settling basin surface • Partial microbial decomposition; 0 Extend drainpipe outlets undemeath liquid
• Mixing while filling; level;
• Agitation when emptying. ❑ Remove seated solids regularly
Manure,slurry or sludge + Agitation when spreading; O Soil injection of slurry/sludges;
spreader outlets . Volatile gas emissions O Wash residual manure from spreader after use;
O Proven biological additives or oxidants.
Uncovered manure, • Volatile gas emissions while a 'Soil injection of slurry/sludges
slurry or sludge on field drying 0 Soil incotporalion-within 49 hrs.;
surfaces Q Spread in thin uniform layers for rapid drying;
0 Proven biological additives orioxidants _
Dead animals • Carcass decomposition Proper disposition of carcasses'
Dead animal disposal • Carcass decomposition jComplele covering of carcasses in-burial pits;
pits MKIProper location/consiruction of disposal pits
Incinerators • Incomplete combustion (3 Sccundary stack burners
A)" C-November 11, 1996, Page 4

Source Cause _ BM.P5 to rdiaimizs Odor _ Site Specific Practices
Standing water around • Improper dm=' Bc; eQ Grade and landscape sucb that water drains
facilities v Microbial decomposition of away from faclli6ea
organic matter
Manure tracked onto Poorly maintained access roads Eataa access road maintenance public roads roads from farm
access
Additional Information: _ Available From
Swine Manure Management; 0200 Rule/BMP Packet -�� NCSU.County Extension Center
Swine Production Farm Potential Odor Sources and Remedies; EBAE Fact Sheet NCSU-SAE
Swine Production Facility Manure Management: Pit Recltwge-Lagoon Treatment ; EBAE 128-98 NCSU-BAE
Swine Production Facility Manure Management: Underfloor Flush-Lagoon Treatment ; EBAE 129-88 NCSU-BAE
lagoon Design and Management for Livestock Manure Treatment and Storage; EBAE IG3-33 NCSU-BAE
Calibration of Manure and Wastewater Application Equipment; EBAE Fact Sheet NCSU-BA E
Controlling Odom from Swine Buildings; PIN-33 NCSU-Swine Extension
Environmental Asswartee Program; NPPC Manual NC Pork Producers Assoc
Options for Managing Odor; a-report from the Swine Odor Task Force NCSU Agri Communications
Nuisance Concerto in Animal Manure Martagernent:Odors and Flies; PRO107, 1995 Conference Proceedings Florida Cooperative Extension
AMOC-November If. 1996. Pape 5

1YIortality '-�Ianag'ement �vlethod5
(check which methods) are being implemented)
Burial three Feet beneath the surface of the ground within -•' lour after
l`mowledze of the death. The burial must be at least
,00 Feet 'from any bowing
stream or public body of water.
.Q Rendering at a rendering plant licensed under G.S. 106-165.-T
Q Comolete incineration
J In the case of dead poultry only, placing in a.disposal pit of a size and design
approved by the Department or Agriculture
Q
Any method which in the professional opinion of the State Veterinarian would
tna!:e passible taeheal'salvag n a ( F part
ten tanpro al oc thesState value
V--inarut i ndangern musttng
be
human or anim l ��
attached)
Dz�embe: IS. 1996

3: Soil Map—Columbus County,North Carolina 3
(Shan Spivey Swine Operation) i
v
n
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3 L$
Map Scale:1:7,040 if printed on A landscape(11"x 8.7)sheet
Meters
n N 0 100 2DD 400 6W n
Feet
0 300 600 1200 1e70
Map projection:Web Mercator Comer coordinates:WGS84 Edge tics:UTM Zone 17N WGS84
USDA Natural Resources Web Soil Survey 3/25/2019
Conservation Service National Cooperative Soil Survey Page 1 of 3

Soil Map—Columbus County,North Carolina
(Shan Spivey Swine Operation)
MAP LEGEND
MAP INFORMATION
Area of Interest(AOI) Spoil Area The soil surveys that comprise your AOI were mapped at
Area of Interest(AOI) 1:24,000.
Stony Spot _
Soils very Stony Spot Warning:Soil Map may not be valid at this scale.
Soil Map Unit Polygons Enlargement of maps beyond the scale of mapping can cause
—' wet spot 9 P Y PP 9
. Soil Map Unit Lines misunderstanding of the detail of mapping and accuracy of soil
Other line placement.The maps do not show the small areas of
r-11 Soil Map Unit Points contrasting soils that could have been shown at a more detailed
Special Line Features
Special Point Features scale. J
Blowout Water Features
' Streams and Canals Please rely on the bar scale on each map sheet for map
Borrow Pit measurements.
Transportation
Clay Spot Rails Source of Map: Natural Resources Conservation Service
Web Soil Survey URL:
Closed Depression Interstate Highways Coordinate System: Web Mercator(EPSG:3857)
Gravel Pit US Routes Maps from the Web Soil Survey are based on the Web Mercator
Gravelly Spot Major Roads projection,which preserves direction and shape but distorts
distance and area.A projection that preserves area,such as the
Landfill Local Roads Albers equal-area conic projection,should be used if more
Lava Flow accurate calculations of distance or area are required.
Background
Marsh or swamp Aerial Photography This product is generated from the USDA-NRCS certified data as
of the version date(s)listed below.
Mine or Quarry
Soil Survey Area: Columbus County,North Carolina
Miscellaneous Water Survey Area Data: Version 20,Sep 10,2018
F'lie.uudi wdtvl Soil map units are labeled(as space allows)for map scales
Rock Outcrop 1:50,000 or larger.
Saline Spot Date(s)aerial images were photographed: Dec 31,2009—Oct
18,2017
Sandy Spot
The orthophoto or other base map on which the soil lines were
Severely Eroded Spot compiled and digitized probably differs from the background
imagery displayed on these maps.As a result,some minor
Sinkhole shifting of map unit boundaries may be evident.
Slide or Slip
Sodic Spot
iL�Cu_ Natural Resources Web Soil Surrey 3125/2019
fir! Conservation Service National Cooperative Soil Survey Page 2 of 3

Soil Map—Columbus County,North Carolina Shan Spivey Swine Operation
Map Unit Legend
Map Unit Symbol Map Unit Name Acres in Ad Percent of AOI
Fo Foreston loamy fine sand 13.5 8.4%
LyA Lynchburg fine sandy loam,0 1 53.8 33.7%
to 2 percent slopes,
Southern Coastal Plain
M_W Miscellaneous Water 0.6 0.3%
Me Meggett fine sandy loam, 16.1 10.1%
frequently flooded
NoA Norfolk loamy fine sand,0 to 2 4.4 2.8%
percent slopes
NoB Norfolk loamy fine sand,2 to 6 40.3 25.3%
percent slopes
To Torhunta fine sandy loam 11.8 7.4%
WaB Wagram loamy fine sand,0 to 19.1 12.0%
6 percent slopes
Totals for Area of Interest 159.5 100.0%
USDA Natural Resources Web Soil Survey 3/25/2019
a" Conservation Service National Cooperative Soil Survey Page 3 of 3

f^� United States Sail
Department of Conservation
Agriculture Service ^
OPERATOR: X SPfvEY
Please review the attached plan and specifications carefully. Retain
this plan for your use and records. It is strongly recommended that you,
your contractor, and Soil Conservation Service personnel are in agreement
as to how the waste lagoon is to be constructed. The Soil Conservation
Service personnel will meet with all concerned parties and walk over the
site to explain all flags and markings. It is important that everyone
understand what is expected so that final construction meets plans and
specification and the job can be certified for payment (if cost-sharing
is involved) .
The pad dimensions and grades are the best estimate. The BUILDER or
CONTRACTOR is RESPONSIBLE for final layout and design of the pads. The
Soil Conservation Service personnel will assist in a limited capacity,
as its major concern is the proper design and construction of the waste
treatment lagoon.
The actual amount of material required for pads and' dam may vary from the
estimates . The design will attempt to balance cuts and fills as close as
possible. If additional material is required after construction is complete
on the lagoon, the contractor and owner will negotiate on the price and
location of borrow area.
NOTE: Design Requirement: / 2ee cu.ft. = 6.2 70 cu.yds.
Estimate of Excavation: /ice q88 tuft. _ �=2910 cu.yds.
Estimate, of Pad 5 Dike: 77459 cu.ft. = .'t. 869 cu.yds .
/. S: / Ratio®
Job Class
Dace
Designed By CA4,4RLE-S W,4,eL)
Name
Design Approval aeO� C.
Name
// —.23 -85
Date
Orho
Sad Canservat-an Service
an agency of the
Oeaartment of Agriculture

OPERATION AND MAINTENANCE PLAN
This lagoon is designed for waste treatment with minimum odor
control . The time required for the planned fluid level to be
reached may vary due to soil conditions , flushing operations , and
the amount of fresh water added to the system.
Land application of waste water is recojni =sd as an acceptable
method of d i sposal . Methods of app I i cat i i,n include honey wagons
(sprayer- or injection ) and irrigation ( center pivot , guns , or
travelers) . Care needs to be taken when applying waste to
prevent damage to crops or runoff from the field .
The following items are to be carried out :
1 . Begin pump-out of the lagoon when fluid level reaches invert
of outlet pipes .
Z. Step pump-out before fluid depth is less than 5 feet deep
( this prevents the loss of favorable bacteria) .
1 The recommended maximum amount t�_ apply per irrigation is one
inch , and rnaA i rnurn recommended app l i cat i inn rare is 0.4 inch per-
hour .
4 . It is strongly recommended that the traakmEnt lagoon be
precharged to 1/Z its capacity to prevent icessive odors during
startup . Precharg i ng reduces the concen tr=t f on of the I n I t I al
waste enter- i ng the lagoon .thereby reduc i n_ o lors . Solids should
be covered with effluent at all times .
5. Keep vegetation on the embankment and areas adjacent . to the
lagoon mowed .
6. Repair- any eroded areas and estab l i sn in vegetation .
7. The Clean Water Act of 1977 prohibits the discharge of
pollutants into waters of
f the United States . The Department of
Natural Resources and Community Development (DNRCD) , Wastewater
Mang2ment Section , has the r.espons i b I l I ty For enforcing this law.
S . All surface runoff is to be d I vertad From the lagoon to
adequate outlets .
NOTE : An analysis of the waste water can we obtained at
commercial laboratories or at a fee of S . 0 per sample at:
N.C. Department of Agriculture Plant Ana I ys i s Lab
Agronomic Division
Blue Ridge Road Center
Raleigh , N .C. 27611
Phone : 919-7= = Z_5'5

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U. S. DEPARTMENT OF AGRICULTURE NC-ENC-40
Soil Conservation; Service 5/83
LOCATION CODE
PLAN OF EXCAVATED WASTE STORAGE POND
NAME- sjp/�/�}� ACP # DATE ._ _ DISTRICT
i
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x
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of
AVE. BOTTOM ELEV.
LENGTH
Volume = depth [(area of top) + (area of bottom) + (4 x area midsection] _ /7 5 ;2 Cu.Ft.
6
SUMMARY
Use of facility 80o TPPiN� L�4CooN
Bottom Elev. .3.0
Capacity —_ Gallons
Normal liquid level Elev.
Volume Cost-sharing _ Cu. Ft. Storage for normal precip. (Ft) +
Maximum liquid level Elev.
Soil type — Storage for:
+
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Plp_a auTtjcT Elev. 7�- 3
A- r�► + D.7
- — - — - - — - Freeboard (Ft.) + /' Q -
- — Top of Dam Elev. 5-3.0 _
Elev. — — —
`/I/oT_ = BFGJN .VC= W�FEI� g;=F[uEAJT
QEAG fLS OUTLET /I�J�/�� T ale
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U.S. DEPARTMENT OF AGRICULTURE SCS-ENG•529
SOIL CONSERVATION SERVICE. 2.80
EARTHWORK COMPUTATION SHEET
Location —Cf'04-4— /SNS �• _ Owner 0/yF Y
Subwatershed Site No. LA -,"'J
Watershed D. �r.yGf,�Ad( Date 9—Z 3--�8
Contractor Computed by
Item Checked by Date
Contract No. Estimate yd3 Actual yd3
— Sum of Volume
End Brea End area Olsnnce Remarks
Station Iin21 Ift21 end areas Iftl �p�irod IYd31
(ft2)
.............................................................................................
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+ ¢ - 37F. 3 6GZ 3S /lSS5�
419.Z to zo96
3�96 �56. 5 /D 7 °,7.
...................................... . .... .
Sheet of sheets

U.S. DEPARTMENT OF AGRICULTURE SCS-ENG-529
SOIL CONSERVATION SERVICE 2 80
EARTHWORK COMPUTATION SHEET
Location _._ Owner SPA v�
Watershed _ Subwatershed Site No. L.4G-°oN
Contractor _ .—� -
Computed by D•Bi+vC--,yA Date -Z 3-A
Item Checked by Date ]
Contract No. Estimate yd] Actual yd
Sum of Section Volume
End area End area Dlsonee Remarks
Station (in21 Ift2) end erees (ft) Rroducts (Yd])
(tt2) (ft]>
.......................................................................................................
J �7 .................................
Xg
z Sz o
.7 4-;? z s�.5 /3 o i3,7
30 �.
2 -F35
3¢7.8
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3 +3 s 4�rr-. j-�.6 /O 7�f
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fqd �79. 7z9.o /0 364-5
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4 4-20
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r¢7 a
77¢5�l< Z3 .j7�
........ ........................... . ....................................
Sheet q_ of sheets

_9S,

U. S. OSOIL,CONSERVATION LSERVICE
SCS-EN G-538
Rev. 5-70
SOIL INVESTIGATION TO DETERMINE SUITABILITY OF PRO POSED POND SITE
a� ..1... DISTRICT
FARMER'S NAME —'—l-- COUNry --
DATE— — WORK UNIT
S. C. S. PHOTO SKEET NO.
WATERSIIEI) AREA MEASUREMENTS
CROPLAND ACRES PASTURE ACRES
ACRES POND CLASS WORK UNIT CONSERVATIONIST
WOODLAND ACRES TOTALroa. scale' 1"= feet)
SKETCH OF PROPOSED PO Locate SHOWING
point W HERE r line BORat d4m d idenntitly onDskketc.
BORING NUMBER AND PROFILE
SHOW
Make and list dam•sf/e and spillway borings, first-then porid¢d area and barrow Pit borings•separate with vertical red ins.
rit) Show wafer Coble elevations on dam-site borings.
DEPTH (Continued an back where necessa l6 17 18 19 20 21 22 Z
SCALE 1 2 3 4 5 g 7 8 _9— 10 11 12 13 14 15 —
Z C SM -
2-3 s•°I s� -
�a
sc� —
• " ° SIGNATURL &LI!
BORINGS ` ._-----�

TYPES OF AIATI,'RIAL IN HORINGS
('13se one of systems below)
UNIFIED CLASSIFICATION II USDA CT_AV-)IFICATION
GW-Well graded gravels; gravel, sand mix g-gravel
GP-Poorly graded gravels s-sand
GM-Silty gravels; gravel-sand-silt mix As rino sand
GC-Clayey gravels; grave I-sa nd-c InY 1"i'( !41 lonlyl
SW-Well graded sands; sand-gr4vel r nix F�11 - fill" •4-'QCJV lr�WTII
SP-Poorly graded sands '• - 1?1"­p
SM-Silty sand 37 71 -
SC-Clayey sands; sand-clay mixtures !7,i -silt
ML-Silts;silty,v.fine sands:sandy(it clavey silt r:i l ^i I
CL-Clays of low to medium plasticity
CH-Inorganic clays of high plasticity 0h s , C-411, In"fil
RH-Elastic silts I .�;ppd% 1­.-irn
OL-Organic silts and silty clays, lo-,N, 11instiCitY I sic - :Jliv InEl
OH-Organic clays, medium to high plost ic.il Y V
1. Suitable material for embanlry.nent is R—tilaidn. Y ..".0 on 0 it ;Arfe` ...I
reverts aids)
REMARKS:
2. Explain hazards requiring special nUentiem in d...444T,
GENERAL REMARKS:
34 35 36 A 7 38 '.19 41 J:i 144 45 48 47 48 19 50 !1
24 25 2627 28 29 30 31 32 33
P
F31 JI
}I � � : II I fI � II ' ii
11 I. U
L

Animal Waste Management Plan Certification
(Please type or print all information that does not require a signature)
xistina or New or Ex anded ( lease circle one)
C'moral Information:
Name of Farm: • IraFacility No: 24- -- a9___
Phone No: , l o-653- 390E
Owner(s)Name: '
h'iailins Address: s t�.t1, - tattier
Count}• Farm is located in:
Fart Location: s -
Latitude and Longitude: _3_1j°11 _L,52�r/ I
sz
Please attach a copy of a county road map with location identified and describe below (Be specific:
ecific: road
Pi C
names, directions, milepost, etc.): Fry rs 22,h0f C'41
•% rrri
d r
oration Description:
type ofSu-ine No. of.4►tintals Type oJPoultn• No. ofAnimals Tjl�e]oJDC�e No. of Animals
Wean to Feeder Lager
Beef
If Feeder to Finish b J Pullets
J Farrow to Wean
J Farrow to Feeder Number o Animals:
J Farrow to Finish Other Type of Liti estack: J
Expanding Operation Only
Previous Design Capacity:
Additional Design Capacity
:
Total Design Cavacin': 3
Acreage Available for Application: Required Acreage;_ 7�tJ ft re
Total Ca i Cubic Feet (0)
Number of Lagoons /Storage Ponds : I Capacity-
Are ty
Are subsurface drains present on the farm: YES or Q (please circle one)
If YES: are subsurface drains present in the area of the LAGOON or SPRAT' FIELD (please circle one)
exaeiaie�e�ts'xyexfeae;e�eieaeK�k�kkR�fkseKl:k**#*k�#K� KaeekMk##akkkfkkXKKk�F�iaieycxic$�cic;ctieicuicieic�eekF**!cicx*
Owner/111anager Agreement
I (we)verifg that all the above information is correct and will be updated upon chanoin_. I(we)understartd the operation and
maintenance procedures established in the approved animal waste management plan for the farm named above and will
ion to the existing
design capacity of the waste treatment and
implement these procedures. I (we) know that any expans
storage sgstem or construction of new facilities will require a new certification to be submitted to the Division of
Environmental Management before the new animals are stocked. I (we)understand that there must be no discharge of animal
waste from the storage or application s�'stem to surface waters of the state either directly through a man-made conveyance or
from a storm event less severe than the '_5-year. ?-hour storm and there must not be run-off from the application of animal
waste. I (we) understand that run-off of pollutants from lounging and heavy use area_ must be minimized using technical
standards developed b}' the Natural Resources ConservationSen-ic;e. The appr 7ved plan +%'ill be filed at the farm and at the
er+'ation District. I rave t know that an modification must be approved-by a technical
orf[ce of the local Soil and Water Cons
specialist and, submitted to the Soil and Water Conse-Va[ion District prior to implementation. A change in land ownership
require:++'ritten n�tifi��tion to DELI or a ne'•+- certirication of th-- aepro+'ed plan is change-1 ++ithin 60 days of a title transte:
Name of Land Owner --
__ Date: S-2?- 97
-Si,!nature:
Name of �fana��ertit�ii[z�.at tr� nz":
Date:
Si;nature:_
!,,,)_ t

Technical Specialist Certification
I. As a technical specialist designated by the forth Carolina Soil and Wate.Conservation Co.nrnission pursuant to 15A
NCAC 6F .0005. 1 certifv that the animal waste management system for the farm named above has an animal waste
management pian that meets or exceeds standards and specifications of the Division of Environmental Management (DELI)
as spz_ified in 15A NCAC 2H.02 17 and the USDA-Natural Resources Conservation Service (\RCS) and/or the North
Carolina Soil and Water Conservation Commission pursuant to 15A NCAC =H.0217 and 15A NCAC 6F .0001-.0005. The
following element's are included in the plan as applicable. While each c3te2onv designates a :echnical specialist who may
sien each cep:irication (SD. Sl. WL-P, RC. I), the technical specialist should on!y certify pans for which they are tec`tnically
competent.
IL Certificatloit of Desigui
A) Collection. Storage. Treatment System
Check the appropriate box
Z" Existing facility without retrofit (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with waste utilization
requirements.
:J Nev.--. evhanded or retrofitted fac'lt itv (SD)
Animal waste storage and treatment structures, such as but not limited to collection sys[e as, lagoons and ponds,
have been desiened to meet or exceed the minimum standards and srecifrcaticns.
N'ame of Technical Specialist (Please Print): Ed coax[ -
Affiliation: -
Address(Agency): 119L •T�-. �� t Phonetio.:.`f!O-�Na-a3
a.s L1-i 2
Signature:-
A-B) Land A (ili-cation Site («rUP)
The plan provides for minimum separations (buffers); adequate amount of land for waste utilization; chosen crop is
suitable for waste management;hydraulic and nutrient loading rates.
Marne of Technical Specialist (Please Print):.d G+.r Z- E ax
Affiliation: -
Address(Azency): 11 5 ;T1. ST� 4.it�eue �Phone i\io.: 10- b 2- 23w8
177
Signature: Date: S- 2 --
C) Runoff Controls from Exterior Lots
Check the appropriate box
Facility %without exterior lots (SD or 'N-UP or RC)
T'nis facility does not contain any exterior lots.
`.l Fscilicv with exterior lots (RC)
Methods io rruninu n
ze the run orf of pollutants from lounsin; and hea, use areas ha.e been desi rted in
a.cerdance ••%uh :echnical standard; de,.eloped b,, ARCS.
\�intr u! T,:rhnir:I �peciuli<t F'.z�>� Pri,tt!:_Ed our
'TT .. —L_r�t�t lr8'(2�!;. .._ ,. ----

D). A�plicafinn and Handling Equipment
Check the approprkrre box
l�f Etis[inc or exoandinR facility \vith e�istins ��aste a lication equipment ("' -P or I)
Animal waste application equipment specified in the plan has been either field calibrated or evaluated in
accordance with existing design charts and tables and is able to apply waste as necessary to accommodate the
waste management plan: (existing application equipment can cover the area required by the plan at rates not to
exceed either the specified hydraulic or nutrient loading rates, a schedule for timing of applications has been
established; required buffers can be maintained and calibradon and adjustment guidance are contained as part of
the plan).
New. ex-,anded. or existing facility without existing waste aeelication equipment for spray
irrigation. (I)
Animal waste application equipment specified in the plan has been designed to apply waste as necessary to
accommodate the waste management plan: (proposed application equipment can corer the area required by the
plan at rates not to exceed either the specified hydraulic or nutrient loading rates: a schedule for timing of
applications has been established; required buffers can be maintained; calibraboo and adiustment guidance are
contained as part of the plan).
New. expanded. ,or existing, facility without existing waste application eaui rn. for land
s reading not using spray irrigation.T(W[iP or I)
Animal waste application equipment specified in the plan has beew selected to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the
plan at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of
applicatic-.is has been established: required buffers can be maintained; calibration and adiustmem guidance are
contained as part of the plan).
Name of Technical Specialist (Please Print):,E I C
Affiliation:, SLADC
Address(Agency): 11 Z. U-­) Sinjh _ A Me-ui l to KC 2&4*12 Phone No.: 960- (V (2-2348
Signature: ,�.�-a�• .�. 'i`7 Date: S-- 21-
cvl
E) Odor Control. Insect Control, llfortality "Management and Emercrencv .4_ tion,Plan (SD,
SI.IN'UP. RC or I)
The.waste management plan for this facility includes a Waste Management Odor Control Checklist,.an Insect Control
Checklist. a Mortality Nlanagement Checklist and an Emergency Action Plan. Sources of both odors and insects
have been evaluated with respect to this site and Best Management Practices to Minimize Odors and Best
Management Practices to Control Insects have been selected and included in the waste management plan. Both the
Nlori.Lty,1anaQement Plan and the Emergency Action Plan are complete and can be implemented by this facility.
Name of Technical Specialist (Please Print):__EA w a r� TE_� Pa y t'
Affiliation: WQ n �-
Address(Agency): 11A 3T ttDI%tfti.utkle' NC- 2841a Phone No.: 910. 6 - -Z_%
Signature: _ Date: S- 9- -q r
F) Written Notice of New or Expanding Swine Farm
The follo%%in;signature block is only to be used for new or expanding sine farms that begin construction after June
21. 1996. If the facility was built before June 21. 1996. when was it constructed or last expanded--
I (,xe; certify that I (we) have attempted to contact by ceni,ied mail all adioinin;--rope:.}'owners and all =roperty owners
who own property located across a public road. street. or hteh%vav from this ne, or ;!xparicing SIXIne farts. The nonce was in
compliance ��ith the rejuire.,.eats of\CGS IOC-SQ=. A zopy of the notice and 3 NS, of th- property openers notified is
atta.hed. r�trs is l'" a nerl nr E,rPernd�h9 or►rrg7o•, Si9riG� 2�y '"i.fQTQ�ke .
Mnie of Land 0\%--er :_ _-- - _ -- -- - - -
5i,1nature: ` - - -- - - Date:..
nature _ - _ Date
\\� i; -- ]miu.1r•. 1. 10 i-

r
III. Certification of Installation
A) Collection. Storage Treatment Installation
New, cuanded or retrofitted facility (SI)
Animal waste storage and treatment structures, such as but not limited to lagoons and ponds, have been installed in
accordance with the approved plan to meet or exceed the minimum standards and specifications.
For existing facilities without retrofits, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation: — --
Address(Agency): Phone No.. .
Sianature:�- _Date: _
B) Land Application Site (NVtP) a
Check the appropriate box
' The cropping system is in place on all land as specified in the animal waste management plan.
`! Conditional Approval: all required land as specified in the plan is cleared for planting; the cropping system
as specified in the waste utilization plan has not been established and the owner has committed to establish the
vegetation as specified in the plan by (month/dav/year);the proposed cover crop is appropriate
for compliance with the wasteutilization plan.
❑ Also check this box if appropriate
if the cropping system as specified in the plan can not be established on newly cleared land within 30 days
of this certification, the owner has cotrtrnitted to establish an interim crop for erosion control;
Name of Technical Specialist (Please
Affiliation: / &_s s14-24-0
Address(Aaency): J2 W. 4nr 7', s Gt'h� �94 lie /11G � Phone Nb.: JO-6'y�-23Y�
Signature: .� Date: f— Z/
This following signature block is only to be used when the box for conditional approval in III. B
above has been checked.
I (we)certify that I (we) have conurtitted to establish the cropping system as specified in my(our)waste utilization plan,and
if appropriate to establish the interim crop for erosion control. and will submit to DEM a verification of completion from a
Technical Specialist within 15 calendar days following the-date specified in the conditional certification. I(we)realize that
failure to submit this verification is a violation of the waste management plan and will subject me (us) to an enforcement
action from DEM.
lame of Land Owner —
Signature: __ ___ _ _ Date:
\ame of �lana2eriif different from Owner;: —
Si,,nature-_ _—_. _ _ _ Date: _ _

C) Runoff Controls from E.r•terior_Lo_ts (RC)
Facility %vith este-ior INS
Methods to rnimnize the run off of pollutants from lounging and heavy use areas have been installed as specified
in the plan.
Far facilities without exterior lots, no certification is necessary.
Name of Technical Specialist (Please Print)•-
Affiliation: -
Address(Ageney): Phone No.:--
Date:
Signature:_, -
D) Annlicati0n and Handling E ui>ament Installation (S�`L'P or I)
Check the appropriate block
l� Animal waste application and handling equipment specified in the plan is on site and ready for use; calibration
and adjustment materials have been provided to the owners and are contained as par: of the plan.
❑ Animal waste application and handling equipment specified in the plan has not been installed but the owner
has proposed leasing or third party application and has provided a signed contract; equipment specified in the
contract agrees with the requirements of the plan; required buffers can be maintained: calibratio❑ and
adjustment guidance have been provided to the owners and are contained as par:of the plan.
I Conditional approval: Animal waste application and handling equipment specified in the plan has been
— (month,'dav/vear); there is adequate storage to
purchased and will be on site and installed by
hold the waste until the equipment is installed and until the waste can be land applied in accordance with the
cropping system contained in the plan; and calibration and adjustment guidance have been provided to the
owners and are contained as part of the plan.
Name of Technical Specialist (Please Print):-
Affiliation: �u G
Address(Asency): �I �v�'�! $y�hone No.: q10- ,6 .2-a3�Gf�
Si=nature:. Date: -_2 17 1
The following signature block is only to be used when the box for conditional approval in III D
above has been checked.
I (%%'e) certify that I (we; have committed to purchase the animal waste application and handling equipment as
specified in my (our) waste management plan and will submit to DEM a verification of delivery and installation
15 calendar da
from a Technical Specialist within ys following the date specified in the conditional certification. I
(eve) realize that failure to submit this verification is a violation of the waste management plan and will subject me
(us) to an enforcement action from DEv1.
Name of Land Owner
Signature: _-_ - _ Date:- _ --
Name of Manager(if different from owner):_- - - - - - ---
Signature: - - _ _ _ - - -- - -- - Date:
E) Odor Contrnl. Insect Control and �\1ortality Management (.SD.-SI. WlrP. RC or Il
Nle,.hods to control odors and insec's as specified in the Plan hi nve ^efn in :ailed and are operational. The
_,;t i Tie P!an has also be_n In>tallea an:: :s Jctmmonal.
niJ,1iit\• ntana .m. ,7it S�:teai e� n `
Name of Technical Spe.iali_t`,F!ease Print!: uAar.d uv`' — -
A;'tiiiation:7.
;ure Jcz�.p — t� 7-:2
:

C) Runoff Controls from Exterior Lots (RC)
Facilitv with exterior lots
Methods to minimize the run off of ta ollunts from lounging and hea�'y use areas have been insaied as specified
in the plan.
For facilities without exterior lots, no eerdjYcation is necessary.
Name of Technical Specialist (Please Print):
Affiliation _Dat!Work Completed:
Address (Agency): Phone No.:—
Signature: _ _ Date:
D) Application and FIandling,E WDment Installation (tiYUP or I)
Check the appropriate block
�J Animal waste application and handling equipment specified in the plan is on site and ready for use;
c
/alibration and adjustment materials have been provided to the owners and are contained as part of the plan.
�J Animal waste application and handling equipment specified in the plan has not been installed but the owner
has proposed leasing or third party application and has provided a signed contract; equipment specified in
the contract agrees with, the regairements of the plan; required buffers can be maintained; calibration and
adjustment guidance have been provided to the owners and are contained as part of the plan.
l�°'Conditional approval: Animal. waste application and handling equipment specified in the plan has
been purchased and will be on site and installed by — (month/day/year); there is adequate
storage to hold the waste until the equipment is installed and until the waste can be land applied in
accordance with the cropping system contained.in the plan; and calibration and adjustment guidance have
been provided to the owners and are contained as partof thesplan.
Name of Technical Specialist(Please Print): 4eg 6G L,16-
Affiliation ` ` r Date Work Completed: —
Address(Ag c A. ' Phone No.:�fQ�
Signatur • , Date: -- - 7
The following signature block is only to be used when the box for conditional approval in III D
above has been checked.
I (we) certify that I (we) have committed to purchase the animal waste application and handling equipment as
specified in my (our) waste management plan and will submit to DEM a verification of delivery and installation
from a-Technical Specialist-within_15 alendat days following the date specified in the conditional certification_ I
(we)realize that failure to submit this verification is a violation of the waste management plan and will subject me
(us)to an enforcement action from DAL
Name of Land Owner. -- - ---
Signature• Date:
Name of Manager (if different from owner):
Signature:. Date:
E) Odor Qontrol. Insect Control and yiortality Marva ement SD. S . WUP RC or T?
Methods to control-odors and insects as specified in the Plan have.been installed and are operational. The
m the Plan has also been installed and is operationaL
mortality management system as specified� -- _-- — -- .-- _...
Name of Technical Specialist(Please Print):
Affiliation Date Work Completed:
Address (Agency): - ,_ --Phone No.:_
Signature: Date:_.
r+WC -- august 1, 1997 3-

Please return the completed form to the Division of«'ater Quality at the following address:
Department of Environment, Health, and Natural Resources
Division Of Water Quality
Water Quality Section, Compliance Group
P.O. Box 29=35
Raleigh, NC 27626-0535
Please also remember to submit a copy of this forin along with the Soil andPi'ater Conservation District Office anldtto keep al copy aSin
te
`lanagement Plan to the loca
your files with your .animal Waste Management Plan.