510025_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 Pennit
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: 51-0025 Certificate Of Coverage Number: AWS510025
2. Facility Name: Ted• Barefoot Farm
3. Landowner's Name(same as on the Waste Management Plan): Terry Barefoot
4. Landowner's Mailing Address: PO Box 1104
City: Four Oaks State: NC Zip: 27524-1104
Telephone Number: 919-868- 9974Ext. E-mail: bb man54(ckaol cm�®CoM
5. Facility's Physical Address: 3900 US 701 Hwy S
City: Four Oaks State: NC Zip: 27524
6. County where Facility is located: Johnston
7. Farm Manager's Name(if different from Landowner):
g."1 Farm Manager's telephone number(include area code):
9. Integrator's Name(if there is not an Integrator,write"None"): Prestate Farms Inc
10. Operator Name(OIC): Terry Barefoot Phone No.: 919-9.4-0729 OIC#: 17756
Ceti A 1'i 1&8'1q1'�
11. Lessee's Name(if there is not a Lessee,write"None"): HO N
12. Indicate animal operation type and number:
Current Permit: _ Operations Type Allowable Count
_.-•- Swine-Feeder to Finish 2,940
oeration Tvoes:
Swine Cattle Dry Poultry Other TvM
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
Other Non Laying Pullet
Other Layers
�t j�R -ttm -e04
rn f"artiste aNa 4f t® Icy �,
ChaNJed �atr1� -o Rgj.J&A-

ROY COOPER R '
MICHAEL S.REGAN
Secrrrary .—
LINDA CULPEPPER NORTH CAROLINA
Dirtyfw Eawkw rwntalQuality
February 27,2019 �SUOIIp� �IgU01B08
Terry Barefoot 41mo-iaieM
Terry Barefoot Farm
PO Box 1104 61010 0 8d V
Four Oaks,NC 27524-1104
HMa/::!'M l Al 7 H
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 Non-Discharge General Permits,
which expire on September 30, 2019. Copies of the new animal waste operation State Non-Discharge General Permits are available
at tr s://de .nc.•o a ut/di ' i ate ualii - ional 9=/afo or by writing or calling:
NCDEQ-DWR
Animal Feeding Operations Program
1636 Mail Service Center
Raleigh,North Carolina 27699-1636
Telephone number:[phone]
In order to 3ssure tour continued coverage under the State ion-Disc le General Permits, vatr must submit an aEpli at�for
p mr ut coverage to the Division. Enclosed You will find _q "Request Certificate of Coverage Facility Currently v
Expiring State Non-Discharge General Permit" The application form must be completed signed and returned by April 3, 2019.
Please n to that you must include one 1 v of the Certified Animal Waste Mang ement Plan ICAYMI with, the
completed and signed apoftatlon form. A list of items included in the CAWMP can be burp on cage 2 of the rene__wal
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$25,000 per day.
If you have any questions about the State Non-Discharge General Permits, the enclosed application, or any related matter please feel
free to contact the Animal Feeding Operations Branch staff at 919-707-9100.
Sincerely,
Jon Risgaard,Section Chief
Animal Feeding Operations and Groundwater Section
Enclosures
cc(w/o enclosures): Raleigh Regional Office,Water Quality Regional Operations Section
Johnston County Soil and Water Conservation District
AFOG Section Central Files-AWS510025
Presta e Farms Inc
L lYrn1^...arm=r.�pe��€i�rarx�enfr rer•ia t�€,t. � r,v .r<�f�.ete=rresx.tces
512 h Se:sbw:,St.l 16aS Ve S-wi m certe �R$:e.g� ht3n^var3�e Z76 t61E�6

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)
001
1
104,544.00 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.lOC(d)to the address below.
The CAWMP must include the following components:
1. +The most recent Waste Utilization Plan(WUP),si2 ned b the owner and a certified technical s e i 1'st 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
5. 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: 2019PermitRenewal@ncdenngov

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 (Lando-Amer, 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: G�v-� Lcr ® Title: _ Gt 'Li —
r/� Date: 3 Z CI --
Signature:
J
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 0212019

June 11, 2019
Christine Lawson
NCDEQ-DWR
Animal Feeding Operations
1636 Mail Service Center
Raleigh NC 27699-1636
Subject: Request for new COC for Terry Barefoot
COC No.AWS510025
Johnston County
Dear Mrs. Lawson
This is a request for a new COC to cover a change in animal numbers, and type of operation. Mr.
Barefoot plans to convert from a feed to finish operation to a gilt developer. Information
concerning this operation is as follows:
Steady State Live Weight:
2940 feeder—finish x 135 lbs. =396,900 lbs.
Convert from feed to finish to a gilt developer operation.
396,900 lbs. (SSLW)/150 lbs. = 2646 gilts
Enclosed are documents to support this change in animal numbers and type of operation. If you
have any questions concerning this request, please call me at 910-596-5749
Sincerely,
19,
G. Glenn Clifton
Technical Specialist
Prestage Farms, Inc.

Animal Waste Management Plan Certification
(Please type or print all information that does not require a signature)
Information: Permit No: AWSSIbo Z5
Name of Farm: E KKV aAae.Goo-r Facility No: 51 --Z5
Owner(s)Name: i6RRy dB' ARFF:bc, r Phone No: 919 - 96Z-7974
MailingAddress: P.O. &m 1104. Foam OAKS 14t_ Z75 •F-
Farm Location: County Farm is located in: J om N 5 io rl
Latitude and Longitude: 35' 234 ai2� / 7 e Z 2.r 3" Integrator:Nbu6g FARw,s r 7rr c.
Please attach a copy of a county road map with location identified and describe below (Be specific: road
names, directions, milepost, etc.): FRoea ?-)5 TA" us -Io1 5ou7N ArA�eox 5.6 n t tL 5
rARPA W i LL SF- >eA iGbNT
Operation Description:
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Dairy No. of Animals
o Wean to Feeder o layer o Milking
o Feeder to Finish _ o Non-Layer o Dry
o Farrow to Wean Type of Beef No. of Animals o Heifers
o Farrow to Feeder o Brood o Calves
o Farrow to Finish o Feeders
•Gilts 264t. o Stockers
o Boars Other Type of Livestock: Number of Animals:
t Y,k:.
L'S•p<!n ["+t ]!Only ,: ,y -"s Ltd *;e" t .�s �;.,.
e'�
Previo t<ee AildtNriiacl,D,ese n Ga Welty.. .„Tota�IDkcr n act "
Acreage Available for Application: Required Acreage: 4-21 Y. 2 9 b18
Number of waste structures: I Total Capacity: Cubic Feet(ft3)
Are subsurface drains present on the farm: YES or NO (please circle one)
If YES: are subsurface drains present in the area of the waste structures(please circle one or both as applicable)
Owner/Manager Agreement
I(we) verify that all the above information is correct and will be updated upon changing. I(we)understand the operation and
maintenance procedures established in the approved animal waste management plan for the farm named above and will
implement these procedures. I(we)know that any expansion to the existing design capacity of the waste treatment and storage
system or construction of new facilities will require a permit application and a new certification to be submitted to the Division
of Water Resources (DWR) and permit approval received before the new animals are stocked. I (we) understand that there
must be no discharge of animal waste from the storage system to surface waters of the state unless specifically allowed under a
permit from DWR 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 areas must be minimized using technical standards developed by the USDA-Natural
Resources Conservation Service(NRCS). The approved plan will be filed at the farm and at the DWR Regional Office and the
office of the local Soil and Water Conservation District (SWCD). I (we) know that any modification must be approved by a
technical specialist and submitted to the DWR Regional Office and local SWCD and required approvals received from DWR
prior to implementation. A change in farm ownership requires a permit application to be sent to DWR along with a new
certification(if the approved plan is changed). /
Name of Land Owner: �Al r,P7oa�
Signature:
—
1 Date: G- 16 - 11
Name of Manager (if differght from o r):
Signature: Date:
AWC-September 18,2006 1

Animal Waste Management Plan Certification
Please t ..or ' t all information that does not require a signature)
., .�.. .. �`. -:h�:,.>tix�„5... ;.�,„�.:,_'�•-�. "»__aw.,.,,.�
General Information:
Name of Farm: TERRYAaa-c Facility No: !E;l --
Owner(s) Name: TeRgy sAmc-MaT Phone No: 919-934-o729
Mailing Address:_pg. 9,p% . J 1® t�.,g o Ares i N.c 27524
Farm Location: County Farm is located in: Scs%wsTdt4
Latitude and Longitude: ` 2 eg ft/ " ' Integrator:
Please attach a copy of a county road map with location identified and describe belo e specific: road
names, directions, milepost,etc-):fro n -L-3S �hAe 4i.5 ;70J � .fl�nray Srr,.
/ %r
j
Operation Description:
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Caule No. of Animals
0 Wean to Feeder ❑Layer ❑Dairy
C9(Feeder to Finish �. 0 Pullets ❑Beef
0 Farrow to Wean
O Farrow to Feeder
O Farrow to Finish Other Type of Livestock Number of Animals.
❑Gilts
O Boars
.ftratdF.P,*i
Acreage Available for Application: Required Acreage:
Number of Lagoons/Storage Ponds : Total Capacity: Cubic Feet(ft3)
Are subsurface drains present on the farm: YES or NO (please circle one)
If YES:are subsurface drains present in the area of the LAGOON or SPRAY FIELD(please circle one)
Owner/Manager Agreement
I (we) verify that all the above information is correct and will be updated upon changing. I (we) understand the operation
and maintenance procedures established in the approved animal waste management plan for the farm named above and will
implement these procedures. I (we) know that any expansion to the existing design capacity of the waste treatment and
storage system 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 system to surface waters of the state either directly through a man-made
conveyance or from a storm event less severe than the 25-year, 24-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 areas must be
minimized using technical standards developed by the Natural Resources Conservation Service. The approved plan will be
filed at the farm and at the office of the local Soil and Water Conservation District. I (we) know that any modification
must be approved by a technical specialist and submitted to the Soil and Water Conservation District prior to
implementation. A change in land ownership requires written notification to DEM or a new certification (if the approved
plan is changed)within 60 days of a title transfer.
Name of Land Owner : 7" -V
Signature: ` �`-=t✓ '' C� t rg Date:_ 3—'Z 1-00
Name of Manager(if different from owner): 10
Signature- Date:
AWC -- August 1, 1997 1

Technical Specialist Certification.
L As a technical specialist designated by the North Carolina Soil and Water Conservation Commission pursuant to 15A
NCAC 6F .0005, I certify that the animal waste management system for the farm named above has an animal waste
management plan that meets or exceeds standards and specifications of the Division of Environmental Management
} {DEM) as specified in 15A NCAC 2H.0217 and the USDA-Natural Resources Conservation Service(NRCS)and#oz
North Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 2H.0217 and 15A NCAC 6F .0001-
.0005.The following elements are included in the plan as applicable. While each category designates a technical specialist
who may sign each certification(SD, SI,WUP,RC,1), the technical specialist should only certify.parts for which they are
technically competent.
IL Certification of Design
A) Collection,Storage, Treatment System
Check the appropriate box
❑ Existingf acility without retrofit (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with waste utilization
requirements.
❑ New, expanded or retrofitted facility (SD)
Animal waste storage and treatment structures, such as but not limited to collection systems, lagoons and ponds,
have been designed to meet or exceed the minimum standards and specifications.
Name of Technical Specialist(Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
B) Land Application Site (WUP)
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.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
C) Runoff Controls from Exterior Lots
Check the appropriate box
❑ Facility without exterior lots (SD or WUP or RC)
This facility does not contain any exterior lots.
❑ Facility with exterior lots (RC)
Methods to minimize the run off of pollutants from lounging and heavy use areas have been designed in
accordance with technical standards developed by NRCS.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
AWC -- August 1, 1997 2

D). Application and Handling Eguiurrlent
Check the appropriate box
Existing or gUandine facility with existing waste application eguiument (WUP or 1)
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 pin 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 calibration and adjustment guidance are contained as part of
theplan). j�Gy�t�f�t6+^sG-ntT or limsrsNG 545CEM wrm N64Y 5VS-R )
p New,eWande11 or existing facility without existing waste application 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 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; calibration and adjustment guidance are
contained as part of the plan).
9 New expanded. or existing facility without existing waste application ggttitmient for land Wmgina not using
Cray irrigation. (WUP or 1)
Animal waste application equipment specified in the plan has been 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 .
applications has been established; requiredalAd#§re8 maintained; calibration and adjustment guidance are
contained as part of the plan). a��'�(%A CARD
Name of Technical Specialist(Please Ift •` (, tenet 0.da �
Affiliation M. G'ir"d k�c:.s. ,c.-v. "pis late Work Completed: 5-&- 1999
Address (Agency): Foa 19" 164$'° Kcx �tuc,2 Phone No.: 910-Z96-1170
„
Signature: >�° •` Date: 3- Zi-Z64n
OYD
�v
E) Odor Control Insect Control Mot 1. V10m - W@lnent and Emergency Action Plan (SD,
SI, WUP, RC or I)
The waste management plan for this facility includes a Waste Management Odor Control Checklist, an Insect
Control Checklist, a Mortality Management 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
Mortality Management Plan and the Emergency Action Plan are complete and can be implemented by this facility.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
F)Written Notice of New or Expanding Swine Farm
The following signature block is only to be used for new or expanding swine 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(we)certify that I(we)have attempted to contact by certified mail all adjoining property owners and all property owners
who own property located across a public road,street,or highway from this new or expanding swine farm. The notice was
in compliance with the requirements of NCGS 106-805. A copy of the notice and a list of the property owners notified is
attached.
Name of Land Owner:
} Signature: Date:
} Name of Manager (if different from owner):
Signature: Date:
AWC -- August 1, 1997 3

III. Certification Of Installation
A) Collection,Storage Treatment installation
New. expanded or retrofitted facility (SI)
treaAnimal waste storage and roved pot 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) Date Work Completed:_
:
Signature: Phone No.:----
�_
Date:
B) Land ADplication Site (WUP)
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 speed in the plan by
appropriate for compliance with the wasteutilizatio (month/day/year)' the proposed cover crop is
Q .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 committed to establish an interim crop for erosion control;
Name of Technical Specialist (Please Print):
Affiliation
Address (Agency): Date Work Completed:_
Signature: Phone No.:�_
Date:
This following signature block is only to be used when the box for conditional approval in M. B
above has been checked.
I(we)certify that I(we)have committed to establish the cropping system as
and if appropriate to establish the interim crop for erosion control, and will submit DEM ad in my(erification of completion
our)waste utilization pi
from e Technical Specialist within 15 calendar days following the date speed in the conditional cation. 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.
Name of Land Owner:
Signature:
Name of Manager (if different from owner): Date:
Signature:
Date:
AWC -- August1, 1997 4

C) Runoff Controls from Exterior Lots (RC)
Facility with exterior lots
Methods to minimize the nun off of pollutants from lounging and heavy use areas have been installed as specified
in the plan.
For facilities without exterior lots, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature:
Date:
D) Application and Handling Eguipment Installation (WUP or 1)
Check the.gppropriate block
43 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 part of the plan.
Vc,,K acEw��ic aE se irJ_ ses usiaN T�nve�C-Q tiosE�
Animal waste application and handling equipment specified in the plan has not been installed but the owner
has proposed leasing or third parry application and has provided a signed contract; equipment specified in
the contract agrees with the requirements 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.
ZI 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-e�gnt is installed and until the waste can be land applied in
accordance with the cropping s c ry�due plan and calibration and adjustment guidance have
been provided to the owners qutai ga Dof the plan.
Name of Technical Specialist (Plee iilf �
Affiliation p t .. L Date Work Completed: S-
Address (Agency): o t ix 1095� K�aa ,sit e; .£ % 49 Phone No.: 9to-Z9X-1116
Signature: _ `' °es=` =tl °�:`4 Date: 3• ZI- Zo&Q
The following signature block is only t e'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 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.
Name of Land Owner:
Signature: Date:
Name of Manager (if different from owner):
Signature: Date:
E) Odor Control Insect Control and Mortality Management (SD SI WUP, RC or I)
Methods to control odors and insects as specified in the Plan have been installed and are operational. The
mortality management system as specified in the Plan has also been installed and is operational.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
AWC -- August 1, 1997 5

Please return the completed form to the Division of Water Quality at the following address:
Department of Environment, Health, and Natural Resources
Division Of Water Quality
Non-Discharge Branch,Compliance Unit
P.O.Box 29535
Raleigh,NC 27626-0535
Please also remember to submit a copy of this form along with the complete Animal Waste
Management Plan to the local Soil and Water Conservation District Office and to keep a copy
in your files with your Animal Waste Management Plan.
AWC -- August 1, 1997 6

Terry Barefoot
6/10/2019
This plan has been prepared for: This plan has been developed by:
Terry Barefoot Farm 51-25 NC Coop. Ext. Johnston
Terry Barefoot Dan Wells
221 Spring Branch Rd 2736 NC 210 Hwy
Four Oaks, NC 27524 Smithfield, NC 27577
919-934-0729 919-989-5380
M (iL&—
Developer Signature
Type of Plan: Nutrient Management with Manure Only
Owner/Manager/Producer Agreement
I (we)understand and agree to the specifications and 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.
1.0
Signat a(owner) Date
Sigignat— (manager roducer) 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

Sources in Plan
Terry Barefoot
Nutrients applied in accordance with this plan will be supplied from the following
source(s):
Commercial Fertilizer is included in this plan.
831 Swine Lagoon liquid-Gilt waste generated 2,452,842 gals/year by a 2,646 Swine Lagoon Liquid
-Gilt operation.This production facility has waste storage capacities of approximately 180 days.
Estimated Pounds of Plant Available Nitrogen Generated per Year
Injected 5,302
Incorporated-4 wks or less 5,302
following application
Incorporated-5 wks to 3 mos 4,419
following application
Broadcast 4,419
Irrigated 4,419
Max.Available Actual PAN PAN Surplus A Actual Volume Volume Surplus/Deficit
PAN fibs) Applied(Ibs) Deficit fibs) Applied(Gallons) (Gallons)
Year 1 4,419 9,281 (4,862) 5,151,791 (2,698,949)
Year 4,419 9,281 (4,862) 5.151,791 (2,698,949)
6/10/2019 5:00:10 PM 1/1

Planned Crops Summary
Terry Barefoot
The table shown below provides a summary of the crops or rotations included in the plan for each field. Realistic Yield estimates
and Plant Available Nitrogen (PAN) recommendations are also provided for each crop as well as the crop's P205 Removal
Rate. The Leaching Index (LI)and the Phosphorous Loss Assessment Tool (PLAT) Rating are also provided for each field,
where available.
If a filed'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.
Tract Field Total Wettable SMU Ll 'Crop Name - RYE Recom- PLAT P205(Ibslacre)
Acres Acres - mended Rating Crop
PAN Removal Applied I
11092 1 12.4 10.37 L BoA NA
Hybrid Bermudagrass Hay s5.4Tons 265 Unknown 66 NAI
Cereal/Annual Rye O/S, Hay-4/7 Harvest — 0 Tons 100 Unknvxnt Op NAI
17092 2 23 19.17 BOA NA '.
Hybrid Bermudagrass Hay 5.4 Tons 266 known 66 NAI.
lCereal/Annual Rye CIS, Hay 417 Harvest ' 0 Tons 1001 Unknown! 01 NA!i
Totals: 35A0 29.48
Notes:1.In the tract column,-symbol means leased,otherwise,owned.
Li Potential Leaching Technical Guidance
Low potential to contribute to soluble nutrient None y
<2 leaching below the root zone.
—. Moderate potential to contribute to soluble nutrient Nutrient Management(590)should be planned
>=2&<= 10 leaching below the root zone.
IHigh potential to contribute to soluble nutrient Nutrient Management(590)should be planned. Other conservation _
lleaching below the root zone. practices that improve available water holding capacity of soil and
improve nutrient use efficiency should be considered. Examples are
> 10 Cover Crops(340)to scavenge nutrients, Sod-Based Rotations (328),
3 Long-Term No-Till (778),and edge-of-field practices such as Filter
!€ IStrips(393) and Riparian Forest Buffers(391).
6111/20198:26:34AM 112

Planned Crops Summary
Terry Barefoot
f P Loss Index Rating P Management Recommendation
0-25 Low I No adjustment needed; N based application
Medium No adjustment needed; N based application
51 - 100 Highi Application limited to crop P removal
>T100 Very High Starter P application only j
6/11/2019 8:26:34 AM 212

Waste Utilization Table
Terry Barefoot
The Waste Utilization table shown below summarizes the waste utilization plan for this operation. This plan 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 table to ensure that the plan adequately provides for the utilization of the manure generated by the operation.
Waste Utilization Table Year 1
Nltrcgen ,Comm Manure; Liquid Solid . Liquid Solid
PA >feft #tea PA z: Manure ?Manure :Manure _iw hb;,
2JZ. Nutrient, Nutrient (IIisIA) Nutrient; Applied; Applied Applied Applied::
' >Req d Applied Applied (acre} (acre) (Field) {Field) 5
(lbalA) {IlurlA)
Field Source - " Total `-. Wettable Applic + Applio 100b `. "
7ractlD ..ID; ID "SNiif AcreAge Aoreage ?. CrtpName RYE P6rlod: i, N .IN N Methnd N ,< gaVA tone 1000 gals .,tons r
11092 1 831 BOA 12A0 10,31 Cereal/Annual Rye O/S, 0Tons 1011-3131 100 0 0 Irrig. so 27.74 0 285.99 0
Hay-4!7 Harvest
11092 1 S 31 tlBoAl2L.4010.31 Hybrid Bermudagrass Hay 5.4 Tons 3/1-9/30 265 0 0 Irrig. 0 147.02 0 1,515.74 0
11092 2 S31 19.17 Cereal/Annual Rye O/S, 0 Tons 1011-3131 100 0 0 Irrig. 50 27.74 0 531.76 0
Hay-4l7 Harvest
11092 2 S31 19.17 Hybrid Bermudagrass Hay 5.4 Tons 3(1-9/30 265 0 0 Irrig. 265 147.02 0 2,818.31 0
Total Applied,1000 gallons 5,151.79
Total Produced,1000 gallons 2,452 84 -
Balance, 1000gallons (2698.95) ,_,*;..
..............
Total Applied tons 0.00
Total Produced tons 0.00
Balance tons 0.00
6/11/2019 8:26:50 AM 1/2

Waste Utilization Table
Terry Barefoot
Waste Utilization Table Year 2
C01111 hi.�' Id-
5:
A ' '
as.
Nutrient Attlitildht .(Ibs[A) Apimid,, Applioo'•- -'.A
Kegtl l
Applied AppbedF (acre) '(acre) (Field) (Faid)
(I IA)�!
..... ... ..
fletd :Source Total;i
Wettibi
App t 1000 .
'RY E
0 0 4 0i gals:
ID 2 t SMO j r ,,
go .. I ,, �� :
N' Oibd;, ,
-Mothod W,
11092 1 S31 BOA 12.40 10.31 Cereal/Annual Rye OfS, 0 Tons 1011-3131 100 0 0 Irrig. so 27.74 0 285.99 0
Hay-4/7 Harvest I I 1 1
11092 1 S31 BoA 12.40 10.31 1 Hybrid Bermudagrass Hay 5.4 Tons 0 0 Irrig. 0 147.02 0 1,515.74 01
11092 2 S31 BaA 23.00 19.171C Hay-4/7
Rye O/S, 0 Tons 10/1-3(31 100 0 0 Irrig. so 2774 0 531.76 0
H _4/7 Harvest
11092 2 S31 BOA 23.00 19.171 Hybrid Bermudagrass Hay 5A Tons 311-9/30 265 0 0 Irrig. 265 147.02 0 2,818.31 0
Total Applied,1000 gallons 5,151.79
Total Produced,1000 gallons 2,452.84
Balance, 1000 gallons (2,698.95)
Total Applied,tons 0.001
Total Produced,
Iona ':5'L 0.00
Balance,tons 0.00
Notes:1. In the tract column,-symbol means leased,otherwise,owned. 1.Symbol^means user entered data.
6111/2019 8:26:50 AM 2/2

Terry Barefoot
6/1 012 01 9
Type of Plan: Nutrient Management with Manure Only
Narrative:
Farm has existed as Feeder to Finish operation. Changing to Gilt Developer in 2019 with 2646
head.
Field sizes based on site detail map and prior WUP dated 3/22/2011
Soil series updated to current Web Soil Survey data.
6/11/2019 8:27:03 AM 1/1

Required Soil Test Values
Terry Barefoot
The Required Soil Test Values shown in the following table provide a summary of recommended actions that
should be taken based off information provided at time of soil tests. Fields that receive manure must have a soil
analysis conducted at least once every three years. 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 Ibs/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 first crop listed 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. If the first crop or rotation changes,
these recommendations may need to be reevaluated to ensure optimal ranges ofr crop production are
maintained.
Tract to Field ID.Crops) - pH lime Recom. Cu-I Copper Zn-I Zinc
for Crop(s) Recommendation Recommendaton
(tonslacre)
11092 1 6.1 0,0 98 0,0 120 D,0
11092 2 6.4 0,0 88 0,0 94 0,0
Zinc and Copper Toxicity Levels in Soils
Metal Soil Test Index Recommended Action
Zn 300 Limit application on peanuts.Maimain so[pH>=6.0.
500 Cease application on peanut land.Maintain soil pH>=6.0.
2000 Caution:seek alternative site(all crops).Maintain soil pH>=6.0.
3000 Cease app)ication(all crops).Maintain soil pH>=6.0.
cu 2000 Caution:seek alternative site(all crops).Maintain soil pH�=6.0.
3000 Cease application(all crops).Maintain soil pH>=6.0.
6l1112019 8:27:14 AM 1 11

Lagoon Sludge Nitrogen Utilization
Terry Barefoot
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 Mdxtmum Sludge.. S,Years 0 Years 15 Rears
drop pAN Rate AppLcaLon hate' AcCumulatton AMC Umul@t1oR Accumulation
ib/ac.� 7QOO�aII�c Mmrm'i{(n,AcreslVFrmmum ? .Mrnimt{i7t Acres
AGrQ;
False
Swine Lagoon Liquid - Feeder-Finish
Broadcast or Irrigation Application
lbs. PAN 4,453.00 8,906.00 13,369.00
Corn, grain(144 bu) 135 13.24 33.00 66.00 99.00
Bermudagrass Hay(6 tonlac RYE) 276 27.06 16.00 32.00 48.00
Soybean(40 bu) 156 15.29 29.00 57.00 86.00
Soil Incorporation or Injection Application
lbs. PAN 5,344.00 10,688.00 16,031.00
Corn, grain(144 bu) 135 11.03 40.00 79.00 119.00
Berm udagrass Hay(6 ton/ac RYE) 276 22.55 19.00 39.00 58.00
Soybean (40 bu) 156 12.75 34.00 69.00 103.00
*Example using Foreston loamy fine sand(FoA)in Duplin County, NC.
** If the nutrient source did not originate from a lagoon, this report is not required and will not calculate.
6/11/2019 8:27:27 AM 1/1

Required Specifications For Animal Waste Management
i. 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.
z. 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/herthe 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.
s. Animal waste shall be applied to meet, but not exceed, the nitrogen needs
for realistic crop yields based upon soil type, available moisture, storical data,
climatic conditions, and level of management, unless there are regulations
that restrict the rate of applications for other nutrients.
a. 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.

e. 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 may be 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.
s. 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.
io. 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.
ii. 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 be at 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 than 25 feet to perennial waters.
12. Animal waste shall not be applied closer than 100 feet

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.
is. Animal waste shall not be discharged into surface waters, drainage ways, 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 water courses, 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 wash down facilities, showers,toilets,
sinks, etc., shall not be discharged into the animal waste management
system.
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.
i9. 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.

2o. 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.
zi. 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.

Vlumd States Oepartmam of Ngrkulwre
NUTRIENT MANAGEMENT PLAN
SUPPLEMENTAL INFORMATION
N.C. Practice Job Sheet: NC-590
Prepared for:
By:
Farm: Tract(s): UO'iZ Dater( /10_j_jj
WHAT IS NUTRIENT MANAGEMENT?
Nutrient Management is applying nutrients
from all sources with the right placement, in fertilizer and manure application methods,
the right amount, at the right time, and from When precision ag/variable rate application
the right source to minimize nutrient losses to technology is utilized, see the next section of
surface and groundwater. This practice is this Job Sheet for additional guidance on plan
accomplished through development and requirements.
implementation of a Nutrient Management
Plan, which can be part of a broader aerial site photograph(s)/imagery or site
Conservation Plan or CNMP that addresses map(s), and a soil survey map of the site,
multiple resource concerns. Sufficient sails information—such as dominant
soil map until for each planned Feld—needed
PURPOSE OF NUTRIENT MANAGEMENT to apply nutrients at RYE and Soil Test Report
determined rates as appropriate: and to not
A nutrient management plan is intended to exceed rates determined by nutrient risk
accomplish one or more of the following assessment planning criteria.
objectives: location of designated sensitive areas and the
associated nutrient application restrictions and
• To budget, supply,and conserve nutrients for setbacks,
plant production.
• results of approved risk assessment tools for
• To minimize agricultural nonpoint source any necessary evaluations for nitrogen,
pollution of surface and groundwater phosphorus, and erosion losses.
resources.
• current and/or planned plant production
• To properly utilize manure or organic by- sequence or rotation,
products as a plant nutrient source.
• soil,water, compost, manure, organic by-
• To protect air quality by reducing odors, product, and plant tissue sample analyses
nitrogen emissions(ammonia,oxides of applicable to the plan. Where non-NCDA soil
nitrogen), and the formation of atmospheric testing labs are used, nutrient
particulates. recommendations must be made using NCDA-
• To maintain or improve the physical, chemical, similar guidelines and methodologies. Note:
and biological condition of soil. high levels of soil copper and zinc may be toxic
to production crops. Land application of these
nutrients must be accordance with
CONTENTS OF THE NUTRIENT NCSU/NCDA crop toxicity guidelines.
MANAGEMENT PLAN Realistic yield goals for the crops planned for
The following components are included in nutrient application,
nutrient management plan specifications
typical of more `traditional'
NC-590 Job Sheet May 2015 page 1

• Planned nitrogen application rates based on rates must be provided as specifications prior
NC Realistic Yield Expectations(RYEs)or to application.
sufficiently documented yield records,
• Note—where Diammonium phosphate (18-46-
• The Nitrogen Leaching Index for planned 0)is the primary variable rate P fertilizer
fields, source applied on legume crops, additional N
• Planned P & K application rates based on soil will likely be needed to achieve RYEs.
test results (see next section where P & K The plan was developed based on the current
applied through variable rate technology). MRCS 590 standard and Federal, state, or
• listing and quantification of all nutrient sources local regulations or policies. Changes in laws
and form, including starter fertilizer or regulations may require a plan modification.
applications and legume-based cover crop This Job Sheet is a required supplement to
mixes. the Nutrient Management Plan.
• in accordance with the nitrogen and
phosphorus risk assessment tool(s),specify NC Permitted Animal Operations: For NC
the recommended nutrient application source, DENR-DWR or NPDES permitted animal
timing,amount(except for precision/variable operations, the waste utilization portion of the
rate applications specify method used to Certified Animal Waste Management Plan
determine rate), and placement of plant (CAWMP)must meet requirements specified by
nutrients for each field or management unit, the Permit. The NC 1217 Interagency Group
and provides guidance on the required minimum
elements of a CAWMP. This guidance is found in
• guidance for implementation, operation and Sec 1.1 of the latest 1217 Guidance Document,
maintenance, and recordkeeping as specified located at:
by the CNMP or applicable NC DWQ or httg:/iWww.ncagr.gov/SWC/tech/guidancedocumen
NDPES permit. ts.html.
Where precision/variable rate nutrient
application applications are planned and Nitrogen Leaching Index Values
made, some required planning components of Nitrogen Leaching Index values, obtained through
the preceding section may be provided by the use of current Soil Hydrologic Group(SHG)-based
overall conservation plan. In addition, the LI index maps in Sec II of the NC FOTG or RUSLE
2 field-specific soil loss calculations, are included
following components are required in nutrient in the Nutrient Management Plan. SHGs per soil
management planning. map unit are available through selection of the Soil
Data Explorer and Soil Properties and Qualities
• The geo-referenced field boundary and data (then select"Soil Qualities and Features)tabs
collected that was processed and analyzed as once an Area of Interest has been defined in
a GIS layer or layers to generate nutrient or NRCS Web Soil Survey.
soil amendment recommendations.
If the Nitrogen Leaching Index> 10 for planned
• Planned nitrogen application rates based on fields, appropriate conservation practices must be
NC RYEs or sufficiently documented yield included in a conservation plan to prevent nitrogen
records from leaving the field via surface or subsurface
• The Nitrogen Leaching Index for planned runoff.
fields. Below are conservation crop management
• The nutrient recommendation guidance and techniques and practices recommended for
recommendation equations used to convert the mitigation of nitrate losses (practices also
GIS base data layer or layers to a nutrient documented in conservation plan):
source material recommendation GIS layer or
layers.
• Soil testing documentation that crop
Phosphorus(P205) and Potassium (K20)
nutrient or soil amendment application will be
made per soil test results similar to NCDA
guidelines. Where P& K will not be applied
via variable rate application technology, but by
basic GPS guidance, recommended P&K
NC-590 Job Sheet May 2015 page 2

NUTRIENT MANAGEMENT PLAN PLAT Categorical Ratings Information
DEVELOPMENT When soil test phosphorus continues to increase
The nutrient management plan has been on a long term basis, PLAT may produce results
developed to meet nutrient application rate criteria that require P-based manure application planning
for all sources of nitrogen, phosphorus,potassium and planning for no additional manure P.
as specified by NRCS 590 Nutrient Management Conditions that will require P-based or no-P
standard criteria. planning will be based on site specific resource
conditions,which will facilitate data input into
In addition to NCDA Agronomic Division soil test PLAT. PLAT categorical ratings that will require
recommendations,or soil test recommendations enhanced P application planning are:
made through similar guidelines,the plan is based
on NC INMC approved values for realistic yield HIGH: P-based manure application is'required
goals,nitrogen factors, phosphorus removal rates, (limited to P uptake in harvested crop biomass)
default nutrient values for animal waste,plant
availability coefficients for N, P, and K, and animal VERY HIGH: No additional manure P or starter P
waste generation volumes where applicable. application to be specified in nutrient management
Approved values are found at: plan.
http://nutrients.soil-ncsu.eduhndex.htm
Where manure is applied,farm records may also Phosphorus Drawdown Strategy
be used through a procedure provided in SB 1217 Information:
Interagency Group guidance,available at: Implementation of a phosphorus'drawdown'
httpalwww.ncagr.gov/SWCRechll217committee.17t strategy may be a consequence of PLAT results,
ml or may be requested in order to lower soil test
phosphorus levels.
For NC permitted animal operations, planning Should a reduction in soil test P be desired or
requirements for Plan"Amendments"(minor only the necessary,
modifications) and"Revisions" (Major Y currently proven method substantial P'drawdown' is to not apply manure-
Modifications)are clarified by SB 1217 Interagency based P and to plant and harvest crops that utilize
Group Guidance. P currently present in the soil surface.
Crop specific estimated annual P removal amounts
ADDITIONAL PHOSPHORUS-RELATED are available on the NCSU Nutrient Management
PLAN INFORMATION (Applicable when in NC website:
increases in Soil Test P are expected on htti):Hnutrients.soil.ncsu.edu/vields/index.php
the planned area) Conservation Practices and Management
In NC, a field-specific Phosphorus Loss Techniques to Reduce P Loss Potential:
Assessment Tool (PLAT)evaluation is completed
Conservation practices, especially those that
in accordance with 590 Nutrient Management prevent soil particle detachment and trap sediment
standard General Criteria requirements, and at field edges are effective in preventing
phosphorus must be applied in accordance with phosphorus movement from the planned site.
590 standard Manure Phosphorus Application Manure application techniques can also be applied
Rates. to reduce P loss risk. These practices must be
included in the conservation plan where
In addition to the basic plan components, plan determined PLAT risk= HIGH for planned fields.
information on PLAT categorical ratings, P
drawdown strategies, and conservation practices Consult the conservation plan developed in
to reduce P loss risk is required when increases in conjunction with the nutrient management plan for
Soil Test P are expected on the planned area. information on practices recommended to reduce
Typically, this could occur when manure is phosphorus AND nitrogen loss risks. Application
consistently applied at Nitrogen-based rates. High management techniques to reduce nutrient loss
levels of phosphorus in the surface soil layer have risk maybe prescribed below:
been linked to increasing risk of P loss through
surface runoff and leaching.
❑ Increases in Soil Test P are expected
on the planned area(not typical if P
application made per soil test results).
NC-590 Job Sheet May 2015 page 3

Lona Term Strategy for Reduction of Soil P RECORDfKEEPING
Levels: Waste reports from the NCDA&CS Agronomic
As noted in the P drawdown strategy section, the Division,or equivalent, are acceptable sources of
only currently proven method for reducing high information for determining applied manure nutrient
levels of soil P is not applying P, paired with amounts for recordkeeping or crop budgeting
producing crops on the planned site that use purposes.
existing soil P. Where soil P and PLAT
evaluations indicate an increasing risk to water Records must be maintained for at least 5 years, or
quality, substantially reducing soil P levels through for time and manner required by Permit for animal
crop uptake can take many years of operations to document plan implementation and
implementation. When P is not applied,and maintenance.As applicable,records include:
existing soil P is used by crops,eventually,soil will soil, plant tissue, water, manure, and
become P deficient. Consult CES or NCDA organic by-product analyses resulting in
Regional Agronomy specialists for additional recommendations for nutrient application,
information soil test P reduction timelines. quantities, analyses and sources of
Manure P produced in excess of crop nutrients applied,
• dates, and method(s)of nutrient
Consult the nutrient management plan for a requirements: applications, source of nutrients, and rates
Co
quantification of manure generated by the animal of application,
feeding operation that may exceed crop P . weather conditions and soil moisture at the
requirements. time of application; lapsed time to manure
"Manure Hauler" Information incorporation; rainfall or irrigation event,
• crops planted, planting and harvest dates,
All manure waste applied on land owned by or yields, nutrient analyses of harvested
controlled by the Animal Feeding Operation (AFO) biomass, and crop residues removed,
owner or operator must be included in the nutrient • dates of plan review, name of reviewer,
management plan. The volume difference in total and recommended changes resulting from
manure waste generated by the AFO and waste the review, and
applied to land not owned or controlled by the
producer must be accounted for in a nutrient • all enhanced efficiency fertilizer products
management plan. used.
General information on manure waste generated Additional records for precisionivariable rate
by an AFO to be applied to land not owned or sites must include:
controlled by the AFO owner or operator may be . maps identifying the variable application
recorded as specified in the NC CNMP source,timing, amount, and placement of
Certification Sheet and Documentation Checklist or all plant nutrients applied, and
other supplemental documentation to the nutrient
management plan. NRCS CNMP technical criteria • GPS-based yield maps for crops where
require documentation of manure exports off the yields can be digitally collected.
farm (this can be done below). The AFO • Documentation per field nitrogen
ownerloperator should provide the third party application rates do not exceed RYE-
applicator with a current waste analysis in order to based recommended rates
facilitate agronomic crop application of the facility's
generated waste. Should land not owned or . Documentation that applied phosphorus
controlled by the AFO owner or operator be and potassium recommendations do not
included in a nutrient management plan,the exceed recommended rates specified by
complete plan must meet 590 criteria. soil tests.
Type and Quantity of Animal Feeding Operation . For non-variable rate application of P&K,
(AFO)manure generated by the facility: provide applied map with field boundaries
indicating source,timing, method, and rate
of all applications.
Quantity of AFO manure generated to be exported
Where 'chlorophyll reader'technology is
off the farm for third party application: utilized, application records that nitrogen
rates match RYE-based N rates as closely
as possible.
NC-590 Job Sheet May 2015 page 4

OPERATION AND MAINTENANCE
The producer is responsible for safe operation and
maintenance of this practice, including all
equipment. Review the plan periodically to
determined adjustments or modifications to the
plan are needed. In NC, animal operations
permitting provisions may specify more frequent
review periods. Adhere to the following operation
and maintenance provisions:
• Protect fertilizer and organic by-product
storage facilities from weather and accidental
leakage or spillage.
• Properly calibrate application equipment to
ensure uniform distribution of material at
planned rates.
• Workers should be protected from and avoid
unnecessary contact with inorganic fertilizers
and organic by-products. Extra caution must
be taken when handling ammonia sources of
nutrients,or when dealing with organic wastes
stored in unventilated enclosures.
• The disposal of material generated by the
cleaning of nutrient application equipment
should be accomplished property. Excess
material should be collected and stored or field
applied in an appropriate manner. Excess
material should not be applied on areas of high
potential risk for runoff or leaching.
• Disposal or recycling of nutrient containers
should be done according to state and local
guidelines or regulations.
NC-5901ob Sheet May 2015 page 5

Nutrient Management Plan For Animal mal Waste Utilization
03-22_2011
This plan has been prepared for:
This plan has been developed by;
Terry Barefoot Farm 51-25
Terry Barefoot Edward Dumphrey
221 Spring Branch Road Johnston-SWCD
Four Oaks, NC27524 2736NCgighway210
919-934-0729 Smithfield, NC27577
919-934-71 S6
11
Type of Plan: Developer Signatue
Nitrogen Only With Manure Onl
Owner y
/Manager/Producer Agreement
established in this nutrient
agree to the specifications
the farm na lent Management and the operation_and maintenance
med above, g merit plan which includes an
waste I have read and understand the animal waste procedures
management that are included Required S utilization p
with this pecifications concerning
for
plan.
g animal
Signature( ner)
Date
Signature(manager or producer)
This plan meets the minimu
m standards and specifications of the U.S. ate
Natural Resources Conservation Service or the standard
Conservation Commission. S Department of
ndard of practices adopted b Agriculture_
Y the Soil and Water
Plan Approved By;
Technical Specialist Signa re 3
Date
686158 Database Version 3.1 _
Date Printed: _
--- - -- --------------------------- --
03-22-2011 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 2,725,380 gals/year by a 2,940
animal Swine Finishing Lagoon Liquid operation.This production facility has waste
storage capacities of approximately 180 days.
Estimated Pounds of Plant Available Nitrogen Generated per Year
Broadcast 6277
Incorporated 10780
Injected 11872
Irrigated 6823
Max.Avail. Actual PAN PAN Surplus/ Actual Volume Volume Surplus/
PAN(lbs) * Applied(lbs) Deficit(lbs) Applied(Gallons) Deficit(Gallons)
Year 1 6,823 9360 -2,537 3,738,568 -1,013,188
Year 2 6,823 9360 -2,537 3,738,568 -1,013,188
No
-te:----------In-----so----rc-e-I-D-- ----e---ans----s t--an--d-a-rd----s o--u--rc---e,--U-----e---an s-user-- ---d--e ---e-d----so u---rc--.-------------------------------------------------------------
u ,S m mfine
*Max.Available PAN is calculated on the basis of the actual application method(s)identified in the plan for this source.
686158 Database Version 3.1 Date Printed: 03-22-2011 Source Page Page 1 of 1

_j
The table shown below provides a summary of the crops or rotations included in this plan for each field. Realistic Yield estimates
are also provided for each crop in the plan. In addition,the Leaching Index for each field is shown,where available.
Planned Crops Summary
Total Useable Leaching
Tract Field Acres Acres Index(LI) Soil Series Crop Sequence RYE
11092 1 12.40 10.31 N/A Goldston Hybrid Bermudagrass Hay *6.5 Tons
Small Grain Overseed 1.0 Tons
Hybrid Bermudagrass Hay *6.5 Tons
11092 2 23.00 19.17 N/A Wagram Hybrid Bermudagrass Hay 5.5 Tons
Small Grain Overseed 1.0 Tons
Hybrid Bermudagrass Hay 5.5 Tons
PLAN TOTALS: 35.40 29.48
LI Potential Leaching Technical Guidance
Low potential to contribute to soluble None
<2 nutrient leaching below the root zone.
>—2& Moderate potential to contribute to soluble Nutrient Management(590)should be planned.
nutrient leaching below the root zone.
<= 10
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.
> 10 Examples 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).
686158 Database Version 3.1 Date Printed 3/22/2011
PCS Page Page 1 of 1
NOTE: Symbol*means user entered data.

The Waste Utilization table shown below summarizes the waste utilization plan for this operation. This plan 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 table 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
11092 1 S7 Goldston 12.40 10.31 Hybrid Bermudagrass Hay *6.5 Ton 3/1-9/30 *325 0 0 Irrig. 325 129.82 0.00 1,339.43 0.00
11092 1 S7 Goldston 12.40 10.31 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 25 9.99 0.00 102.96 0.00
11092 2 S7 Wagram 23.00 19.17 Hybrid Bermudagrass Hay 5.5 Tons 3/1-9/30 *275 0 0 Irrig. 275 109.85 0.00 2,105.75 0.00
11092 2 S7 Wagram 23.00 19.17 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 brig. 25 9.99 0.00 191.43 0.00
Total Applied,1000 gallons 3,738.57
Total Produced,1000 gallons 2,725.38
Balance,1000 gallons -1,013.19_
Total Applied,tons 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.
Of0. coo r
�7
TP-
686158 Database Versf*3.1 Date Printed:3/22/2011 WUT Page Page 1 of 2

Waste Utilization Table Year 2
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) (ibs/A)
Source Total Use. APPIic• Applic. lODO
Tract Field ED Soil Series Acres Acres Crop RYE Period N N N Method N gal/A Tons 1000 gals tons
11092 1 S7 oldston 12.40 10.31 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 25 9.99 0.00 102.96 0.00
11092 1 S7 Goldston 12.40 10.31 Hybrid Bermudagrass Hay *6.5 Ton 3/1-9/30 *325 0 0 brig. 325 129.82 0.00 1,338.43 0.00
11092 2 S7 Wagram 23.00 19.17 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 25 9.99 0.00 191.43 0.00
11092 2 S7 Wagram r23.001 19.17 Hybrid Bermudagrass Hay 5.5 Tons 3/1-9130 *275 0 0 Inig. 275 109.85 0.00 2,105.75 0.00
Total Applied,1000 gallons 3,738.57
Total Produced,1000 gallons 2,725.38
Balance,1000 gallons -1,013.19
Total Applied,tons 700
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.
686158 Database Version 3.1 Date Printed: 3/22/2011 WUT Page Page 2 of 2

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)
11092 1 Goldston 0.35 1.0
11092 2 Wagram 0.60 1.0
686158 Database Version 3.1 Date Printed 3/22/2011 IAF Page Page 1 of 1
NOTE: Symbol*means user entered data.

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
Corn 120 bu 150 13.16 36.86 73.71 110.57
Hay 6 ton RY.E. 300 26.32 19.43 36.86 55.29
Soybean 40 bu 160 14.04 34.55 69.11 103.66
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
686158 Database Version 3.1 Date Printed: 03-22-2011 Sludge Page Page 1 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 Storage Ca paci6
Source Name I Swine Feeder-Finish Lagoon Liquid Design Storage Capacity(Days)
Start Date 10/01 180
Plan Year Month Available Storage Capacity(Days)
1 1 58
1 2 30
1 3 45
1 4 84
1 5 122
1 6 161
1 7 180
1 8 180
1 9 180
1 . 10 157
1 11 143
1 12 128
2 1 105
2 2 93
2 3 124
2 4 163
2 5 180
2 6 180
2 7 180
2 8 180
2 9 180
2 10 149
2 11 119
2 12 88
*Available Storage Capacity is calculated as of the end of each month.
--- ---- ----------------- -------------------- - - ----
686158 Database Version 3.1 Date Printed: 03-22-2011 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 tp 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 may be 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.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------
686158 Database Version 3.1 Date Printed: 3/22/2011 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 be at 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, drainageways, 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 water courses, 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.
------ -----------------------------------------------------------------------------------------------------------------------------------------------------------
686158 Database Version 3.1 Date Printed:3/22/2011 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.
- -- ------ ------------------------------------------------------------------------------------------------------------------
686158 Database Version 3.1 Date Printed: 3/22/2011 Specification Page 3

Crop Notes
The following crop note applies to field(s): 2
Bermudagrass Coastal Plain,Mineral Soil, Moderately Well Drained.
Adaptation: Well-adapted.
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 l' 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): 1
Bermudagrass:Piedmont
Adaptation: Moderate to Well-adapted.
In the Piedmont,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 1001b/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.
Winter-kill is a frequent problem in the Upper Piedmont; Coastal is not adapted there. Tifton 44 is the
most cold-hardy cultivar. 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.
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
686158 Database Version 3.1 Date Printed: 03-22-2011 Crop Note Page Page 1 of 2

The following crop note applies to field(s): 2
Small Grain: CP,Mineral Soil,medium 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.
The following crop note applies to field(s): 1
Small Grain: Piedmont
In the Piedmont, oats and barley should be planted from October 1-October 25; and rye from October
15 November 10.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.
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
686158 Database Version 3.1 Date Printed: 03-22-2011 Crop Note Page Page 2 of 2

I erry rJgrC.?'OO� /✓
R4-1 8 ox 363
-
'Foa r OQ ks /VC
�o�jhS�On CD,
� 000' ;Orj `1
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7
d�6 ,� ra V or
The pad dimensions and Brades are the test estimate . The
tau i I der or contractor i s responsible far- f i na I layout and
design of the pads. SCS personnel w i i l assist 1,n a I i m i ted
capacity, as its major concern i-s the proper des i'S.n and
construction of the waste treatrrient I aSoon.
The actual amount of material required for pads and darn 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 tKe lagoon, the
contractor and owner will negotiate on the price and .location
of the borrow area.
Aa`
e'A 3�r1/, S �f/J ///(/y//f/y��Y•. :.
CER i:f 's�Ji

LAGOON
' Dance from nearest residence__ a S 80 X/3S
Soils ;�ea r•a)o idumber of Animal Units o`rI Total lbs. 3 8-800lds
Type Lagoon A r►g e r k i c- Kind of animals Toa !y o S
Volume 3'� P. eO0 Units X r 2 S f t. _ DDT - cu. yds.
27
HOLDING VOLUME (waste + rain + 25-year storm) 5114��z- was no� �iqurcd �T
Period Watershed 2,_lS- acres `'✓
Waste S' $" cu. yds. , rain 20,2_ _ cu. yds. ocuYJr+-s rcf4�sT, Pcsa> �7G
25-yr. storm /?,0F w0i d Ye moot 4'i
Total cu. yds.
LAND DISPOSAL total acres
........__.
FERTILIZATION & SEEDING �, `j-- acres
Lime R Ten Ae. 3 Tan.r_Fertilizer /Soa/ds
Seed 661•df Fe, A, 901hi Mulch 161) 6,le_r
�o A's_Rve YIr.�
Sep- rorunr»q GtJ;rj-/ of / t:57,; e# •.. ;
./
37y
Length Width Av, - 3.3;=_Top Width
Top of fill - - - - - - - - elev. JCS SU `'` owc� ►jrBSTi
Top of holding volume - - - - elev. • r- 527% )flipe
- - - - � uPrr'^
Top of lagoon volume elev: •�5.00
Bottom of lagoon - - - - - - elev.
Emergency spillway - - - - - -elev. ADO f
{ Interior side'slopes
1 : �I i eYr�/ ✓r�
UOr.CT°7 �e�� OT ��i„� /70 0 r5n•/Y3E
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y U. S. DEPARTMENT-OF AGRICULTURE
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�8,7rsn Cun C-)ry Pad 6�'$ C;3.6
eon S$ 50 �oo� 2�zo /Pad
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E�✓ — Z50 --~- ---
58.90
No4 s ❑
doe. --- - --300
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s9,o
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- -- Z 5D
Ele✓_ F4oKS c "y Z:1eil
PIP
2.42 d--.
Con"?/ SB�•7b moo' C°n'E�e"py� Sheet 2 of 2
F►er.$9,o Sketch O's

— — — PVC, Scat. 40 PIPE
MINIMUM '
Ct.��RRntcE- ;t2" ..r ;u
.. MAXIMUM
2x8 PRESS U
TREATED
31 -,
W MINI AUM _D ,PtnE=
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I
SPECIFICATIONS FOR CONSTRUCTION OF WASTE "TREATMENT LAGOONS
AND/OR HOLDING PONDS
Clerina : All trees and brush shall be removed from the
construction area before any excavation or fill is started.
Stumps shall be removed withi.n the area of the foundation of
the embankment and al ( excavated areas. Satisfactory
disposition will be made of all debris.
Construction: Construction will consist of excavation to
the- -neat -A-i hes -and---grades.-as -planned 1+In_areas -vf__the._
lagoon bottom and side slopes where sandy ma eria rs
encou�. ..w a the area s a e overexcava ed by 1 foot}yand
ackfi'lled with cIa a ma erta xcava ion sha be y
pan, drag the and/or backhoe. A bulldozer or other
equipment will be used to dress the slopes. Fill material
placed in the embankment shall be free of sod; roots , stones
over 6 in'ches in diameter, and other objectionable
materials-T, e fi I I material shall be placed and spread
over the entire i area In a ers no o excee in
In is ness . onstruction of the fill shall a undertaken
oln_ly at such times that the moisture content of the fill
material will permit a reasonable degree of com action.
Compaction o all fill materubber tiredeeauipmenshed w' as a
es e — o r or
loade pan) passing several - times over the entire surface of
each. 6 Inc o profect aga a en ire
lagoon bo om an a I excavated side slopes shall be
compacted in -the same manner as the fill material
compaction.
Vecetation: All exposed embankment and emergency spillway
areas shall be seeded to the planned type of vegetation
immediately following construction.

GENERAL
These specifications are to be made a part of detailed engineering plans of the pro-
posed embankment, spillway(s), and reservoir.
No changes nor deviations from these plans and specifications shall be allowed without a
written amendment, in advance of change, from the responsible technician of the Soil Conser-
vation Service.
All facilities for impounding water shall comply strictly with all state and local laws
regulating such activity.
The Soil Conservation Service makes no warranty, expressed or implied, of the impounding
structure or the water holding ability of the structure.
RESPONSIBILITIES OF:
A. Landowners:
The landowner will acquaint himself with the provisions of these plans and specifications
- - to determine--that -the completed structure-will-fulfill--his--present-and--future-needs.-----Inspection-
during construction will be the responsibility of the landowner.
He may request inspection by SCS employees during construction and upon completion of work.
Where benefits are to be received from Government agencies, or when the dam falls under the
Dam Safety Law of 1967, inspection and approval by SCS employees are mandatorX.
B. Contractors:
The,contractur will acquaint himself with the provisions of these plans and specifications,
conditions at the site that may affect his schedule of operation, and the location and meaning
of all stakes on the site. Failure to do so will not relieve him of the difficulties and •cost .
pursuant to satisfactorily completing the work in compliance with these plans and specifications
and any written or verbal contract with the landowner. All bench marks, grade, and line stakes
will be left undisturbed and protected by the contractor to facilitate construction and in-
spection. i
The contractor, *eather permitting, will schedule his work so that he will start on the
agreed date and work will be a continuous operation until satisfactorily completed. All
damages occurring to completed work or materials, by the elements or otherwise,-during con-
struction, will be the responsibility of the contractor. Partial or damaged work and/or re-
placed materials damaged from any cause will be paid for by.the contractor. Absence of in-
spections during construction will not relieve the contractor from completing the work in
strict compliance with these plans'and specifications.
Upon completion of the work, before moving his equipment, the contractor will request a
final inspection by the landowner and an employee of the SCS. The contractor will then receive
approval that all work has been completed satisfactorily and/or he may complete those items that
vary from the plans and specifications in order that a final inspection will result in approval.
C. U. S. Department of Agriculture - Soil Conservation Service:
The United States and its employees are in no manner a party to any verbal or written
contract between the landowner and the contractor. SCS employees, within limit of personnel
available, will inspect and advise on techniques during construction to assure satisfactory
compliance with the plans and specifications.
SCS employees will, upon reasonable notice, conduct a final inspection for strict compli-
ance with all plans and specifications concerning this structure. Inspection will determine
the satisfactory completion of work so that (a) approval may be given for the eligibility of
the landowner to receive benefits from any Government agency concerned with this structure,
(b) final payment may he made to the contractor, and (c) the pool may be filled under the
provisions of the Lam Safety Yaii':of •19Cr7.

OPERATION PLAN (Cont' d)
The routine maintenance of this lagoon involves the
following :
1 . - Maintenance of a vegetative cover on the
embankment -and in the emergency spillway: Fescue
is being established on these areas. Beginning in
1988 and each year thereafter. , the embankment and
efnb-rgency spi I Iway -should be - fdrti-I i -zed w-ith --1 ;-000
pounds of 10-10-10 per acre to maintain a vigorous
stand .
2. Control of weeds , brush , and trees on the
embankment and :,in the emergency spillway : This
shall be done by mowing, spraying, or chopping, or
a combination of all three. This will need to be
done at least once each year and possibly twice in
years favorable to heavy growth. , of vegetation.
You may check with the local Extension Agent o�-
SCS office for ',the latest information on spray
material and the best time to apply them.
Maintenance inspections of this lagoon should be made during
the. initial fi I I ing , at 1'east annually , and after every
major storm. Items to be checked should include , as a
minimum , the fo'I lowing : ,
1 . Emergency Spillway
a . , erosion
b . sedimentation
C . weeds, small trees , logs , fences, or other
obstruction that reduce channel capacity or -
may block flow.
2 . Einbankment
a . settlement, cracking or "jug" holes
b . side slope stability— slumps or bulges
C . erosion
d . rodent damage
6 . seepage or other lepakage
f . condition and typelof vegetative cover

ATTACHMENT A .
Page 1
.WASTE' UTILIZATION 'PLAN.. `.
Producer' .. I C �-. :. County
Address - " ° 3 "'.. - -
--Kind of operation o i o
Type of Waste Facility a 'c 9 pah
Your animal--waste_•-manageme-nt"`facility ..has -been designed ;for a
given storage capaciy . When the waste reaches the designed
level, it must-be •land-applied—at—a==specifred-rate-to-prevent--- —
pollution of `surface and/or,ground water. The plant nutrients
in the animal waste -should be used :to reduce -.the amount of
commercial:-fertilizer- required_for the .crops_ on .the.-fields
where •the -waste -:is to be applied. . This- waste'-utilization plan
uses -nitrogen as nutrient. Waste should be
analyzed,before each application- cycle and annual soil. ,tests
are -encouraged. so -that --all plant nutrients can .be balanced for
realistic -yields of the .-crop to be grown.
Several factors are important in implementing your waste
utilization -plan in -order 'to maximize the fertilizer- value of
the waste acid to ensure that it is .applied in an
environmentally safe manner. ,Always apply waste based on. the
needs of the crop to be grown .and the nutrient content of,:the
waste. Do •not :apply more.-nitr'ogen,.than..the crop scan .utilize.
- Soilti types=are:�impdrt&nt: as:,.they;: have different..Iinf ltration
rates •and=:leaching -•pott enal - ;Waste :shall not be applied A to
land -eroding at...greater,-than-.5 tons..;per..,acre per year Do not
apply,-.waste on saturated_.soils ,or..on.. land when the surface. s
frozen.-- Either .of -these conditions-.may result`_.in`rurioff "to
surface.-waters. :_Wind .conditions .'should- also be "considered to
avoid.-drift and downwind odor..problems. To maximize'.the.value
of nutrients -for.crop production.-and to reduce •the`-potential
for--pollution, the waste .. applied-.to " growing__crop
- or
not more -than -�30 days .prior:-to,.planting. ... Injecting :the waste
or disking will .conserve nutrients .and .reduce..odor
_problems.
, The acre s 'needed to apply the animal waste '-is -based on --typical
nutrient content for this type' of facility. Acreage .
requirementsmay be more or less based on the -waste analysis
report from your waste management facility:
The design of your waste management facility is based on the
following:
Amount of Waste Produced Per Year:
$ C animals x -waste /animal/yr = �, Z_.total waste
produced. on 3

ATTACHMENT A
Page 2
.: . . .
Amount of Nitrogen Produced Per Year:
l
,_�1510 animals x z,3, —lbs N/animal/yr �= a� _ total N
Applying the above amount of waste is a big job. You should"
plan time and have appropriate equipment to apply the waste in
'-a timely manner.- ..tour facility is designed for /83 da s o
lf
`storage. . Therefore, it will need to be pumped every: 6 mm,Alb
months. . ,
The following acreage for waste application will be needed
-based on :.the crop =to be grown .and ;surface. application:
-----"-- —field----Soil .Crop —Realistic -Lbs.—fi-_ .Acres----Lbs.--M Month--of---
Type Yield. Per.Ac. Utilized " Application
lt1 0 90C> .0O ,2 00
o 00 , C)
TOTAL n
Meant of M Produced ?
Surptus or Deficit
Narrative of Operatio
�} Z r r ry-: o a� 1/
1- i C✓
E c-;' r -aeo nL'h
Call the Soil and Water Conservation District Office after you
receive waste analysis report to obtain the amount .per acre to
apply and 'the irrigation application rate prior to -applying
waste.
Prepared by �
Name Title Date
Concurred in by
Prdaucer 0 Date
(Copy to producer and copy to case fife)

` r t Ir C�i �•�r!•'rr .� ATTACHMENT
:r1t :r ' .i1 F B
9rJ1.. stean ag
Biological and°A
gncultuEngineering -ernent
ral
_ ..
NO Carolina State Llni
versify
_LIVESTOCK W
. .., .. _ ASTE.SAlYpLINC . -
OF LAND APP ' ANALYSIS AND CALCITLATION
LIGATION RATES
James C. Barker*
I. SAMPLE COLLECTION
A. Semi-Solid Lot:Manure
i•` Scraped directly from lot into
a• . Frcm spreader
loaded spreader, collect
different locations usin about 2 lbs
g nonmetallic °f manure -from
ii. From storage collectors•
a• Collect about 2 lbs of ma
avoiding beddingWore from under from and using the surface
B• materials
g noivaetallic crust
s. Manure Slurry collectors.
I. .Under-slotted=f, :;.' - -
loorspit
A. Extend a.I/2M no ..;._...: :.< i.
manure to pit.:floor.-tallicconduitopen o
n both ends into
b. Seal :upper_end:of
of co conduit
and empty y t) trapping manuree•g•� bY..Placing a thumb
Pt slur that has over end
ry into entered' lower end
Plastic bucket or nonmetallic , remove
c: Take subsamples from 5 or container.
more locations or at least 1 quart,
d• Mix-and add about 3/4 pint to nonmetal
li
ii. Exterior storage basin o c sample container.
r•tank
a• Hake sure manure
has been well mixed w
chopper agitator pump. or propeller
b• Take subsaMDIes agicahoa li quid manure
r.
or from manure spreader and
5 pit locations, from agi�tacor pump
and place in a plastic bucket,
* Professor and Extension S
Department, North Carolina Biological a
lino State University, Raleigh.gh, ;C. Engineering

ATTACHMENT B
2 of 3
etallic sample container.
C. Kij and add 3/4 pint to a. norm
� C.}'Lagoon Liquid- recyclednt of lagoon liquid from'inflov pipe .
,:. i.- Collect about 3/ p nonmetallic sample container.
to flush tanks in a -
int or less) on end of 10-15' pole.
ii. From lagoon
a,' Place a small bottle_W2. p T
from bank edge.
bottle 10-15 away
- -- -
b, Extend
floating s cum-or--debrisf liquid surface.
c,Brush ava Y -
Submerge bottle within 1' o
Subme
eat abou ple container•
e. Empty t 5 times around
d,
to nonmetallic sam into a plastic bucket, rep
mix, and add 3/4int
lagoon. p
D. Broiler or Turkey Litter
i, House litter varying quality. e.g. .
areas of percent of
a. Visually inspect litter for and estimate
areas around feed a e aterers,
floor surface in locations proportionate is
les at 1 visual quality
b. Take about 5 litter subsamp of similar le thete and the
item a. E.g. $ if 20% of lit, take l subsamp ..
around feeders and
waterers. floor surface.
other 4 subsamples from remainder °cta a 6" by .6„ :area down to
each location, collect litter c bucket.
c. AL a plastic . . and add
lace in P mix,
earth floor and p to the bucket, such as
subs amp have been metallic sample container
d'. Af ter 5 a.nonm
about •2-3 -lbs litter to
seal.
a 1_gallon freezer bag
stockpile " into pile.
ii. From at least 18 ..
' a, Take subsamples from about 5 �
locations
b. Mix, add 2 3 1
bs to nonmetallic sample container and seal.

f ATTACHMENT B
II. SAMPLE PREPARATION AND T 3 of
� _ RANSFER
� A• Place s
maple into an expandable container that can be se
residues from container with c
soaps, or treat lean water but do sea
Rinse
in any other way, not use disinfectants,
B. Pack sample in ice refrigerate, freeze, or transfe-
r to lab quickl
C• Hand-delivery is most reliable wa y
y of sample transfer.
D, If mailed, protect e sam l container with packing package with wrapping g material suc
newspaper, box or p
E. Commercial g Paper, and tape, h as
-
- -- - --- _____._sam_.....P_ a containers and mailers are__also_avail.able.._Contacts.;_____
i, A&L Eastern Agricultural Lab 7621 Whitepine Road • Inc. iii. Poly
Richmond yfoam Packers Corp,
VA 23237 2320 S. Foster Avenue
Ph: [phone] Wheeling, IL 60090
ii. .Fisher Scientific Co. Ph: (312)398:0110
3315 Winton Road iv. NASCO
Raleigh, NC 27604 901 Janesville Avenue
Ph: [phone] Fort
Atkinson, WI 53538
F. Private analytical Ph: [phone]
_ labs are available, but sample analyses are costl ,
Carolina G- The NCDA.provides this service for North Ca y
a residents.
i• Address: North Carol-ina Department of Agriculture
Agronomic Division
P Blue-Ridge
RSolution Advisory Section
Blue-Ridge Road Center
P.O. Box 27647
Raleigh, NC 27611
Ph: [phone]
Attn: Dr. Ray Campbell
ii. Forward 64 along with the sample. '
include the followin
. g identification information with sample:
a. Livestock species (dairy, swine, turkey, etc.)
b• Livestock usage (swine-nurse
brooderhouse, grower, number flocks grown
; turkey
grown 'on litterreetcr
g )
c, Waste type (dairy-lot scraped manure,
slurry, lagoon liquid; srap e• liquid slurr
g , broily; swine-pit
er-house litter, stockpile
Iv. Routine analyses performed on all samples: N. P K
. Ca, Hg, Na,
v, Additional analyses performed upon request:
Fe, tin' Zn, Cu, g
quest: DM, Ho, Cd, Ni. Pb

A�+
y• .tfk- .iT'
TT._-.
�- fo 4
s � 70l

SCS-ENG-538 U. S. DEPARTMENT OF AGRICULTURE
Rev. 5-70 SOIL CONSERVATION SERVICE
SOIL INVESTIGATION TO DETERMINE SUITABILITY OF PROPOSED POND SITE 4
FARMER'S NAME rV f. DISTRICT911
DATE ' O` COUNTY 30 .� >.
S.C.-S. PHOTO SKEET NO. WORK UNIT
WATERSHED AREA MEASUREMENTS LR "o01i
CROPLAND ACRES PASTURE ACRES ,
WOODLAND ACRES TOTAL ACRES POND CLASS WORK UNIT CONSERVATIO:vIST.
SKETCH OF PROPOSED POND SHOWING WHERE BORINGS WERE MADE (Ap&oz.scale 1't= : aa•feet)
Locate, er cc ye'nt in"cents►line of m nd Identify on sketch.
Cloo
C]Z
-
,
iJCG .
GJ'L'L
>J ti
0 7 -
SHOW BORING NUMBER AND PROFILE :
DEPTH Make and 11st dam fist and spillway borings fst-then"ponded area-and borrow pit borings-separate wlth eiertleal rid 116.
(Continued on back where necessary) 'Show water table elevations on dam-site borings.
SCALE 1 2 • p�3 4 5 6 .7 -8 9' 10 11 12 13 14 15 16 17 18 19 20 1211122 23
Sf� �P 413f 'P/�
Sc OW y
3 y30.36 �SC ! �GI yl �
J/t•i-
60�� '
. 72•)8 CtI s
8•BY
+
BORINGS MADE BY .�• """ SIGNATURE & TITLE r11 J ! I
13 tso-' b
Js6•1 1
/q .�,o

TYPES OF MATERIAL ENCOUNTERED IN BORINGS
(Use one'of systems below)
UNIFIED CLASSIFICATION USDA CLASSIFICATION
GW-Well graded gravels, gravel,-sand mix ;g-gravel
GP"-Poorly graded gravels s-sand
'GM-Silty-gravels; gravel-sand-silt mix vfs-:very•fine sand
GC-Clayey gravels; gravel=sand=clay mix sl:sandy loam.
SW-Well graded sands; sand-gravel mix fsl-fine sandy.loam
SP Poorly graded sands 1-loam
'SM:Silty.sand gl-gravelly loam
SC.-Clayey sands; sand-clay-mixtures si='silt
---- -ML-Silts,silty,-v.-fine sands;sandy or clayey silt- —sil--silt-loam -- --------= ----- —--- - ---------------
CL-Clays'of low to medium plasticity cl-clay loam
-CH-Inorganic clays.of high plasticity sicl-silty clay loam
MH-Elastic silts scl-sandy clay loam
OL-Organic silts and silty clays, low plasticity sic"-silty clay
OH-Organic clays, medium to-high plasticity c-.Clay
1. Soitable'material for embankment is available Oyes .0N0 (Irndicate where located on the sketch on
npirae side)
REMARKS:
2 EzplaiA hazards requiring special attention in design (Seepage,spyfno..rock etc)
GENERAL REMARKS:
24 26• 26 27 28 29 3o 31 32 33 34 35 36 37 38. 39 40 [±1 42 43 44 46 46, 47 48. 49 60 bl
I

U. S. Department of Agriculture NC-ENG-34
Soil Conservation Service September 1980
File Code: 210
HAZARD CLASSIFICATION DATA SHEET FOR DAMS
Landowner ! r oe County _
Community or Group No. _ _ Conservation Plan No.-
Estimated Depth of Water to Top of Dam & Ft. Length of Flood Pool );Li -Ft.
Date, of Field Hazard Investigation 5-1q--91
Evaluation by reach of flood plain downstream to the point of estimated minor effect
from sudden dam failure.
Est. :Est. Elevation
Kind of :Improvements : of Breach
Reach: Length: Width: Slope: Land Use Improvements Above :Floodwater Above
Flood Plain: Flood Plain
Ft. Ft. % ff Ft. Ft.
000J)drar
E0 -- -6' -
: C),.eek
2 Soo �3�� d�iu��cr
- — -. 145 �t
3 � .
Describe potential for loss of life and damage to existing or probable future downstream
improvements from a sudden breacho
f
AnA"X, IA1le - LtS__ Oh S O/ i Gory �6
iV
Hazard Classification of Dam U b, c) (see NEM-Part 520.21)
Dam Classification III , IV, V) _ l �AsS a�aa►�_ _
IJ
By 1/�'f O-�`f Date
name tit e
Concurred By _ __ Date
named �.Title�
NOTE: 1. Instructions on reverse side.
2. Attach additional sheets as needed.

IPISTRIP"T101,1;.
Al dams built with technical assistance from tfre Soil Conservation Service
must have a hazard classification as; ignel by tr;f: I:,erson responsible for
approving the design. Most farm ponds, except i;t borderline cases , can
be classified after a complete field investigation without ass;,i-ling failure
and making breach studies. This data sheet is to be used for recording
the information obtained through field studies and for documenting the
hazard classification. Where there is a possibility for loss of life or
major property damage from a dam failure, an approved breach routing
Procedure is to be used. (Consult with 'Gh a area engineer. )
Hazard classifications of dams are maje by evaluating the possibility
.for loss of.l.ife and the .extent of dlMage .that would result--i-f the dam
should suddenly breach--that is--a section of the dam be suddenly and
completely washed out. It is to be assumed that a wall of water will be
released equal to the height of the dim. This Hood wave °Trill be reduced
in height as it moves down the flood plain. The wave height (depth of
flooding) should be evaluated for a s;;fficient distance downstream until
the estimated flood level will not cause significant damage to improvements ,
such as homes , buildings, roads, utilities, reservoirs, etc. The breach
flood level will be reduced depending on the valley storage, slope, and
openess of the flood plain; however , in a narrow steep valley slopes
steeper than 10% should be given special consideration. One method of
evaluation is to compare available valley storage (under flood conditions)
to impoundment storage (figured to the top of the dam) for each reach
evaluated with a judgment estimate made of -Ehe Mood wave height at all
critical points downstream.
Should there be any questions about. the hazard classification for a dam,
- ---the —area engineer should be consulted before ma�"Jng deign commitments:

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MERGENGY AUI[Ulm rLm
42*
PQAPLU9
- "h pur s�►iti OurPromi�e. Emergency ,Action Plan
-PLEASE PRINT-
3 Unit Location" - 5 ©n� C© nJ premises 0D Numbero_
.: f
owner/Operator Name: __V'ere 4Lrefe0
Unit,address (including Emergency 911 Address):
qa •— e
Directions to Unit:
RescusiArr[buiance9 PhonePhone
Hospital or Clinic: flame - -
Veterinarian: Name i7�Z�Sf+�_R� u, I - - Phone _ ��� :� :S"7A
Fire Department: Rhone - ► �
police/Sheriff'. blame !.v 54an! C Phone
Eedd
Other. NamName e
—bay e on Phone ���Q -'19�l �
Phone _—- - - -—
Phone
Home — — - - — —Phone .. -
Name - — — - — ---- --
_ — —
J�pork.org or the Pork Checkoff Service Center @(wo).se-pl

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
Q 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.
Landfill at municipal solid waste facility permitted by NC DEQ under GS 16A NCAC
13B.0200.
Oa Rendering at a rendering plant licensed under G.S. 106-168.7.
Complete incineration according to 02 NCAC 52C .0102.
Q 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
I_ J NC Department of Agriculture&Consumer Services(G.S. 106-549.70).
a a Any method which, in the professional opiniorkof 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.
Sign pure of Farm ner/Manager Date
Signature of Technical Specialist Date

U�IUA United States
�- Department of Farm 21033
Agriculture Johnston County, North Carolina
e >z - Tract 14715
NC101_T14715
2019 Program Year
•� ` + 'T , � _ CLU Acres HEL Crop
1 5.83 NHEL
;� �• +3[` r• � ' 2 15.23 NHEL
, '► �''"u *� jrL 3 14.87 NHEL
1' .. -�' `" �'► 4 9.33 j UHEL I No
ncropland
1 5 122.19 UHEL I Noncro land
,, �� w. •`^' y Page Cropland Total: 35.93 acres
dill
4 -
2 r ,a►
464
�i ;
jh
N
- 3
;{ 1 �'�i4 !lik
s
' �[ L Map Created October 31,2018
[.
A
• �� ' Base Image Layer flown in 2016
' ..y R' •r fit- Common Land Unit
Cropland
Non-Cropland
�� x� • QTract Boundary
Wetland Determination Identifiers
"' ►. * �` 4 �' t{ r' ■ Restricted Use
0 I n5 3J0 p Limited Restrictions
T8i]s1`��" ►•
■ Exempt from Conservation
" t �.. S ►• — _ Feet Compliance Provisions
USDA FSA maps are for FSA Program administration only. Th is map does not represent a legal survey or reflect actual ownership;rather it depicts the information provided directly from the producer and/or the NAIP imagery. The producer
accepts the data'as is'and assumes all risks associated with its use. The USDA Farm Service Agency assumes no responsibility for actual or consequential damage incurred as a result of any user's reliance on this data outside FSA Programs.
Wetland identifiers do not represent the size,shape,or specific determination ofthe area. Refer to your original determination(CPA-026 and attached maps)for exact boundaries and determinations or contact NRCS.

June 11, 2019
Christine Lawson
NCDEQ-DWR
Animal Feeding Operations
1636 Mail Service Center
Raleigh NC 27699-1636
Subject: Request for new COC for Terry Barefoot
COC No.AWS510025
Johnston County
Dear Mrs. Lawson
This is a request for a new COC to cover a change in animal numbers, and type of operation. Mr.
Barefoot plans to convert from a feed to finish operation to a gilt developer. Information
concerning this operation is as follows:
Steady State Live Weight:
2940 feeder—finish x 135 lbs. =396,900 lbs.
Convert from feed to finish to a gilt developer operation.
396,900 lbs. (SSLW)/150 lbs. = 2646 gilts
Enclosed are documents to support this change in animal numbers and type of operation. If you
have any questions concerning this request, please call me at 910-596-5749
Sincerely,
19,
G. Glenn Clifton
Technical Specialist
Prestage Farms, Inc.

Animal Waste Management Plan Certification
(Please type or print all information that does not require a signature)
Information: Permit No: AWSSIbo Z5
Name of Farm: E KKV aAae.Goo-r Facility No: 51 --Z5
Owner(s)Name: i6RRy dB' ARFF:bc, r Phone No: 919 - 96Z-7974
MailingAddress: P.O. &m 1104. Foam OAKS 14t_ Z75 •F-
Farm Location: County Farm is located in: J om N 5 io rl
Latitude and Longitude: 35' 234 ai2� / 7 e Z 2.r 3" Integrator:Nbu6g FARw,s r 7rr c.
Please attach a copy of a county road map with location identified and describe below (Be specific: road
names, directions, milepost, etc.): FRoea ?-)5 TA" us -Io1 5ou7N ArA�eox 5.6 n t tL 5
rARPA W i LL SF- >eA iGbNT
Operation Description:
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Dairy No. of Animals
o Wean to Feeder o layer o Milking
o Feeder to Finish _ o Non-Layer o Dry
o Farrow to Wean Type of Beef No. of Animals o Heifers
o Farrow to Feeder o Brood o Calves
o Farrow to Finish o Feeders
•Gilts 264t. o Stockers
o Boars Other Type of Livestock: Number of Animals:
t Y,k:.
L'S•p<!n ["+t ]!Only ,: ,y -"s Ltd *;e" t .�s �;.,.
e'�
Previo t<ee AildtNriiacl,D,ese n Ga Welty.. .„Tota�IDkcr n act "
Acreage Available for Application: Required Acreage: 4-21 Y. 2 9 b18
Number of waste structures: I Total Capacity: Cubic Feet(ft3)
Are subsurface drains present on the farm: YES or NO (please circle one)
If YES: are subsurface drains present in the area of the waste structures(please circle one or both as applicable)
Owner/Manager Agreement
I(we) verify that all the above information is correct and will be updated upon changing. I(we)understand the operation and
maintenance procedures established in the approved animal waste management plan for the farm named above and will
implement these procedures. I(we)know that any expansion to the existing design capacity of the waste treatment and storage
system or construction of new facilities will require a permit application and a new certification to be submitted to the Division
of Water Resources (DWR) and permit approval received before the new animals are stocked. I (we) understand that there
must be no discharge of animal waste from the storage system to surface waters of the state unless specifically allowed under a
permit from DWR 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 areas must be minimized using technical standards developed by the USDA-Natural
Resources Conservation Service(NRCS). The approved plan will be filed at the farm and at the DWR Regional Office and the
office of the local Soil and Water Conservation District (SWCD). I (we) know that any modification must be approved by a
technical specialist and submitted to the DWR Regional Office and local SWCD and required approvals received from DWR
prior to implementation. A change in farm ownership requires a permit application to be sent to DWR along with a new
certification(if the approved plan is changed). /
Name of Land Owner: �Al r,P7oa�
Signature:
—
1 Date: G- 16 - 11
Name of Manager (if differght from o r):
Signature: Date:
AWC-September 18,2006 1

Animal Waste Management Plan Certification
Please t ..or ' t all information that does not require a signature)
., .�.. .. �`. -:h�:,.>tix�„5... ;.�,„�.:,_'�•-�. "»__aw.,.,,.�
General Information:
Name of Farm: TERRYAaa-c Facility No: !E;l --
Owner(s) Name: TeRgy sAmc-MaT Phone No: 919-934-o729
Mailing Address:_pg. 9,p% . J 1® t�.,g o Ares i N.c 27524
Farm Location: County Farm is located in: Scs%wsTdt4
Latitude and Longitude: ` 2 eg ft/ " ' Integrator:
Please attach a copy of a county road map with location identified and describe belo e specific: road
names, directions, milepost,etc-):fro n -L-3S �hAe 4i.5 ;70J � .fl�nray Srr,.
/ %r
j
Operation Description:
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Caule No. of Animals
0 Wean to Feeder ❑Layer ❑Dairy
C9(Feeder to Finish �. 0 Pullets ❑Beef
0 Farrow to Wean
O Farrow to Feeder
O Farrow to Finish Other Type of Livestock Number of Animals.
❑Gilts
O Boars
.ftratdF.P,*i
Acreage Available for Application: Required Acreage:
Number of Lagoons/Storage Ponds : Total Capacity: Cubic Feet(ft3)
Are subsurface drains present on the farm: YES or NO (please circle one)
If YES:are subsurface drains present in the area of the LAGOON or SPRAY FIELD(please circle one)
Owner/Manager Agreement
I (we) verify that all the above information is correct and will be updated upon changing. I (we) understand the operation
and maintenance procedures established in the approved animal waste management plan for the farm named above and will
implement these procedures. I (we) know that any expansion to the existing design capacity of the waste treatment and
storage system 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 system to surface waters of the state either directly through a man-made
conveyance or from a storm event less severe than the 25-year, 24-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 areas must be
minimized using technical standards developed by the Natural Resources Conservation Service. The approved plan will be
filed at the farm and at the office of the local Soil and Water Conservation District. I (we) know that any modification
must be approved by a technical specialist and submitted to the Soil and Water Conservation District prior to
implementation. A change in land ownership requires written notification to DEM or a new certification (if the approved
plan is changed)within 60 days of a title transfer.
Name of Land Owner : 7" -V
Signature: ` �`-=t✓ '' C� t rg Date:_ 3—'Z 1-00
Name of Manager(if different from owner): 10
Signature- Date:
AWC -- August 1, 1997 1

Technical Specialist Certification.
L As a technical specialist designated by the North Carolina Soil and Water Conservation Commission pursuant to 15A
NCAC 6F .0005, I certify that the animal waste management system for the farm named above has an animal waste
management plan that meets or exceeds standards and specifications of the Division of Environmental Management
} {DEM) as specified in 15A NCAC 2H.0217 and the USDA-Natural Resources Conservation Service(NRCS)and#oz
North Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 2H.0217 and 15A NCAC 6F .0001-
.0005.The following elements are included in the plan as applicable. While each category designates a technical specialist
who may sign each certification(SD, SI,WUP,RC,1), the technical specialist should only certify.parts for which they are
technically competent.
IL Certification of Design
A) Collection,Storage, Treatment System
Check the appropriate box
❑ Existingf acility without retrofit (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with waste utilization
requirements.
❑ New, expanded or retrofitted facility (SD)
Animal waste storage and treatment structures, such as but not limited to collection systems, lagoons and ponds,
have been designed to meet or exceed the minimum standards and specifications.
Name of Technical Specialist(Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
B) Land Application Site (WUP)
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.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
C) Runoff Controls from Exterior Lots
Check the appropriate box
❑ Facility without exterior lots (SD or WUP or RC)
This facility does not contain any exterior lots.
❑ Facility with exterior lots (RC)
Methods to minimize the run off of pollutants from lounging and heavy use areas have been designed in
accordance with technical standards developed by NRCS.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
AWC -- August 1, 1997 2

D). Application and Handling Eguiurrlent
Check the appropriate box
Existing or gUandine facility with existing waste application eguiument (WUP or 1)
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 pin 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 calibration and adjustment guidance are contained as part of
theplan). j�Gy�t�f�t6+^sG-ntT or limsrsNG 545CEM wrm N64Y 5VS-R )
p New,eWande11 or existing facility without existing waste application 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 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; calibration and adjustment guidance are
contained as part of the plan).
9 New expanded. or existing facility without existing waste application ggttitmient for land Wmgina not using
Cray irrigation. (WUP or 1)
Animal waste application equipment specified in the plan has been 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 .
applications has been established; requiredalAd#§re8 maintained; calibration and adjustment guidance are
contained as part of the plan). a��'�(%A CARD
Name of Technical Specialist(Please Ift •` (, tenet 0.da �
Affiliation M. G'ir"d k�c:.s. ,c.-v. "pis late Work Completed: 5-&- 1999
Address (Agency): Foa 19" 164$'° Kcx �tuc,2 Phone No.: 910-Z96-1170
„
Signature: >�° •` Date: 3- Zi-Z64n
OYD
�v
E) Odor Control Insect Control Mot 1. V10m - W@lnent and Emergency Action Plan (SD,
SI, WUP, RC or I)
The waste management plan for this facility includes a Waste Management Odor Control Checklist, an Insect
Control Checklist, a Mortality Management 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
Mortality Management Plan and the Emergency Action Plan are complete and can be implemented by this facility.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
F)Written Notice of New or Expanding Swine Farm
The following signature block is only to be used for new or expanding swine 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(we)certify that I(we)have attempted to contact by certified mail all adjoining property owners and all property owners
who own property located across a public road,street,or highway from this new or expanding swine farm. The notice was
in compliance with the requirements of NCGS 106-805. A copy of the notice and a list of the property owners notified is
attached.
Name of Land Owner:
} Signature: Date:
} Name of Manager (if different from owner):
Signature: Date:
AWC -- August 1, 1997 3

III. Certification Of Installation
A) Collection,Storage Treatment installation
New. expanded or retrofitted facility (SI)
treaAnimal waste storage and roved pot 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) Date Work Completed:_
:
Signature: Phone No.:----
�_
Date:
B) Land ADplication Site (WUP)
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 speed in the plan by
appropriate for compliance with the wasteutilizatio (month/day/year)' the proposed cover crop is
Q .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 committed to establish an interim crop for erosion control;
Name of Technical Specialist (Please Print):
Affiliation
Address (Agency): Date Work Completed:_
Signature: Phone No.:�_
Date:
This following signature block is only to be used when the box for conditional approval in M. B
above has been checked.
I(we)certify that I(we)have committed to establish the cropping system as
and if appropriate to establish the interim crop for erosion control, and will submit DEM ad in my(erification of completion
our)waste utilization pi
from e Technical Specialist within 15 calendar days following the date speed in the conditional cation. 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.
Name of Land Owner:
Signature:
Name of Manager (if different from owner): Date:
Signature:
Date:
AWC -- August1, 1997 4

C) Runoff Controls from Exterior Lots (RC)
Facility with exterior lots
Methods to minimize the nun off of pollutants from lounging and heavy use areas have been installed as specified
in the plan.
For facilities without exterior lots, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature:
Date:
D) Application and Handling Eguipment Installation (WUP or 1)
Check the.gppropriate block
43 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 part of the plan.
Vc,,K acEw��ic aE se irJ_ ses usiaN T�nve�C-Q tiosE�
Animal waste application and handling equipment specified in the plan has not been installed but the owner
has proposed leasing or third parry application and has provided a signed contract; equipment specified in
the contract agrees with the requirements 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.
ZI 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-e�gnt is installed and until the waste can be land applied in
accordance with the cropping s c ry�due plan and calibration and adjustment guidance have
been provided to the owners qutai ga Dof the plan.
Name of Technical Specialist (Plee iilf �
Affiliation p t .. L Date Work Completed: S-
Address (Agency): o t ix 1095� K�aa ,sit e; .£ % 49 Phone No.: 9to-Z9X-1116
Signature: _ `' °es=` =tl °�:`4 Date: 3• ZI- Zo&Q
The following signature block is only t e'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 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.
Name of Land Owner:
Signature: Date:
Name of Manager (if different from owner):
Signature: Date:
E) Odor Control Insect Control and Mortality Management (SD SI WUP, RC or I)
Methods to control odors and insects as specified in the Plan have been installed and are operational. The
mortality management system as specified in the Plan has also been installed and is operational.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
AWC -- August 1, 1997 5

Please return the completed form to the Division of Water Quality at the following address:
Department of Environment, Health, and Natural Resources
Division Of Water Quality
Non-Discharge Branch,Compliance Unit
P.O.Box 29535
Raleigh,NC 27626-0535
Please also remember to submit a copy of this form along with the complete Animal Waste
Management Plan to the local Soil and Water Conservation District Office and to keep a copy
in your files with your Animal Waste Management Plan.
AWC -- August 1, 1997 6

Terry Barefoot
6/10/2019
This plan has been prepared for: This plan has been developed by:
Terry Barefoot Farm 51-25 NC Coop. Ext. Johnston
Terry Barefoot Dan Wells
221 Spring Branch Rd 2736 NC 210 Hwy
Four Oaks, NC 27524 Smithfield, NC 27577
919-934-0729 919-989-5380
M (iL&—
Developer Signature
Type of Plan: Nutrient Management with Manure Only
Owner/Manager/Producer Agreement
I (we)understand and agree to the specifications and 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.
1.0
Signat a(owner) Date
Sigignat— (manager roducer) 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

Sources in Plan
Terry Barefoot
Nutrients applied in accordance with this plan will be supplied from the following
source(s):
Commercial Fertilizer is included in this plan.
831 Swine Lagoon liquid-Gilt waste generated 2,452,842 gals/year by a 2,646 Swine Lagoon Liquid
-Gilt operation.This production facility has waste storage capacities of approximately 180 days.
Estimated Pounds of Plant Available Nitrogen Generated per Year
Injected 5,302
Incorporated-4 wks or less 5,302
following application
Incorporated-5 wks to 3 mos 4,419
following application
Broadcast 4,419
Irrigated 4,419
Max.Available Actual PAN PAN Surplus A Actual Volume Volume Surplus/Deficit
PAN fibs) Applied(Ibs) Deficit fibs) Applied(Gallons) (Gallons)
Year 1 4,419 9,281 (4,862) 5,151,791 (2,698,949)
Year 4,419 9,281 (4,862) 5.151,791 (2,698,949)
6/10/2019 5:00:10 PM 1/1

Planned Crops Summary
Terry Barefoot
The table shown below provides a summary of the crops or rotations included in the plan for each field. Realistic Yield estimates
and Plant Available Nitrogen (PAN) recommendations are also provided for each crop as well as the crop's P205 Removal
Rate. The Leaching Index (LI)and the Phosphorous Loss Assessment Tool (PLAT) Rating are also provided for each field,
where available.
If a filed'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.
Tract Field Total Wettable SMU Ll 'Crop Name - RYE Recom- PLAT P205(Ibslacre)
Acres Acres - mended Rating Crop
PAN Removal Applied I
11092 1 12.4 10.37 L BoA NA
Hybrid Bermudagrass Hay s5.4Tons 265 Unknown 66 NAI
Cereal/Annual Rye O/S, Hay-4/7 Harvest — 0 Tons 100 Unknvxnt Op NAI
17092 2 23 19.17 BOA NA '.
Hybrid Bermudagrass Hay 5.4 Tons 266 known 66 NAI.
lCereal/Annual Rye CIS, Hay 417 Harvest ' 0 Tons 1001 Unknown! 01 NA!i
Totals: 35A0 29.48
Notes:1.In the tract column,-symbol means leased,otherwise,owned.
Li Potential Leaching Technical Guidance
Low potential to contribute to soluble nutrient None y
<2 leaching below the root zone.
—. Moderate potential to contribute to soluble nutrient Nutrient Management(590)should be planned
>=2&<= 10 leaching below the root zone.
IHigh potential to contribute to soluble nutrient Nutrient Management(590)should be planned. Other conservation _
lleaching below the root zone. practices that improve available water holding capacity of soil and
improve nutrient use efficiency should be considered. Examples are
> 10 Cover Crops(340)to scavenge nutrients, Sod-Based Rotations (328),
3 Long-Term No-Till (778),and edge-of-field practices such as Filter
!€ IStrips(393) and Riparian Forest Buffers(391).
6111/20198:26:34AM 112

Planned Crops Summary
Terry Barefoot
f P Loss Index Rating P Management Recommendation
0-25 Low I No adjustment needed; N based application
Medium No adjustment needed; N based application
51 - 100 Highi Application limited to crop P removal
>T100 Very High Starter P application only j
6/11/2019 8:26:34 AM 212

Waste Utilization Table
Terry Barefoot
The Waste Utilization table shown below summarizes the waste utilization plan for this operation. This plan 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 table to ensure that the plan adequately provides for the utilization of the manure generated by the operation.
Waste Utilization Table Year 1
Nltrcgen ,Comm Manure; Liquid Solid . Liquid Solid
PA >feft #tea PA z: Manure ?Manure :Manure _iw hb;,
2JZ. Nutrient, Nutrient (IIisIA) Nutrient; Applied; Applied Applied Applied::
' >Req d Applied Applied (acre} (acre) (Field) {Field) 5
(lbalA) {IlurlA)
Field Source - " Total `-. Wettable Applic + Applio 100b `. "
7ractlD ..ID; ID "SNiif AcreAge Aoreage ?. CrtpName RYE P6rlod: i, N .IN N Methnd N ,< gaVA tone 1000 gals .,tons r
11092 1 831 BOA 12A0 10,31 Cereal/Annual Rye O/S, 0Tons 1011-3131 100 0 0 Irrig. so 27.74 0 285.99 0
Hay-4!7 Harvest
11092 1 S 31 tlBoAl2L.4010.31 Hybrid Bermudagrass Hay 5.4 Tons 3/1-9/30 265 0 0 Irrig. 0 147.02 0 1,515.74 0
11092 2 S31 19.17 Cereal/Annual Rye O/S, 0 Tons 1011-3131 100 0 0 Irrig. 50 27.74 0 531.76 0
Hay-4l7 Harvest
11092 2 S31 19.17 Hybrid Bermudagrass Hay 5.4 Tons 3(1-9/30 265 0 0 Irrig. 265 147.02 0 2,818.31 0
Total Applied,1000 gallons 5,151.79
Total Produced,1000 gallons 2,452 84 -
Balance, 1000gallons (2698.95) ,_,*;..
..............
Total Applied tons 0.00
Total Produced tons 0.00
Balance tons 0.00
6/11/2019 8:26:50 AM 1/2

Waste Utilization Table
Terry Barefoot
Waste Utilization Table Year 2
C01111 hi.�' Id-
5:
A ' '
as.
Nutrient Attlitildht .(Ibs[A) Apimid,, Applioo'•- -'.A
Kegtl l
Applied AppbedF (acre) '(acre) (Field) (Faid)
(I IA)�!
..... ... ..
fletd :Source Total;i
Wettibi
App t 1000 .
'RY E
0 0 4 0i gals:
ID 2 t SMO j r ,,
go .. I ,, �� :
N' Oibd;, ,
-Mothod W,
11092 1 S31 BOA 12.40 10.31 Cereal/Annual Rye OfS, 0 Tons 1011-3131 100 0 0 Irrig. so 27.74 0 285.99 0
Hay-4/7 Harvest I I 1 1
11092 1 S31 BoA 12.40 10.31 1 Hybrid Bermudagrass Hay 5.4 Tons 0 0 Irrig. 0 147.02 0 1,515.74 01
11092 2 S31 BaA 23.00 19.171C Hay-4/7
Rye O/S, 0 Tons 10/1-3(31 100 0 0 Irrig. so 2774 0 531.76 0
H _4/7 Harvest
11092 2 S31 BOA 23.00 19.171 Hybrid Bermudagrass Hay 5A Tons 311-9/30 265 0 0 Irrig. 265 147.02 0 2,818.31 0
Total Applied,1000 gallons 5,151.79
Total Produced,1000 gallons 2,452.84
Balance, 1000 gallons (2,698.95)
Total Applied,tons 0.001
Total Produced,
Iona ':5'L 0.00
Balance,tons 0.00
Notes:1. In the tract column,-symbol means leased,otherwise,owned. 1.Symbol^means user entered data.
6111/2019 8:26:50 AM 2/2

Terry Barefoot
6/1 012 01 9
Type of Plan: Nutrient Management with Manure Only
Narrative:
Farm has existed as Feeder to Finish operation. Changing to Gilt Developer in 2019 with 2646
head.
Field sizes based on site detail map and prior WUP dated 3/22/2011
Soil series updated to current Web Soil Survey data.
6/11/2019 8:27:03 AM 1/1

Required Soil Test Values
Terry Barefoot
The Required Soil Test Values shown in the following table provide a summary of recommended actions that
should be taken based off information provided at time of soil tests. Fields that receive manure must have a soil
analysis conducted at least once every three years. 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 Ibs/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 first crop listed 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. If the first crop or rotation changes,
these recommendations may need to be reevaluated to ensure optimal ranges ofr crop production are
maintained.
Tract to Field ID.Crops) - pH lime Recom. Cu-I Copper Zn-I Zinc
for Crop(s) Recommendation Recommendaton
(tonslacre)
11092 1 6.1 0,0 98 0,0 120 D,0
11092 2 6.4 0,0 88 0,0 94 0,0
Zinc and Copper Toxicity Levels in Soils
Metal Soil Test Index Recommended Action
Zn 300 Limit application on peanuts.Maimain so[pH>=6.0.
500 Cease application on peanut land.Maintain soil pH>=6.0.
2000 Caution:seek alternative site(all crops).Maintain soil pH>=6.0.
3000 Cease app)ication(all crops).Maintain soil pH>=6.0.
cu 2000 Caution:seek alternative site(all crops).Maintain soil pH�=6.0.
3000 Cease application(all crops).Maintain soil pH>=6.0.
6l1112019 8:27:14 AM 1 11

Lagoon Sludge Nitrogen Utilization
Terry Barefoot
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 Mdxtmum Sludge.. S,Years 0 Years 15 Rears
drop pAN Rate AppLcaLon hate' AcCumulatton AMC Umul@t1oR Accumulation
ib/ac.� 7QOO�aII�c Mmrm'i{(n,AcreslVFrmmum ? .Mrnimt{i7t Acres
AGrQ;
False
Swine Lagoon Liquid - Feeder-Finish
Broadcast or Irrigation Application
lbs. PAN 4,453.00 8,906.00 13,369.00
Corn, grain(144 bu) 135 13.24 33.00 66.00 99.00
Bermudagrass Hay(6 tonlac RYE) 276 27.06 16.00 32.00 48.00
Soybean(40 bu) 156 15.29 29.00 57.00 86.00
Soil Incorporation or Injection Application
lbs. PAN 5,344.00 10,688.00 16,031.00
Corn, grain(144 bu) 135 11.03 40.00 79.00 119.00
Berm udagrass Hay(6 ton/ac RYE) 276 22.55 19.00 39.00 58.00
Soybean (40 bu) 156 12.75 34.00 69.00 103.00
*Example using Foreston loamy fine sand(FoA)in Duplin County, NC.
** If the nutrient source did not originate from a lagoon, this report is not required and will not calculate.
6/11/2019 8:27:27 AM 1/1

Required Specifications For Animal Waste Management
i. 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.
z. 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/herthe 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.
s. Animal waste shall be applied to meet, but not exceed, the nitrogen needs
for realistic crop yields based upon soil type, available moisture, storical data,
climatic conditions, and level of management, unless there are regulations
that restrict the rate of applications for other nutrients.
a. 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.

e. 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 may be 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.
s. 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.
io. 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.
ii. 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 be at 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 than 25 feet to perennial waters.
12. Animal waste shall not be applied closer than 100 feet

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.
is. Animal waste shall not be discharged into surface waters, drainage ways, 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 water courses, 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 wash down facilities, showers,toilets,
sinks, etc., shall not be discharged into the animal waste management
system.
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.
i9. 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.

2o. 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.
zi. 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.

Vlumd States Oepartmam of Ngrkulwre
NUTRIENT MANAGEMENT PLAN
SUPPLEMENTAL INFORMATION
N.C. Practice Job Sheet: NC-590
Prepared for:
By:
Farm: Tract(s): UO'iZ Dater( /10_j_jj
WHAT IS NUTRIENT MANAGEMENT?
Nutrient Management is applying nutrients
from all sources with the right placement, in fertilizer and manure application methods,
the right amount, at the right time, and from When precision ag/variable rate application
the right source to minimize nutrient losses to technology is utilized, see the next section of
surface and groundwater. This practice is this Job Sheet for additional guidance on plan
accomplished through development and requirements.
implementation of a Nutrient Management
Plan, which can be part of a broader aerial site photograph(s)/imagery or site
Conservation Plan or CNMP that addresses map(s), and a soil survey map of the site,
multiple resource concerns. Sufficient sails information—such as dominant
soil map until for each planned Feld—needed
PURPOSE OF NUTRIENT MANAGEMENT to apply nutrients at RYE and Soil Test Report
determined rates as appropriate: and to not
A nutrient management plan is intended to exceed rates determined by nutrient risk
accomplish one or more of the following assessment planning criteria.
objectives: location of designated sensitive areas and the
associated nutrient application restrictions and
• To budget, supply,and conserve nutrients for setbacks,
plant production.
• results of approved risk assessment tools for
• To minimize agricultural nonpoint source any necessary evaluations for nitrogen,
pollution of surface and groundwater phosphorus, and erosion losses.
resources.
• current and/or planned plant production
• To properly utilize manure or organic by- sequence or rotation,
products as a plant nutrient source.
• soil,water, compost, manure, organic by-
• To protect air quality by reducing odors, product, and plant tissue sample analyses
nitrogen emissions(ammonia,oxides of applicable to the plan. Where non-NCDA soil
nitrogen), and the formation of atmospheric testing labs are used, nutrient
particulates. recommendations must be made using NCDA-
• To maintain or improve the physical, chemical, similar guidelines and methodologies. Note:
and biological condition of soil. high levels of soil copper and zinc may be toxic
to production crops. Land application of these
nutrients must be accordance with
CONTENTS OF THE NUTRIENT NCSU/NCDA crop toxicity guidelines.
MANAGEMENT PLAN Realistic yield goals for the crops planned for
The following components are included in nutrient application,
nutrient management plan specifications
typical of more `traditional'
NC-590 Job Sheet May 2015 page 1

• Planned nitrogen application rates based on rates must be provided as specifications prior
NC Realistic Yield Expectations(RYEs)or to application.
sufficiently documented yield records,
• Note—where Diammonium phosphate (18-46-
• The Nitrogen Leaching Index for planned 0)is the primary variable rate P fertilizer
fields, source applied on legume crops, additional N
• Planned P & K application rates based on soil will likely be needed to achieve RYEs.
test results (see next section where P & K The plan was developed based on the current
applied through variable rate technology). MRCS 590 standard and Federal, state, or
• listing and quantification of all nutrient sources local regulations or policies. Changes in laws
and form, including starter fertilizer or regulations may require a plan modification.
applications and legume-based cover crop This Job Sheet is a required supplement to
mixes. the Nutrient Management Plan.
• in accordance with the nitrogen and
phosphorus risk assessment tool(s),specify NC Permitted Animal Operations: For NC
the recommended nutrient application source, DENR-DWR or NPDES permitted animal
timing,amount(except for precision/variable operations, the waste utilization portion of the
rate applications specify method used to Certified Animal Waste Management Plan
determine rate), and placement of plant (CAWMP)must meet requirements specified by
nutrients for each field or management unit, the Permit. The NC 1217 Interagency Group
and provides guidance on the required minimum
elements of a CAWMP. This guidance is found in
• guidance for implementation, operation and Sec 1.1 of the latest 1217 Guidance Document,
maintenance, and recordkeeping as specified located at:
by the CNMP or applicable NC DWQ or httg:/iWww.ncagr.gov/SWC/tech/guidancedocumen
NDPES permit. ts.html.
Where precision/variable rate nutrient
application applications are planned and Nitrogen Leaching Index Values
made, some required planning components of Nitrogen Leaching Index values, obtained through
the preceding section may be provided by the use of current Soil Hydrologic Group(SHG)-based
overall conservation plan. In addition, the LI index maps in Sec II of the NC FOTG or RUSLE
2 field-specific soil loss calculations, are included
following components are required in nutrient in the Nutrient Management Plan. SHGs per soil
management planning. map unit are available through selection of the Soil
Data Explorer and Soil Properties and Qualities
• The geo-referenced field boundary and data (then select"Soil Qualities and Features)tabs
collected that was processed and analyzed as once an Area of Interest has been defined in
a GIS layer or layers to generate nutrient or NRCS Web Soil Survey.
soil amendment recommendations.
If the Nitrogen Leaching Index> 10 for planned
• Planned nitrogen application rates based on fields, appropriate conservation practices must be
NC RYEs or sufficiently documented yield included in a conservation plan to prevent nitrogen
records from leaving the field via surface or subsurface
• The Nitrogen Leaching Index for planned runoff.
fields. Below are conservation crop management
• The nutrient recommendation guidance and techniques and practices recommended for
recommendation equations used to convert the mitigation of nitrate losses (practices also
GIS base data layer or layers to a nutrient documented in conservation plan):
source material recommendation GIS layer or
layers.
• Soil testing documentation that crop
Phosphorus(P205) and Potassium (K20)
nutrient or soil amendment application will be
made per soil test results similar to NCDA
guidelines. Where P& K will not be applied
via variable rate application technology, but by
basic GPS guidance, recommended P&K
NC-590 Job Sheet May 2015 page 2

NUTRIENT MANAGEMENT PLAN PLAT Categorical Ratings Information
DEVELOPMENT When soil test phosphorus continues to increase
The nutrient management plan has been on a long term basis, PLAT may produce results
developed to meet nutrient application rate criteria that require P-based manure application planning
for all sources of nitrogen, phosphorus,potassium and planning for no additional manure P.
as specified by NRCS 590 Nutrient Management Conditions that will require P-based or no-P
standard criteria. planning will be based on site specific resource
conditions,which will facilitate data input into
In addition to NCDA Agronomic Division soil test PLAT. PLAT categorical ratings that will require
recommendations,or soil test recommendations enhanced P application planning are:
made through similar guidelines,the plan is based
on NC INMC approved values for realistic yield HIGH: P-based manure application is'required
goals,nitrogen factors, phosphorus removal rates, (limited to P uptake in harvested crop biomass)
default nutrient values for animal waste,plant
availability coefficients for N, P, and K, and animal VERY HIGH: No additional manure P or starter P
waste generation volumes where applicable. application to be specified in nutrient management
Approved values are found at: plan.
http://nutrients.soil-ncsu.eduhndex.htm
Where manure is applied,farm records may also Phosphorus Drawdown Strategy
be used through a procedure provided in SB 1217 Information:
Interagency Group guidance,available at: Implementation of a phosphorus'drawdown'
httpalwww.ncagr.gov/SWCRechll217committee.17t strategy may be a consequence of PLAT results,
ml or may be requested in order to lower soil test
phosphorus levels.
For NC permitted animal operations, planning Should a reduction in soil test P be desired or
requirements for Plan"Amendments"(minor only the necessary,
modifications) and"Revisions" (Major Y currently proven method substantial P'drawdown' is to not apply manure-
Modifications)are clarified by SB 1217 Interagency based P and to plant and harvest crops that utilize
Group Guidance. P currently present in the soil surface.
Crop specific estimated annual P removal amounts
ADDITIONAL PHOSPHORUS-RELATED are available on the NCSU Nutrient Management
PLAN INFORMATION (Applicable when in NC website:
increases in Soil Test P are expected on htti):Hnutrients.soil.ncsu.edu/vields/index.php
the planned area) Conservation Practices and Management
In NC, a field-specific Phosphorus Loss Techniques to Reduce P Loss Potential:
Assessment Tool (PLAT)evaluation is completed
Conservation practices, especially those that
in accordance with 590 Nutrient Management prevent soil particle detachment and trap sediment
standard General Criteria requirements, and at field edges are effective in preventing
phosphorus must be applied in accordance with phosphorus movement from the planned site.
590 standard Manure Phosphorus Application Manure application techniques can also be applied
Rates. to reduce P loss risk. These practices must be
included in the conservation plan where
In addition to the basic plan components, plan determined PLAT risk= HIGH for planned fields.
information on PLAT categorical ratings, P
drawdown strategies, and conservation practices Consult the conservation plan developed in
to reduce P loss risk is required when increases in conjunction with the nutrient management plan for
Soil Test P are expected on the planned area. information on practices recommended to reduce
Typically, this could occur when manure is phosphorus AND nitrogen loss risks. Application
consistently applied at Nitrogen-based rates. High management techniques to reduce nutrient loss
levels of phosphorus in the surface soil layer have risk maybe prescribed below:
been linked to increasing risk of P loss through
surface runoff and leaching.
❑ Increases in Soil Test P are expected
on the planned area(not typical if P
application made per soil test results).
NC-590 Job Sheet May 2015 page 3

Lona Term Strategy for Reduction of Soil P RECORDfKEEPING
Levels: Waste reports from the NCDA&CS Agronomic
As noted in the P drawdown strategy section, the Division,or equivalent, are acceptable sources of
only currently proven method for reducing high information for determining applied manure nutrient
levels of soil P is not applying P, paired with amounts for recordkeeping or crop budgeting
producing crops on the planned site that use purposes.
existing soil P. Where soil P and PLAT
evaluations indicate an increasing risk to water Records must be maintained for at least 5 years, or
quality, substantially reducing soil P levels through for time and manner required by Permit for animal
crop uptake can take many years of operations to document plan implementation and
implementation. When P is not applied,and maintenance.As applicable,records include:
existing soil P is used by crops,eventually,soil will soil, plant tissue, water, manure, and
become P deficient. Consult CES or NCDA organic by-product analyses resulting in
Regional Agronomy specialists for additional recommendations for nutrient application,
information soil test P reduction timelines. quantities, analyses and sources of
Manure P produced in excess of crop nutrients applied,
• dates, and method(s)of nutrient
Consult the nutrient management plan for a requirements: applications, source of nutrients, and rates
Co
quantification of manure generated by the animal of application,
feeding operation that may exceed crop P . weather conditions and soil moisture at the
requirements. time of application; lapsed time to manure
"Manure Hauler" Information incorporation; rainfall or irrigation event,
• crops planted, planting and harvest dates,
All manure waste applied on land owned by or yields, nutrient analyses of harvested
controlled by the Animal Feeding Operation (AFO) biomass, and crop residues removed,
owner or operator must be included in the nutrient • dates of plan review, name of reviewer,
management plan. The volume difference in total and recommended changes resulting from
manure waste generated by the AFO and waste the review, and
applied to land not owned or controlled by the
producer must be accounted for in a nutrient • all enhanced efficiency fertilizer products
management plan. used.
General information on manure waste generated Additional records for precisionivariable rate
by an AFO to be applied to land not owned or sites must include:
controlled by the AFO owner or operator may be . maps identifying the variable application
recorded as specified in the NC CNMP source,timing, amount, and placement of
Certification Sheet and Documentation Checklist or all plant nutrients applied, and
other supplemental documentation to the nutrient
management plan. NRCS CNMP technical criteria • GPS-based yield maps for crops where
require documentation of manure exports off the yields can be digitally collected.
farm (this can be done below). The AFO • Documentation per field nitrogen
ownerloperator should provide the third party application rates do not exceed RYE-
applicator with a current waste analysis in order to based recommended rates
facilitate agronomic crop application of the facility's
generated waste. Should land not owned or . Documentation that applied phosphorus
controlled by the AFO owner or operator be and potassium recommendations do not
included in a nutrient management plan,the exceed recommended rates specified by
complete plan must meet 590 criteria. soil tests.
Type and Quantity of Animal Feeding Operation . For non-variable rate application of P&K,
(AFO)manure generated by the facility: provide applied map with field boundaries
indicating source,timing, method, and rate
of all applications.
Quantity of AFO manure generated to be exported
Where 'chlorophyll reader'technology is
off the farm for third party application: utilized, application records that nitrogen
rates match RYE-based N rates as closely
as possible.
NC-590 Job Sheet May 2015 page 4

OPERATION AND MAINTENANCE
The producer is responsible for safe operation and
maintenance of this practice, including all
equipment. Review the plan periodically to
determined adjustments or modifications to the
plan are needed. In NC, animal operations
permitting provisions may specify more frequent
review periods. Adhere to the following operation
and maintenance provisions:
• Protect fertilizer and organic by-product
storage facilities from weather and accidental
leakage or spillage.
• Properly calibrate application equipment to
ensure uniform distribution of material at
planned rates.
• Workers should be protected from and avoid
unnecessary contact with inorganic fertilizers
and organic by-products. Extra caution must
be taken when handling ammonia sources of
nutrients,or when dealing with organic wastes
stored in unventilated enclosures.
• The disposal of material generated by the
cleaning of nutrient application equipment
should be accomplished property. Excess
material should be collected and stored or field
applied in an appropriate manner. Excess
material should not be applied on areas of high
potential risk for runoff or leaching.
• Disposal or recycling of nutrient containers
should be done according to state and local
guidelines or regulations.
NC-5901ob Sheet May 2015 page 5

76kky 3AR¢F60T rj 1 - Z5
Insect Control Checklist for Animal Operations
Source Cause BMPs to Control Insects Site Specific Practices
Liquid S stems
Flush gutters • Accumulation of solids Q Flush system is designed and operated sufficiently
to remove accumulated solids from gutters as
designed
N Remove bridging of accumulated solids at
discharge
Lagoons and pits • Crusted solids ® Maintain lagoons, settling basins and pits where
pest breeding is apparent to minimize the crusting
of solids to a depth of no more than 6 to 8 inches
over more than 30 percent of surface
Excessive vegetative • Decaying vegetation 0 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 ■ Design, operate, and maintain feed systems
(e.g„ bunkers and troughs)to minimize the
accumulation of decaying wastage
i Clean up spillage on a routine basis(e.g., 7- to 10-
day interval during summer; 15-to 30-day interval
during winter)
AM1C -November 11, 1996, page I

TERRY &KICFo y Sl-LS
Insect Control Checklist for Animal Operations
Source Cause BMPs to Control Insects Site Specific Practices
Feed storage Accumulations of feed ■ Reduce moisture accumulation within and around
residues i nmediate perimeter of feed storage areas by
ensuring drainage is away from site and/or providing
adequate containment (e.g., covered bin for
brewer's grain and similar high moisture grain
products)
■ Inspect for and remove or break up accumulated
solids in filter strips around feed storage as needed
Animal holding areas • Accumulations of animal ■ Eliminate low areas that trap moisture along fences
wastes and feed wastage and other locations where waste accumulates and
disturbance by animals is minimal
O Maintain fence rows and 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 handling Accumulations of animal O Remove spillage on a routine basis(e.g.,
systems wastes 7-to 10-day interval during summer; 15-to 30-day
interval during winter) where manure is loaded for
land application or disposal
O Provide for adequate drainage around manure
stockpiles
O Inspect for and remove or break up accumulated
wastes in filter strips around stockpiles and manure
handling areas as needed
For more information contact:
Cooperative Extension Service, Department of Entomology, Box 7613,North Carolina State University, Raleigh, NC 27695-7613.
AMIC - November 11, 1996, page 2

TEny 6AAE.R*-r SI 2$
Swine Farm Waste Management Odor Control Checklist
Source Cause BMPs to Minimize Odor Site Specific Practices
Farmstead . Swine production A Vegetative or wooded buffers
® Recommended best management practices
N Good judgment and common sense
Animal body . Dirty manure-covered ® Dry floors
surfaces animals
Floor surfaces • Wet manure-covered floors ■ Slotted floors
■ Waterers located over slotted floors
E Feeders at high end of solid floors
■ Scrape manure buildup from floors
❑ Underfloor ventilation for drying
Manure collection . Urine X Frequent manure removal by flush, pit recharge,
pits . Partial microbial or scrape
decomposition ❑ Underfloor ventilation
Ventilation exhaust . Volatile gases 9 Fan maintenance
fans . Dust 0 Efficient air movement
Indoor surfaces . Dust N Washdown between groups of animals
❑ Feed additives
❑ Feeder covers
■ Feed delivery downspout extenders to feeder
covers
Flush tanks • Agitation of recycled lagoon ❑ Flush tank covers
liquid while tanks are filling ❑ Extend fill lines to near bottom of tanks with
anti-siphon vents
Flush alleys . Agitation during wastewater ❑ Underfloor flush with underfloor ventilation
conveyance
AMOC - November 11, 1996, page 1

TEaRy araEFoo, St-zs
Swine Farm Waste Management Odor Control Checklist
Source Cause BMPs to Minimize Odor Site Specific Practices
Pit recharge points . Agitation of recycled lagoon R Extend recharge lines to near bottom of pits with
liquid while pits are filling anti-siphon vents
Lift stations • Agitation during sump tank ❑ Sump tank covers
filling and drawdown
Outside drain . Agitation during wastewater ■ Box covers
collection or junction conveyance
boxes
End of drainpipes . Agitation during wastewater ❑ 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 N Minimum surface area-to-volume ratio
M Minimum agitation when pumping
❑ Mechanical aeration
❑ Proven biological additives
Irrigation sprinkler • High pressure agitation A Irrigate on dry days with little or no wind
nozzles . Wind drift 0 Minimum recommended operating pressure
® Pump intake near lagoon liquid surface
❑ Pump from second-stage lagoon
Storage tank or . Partial microbial ❑ Bottom or midlevel loading
basin surface decomposition ❑ Tank covers
• Mixing while filling ❑ Basin surface mats of solids
• Agitation when emptying ❑ Proven biological additives or oxidants
AMOC -November 1 1, 1996, page 2

TERRY �A�>=oo7 St-Z5
Swine Farm Waste Management Odor Control Checklist
Source Cause BMPs to Minimize Odor Site Specific Practices
Settling basin surface . Partial microbial 0 Extend drainpipe outlets underneath liquid level
decomposition 0 Remove settled solids regularly
• Mixing while filling
• Agitation when emptying
Manure, slurry, or . Agitation when spreading 0 Soil injection of slurry/sludges
sludge spreader . Volatile gas emissions O 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 0 Soil incorporation within 48 hours
field surfaces
O Spread in thin uniform layers for rapid drying
0 Proven biological additives or oxidants
Dead animals • Carcass decomposition 11 Proper disposition of carcasses
Dead animal disposal . Carcass decomposition 0 Complete covering of carcasses in burial pits
pits 0 Proper location/construction of disposal pits
Incinerators • Incomplete combustion P Secondary stack burners
Standing water • Improper drainage IN Grade and landscape such that water drains away
around facilities . Microbial decomposition of from facilities
organic matter
Manure tracked onto . Poorly maintained access 0 Farm access road maintenance
public roads from roads
farm access
AMOC -November 11, 1996. page 3

Tetay &gerop7 51 -2
Additional Information: Available From:
Swine Manure Management; .0200 RuleBMP Packet NCSU, County Extension Center
Swine Production Farm Potential Odor Sources and Remedies; EBAE Fact Sheet NCSU—BAE
Swine Production Facility Manure Management: Pit Recharge—Lagoon Treatment; EBAE 128-88 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 103-83 NCSU—BAE
Calibration of Manure and Wastewater Application Equipment;EBAE Fact Sheet NCSU—BAE
Controlling Odors from Swine Buildings; PIH-33 NCSU—Swine Extension
Enviromnental 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 Flies; PRO107, 1995 Conference Proceedings Florida Cooperative Extension
AMOC -November 11, 1996, page 4

Terry Barefoot Farm
Terry Barefoot
P.O. Box 1104
Four Oaks, NC 27524
Rick Bolich
Division of Water Resources
1628 Mail Service
Raleigh, NC 27699-1628
Subject: Modification to Swine Permit Jk
51-0025 G".Ajaw.
ale.,.. operador. ;-cteon
Dear Mr. Bolick,
It is now time for the renewal of the permit for my swine finishing
operation in Johnston County. Before the new permit is sent out, I would
like to request a modification in testing that I am presently doing.
In 2001, I had six monitoring wells put around my farm to check for
nitrates that could be traveling beyond the compliance boundary. At that
time, Jay Zimmerman was on site during the installation. Those wells were
to be tested three times a year.
At the time of installation, I was told if a well goes two years without
going over the 10.0 limit for nitrate I could have that well deleted from
future testing.
Since installation, I have had four of the wells deleted from testing for
not going over the 10.0 limit for two years. At this time, I would like to
request to have another well (No. 3) deleted from future testing. This well
has gone four years without going over the 10.0 nitrate level. I am enclosing
copies of the results for that well for the last four years for you to see.
I would also like to request to have monitoring well #1 removed from
future testing. This would be my last well. In the last four years, this well
has had some test results over the 10.0 nitrate level, but not very much over.
(See attached sheets) This well is 40 feet down grade from my lagoon. It
being that close, it will be hard to ever get two straight years with no limit

10.0 or under. All the other wells were seventy-five to two hundred yards
away from the lagoon and placed around my spray fields. This well is on the
backside of the lagoon and downhill. Since there are no houses for over one
and a half miles away in that direction, there is no danger of contamination.
Some of the other wells had houses across the road from them.
The wells, over the last nineteen years, have been a great financial
burden of mine. The cost of testing has really increased during this time. It
used to cost $2,800.00 a year to test six wells. At present, it will cost me
$2,000.00 a year to test one well.
If you decide not to delete my last well (#1) from future testing, I
would like to request the testing stay at three times a year rather than the
four times that is in the new permit.
Thank you for your consideration of my request.
Sincerely,
Terry Barefoot
CC: Jay Zimmerman
Jeff Poupart
Ramesh Ravella

3, 1 Lq 17 65
2-61
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2.
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- -- WATER QUALITY vtvtstunt,t "u" ----_-
GROUNDWATER QUALITY MONITORING: i83BMAIL SERVICE CENTER
E C 1 6 !
L �`�l1AI�LIANCE REPORTFORM please Print C/early or type ^ -
PERMIT#:AW-S Sl 002-' EX
_ PIRATIC
Non-Discharge _. .UIC
Facility Name:
Permit Name(if dill ant *
NPDES
U yypE OF pEgMITTED OPERATION BEING MONITORED
Fa pity Ad ass: " t ,> t of County Lagoon- Remediatidn:infiltration Gallery -
•7 -------
Telephone#: C_Spray Field ___-_._ Remaatlon:.---•------ ------�
Contact Person: No,of Wells to be Sampled: Rotary Distributor L Application of Sludge
Well Location!Site Name:
•_._...� and
Well Identification Number(from Permit): For Grmndwater Yresiment Systems _-•-_-.-.-
• L ft. Well Diameter:�-in. check One:❑ influent (98)
Well Depth: ft. ❑ Effluent (99) Values should reflect dissolved and
Screened Interval:. n•to colloidal concentrations.
Depth to 9 star Levek
&• - ft.below measuring point.
Measuring Point(M.P.)is.._.. - ft.above land su ace. Relative M.P. Elevation In ft.: 1 Date sample analyzed:
1)8 sample collected: W Laboratory Name:
Gallons of water pum ailed before sampling: ., has
Field analysis: pH Specific Conductance- Certification No.
---°C� Odor Appearance
Tempj.
NO and field acidified ___..__YES NO) mg/l
pAR ME19 (Samples for metals were collected unfiltered _�Y,) mg/1 Ni - Nickel �� mg/l
COD _--.-. _�_� mg/l Nitrite (NO2} as N / mg/l Pb - Lea
Coliform: MF Fecal .�___� /100ml Nitrate (NO3) as N mg/l Zn -Zinc mg/l
Coliform: MF Total /100ml Phosphorus. Total as P �^ mgA Ammonia Nitrogen mgit
Orthophosphate__
(Note:Use MPN method for highly turbid samples) m I Al -Aluminum __ mg/1 Other (Specify Compounds and Concentration Units)
Dissolved Solids: Total _ g/ mg/l
pH (when analyzed) units Ba - Barium Ca mg/l
TOC_. mg/l Ga- Calcium
Chloride mg/l Cd-Cadmium mg/l
Arsenic mg/l Chromium:Total mg/I
Grease and 011s mg/l Cu -Capper mgA ORGANICS: (GC,CC/MS.HPLC)
Phenol .— mg/1 Fe - Iron mg/I (Specify test and method#.Attach lab report")
Sulfate — — mg/l Hg - Mercury mg/l Report Attached? yes—(I) No —{0;
Specific Conductance_ uMhos K - Potassium mg/l VOC : method#
�Q mg/l Mg - Magnesium : method#
mg/l = _--
Total Ammonia— mg/l Mn - Manganese_ : method#
TKN as N — --
s
- Perini gee(or Aut odte1 Agent)Name 7itte Please print or Npe
�t
i (Date)
I GW-59
Signatur of Permit (or Autho ant)
Rev.0312000
i

-GROUNDWATER QUALITY MONITORING: 1618 FAIL SERvtcn Lit"I rn pone, 9c 27 16
' COMPLIANCE REPORT FORM please Pant aesrly or type EXPIRATION DATE:
PERMIT#: •t ��.6
I'!t� -�— Non-Discharge UiC
T r^
Facility Name: oa — �~
NPDES— -----�
Permit Name (if di re ): TYP-QF pE� pMI "I'E!�OPERATION BEING MONITORED
F ility Addr s: ' t ,,,.0 r County Lagoon ,Remediatton:Infiltration t3altery
t t Spray Field Remediadon:
".6 Telephone#f:"��.--- � p Y
Contact Person: No.of Welts to be Sampled: , Rotary Distributor - Land Application of Sludge
Well Location/Site Name: stems _ Other:
For Groundwater Yrealmi Sy
I Well Identificatygn Number(from Permit): In Values should reflect dissolved and
J No
ft. Well Diameter: Check One:® influent (98)
Well Depth: ft.to - ❑ Effluent (99)
Screened Interval: - colloidal concentrations.
Depth to Water Level:2�f- ft•below measuring point.
f��'ft.above land surface._ Relative M.P.Elevation in ft.: . 5�f Date sample analyzed:
Measuring Point(M.P.) pate sample collected: -
Gallons of water pumps bailed before sampling: uMhos Laboratory Name;
, Specific Conductance Certification No.
Field analysis: pH Appearance ro
Temp. r 6 °C,Odor _NO)
YES _NO and field�acidifled —YES mg/1
(Samples for metals were collected unfiltered.-- __ mg/I Ni - Nickel mg/
EARAMINJA mg/l Nitrite (NOS) as N mg/l Pb - Lea mg/
COD _ /l ooml Nitrate (NOO as N mgll Zn -Zinc
Coliform: MF Fecal h ooml Phosphorus: Total as P mg/1 Ammonia Nitrogen mgl
Coliform: MF Total Orthophosphate
mg/l Other(Specify Compounds and Concentration Unit
(Note:Use MPN method for highly turbid samples) Al . Aluminum mg/l . mg/l
Dissolved Solids: Total units Ba- Barium mg/I
pH (when analyzed) --' mg/l Ca- Calcium mg/l -
TOC _ mg11 Cd - Cadmium mg/l
Chloride mg/l Chromium:Total mg/l
Arsenic mgfl Cu - Capper--- mg/l ORGANICS: (GC,GC/MS,HPLC)
Grease and Oils mg/l Fe - Iran mg/1 (Specify to and method#.Attach tab report•;
} Phenol mg/l Hg - Mercury mg/i Report Attached? Yes (1) No.._.-
Sulfate uMhos K- Potasslum mg/l VOC method#_�-
{ Specific Conductance IDd mg/l Mg - Magnesium rng/i : method#
Total Ammonia mg/l Mn - Manganese : method#
j TKN as N
M Permi (or Aurized n!)Name snd Tit a-Pleas®Pint or type ji f�
(Date
Sign re of Pe tee(or Au d Agent)
C'-59
Rev.,03/2000
1

�i GUMi°'L.IAIIYt:C HCt�Uri 1 i univl M6r.1%AF1.r1V 4hf 4 - .- - - a
FoCILM INFORMATION Please Print Clearly or Type 00 Z 5 EXPIRATION DATE:
PERMIT#: '1 p'
Facility Name: '�"�' " Non-Discharge UIC
Permit Name (if differ nt : NPDES
F llity ad ss• TYPE OF PERMITTED OPERATION BEING MONITORED
ue• .• County; ti�i . �
It I Telephone#:—` s Lagoon' Remedlat{dn:infiltration Gallery
Contact Person: r r "'' p Spray Field Remediallon:_ ------. -Well Location/Site Name: i' ' No.of Wells to be Sampled:
--+�«� • '► Rotary Distributor Land Application of Sludge
Well Identification dumber(from Permit): For Groundwater Treatment Systems Other:
Well Depth: J ft. Well Diameter: In. check one:❑ Influent (98)
Screened Interval: �_ft.to ft. ❑ Effluent (99) NOTE Values should reflect dissolved and
Depth to Water Level: A . ft.below measuring point. colloidal concentrations.
Measuring Point(M.P.)ist� ft.above land surface Relative M.P. Elevation in ft.:
Gallons of water pum d/balled before sampling: Date sample collected: Date sample analyzed:
� � _ --- -- —
Field analysts: pH Specific Conductance - uMhos Laboratory Name:
Temp. ') _°C, Odor 1/f Appearance ,f;rt W L2 Certification No. - -- - --- _
PARAM919RS(Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD _ mg/l Nitrite (NO2) as N mg/l Ni- Nickel mg/I
Coliform: MF Fecal ./100ml Nitrate (NOO as N mgll Pb - Lead mg/l
Coliform: MF Total /100ml Phosphorus: Total as P mg/I Zn -Zinc -- mg/I
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/I Ammonia Nitrogen mg/I
Dissolved Solids: Total mg/l Al -Aluminum mg/I Other(Specify Compounds and Concentration Units)
pH (when analyzed)^_ units Ba- Barium mg/I
TOC mg/I Ca- Calcium_ mg/I
Chloride mg/l Cd -Cadmium. --- mg/l -- —
Arsenic mg/l Chromium: Total —T mg/I
Grease and Oils mg/1 Cu - Copper mg/I -
Phenol mg/l Fe - Iron. mg/I ORGANICS: (GC,GCIMS,HPLC)
Sulfate mg/l Hg - Mercury _ mg/I (Specify test and method#.Attach lab report.)
Specific Conductance uMhos K- Potassium--- mg/l Report Attached? Yes—(I) No (0)
Total Ammonia C7,100 mg/l Mg - Magnesium _ mg/I VOC : method#=--_
TKN as N _ mg/I Mn- Manganese mg/l method#=
method #=
••a•. •• • f (1 M • • IIIREIN •
IRM
• •• • • err O'� J e
pe r Au rued nt)N9�a�ns and Title-Please print or typpe-
I GW-59 §gnifture of Pe tee(or Whit#Agent) (Date)
Rev.0312000
i

DEPART ENT OF ENVIRONMENT&NATURAL
-= r --=a.�z_._ -- e • WATER dUAutY DiVISION,GROUNDWATER SECTIONRCEs
GROUNDWATER QUALITY MONITORING: ' 1636 MAIL SERVICE CENTER
27690-1636 Phone' S 733.3
COMPLIANCE REPORT (FORM Please Print clearly Or TYPO
PERMIT#: ` c��``� EXPIRATION DATE:EA!QIL IN
Facility Name:
• , Non-Discharge ,_UIC
Permit Name(If dif ere t); NPDES --
F c'iry Ad ass / ` PE OF PERMIII OPERATION BEING MONITORED
'"°°' 1� County � "� —Lagoon, r....-_Remediatidn:Infiltration Gallery
dy ''"" - ! i Telephone#: 14`- � � `17 4 - /Spay Field Remediatlon:-------
Contact Person: a r No.of Wells to be Sampled:
Well Location/ Site Name: Rotary Distributor _._...Land Application of Sludge
Well Identification Number(from Permit): For Groundwater Treatment Systems
Other. --__
Well Depth: ft. Well Diameter:_In• Check One:❑ influent (98) �a�.�: Values should reflect dissolved and
Screened Interval: � -ft.to_ ft ❑ Effluent (99)
colloidal concentrations.
Depth to Water Level:. _ft.below measuring point.
Measuring Point(M.P.)is:!.-61Z ft.above land surface. flelative M.P. Elevation in> V �j-2 Date sample analyzed:
Gallons of water pumped/bailed before sampling: Ja Data sample collected:
Laboratory Name:
uMhos
Field analysis: pH- ' -- , specific Conductance r == ,� Certification No.
Tamp.J��S 'C,Odor Arm Appearance
NO and field acidified YES NO) mgn
PARAMETERS (Samples for metals were collected unfiltered- _..—YES M
gfl Ni- Nickel ---
_ m I Nitrite (NC2) mgA
COD -- g/ as_��/1OOml Nitrate (NOs) as N__. � �' _ glt Pb - i_eacl--.. � g�
Coliform: MF Fecal mg/l Zn -Zinc --- — --- m
Coliform: MF Total __ /100ml Phosphorus; Total as P mg/l Orthophosphate Ammonia Nitrogen _ mg/l
(Note:Use MPN method for highly turbid samples) mg/I Al - mg11 Other(Specify Compounds and Concentration Units)
Dissolved Solids: Total Aluminum mg/l
pH (when analyzed) =���� �--units Ba- Barium rrtg/i
IOC mg/l Ca-Calcium mg/l --
r mg/I Cd - Cadmium
chloride mgli
`Arsenic � �. rrlg/i Chromium: Total mg/l
mg/l Cu - Copper mg/I ORGANICS: (GC,GC/MS,HPLC)
Grease and Oils _� rn�i Fe . iron
Phenol _. mg/l Fe - Mercury mg/l (Specify test and method#.Attach lab report.)
Sulfate uMhos K- Potassium mg/l Report Attached"? Yes--) No (0)
Specific Conductance mg/l VOC method#=_ --
Total Ammonia .---r o� 10 f--- mg/l Mg - Magnesium mg/I : method#=
TKN as N —.-- mg/I Mn - Manganese : method.#
Uffad
•r •
• • M • • 6
Per�lreofft
i (or Ihodxed nt)Name and Title- lease print or type
GW-59 �ig ee(or Author a ant)
(Oalel
Rev n'419n)O

%0 11vWAIEWTUME 3-11 VIWi%6.11 1 WSW11111 LJr111Y�r1; � WAICRUVAUIT UIVRNON,UROU'
COMPLIANCE REPORT FORM 1030 MAIL SERVICE CEN R *K7CO882*
FACILjN'qPMA1nQH
Q� Please Print Clearly or Type PERMIT#:RW.5-5 0 25 EXPiRATIC
Facllity Name.
Permit Name(lf dI runt): Mon-Discharge UIC.:
Facility Addre NPDES
ca W P ,r. ,ems Jp,E OF PEiRMITTED OPERATION BEING MONITORED
Iclr) County
Contact Person: v 1 Telephone#:4a 19 Lagoon —Remediation:Inllltrallon�Gallery
Well Location/Site Name: No.of Wells to be Sampled: Spray Field Remedlatlon:..__
Rotary Distributor Land Application of Sludge
Well Identification Number(from Permit): For Crmdyrater Treatment Systems Other
Well Depth:.__ —ft. Well Diameter. QL In. Check One:❑ Influent (98)
Screened Interval: ft.to..-- ft. ❑ Effluent (99) MOTE:. Values should reflect dissolved and
:Depth to Water Level _fL below measuring point. colloidal concentrations.
Measuring Point(M.P.) ft.above land surface. Relative M.P. Elevation In it.:
Gallons of water pu d/bailed before sampling: Date sample collected: • 7 Date sample analyzed:
Feld analysis: pH �' ,Specific Conductance Mhos Laboratory Name:
TempAL 10°C,Odor Appearance Y Certification No.
PARAMF-TEf3S.(Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD mg/i Nitrite (NO2) as N mg/l NI- Nickel f
Coliform: MF Fecal _ /100m1 Nitrate (NO3)as N �~ m9/1 Pb - Leaci__
Collform: MF Total /100ml Phosphorus:Total as P _ mg/l Zn -Zinc __ t
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/l Ammonia Nitrogen_ r
Dissolved Solids: Total mg/l AI -Aluminum mg/l Other(Specify Compounds and Concentration
pH.(when analyzed) L1.a units Ba - Barium_ mg/l
TOG mg/l Ca- Calcium mg/I
[ Chloride. mg/l Cd - Cadmium mg/l
Arsenic mg/l Chromium: Total __ mg/l
Grease and Oils mg/l Cu - Copper mg/l -------�—
Phenol mg/1 Fe - Iron m9A ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/i Hg - Mercury w mg/I (Specify test and method#.Attach lab repo
r Specific Conductance uMhos K- Potassiu mg/i Report Attached? Yes (1) No_
Total Ammonia • /00 . mgll Mg - Magnesium _ mg/I VOC : method #=
TKN as N mgll Mn - Manganese mg/i : method#
method#
1 curt4y that, to the Lest o:[rny knov�ludqe nnd bolief, the inforrnwion sun-nitted i'n th�,i'opcit i.� tfurj, accut-ate, anci ccriL�k)le, ard that 0'1e �'_-J�)oralory analytical dal-awas�)Fodi
-er r
Pemfto(orAu zed nt)Name and Tit -Please print or Mn
KGn
' GW 59 i re of Pe a or Au ti (pa
Rev.03/2000

[%XMUUNIJWA 1 t:K IJUALITY MUNITURINO: K'7A/0 4 ,. faTER 011AL11 r DIVISION,0001INDWATEt SECTION
COMPLIANCE REPORT FORM 6 MAIL SERViCIIIUNTPit
Mcl"914- 113L Ph ne'L919113MIJ
Please Pdot Clearly or Tjrpe -
Facility Name: rr h r PERMIT#:Rio$ 1 0 v z—SEXPIRATION DATE:
PenNt Name(it dill en#): Non-DIscharge Ulc
Facilltv NPDES
County N WE of PERMIMQ OPERATION BEING MONITORED
Gon act Person: r Lagoon _.__.__Rsmedlation:Infiltration Gallery'
Telephone I
Well Location/Site Name: No.of Wells to be Sampled: o� Spray Reid _._,._..Remedleft {
...._.�Rotary Disttutor Land Applicallon of Sludge
Well iden#iNoalioY—In
b®r(from Permit): forGroundweterTrealmnt Systems Other:
Well Depth:Pft. Well Diameter, In, I Check One:® influent (9$)
Screened Intemm IL to ft. 13 Effluent (99) NOTE! Values should reflect dissolved and
Depth to Water LOVS -k ft.below measuring point. colloidal concentrations.
Measuring Point(M.P.)lefi a ft.above land surface. Relative M.P.Elevation in IL:
Gallons of water pumped/bailed before sampling: t�2 Date sample collected:)], 14 Date sample analyzed:
Field analysis: pH 1"'00 Specllic Conductance Mhos Laboratory Name:
Temp. Lam..°C,Odor AAA& Appearance 1 +r ._ Certification No.
PARAMt3TLr!11(Samples for metals were collected unfiltered YES NO and field acidified YES NO)
GOD --- mgll Nltdte (NO2)as N mg/J NI-NlokeL— __. mg/l
Conform: MF Fecal _ ___../100ml Nitrate(NO3)as N ! •O- - _ mg/l Pb-Lea mg/l
Collform:MF Total _. /100ml Phosphorus:Total as P mgA Zn-Zinc - mg/1
(Nora:Use MPH method fair highly turbid samples) Orthophosphate mg/l Ammonia Nitrogen mg/l
Dissolved Solids:Total mg/l Al-Aluminum m9A Other(specify compounds and Concentration Units)
Tp'HH (when
hen analyzed) units Ba-Barlum mg/l
Chloride mg/l Ca-Calcium mg/1
Arsenic mgA Cd-Cadmium mg/l --__
mgA Chromium:Total mg/l
Grease and Olis mgA Cu-Copper mg/l - ------
Phenol mg/1 Fe- Iron mgA ORGANICS: (GC,GC/MS,HPLC)
Sulfate mgA Hg-Mercury mg/1 (Specify test and method#.Attach lab report.)
Specific Conductance uMhos K- Potassiu mg/l Report Attached? Yes—(I) No (0)
Total Ammonia 6oA mg/l Mg-Magnesium mg/1 VOC : method#
TKN as N mg/l Mn-Manganese m94 : method#
method#n
IMIMIROMMIOM Kim
- L r 0i f
Pe ties r adz ad eme and Tide-Pisan print or h+w
GW-59
Rev.MOOD 54AMM 01 Poles(or AgodO (Qa1e
1

SUBMIT FORM ON Y;:L6OW PAPER ONLY + , e v
� �PIIFtrLl�rl'pt?� NA'rlli�+lt« �C1t1Ft� .
GROUNDWATER GYl1f�I..iTY MONITORING: i Ivl7 G t1 '�i QUAL",,ePiT'
COMPLIANCE REPORT FORM 117l1416Ci crxes�. ari` ' xfAs#•rti7 1►)78 t
Please Print Creamy or Tyne PERMIT Number: Expiration Date:
�c1 _ ,gW$"Cam
Facility Name: ,� "; L �tfa ._Fig oy`P - -•— Non-Discharge o ' UIC
Permit Name(if different): !:NPDES Other
Facility Address: e) wt !TYPE OF PERMITTED OPERATION BEING MONITORED
NO County - ❑ La g
non Cl Remediation:Infiltration Galleryf.iy'; st•.:r: s� ❑ Spray Feld ❑Remediation:
Contact Person: Telephone#: �, ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: No,of wells to be sampled: _ '; ❑Water Source Heat Pump ❑Other:
tram P I} �
`�MPLIN6 FOR01ION f• If WELL
AS
WELL ID NUMBER(from Permit): (� Date sample collected: _ _--- FIELD ANALYSES: DRY
at
Well Depth: i,0 ft. Well Diameter. in, pH nits Temp. �S °C time of
DRY
Depth to Water Level: d` ft.below measuring point Screened Interval: ft, to ft. Spec.Cond. µ sampling,
_.- -•- ---•_ ...-- -- ng,
Measuring Point is ft.above land surface Relative M.P.Elevation: ft. Odor check
l Volume of water pumped/balled before sampling: _,gallons Appearance T _ here:
Samples for metals were collected unfiltered: OYES ❑NO and field acidified: ❑YES ❑NO _____---_-_•-T __�-_
Date sample analyzed: Laboratory Name: _ Certification No. -
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD _ M911 Nitrite(NO2)as N mg/I Pb-Lead mgA
Coliform:MF Fecal /100mi Nitrate(NOa)as N mgfl Zn-Zinc mgfl
i Coliform:MF Total _ __.1100m1 Phosphorus:Total as P mg/I
(Nola: Use MPN malhod for highly wMid samples► Orthophosphate mg/I Other(Specify Compounds and Concentration Unit!):
Dissolved Solids:Total _ . --_. .••mg/i AI-Aluminum mgA _
pH(when analyzed) �_- --units So-Barium mg/i
TOC mg/l Ca-Calcium mg/I
Chloride ______mgll Cd-Cadmium mgA
! Arsenic mg/I Chromium:Total mgfl T �.
Grease and Oils mg/1 Cu-Copper, ___mgA ORGANICS:(by GC,GC/MS;HPLC)
Phenol _ mg/I Fe-Iron. mgfl (specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury_- mg/I Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance µMhos K-Potassium mgfl VOC_- _-,method#
I Total Ammonia Scjd) mgA Mg-Magnesium mg/1 _ method# ,
(Ammonia Nitrogen;NHaas N.Ammonia Mirogen,rotary Mn-Manganese mgA method# -
TKN as N mg/I Ni-Nickel mg/I method#
For Remadiation Systems Only(Attach Lab Reports): Influent Total VOCs mg/L Efffuent Total VOCffi: rmg/L VOC Rarnml%
permlttae(or AuthorlxedAmmt)Name and Title•Please print or type Slunature oyPefrnftlas(aC.1horilld Arran ) (Date)
GW-59 Rev.1/2oc7

SUBMIT FORM ON Y ny�J PAPER ONLY ' 0
0
GROUNDWATER QUALITY MONITORING: `,
COMPLIANCE REPORT FORM
Rease dntQ1#adyorTYP$ PERMITNurnber_ ExpErationDa#e:
FACILITY INFORMATION Facility Name. Ries r�s7f� - �Al21'Z- Non-D[saharge /��� UtC
Permit Name(If different):
NPDES Other
Facility Address: .©• 0' TYPE OF P> RNIITTED OPERATION BEING MONITORED
Mil"'10 NC ❑ Lagoon
r k �, In ❑hemediaiion:Infiltration Gallery
Ck, ($duet PO ee?? C�Spray Field ❑Remediation:
Contact Person: a t'!�� CG`� Telephone#:_ 1/9:44 719 ❑ Rotary oistributor ❑Land Application of Sludge
Well Location/Site Name: n+ No.of wells to be sampled: ❑ Water Source Had Pump ❑Other.
mPe
!f WELL
SAMPLING Ih1FQ$MATl0A d WAS
WELL ID NUMBER(from Permit)• Date sample collected: 7-9-1? FIELD ANALYSES: � eC DRY at
Well Depth: .71 it. Well Diameter: in. pH 5 0 units Temp. I(-
µMhos ime of
Depth to Water Level: 1 _ l.ft.below measuring point Screened lrltcrvat: ft. to fk Spec.Cond. sampling,
Measuring Point Is 0_ -ft,above land surface Relative M.P.Elevation: fl. Odor check
Volume of water pumped/ballad before sampling: r gallons Appearance G here:
am lee for metals were collected unfiltered: ❑YES E]NO -and field acidified: C]YE8 ❑NO -
I ABOUXQF(Y INFORMATIC)N -
Date sample analyzed: Laboratory Naine: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NCJ)as N mg/I Pb-Lead mgn
Coltiorm:MF Fecal /100ml Nitrate(NO3)as N_ r/, ,_mg/l Zrr-Zinc m91f
Coliform:MF Total 1100ml Phosphorus:Total as P mg/l
{ (Nat®:Use MPN method fbrhlgMytWdsempiee) Orthophosphate mg/I other(Specify Compounds and Concentration Units).
j� Dissolved Solids:Total nigh Al-Aluminum mgA
pH(when analyzed) units Ba-Barium-• nVil Y --
TOO_ mg/l on-Calcium mg/l --
Chloride mgA Cd-Cadmium mg/I
j Arsenic mg/l Chromium:Total mg/I
Grease and Oils mgA Cu-Copper mg/I ORGANICS:(by GC,GO/MS,HPLC)
Phenol mg/I Fe-lron mg/I (Specify test and method#,ATTACH LAB REPORT.)
sulfate mg/I Hg-Mercury mg/I Report Attached? ❑ 'Yes(1) ❑ No(0)
Specific Conductance AMhos K-Potassium Mg1I VUC _ method# --
Total Ammonia 1 . .i{� _;mg/i Mg-Magnesium mgil method 0
(AmmoNe Nnrogrn.NHaea N:Ammenle K11" n,Totall Mn-Manganese mg/I method# .�.
TKN as N mgA Ni-Nickel mg/l method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs; mg1L Effluent Total VOCS: mg/L VOC Removal%
Pennirtse(nrAutho ed Apent'Nzrna mid TNIo-please mint or type Signature of P rmiue for AutqDted Aaenl) (D °)
GW-69 Rev.1/2007
I

• DEPARTTNUMT UP ttVYHluNMtN 1 A NNI VMA16 r;aavun"a
i^aR04J1C�WA1-ER Gllf'ALfTY MONITORING: waTrrl�ouaurr DlvtsloN,araourtowasER sla+�irloN
fi • 1636 Ntall.SERVICE GEi+ITC R
— � (��^ NC 2•y69 nit phones 9 733rs
MPLI�INCE_��PORT' FORM -----�_. =-=Y i�il:�...�_�..
Fa t�ITY INFi��ATIQN Pleases Print Clearly or Type PERMIT#: $ �/�c M EXPIRATION DATE:_.
Facility Name:, eDry fi6.i'C- S Non-Discharge----..----,
Permit Name(If different): NPC9E5
Facility Address: C c. ---" E OF PF,�2 OPERATION Et:ING MONITORED
_ �' vie tom*' /VC �� ' County
Contact Person' •� — (fb) f Lagoon Romediation:Infiltration Gallery
� : ��F� � Telephone#:
�� t Na.of Wells to be Sampled:',-
9 --�"'�Spray Red ----�---Remediatian:
Wet[Location/Site Name: '' i Rotary Distributor Land Application of Sludge
Well Identificatlon Number(from Permit):���_ For Groundwater Treatment Systems _ _..a Other.
Well Depth:._ -� 1 _ _ft. Well Diameter: In. Check One:❑ Influent (98)
Screened Interval: ft.to ft, ❑ Effluent (99) N©TE: values should reflect dissolved and
Depth to Water Level:- 7 -ft.below measuring point. m colloidal concentrations.
Measuring Point(M.P.)IA: = ' ft.above land surface. Relative M.P.Elevation In ft.: sample analyzed.,
Gallons of water pumped/bailed before sampling: ., Date sample collected: -� -�� pate p
Field analysis: pH : � , Specific Conductance ._—uMhos Laboratory Name: .
Temp. 1. -C,Odor f,0Ae, Appearance .1 t dlo-- _ Certiltcation No.
PA AMI_TM(Samples for metals were collected unfiltered—YES ,..._,_NO and field acidified .,_.,•,_.,,YES �NO)
COD mg1I Nitrite (NO2) as N _ mg/I Ni - Nickel—­
Coliform: mg/I
Coliform: MF Fecal ___ /100m1 Nitrate (NO3) as N _..- mg/I PI)- Lea d— -- m911
Coliform: MF Total /I00m1 Phosphorus: Total as P. mg/1 Zn -Zinc mg/1
(Note:Use MPiN method for highly tUrbld samples) Orthophosphate mgN Ammonia Nitrogen mg/1
Dissolved Solids: Total-___._ mg/I AI -Aluminum mgJ! Other(Specify Compounds and Concentration units)
pH (when analyzed) units Ba - Barium mg/I .-�--
TOC T ����- mgfl Ca- Calcium mg/1 _.
Chloride._.__ - — _—_ m9/I Cd - Cadmium - mg/1
Arsenic _- --_ �_. mg/I Chromium: Total_.__ — mg/I --
Grease and Oils _mgA Cu -Copper ---- mg/I ORGANICS: (�C,GCSMs,HPLC)
Phenol _ _ _ mg/l Fe - Iron__ _�_� __ -- 9
Sulfate mg/I Hg - Mercury mg/l (Specify test and method#.Attach tab report.)
Specific Conductance u[Vlhos K - Potassiu n mgn Report Attached? Yes—(I) No.._._..(0)
Total Ammonia -- — mg/1 Mg - Magnesium mg/I 1/OC method#
TKN as N __ mg/l Mn - Manganese— __.. mg/l method#
method#=
Imill •
• • s a
parwase(vr ri Agant NsrrWe and lito- anam print or type
GW- S-Uiidre of P e(or o enty
Rev,0312000

UHUUIYUVVHI en WUHL.1 I T Ivi%J1Y1 I vn11N%2. _.. _.___. ..
COMPLIANCE REPORT FORM RAL80K NC
MAIL SERVICE 9I:N36 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or type
PERMIT#: EXPIRATION DATE:
Facility Name: Non-Discharge ��W3 S-100".5 -- uIC
Permit Name(if different)- NPDES
Facility Address: ML ' riG ahnSt� TYPE OF PERMITTED OPERATION BEING MONITORED
� County -.. -
r vi h Is.r�•t t t Lagoon Remediation:Infiltration Gallery
Contact Person: Y �Rere6 - - Telephone#:9/`1- " 7911
Well Location/Site Name: No.of Wells to be Sampled: t Spray Field Land AppliRemedlationcation
��' "" _._.Rotary Distributor Land Applica#ion of Sludge
Well Identification Number(from Permit): For Groundwater Treatment Systems Other:
Well Depth: �21 ft. Well Diameter: in. Check One: ❑ Influent (98)
Screened Interval: ft.to ft. ® Effluent (99) NQT1 Values should reflect dissolved and
Depth to Water Level: 149 ff.below measuring point I colloidal concentrations.
Measuring Point(M.P.)is: 6TA( ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumps ailed before sampling: �?�,? Date sample collected: 3 .t}%-r 9 Date sample analyzed:
Field analysis: pH , Specific Conductance uMhos Laboratory Name:
Temp. -12. °C,Odor Appearance 1310212.2' Certification No.
PARAMETERS(Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD mg/l Nitrite (NO2) as N mg/l Ni - Nickel mg
Coliform: MF Fecal /100ml Nitrate(NO3) as N mg/l Pb- Lead mg
Coliform: MF Total /100ml Phosphorus: Total as P mg/l Zn -Zinc mg
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/1 Ammonia Nitrogen mg,
Dissolved Solids: Total mg/I Al -Aluminum mg/I Other(Specify Compounds and Concentration LIN
pH (when analyzed) units Ba- Barium mg/l
TOC mg/I Ca- Calcium mg/l
Chloride mg/l Cd -Cadmium mg/l
Arsenic mg/1 Chromium: Total mg/I
Grease and Oils mg/1 Cu -Copper mg/I
Phenol mg/1 Fe - Iron mg/I ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/1 Hg - Mercury mg/I (Specify test and method C Attach lab report.)
Specific Conductance uMhos K- Potassium mg/I Report Attached? Yes—(I) No
Total Ammonia 4 D- � 0 0 mg/l Mg - Magnesium mg/l V0C method#=
TKN as N mg/l Mn - Manganese mg/l method#=
method#=
- - • the • • r • • - .• • • _ •
• • r • • r 9 9 • 9 • • • rMiss• ■
- — — -
Perini a r Au orited Agent)Name and Title-Please print or type
}aW-59 Signa re of Perm (or Aulhoriz q (Bate)
Rev.03/2000
i

OMPLIANCE REPORT FORM '-,-t C' L, --`` z Phone: ,s 733-322
A N Please Print Cfeerly or TYPe PERMIT#: EXPIRATION DATE:
Facility Name: Icr ►tre 0t 62r Non-Discharge_AtJgS'lr�c�z --
Permit Name(if different): NPDES ----�
Faciiity�A ess: p$ o Coun 'I p OF PERM OPERATION BEING MONITORED
+ '°so 1+r. 7 ty h
Foul;
tcuvl ts�.s taa Telephone#: l Lagoon- -.Aemedlatton:Infiltration Gallery
Contact Person: r
td Na.of Wells to be Sampled: -�--Spray Fleld Remediation:
Wr;tt Location/Site Name: W`« i Rotary Distributor -Land Application of Sludge
Well Identification Number
r(from Permit): For Gmundwater Treatment Systems _..�..�Other:
Well Depth: __ ft. Well Diameter:_ -In. Check©ne:n Influent (98)
Screened Interval: ft.to ft. Effluent tgg) NQI.E Values shoufd reflect dissolved and
Depth to Water Level:_ L ft,below measuring point colloidal concentrations.
Measuring Point(M.P.)imjEttL ft.above land surface. Relative M.P.Elevation in ft.: Date sample analyzed:
Gallons of water pumped/bailed before sampling: 4Z Date sample collected: - -�vi _
5'- Specific° S Con u s uMhos Laboratory Name:
Field analysis: pH.- p J � Certification No.
Temp. .96-t°C,Odor Appearance
PARAMETERS(Samples for metals were collected unfiltered-YES NO and field acidified YES NO)
COD ___ Nitrite (NO2) as N _ mg/I N{ - Nickel mgA
Coliform: MF Fecal _/1OOmi Nitrate(NO3) as N ! _-_ _-- mg/l Pb - Lead-- mg/l
Coliform: Ml*Total f _/100ml Phosphorus: Total as P mg/l Zn -Zinc mg/I
_ m Ammonia Nitrogen —mg/I
(Note:flee MPN method for highly turgid samples} Orthophosphate T» mg9%I Other (Specify Compounds and Concentration Units)
Dissolved Solids: Total _v mg/I Al -Aluminum__
pH (when analyzed)_._ _ units Ba -Barium_ �_ mg/I _ ----- - T-
i TOC _ _ mg/I Ca- Calcium --- mg/l 4 W-
Chloride __----- - _ mg/I Cd - Cadmium _— - mg/i
Arsenic mg/l Chromium: Total m
Grease and Oils y_ mg/I Cu - Copper---------- m { ORGANICS: (GC,GCfMS,HPI_c)
Phenol mg/1 Hg -
1 ol mg/I Fe - Iron_---- -
hen Mercury �._�__ mg/I (Specify test and method#.Attach lab report.)
SulfaSpecific Conductance uMhos K- Potassium. ---_----- mgl{ Report Attstched? Yes (9) No (0
Total Ammonia �'• 64 _- .- mgA Mg - Magnesium _ mg/I VOC -�- �: method#=
TKN as N ._ --- mg/I Mn - Manganese -- method#=
_ mg/l :
method#=
Itill
mid
r r r r r • r �r/i it3�
Pe�r Au rized Agent)Name and Title_-Please print or type
iaW-rjg 51gn tare of Pa i ee(or Authodz nq
y �1 Hatay
Rev,0312000

FACILMY INFORMATION Please Print Clearly or Type
Facility Name: L�- �_-' PERMIT#: A��.�l�.Z3" EXPIRATION DATE:
Permit Name(1Fdifferg t: Non-Discharge .� filC
Faclll y Address: NPDES
r G County n �� 3XPE OF PERMITTED OPERATION BEING MONITORED PRO l t I I COun - r � n, ; Lagoon Remedlation:Infiltration Gallery
Contact Person: Telephone#: F � -
Well Location/Site Name: < No.of Wells to be Sampled-
anvemol Spray Field Rerrtedfallon:
Rotary Distributor Land Application of Sludge
Well Identification Number(from Permit): For Groundwater TrsdmM Sy*mo
Well Depth: [ ft. Well Diameter:..,._In. C hwk 0=® Influent (98) -
Screened Interval:__ ft.to ft. ❑ Effluent (99) NOTE' Values should reflect dissolved and
Depth to Water Level: fL below measuring point. colloidal concentrations.
i Measuring Point(M.P.)is:1tW ft.above land surface. Relative M.P. Elevation in It.:
Gallons of water pumped/bailed before sampling: Date sample collected: U d-1 Date sample analyzed:
Field analysis: pH 5- ,Specific Conductance uMhos Laboratory Name:
Temp. 20•1 °C,Odor_ °en 6 Appearance &p,t' Certification No.
PARAMM'LERS(Samples for metals were collected unfiltered YES No and field acidified YES NO)
COD mgll Nitrite (NO2) as N mg/f NI - Nickel mg/l
Collform: MF Fecal A 00ml Nitrate (NO3) as N_ 1 L7 mg/I Pb- Lead _mg/l
Collform: MF Total __ /100ml Phosphorus: Total as P_ mg/I Zn-Zinc mg/I
(Note:Use MPN method for highly turbid samples) Orthophosphate mgfl Ammonia Nitrogen mg/I
Dissolved Solids: Total _ mg/I AI -Aluminum mg/l Other(Specify Compounds and Concentration Unita
pH (when,analyzed) units Ba - Barium mg/I
TOC mg/l Ca- Calcium mg/l
Chloride. mg/I Cd - Cadmium mgfl r
Arsenic mgA Chromium: Total mg/I
Grease and Oils mg/I Cu -Copper mg/I -
Phenol ___ mgA Fe- Iron mg/I ORGANICS: (GC,GC/Ms,HPLC)
Sulfate mg/I Hg - Mercury mg/I (specify test and method C Attach lab report.)
Specific Conductance uMhos K- Potassium mg/I Report Attached? Yes (1) Na (C
Total Ammonia G 0 SCO mg/l Mg - Magnesium - mg/I VOC : method#=
TKN as N mg/I Mn - Manganese__ _ mg/I : method#=
: method#=
ME
• � r
_6,
Pe or AuDWWAgent)Nwne and Tit a-Please print or type
-r
I OW-59 SWOture of P ittee(or A ad Agent) (Date)
Rev.0312000 utup
I

GROUNDWATER QUALITY MONl1Utillmu. 163e14tAIL5ERvtcaUtn1=n
NCE REPORT FORM
MIPL.IA Please Print Clearly or Type
PERMIT M 51 C" EXPIRATIO
r" t Non-Dit3charge� ._.,UIC_
Facility Name: _
Permit Name(if diff nt)* NPDES_ — --
F Hity Ad s : ► r' . �,. e, � jy'pg OF P i E OPERATION BRING MONITORED
C County Lagoon' �_Remedlatl6n:infiltration Gallery
Contact Person:— £ �'�t Telephone#: Spray Field —Remedlation: -----
Well Location/Site Name:
t No.of Wells to be Sampled: ��Rotary Distributor _Land Applioation Of Sludge
Well identification Number(from Permit):�� EChe:ckOne-0
undw>lter Treatment Systefns;
_�Other:
� �ft. Well Diameter:_- in• influent (98; NQTE: Values should reflect dlsssoived and
Weil Depth:_ _� ® Effluent (99)Screened Interval: —__ ft.to -ftDepth to Water Level:. --ft.below measuring point. -_- colloidal concentrations.
Measuring Point(M.P.)ls ft. above sand surface. Relative M.P.Elevation in ft.:
� Date sample analyzed: - -
"7 , Date sample collected: /
Gallons of water purr ed//ballled before sampling: �__ ; c Mhos Laboratory Name:
Field analysis: pH-.- ;— , Specific Conductance Certification No.
Temp.+. °C,Odor. � Appearance
- - --�- NO and field acidified YES mg/I
�a�g EI (Samples for metals were collected unfiltered YES
mg/I Ni • NICk81
CCD ___-.-�.�__----------- mg/I Nitrite (NOZ) as N m n Pb- Lea _ Mot
MF Fecal __._�_�_ /100m1 Nitrate (NOs) as N tng/I Zn -Zinc Mot
MF Total /100ml Phosphorus: Total as P = mg/l Ammonia Nitrogen - mot
(Note.Use mpN method for highly turbid sample$) orthophosphate �mg/I Other(Specify Compounds and Concentration Units)
Dissolved,Solids: Total _ __ mg/I At - Aluminum —�f-4 mg/I
pH (when analyzed)______—.-units Ba- Barium-- --- -- mg/1
mg/I Ca- Calcium --�—
TOC��-------- - � mg/I � _ Cadmium mg/I
Chloride — - � f mg/I Chromium: Total � mg/I
Arsenic _�__ mg/I
m I Cu -Copper
Grease and ails� � mg/I Fe - Iron mg/I ORGANICS: (GG,GCIMS,HPLC)
Phenol mg/I Fe -Iron
mg/l (Specify test and method#.Attach lab report.)
Sulfate mg/l Report Attached? Yes__.__(1) No_____(0)
Specific Conductance uMhos K- Potassium mg/1 VoC : method#= .
Total Ammonia 't f® mg/I Mg - Magnesium mg/i — ; method #
TKN as N mg/l Mn - Manganese : method #
01
---�--
it,?r�P$
permi a(ojAut dzed Agent)Name and Title-Please print or type
GW-59 Signat a of Perm r Aul o ed )
Rev.0312000

DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: , WATER QUALITY DIVISION,GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
COMPLIANCE REPORT FORM RAL112H,NC JiS36 Phona: 919 rs t
Please Print Clearly or Type -�/M a;b�
r A r PERMIT#:r9 tv EXPIRATION DATE:
Facility Name: Non-Discharge UIC
Permit Name (if di re t): NPDES
F I)ty Addr s: (Wee�} rN TYPE PERMITTED OPERATION BEING MONITORED
l nt County
Contact Person: Count
Telephone#, d Lagoon Remediation;Infiltration Gallery
Well Location/Site Name: No.of Wells to be Sampled: � Spiny Field Remediation:
Rotary Distributor Land Application of Sludge
Well identification.Number(from Permit): 3 For Groundwater Tmstmelti Systems Other:
Well Depth: _. �_{_ __ft. Well Diameter: in- Check One: ❑ Influent (98)
Screened Interval:. ..—_It.to ft. ❑ Effluent (99) NOTE' Values should reflect dissolved and
Depth to Water Level: j-L ft.below measuring point. I colloidal concentrations.
Measuring Point(M.P.)is: ft.above land surface. Relative M.P. Elevation in ft.:
Gallons of water pum all before sampling: Date sample collected:'7-,2S-/� Date sample analyzed:
Field analysis: pH ,Specific Conductance uMhos Laboratory Name:
Temp,& °C, Odor &-It. Appearance _�Yc:[i4 Certification No.
PABA 91ERS(Samples for metals were collected unflltered -- _ YE5 NO and field acidified YES NO)
COD mg/1 Nitrite (NO2) as N ___ mg/l Ni - Nickel mg/I
Coliform: MF Fecal /100ml Nitrate (NO3) as N , +'_30 mg/I Pb - Lea mg/I
Coliform: IVIF Total /100ml Phosphorus: Total as P____ mg/I Zn -Zinc mg/I
(Note:Use MPN method for highly turbid samples) Orthophosphate _ mg/l Ammonia Nitrogen mg/I
Dissolved Solids: Total mg/l Al -Aluminum mg/I Other(Specify Compounds and Concentration Units)
pH (when analyzed) units Ba - Barium mg/I
TOC mg/I Ca- Calcium mg/l - --
Chloride _ �_ �_ mg/l Cd - Cadmium_ mg/I
Arsenic __ __ mg/l Chromium: Total . mg/I —
Grease and Oils _ mg/I Cu -Copper mg/l -
Phenol — mgll Fe - Iron mg/I ORGANICS„ (GC,GC/MS,HPLC)
Sulfate . mg/I Hg - Mercury mgh (Specify test and method#.Attach lab report.)
Specific Conductance uMhos K- Potassiu mg/l Report Attached? Yes—(I) No (0)
Total Ammonia 40,tyo mg/I Mg - Magnesium mg/I VOC method#=_
TKN as N _—_ mg/1 Mn - Manganese mg/I method#=
method #_
�rrt
Perms a for Au)Kodzed nt)Name and Title-Please print or type
GW-59 Gignatiffe of Pe ttee or Authori Agenq (Dale)

V%0 awl w-M.lA.NVL. A a%"W-Va. . y1-1/1N -In I d
FACILUY INFORMATION in Please Print Clearly or Type
Facility Name: �' PERMIT#: �'/ ��` M EXPIRATION DATE:
Permit Name(if diff nt): Non-Discharge UIC
FacllltyAd , �� �j• NPDES
� CountIft) y TYPE OF PERMi'n'�D OPERATION BEING MONITORED -
! Contact Person: - Telephone#• � e Lagoon Remedial on:Infiltration Gallery
Well Location/Site Name: S' No.of Wells to be Sampled: ~b T Amy Reid RernediaNOn:.___
! Rotary Distributor Land Application of Sludge
Well Identification Nsrlmber(from Permit): .� ._ For GroundvolerTrea net Systems Other:
Well Depth: __ft. Well Diameter. LI, in. Check One:❑ Influent (98)
Screened interval: ft.to ft. ❑ Effluent (99) N.E. Values should reflect dissolved and
Depth to Water Level: ft.below measuring point — colloidal concentrations.
j Measuring Point(M.P.)i : ft.above land surface. Relative M.P. Elevation In ft.:
I Gallons of water pumpeftal ad before sampling:1 24� Date sample collected: Date sample analyzed:
Field analysis: pH �sr , Specific Conductance _ uMhos Laboratory Name:
Temp: . °C,Odor- Appearance 4,,.w Certification No.
PARAMETERS(Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD mg/l Nitrite (NO2) as N mg/l Ni- Nickel mo
Coliform: MF Fecal /100ml Nitrate (NO3)as N - -- _ mg/1 Pb- Lead _ mg
Coliform: MF Total /100ml Phosphorus: Total as P mg/1 Zn-Zinc _ mg
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/I Ammonia Nitrogen mgl
Dissolved Solids: Total mg/l Al -Aluminum mg/l Other(Specify Compounds and Concentration Unit
pH (when analyzed) units Sa- Barium mg/l
TOC mg/l Ca-Calcium mg/l
Chloride. mg/l Cd-Cadmium mg/l
Arsenic mg/l Chromium: Total mg/l - —
` Grease and Oils mg/ Cu- Copper mg/l
Phenol _ mg/l Fe- Iron mg/l ORGANICS: (Gc,Gc/Ms,HPLc)
Sulfate mg/l Hg- Mercury mgfl (Specify test and method#.Attach lab report.)
Specific Conductance uMhos K-Potassium mg/l Report Attached? Yes _(1) No
Total Ammonia mg/l Mg- Magnesium. .- -_ mg/l VOC : method #=
TKN as N mg/1 Mn- Manganese mg/l : method#=
. : method#=
DQk)A1fgL
Perm) a(or Aulh7
Home Ti e-Plena prinl or type
/r�
GW-Rev.03/200� re o Pe ttee or Agent) (Dale)
Rev.
1

COMPLIANCE REPORT FORM ,"r.,�..,..............,...........
a 19
FACILITY IN Please Print Clearly or Type
Facility Name �c° re �°1�! PERMIT#: 51'G�LI Z.� EXPIRATION DATE:
y Non-Discharge UIC
Permit Name(if differ,�ntt). x NPDES
Facility Address: l�' TYp _ F p I ED OPERATION BEING MONITORED
b� � _ � ���- ' County e �� � �ru �0,..�F.i�IL.T�.
Contact Person:, - r^ � [-- Telephone#:`)t '� Lagoon Remedlation:Infiltration Gallery
Well Location/Site Name: ' No.of Wells to be Sampled: now `''� Spray Feld Remetilallon:
__._ Rotary Distributor land Application of Sludge
Well identification Number(from Permit): For ftwWwalw Treatment gyd other:
Well Depth: /� ft. Well Diameter: In. check One:❑ Influent (98)
Screened Interval: ft.to ft. ❑ Effluent (99) NOTE: values should reflect dissolved and
Depth to Water Level: ,r ft below measuring point. colloidal concentrations.
Measuring Point(M.P.)is. ft above land surface. Relative M.P. Elevation In ft,:
Gallons of water punge�ailed before sampling: `?.,..�a3 Date sample collected: 3-40-17 Date sample analyzed:
Field analysis: pH S`Y ,Specffic Conductance Mhos Laboratory Name:
Temp. °C,Odor. ZW�= Appearance 441 Certification No.
PARAMETERS(Samples for metals were collected unftiterad-YES NO and field acidified YES NO)
COD _ _ mgn Nitrite (NO2) as N mg/I NI - Nickel mgn
Coliform: MF Fecal __/100m1 Nitrate (NO3) as N mg/I Pb-Lead_ mg/I
Coliform: MF Total ... �_ .__ ____.._/100m1 Phosphorus: Total as P mg/I Zn -Zinc mg/I
(Note:Use MPH method for highly turbid samples) Orthophosphate mg1! Ammonia Nitrogen mg/I
Dissolved Solids: Total mg/l Al-Aluminum mg/l Other(Specify Compounds and Concentration Units)
pH (when analyzed) units Ba- Barium mg/I
TOC_ mg/I Ca-Calcium mg/l
Chloride. , mg/I Cd-Cadmium _mg/)
Arsenic mg/l Chromium: Total mg/I
Grease and Oils _ mg/l Cu - Copper mg/I
Phenol mg/I Fe - Iran mg/l ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/I Hg - Mercury mg/I (Specify test and method#.Attach lab report.)
Specific Conductance uMhos K- Potassium- mg/l Report Attached? Yes—(I) No (0)
Total Ammonia -10• , rog/I Mg - Magnesium mg/I VOC : method#=
TKN as N mg/I Mn - Manganese. mg/I __ _ _ : method#= _..
method #
• airrki
Permittee(w )Name ds-PI a prim or type
7
GW-59 9_1 ewre of Pemfi (or Au Agee (Date)
Reu- 03/2000

GROUNDWATER QUALITY MONITORING: wjFER auAt.IrY DIYIstaN,c
' MAIL.SERVICE CENTER '�K7G0$$2``
COMPLIANCE REPORT FORM
FACILITY INFQRMAT1aN Please Print Clearly or Type PERMIT#:AAA5 5/ob 2$IXPIR
Facility Name: � Non-Discharge ( �---
Permit Name (Ifre/��d t): NPDES.
F �lty Addre . t f IypE O___ F PE_R_IdITTED OPERATION BEING MONITORED
County
rl Lagoon Remedfation:infiltration Gallery j
Contact Person: t Telephone#: Spray Field Remedlation:
Well Location/Site Name: No.of Wells to be Sampled: -Rotary Distributor Land Application of Sludge
Well Identification Na ber(from Psrmft): For Groundwater Treatment Systerns Other:
Well Depth: ft. Well Diameter.-saw.in. Check QM❑ Influent (98)
Screened Interval: n•to ❑ Effluent (99) NOTE: Values should reflect dissolved and
Depth to Water Level:_eft.below measuring point. colloidal'concentrations.
Measuring Point(M.P.)is. u ft.above land surface. Relative M.P. Elevation In ft.:
Gallons of water pump led before sampling:/• ,- Data sample collected:'7 " "f 7 Date sample analyzed:
Field analysis: pH 76 ,Specific Conductance Mhos Laboratory Name:
Temp. °C.Odor �_._.1�.£`r Appearance Certification No.
PARAMIMRS(Samples for metals were collected unfiltered YES NO and field scidifted YES NO)
____-
COD _ mg/I Nitrite (NO2) as N mg/l Ni- Nickel mgA
Coliform: MF Fecal 110Qmt Nitrate (NO3) as N mg/I Pb-Lead -----mg/l
Coliform: MF Total 1100ml Phosphorus:Total as P mg/l Zn -Zinc -- mgn
(Note:Use MPN method for highly turbid samples) Orthophosphate _. mg/l Ammonia Nitrogen mg/l
Dissolved Solids: Total mgA Al -Aluminum mg/l Other(Specify Compounds and Concentration Units) {
pH (when analyzed) units Ba- Barium - mci/I
TOC mg/I Ca-Calcium mg j
Chloride. mg/I Cd -Cadmium mgA
Arsenic mg/f Chromium:Total mgA
Grease and Oils mg/I Cu -Copper mgA
ll Fe - Iron mgA ORGANICS: (GC,GC/MS,HPLC)
Phenol.. mg
Sulfate mgI Fe - Mercury mg/I (Specify test and method#.Attach lab report.)
Specific Conductance uMhos K- Potassium mg/l Report Attached? Yes (1) No (0)
Total Ammonia vv mg/l Mg- Magnesium mgA VOC : method#=
TKN as N — mg/i Mn - Manganese mg/I : method#=
: method #
NMI IN
erndttes(ar Au ant)Name and Ti -Please print or type
GW-59 Pe (or Agent) (Date
Rea'.0312000

%,%jWj ' Uj4lilCeC.I t:t u"j- rURM �w.mriu.�anrrra+ wraen
RUATION
#iha Print Clearly or Type
Facility Name: f6e err PERMIT#: EXPIRATION DATE:
Permit Name(If dift en): Non-Discharge uIC
Facility Addra s: • � NPDES
Q2 ar AM County =PE OF PERM13290 OPERATION BEING MONITORED
+ Contact Person: r Telephone#-1FE ---,-•-Lagoon Remediatlorr.InlNtration Gallery
Well Laoatlon!Site Name: S b2cay 9 No.of Wells to be Sampled: —�Spmy Reid Remedagw
Rotary Distributor Land Apploallon of Sludge
Well Identification Number(from Permit): For aroundweler Treatment System ,. Other:
Well Depth: ft. Well Diameter.. _._ Irt. Check One;CI influent (88)
Screened interval: 11.to _ft.
Depth to Water Leuel:_ -,ft.below measuring point. ® Effluent (89) Mf?1E: Values should reflect dissolved and
colloidal concentrations.
Measuring point(M.P.)Ism 1t.above land surface. Relative M.P.Elevation in ft-
Gailons of water pum edlbailed before sampling:•4l- Date sample collected: 7-)7 Date sample analyzed:
Field analysis: pH _ Specific Conductance•—.-•- UMhos Laboratory Name:
Temp. U--n—C,Odcr-"-A& Appearance Lv Certification No. -
s
PARAMET1wa(Samples for metals were collected unfiltered Yt NO and field acidified _____YES NO)
COD mg/l Nltdfe (NO2)as N .. mall NI-Nickel. --- — mgll
Coliform: MF Fecal h00ml Nitrate(NO3)as N mg/l Pb-Lead----._ mg/l
Collform: MF Total _ __--/100ml Phosphorus:Total as P - mg/l Zn-Zinc �__ .. �__ ,�_.mg1l
0101e:Uss MPH method for highly turbid samples) Orthophosphate mg/l Ammonia Nitrogen�_ _� .moll
Dissolved Solids:Total — mg/( Al -Aluminum mg/1 Other(Specify Compounds and Concentration units)
pH ( hen analyzed) _ __-_units Ba- Barium r mg/1TOC
Chloride. ml1 Ca-Calcium moll
Arsenic mall Cd-Cadmium._. moll
Grease and Oils --- mgh Chromium:Total _moll
Phenol mall Cu-Copper _ mg/l --- --_- .
mg/l Fe- iron m9ll ORGANICS: (GQ GC/MS.HPLC)
Sulfate mall Hg- Mercury _. mg/l (Specify test and method L Attach lab report.)
Specific Conductance —uMhos K- Potassiurn _.moll Report Attached? Yes—(I) No (0)
Total Ammonia 6uu mg/I Mg-Magnesium mg/I VOC_ : method#
TKN as N mg/l Mn-Manganese man : method
method k
•
e ee o nd ame cad a- teaea print or type
GW59 - '
Rev.03i2000 mgmliffe of Perjoe(or AWV

SUBMIT FORM ON YELLQW PAPER ONLY
FFRIOUNDWATER QUALITY MONITORING: OFW
MPLIANCE REPQRT FORMIQUIXINFORMATION MeasePrintPERMIT NumWr:4yy�y.-00D2,�!expiration date:
ility Name:, L ; ^ _ I Nan-Discharge UIC
Permit Name(if different): NPDES _ _ ___
Other .
Facility Address: /t? TYPE OF PERMITTED I PERATION BEING'MONITORED
e;l;•. -,r County 0 Lagoon ❑Ramediatfon:infiltration Gallery
❑ Spray Field ❑Remedlation:
ell Lo Person; Telephone#: ❑ Rotary Distributor ❑Land
ell Location/Site Name: Application of Sludge
No.of wells to be sampled: ❑Water Source Heat Pump ❑Other.
-
LL ID NUMBER(from Permit): y - =1--_^ if WELL
__- Date sample collected: FIELD ANALYSES: LDRY
ell Depth: .L' ft. Well Diameter: W in. pH units Temp. f °G at
epth to Water Level: Q ft.below measuring point Screened interval: ft. to eft. Spec,Cond. µMhos of
ensuring Point is ft,above fand surface Relative M.P.Elevation: ft Odorling,
plume of water pumped/ba(led before sampling: aliona - - — k
$ Appearance :
a ies far metals were collected unfiltered: ❑YES ❑NO and Held acidified: ❑YES �NO T
LABO183A INFORMATiO __-�_
ate sample analyzed: Laboratory Name: --� - -._
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations. Certification No.
COD mgA Nitrite(NOz)as N
Coliform:MF Fecal - Pb-Lead
/100ml Nitrate(NO3)as N 7a mg/I Zn-Zinc ---�.�mgA
Collform:MF Total _ /100ml Phosphorus:Total as P 1 -_------.---—
(Note: Use MPN meftd for Mphty turbid samples) Orthophosphate
Dissolved Solids:Total- _. mg/1 Other(Specify Compounds and Concentration Units):
� m9/I AI.Aluminum mg/i
pH(when analyzed) units Ba-Barium mgA
TOG --- m911 Ce-Calcium
mg/I _
Chloride mgA Cd-Cadmium _mg/I - —
Arsenic mgA Chromium:Total _mg/I
Grease and Oils mg/I Cu-Capper —mgA ORGANICS:(by GC,GC/MS,HPLC)
Phenol _ wmgq Fe-Iron `mg/I
Sulfate _ (Spectfy fast-and method#.ATTACH LAB REPORT.)
Sulfate Hg-Mercury mg/1 Report Attached? ❑ Yes(11) ❑ No(0)
Specific Conductance f L* µMhos K-Potassium _ mg/I VOC method# -`
Total Ammonia 40, err mg/1 Mg-Magnesium mgA method#
(ammonle Nitrogen;NK as q,Ammsnle Nitrogen,Tow)
i Mn-Manganese mgA method# ,
TKN as N mgA Ni-Nickel mgA method#
For Remedlation Systems only(Attach Lab Reports), Influent Total VOCS::—�mglL Effluent Total VOCs:
mg/L VOC Removal%
P-Wmlh"(5r/4 prized Agent)Name and Ttt(e-Please print or 1Yp■
Skin of Perm( (or Authorized a t) (Dole)
G -so Rev. 11200J

SUBNitt FORM ON YEI O r PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM ILJ i`Y IN�f1RMATICYN✓ please arrnr cresrly or ryp® Mg _ , .k
`Facility Name: !f �'t F r PERMIT Number: J"'1f IN 5 Expiration Date.-
Permit
Name(lfdifferent): Non-Discharge- ����� UIC
Facif(tyAddress: 0. �,;� !� NPDES Other
Four 18ueatS I Q TYPE OF PERMTTED OPERATION BEING MONITORED
rclr i Isma f County �n ❑t,agoan ❑Remediation:Infiltration Gallery
Contact Person: p - Spray Field ❑Remedlation:
Telephone#: 1{!"a8' 7 ❑ Rotary Distrilbutor ❑Land Application of Sludge
Well Location/Site Name: ;A r� No.of wells to be sampled: CI Water Source Heat Pump ❑Other.
ELL ID NUMBER{from Permit): Date sample colected: -a- - —if WELL
FIELD ANALYSES: �DRY+ell Depth:. ft. Well Diameter: WAS
'Depth to Water Level: ` in. pH ,s J units Temp. .. °C at
below measuring point Screened interval: ft. to ft. Spec.Conti. Ime of
-Measuring Point is C9 ft,above land surface ^--- P ItMhos �'
Relative M.P.Elevation: ft. Odor p e- mampling,
alums of water pumped/bailed before sampling: — � gallons check
am^les fnr metala were collected unfiltered: [I YES ©NO and field acidified: ❑YES ❑NO Appearance C' here:❑
A
Date sample analyzed: -PA Laboratory Name. _
RAMETERS NOTE:Values should reflect dissolved and colloidal concentrations. - -- Certification No.
COD mg/I Nitrite(NO2)as N_ mgn Pb-Lead
Collfo►m:MF Fecal I100m! Nitrate(NOa)as N ',0— - - gn
Collform:MF Total /100 _m9/l Zrt-Zinc mgn
m1 Phosphorus:Total as P _mgn
(Note:llsa MPN method forhighly twbtd aemplee)
Orthophosphate mgil Other(5pet^iiy Compounds and Concentration Units):Sands:Total mg/( Al-Aluminum
PH(when analyzed) units mg/l ---
Be Barium mgn
TOC mg/1 Ca-Calcium mg/l - ---
Chloride Mgt! Cd-Cadmium mg/I -- ----
Arsenic - mg/I Chromium:Total mgn
Grease and Oils mgn Cu-Copper � m /! `—
Phenol ma/I 9 ORr3ANlt;s:(by GC,GC/MS,HPLC)
Fe-Iron mgn (Specify hest and method#.ATTACH LAS REPORT.)
Sulfate wmg/l Hg-Mercury mgfl Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance µMhos
K-Patasslum mgn VOC _ __,method#
Total Ammonia 1. trJ"
(Ammonia Nilragem,NH,as N.A-.. ^ti�mgen.Tatar) mgn Mg`Ms9�=slum mg/1 ,method#
Mn-Manganese mg/l method#
TKN as N mg/1 N!-Nickel mall -
method#
For Remediation Systems Only(Attach Lab Reports): influent Total VOCs;
rrig/i_ Effluent Total VQCs: ,rrq1L VOC Retttovgia/o
t'ennfdee forRufhadz Apsntt and 781e-Please adrtt artype ~ —
GW-b9
Rev.llRtlt)7 81p orPe rmm rAUlhorizedAge l I
i

FACILITY INFORMATION Please Print clearly or Type
Facility Name: I ?%c'c=�i r� 1=�; PERMIT#: 4u1) " � 5 EXPIRATION DATE:
Permit Name(if different):..._,. Non-Discharge rt_ __,,,_UIC_._
County. s��,n�.};,� 'HYPE OF PERMIT'rE©OPERATION BEING MONITORED
flip)
Contact Person: �erk;e � � Tale horse#• c Lagoon Remedlation:Infiltration Gallery
Location/Site Name: ...�.�'�'���_� -- �Spray Field Flemediallor:
Na.of Wells to be Sampled:
Rotary Distributor Land Application of Sludge-
Well identification Number(from Permit):�y^�� For Groundwater Treatment Systems Other:
Well Depth: ....-.---�;eT_�_,--ft. Weil Diameter: in. Check(ire:13 Influent (98)
Screened interval:_ _' It.to ft. ® Effluent (99) NQIL Values should reflect dissolved and
Depth to Water Level:..._ ft.below measuring point. �.,�..„. ,,R.®,.. .�—_ colloidal concentrations.
Measuring Point(M.P.)is:�,N ft.above land surface. Relative M.P. Elevation in It.:
Gallons of water pumped. ailed before sampling:_ . Date sample collected: -Z"p-' Date sample analyzed:
Field analysis: pH , Specific Conductance .__ulAhos Laboratory Name: --
Temp. i °C, Odor Appearance !��' ' Certification No..._,_
PARAMETERS(Samples for metals were collected unfiltered YES NO and field acidified —YES r ..._ NO)
COD ------------------_ -.-_.---------- mg/I Nitrite (NOZ) as N mg/i NI - Nickel__ .._-- _ m!
Coliform: MF Fecal f 00m1 Nitrate (NOs) as N. 1, . mgll Pb - Lead— m!
Coliform: MF Total - —_ _-_ _ /100ml Phosphorus:Total as P mg/I Zn -Zinc m!
(Note:use MPN method for highly turbid samples) Orthophosphate mg/I Ammonia Nitrogen._.—_-.. _ mi
Dissolved Solids: Total _ _ mg/I Al -Aluminum _mg/( Other(Specify Compounds and Concentration Ur
PH (when analyzed)-- -,------- —_-- _ _units Ba- Barium_ mg/I
TOC _--__--___ �_ mg/l Ca- Calcium mg/I
Chlaride_.__T mg/l Cd - Cadmium mg/1
Arsenic — ---------- -_. mg/I Chromium: Total _ mg/I _--
Grease and Oils. _ mg/I Cu - Copper mg/I
Phenol mg/I Fe - Iran mg/1 ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/l Hg - Mercury mg/I (Specify test and method#.Attach lab report.
Specific Conductance uMhos K- Potassium mg/l Report Attached? Yes 0) No
Total Ammonia o mgfl Mg - Magnesium mg/I VOC method #
TKN as N . mg/I Mn - Manganese _.__ mg/I method #
( method #
r
a e e • OIL Aq�
Permfi ea(or hodxad Agent)Name and TJU F sa print or type
Rev..0312000 Signal re of Pe (or Au ��riz nQ (Date'
F
l

COMPLIANCE REPORT FORM " 27 r ��• � � -
Please Print ctearty or Type PERMIT#: EXPIRATION DATE:
Facility Name: Non-Discharge Ajj
Permit Name(it different): NPDES
Faci ty Address: •e' 77° o TYPE OF PE _M111ED OPERATION BEING MONITORED
T�din s/.�t
w- D k5 a at County L M Lagoon-
(Zip) Infiltration Gallery
Contact Person: �'� t Telephone C l' ,8fot' ✓ spray Field Remediation:�.--- - —----
Well Location/Site Name: No.of Wells to be Sampled:JIrm KWai Rotary Distributor Land Application of Sludge
Well Identification Number(from Permit): For Groundwater 7reatmem S)fstems other -
Well Depth: _ft. Well Diameter: in. Check One:❑ Influent (98)
❑ Effluent (99) �� Values should reflect dissolved and
Screened interval: ft• ft colloidal concentrations.
{ Depth to Water Level:. 4, ft.below measuring point.
Measuring Point(M.P.)W-Et—d ft.above land surface. Relative M.P. Elevation in ft.: Date sample analyzed:
Gallons of water pumpe arled before sampling: _ Date sample collected:h �/ Laboratory Name: f-
Field analysis: pH A , Specific Conductance � � Certification No,
Temp. •o E C, Odor 1 c n 6 Appearance
PARAMETERS(Samples for metals were collected unfiltered YES NO and field acidified ! i - Nickel
NO --
COD _�_- ____ - mg/I Nitrite (NO2) as N _ mg/l NI _ Lea
Coliform: MF Fecal _��________ /100m1 Nitrate (NO3) as N
Coliform: MF•Total _—_/100ml Phosphorus: Total as P mg/l Zn -Zinc
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/I Ammonia Nitrogen..
Other (Specify Compounds and Concentration
Dissolved Solids:Total _ mg/I Al -Aluminum . mgli
H when analyzed) __ units Ba - Barium _ mg/I
TOC _ _ mg/I Ca- Calcium _-- mg/I
Chloride mg/I Cd -Cadmium mg/I
Arsenic _.. mg Chromium: Total -- mg/I
Grease and Oils mg/
l Cu - Copper mil ORGANICS: (GG,GC/Ms,HPLC)
Phenol mg/I H - iron mgfl (specify test and method&Attach lab rep
Sulfate mgh Hg - Mercury mg/I Re Attached? Yes (1) No._
Specific Conductance uMhos K- Potasslum_ g/ Report ; method #=
Total Ammonia o- � M method#
mg/I g - Magnesium mg/I VOC
mg/I Mn - Manganese mg/I
TKN as N . method #
tr • a .R
Permidee or CHMO A ent}Nome and Title- tepee print or type [� _
GW-59 5ignaru of Permi (or orix t}
Rev.03/2000
i
i

ItOMPLRANCE REPORT FORM please Print r±learty arType
EACI PERMIT#: EXPIRATION DATE:
Facility Name: aje °` Non-Discharg UIC -
Permit Name (if different): NPDES —Facility Address: 8s,� d nC County ak^ ^r TYPE OF PERK OPERATION BEING MONITORED
r okire __._.Lagoon Remedlation:Infiltration Gallery
roz�(city) Igo) p 9 t�-gG"d- �9
c,-ry �Ra -� Tele hone#: ✓ Spray Meld Remedlatlon:.�— ----
Contact Person:-----r--- Na. of Welts to be Sampled: „
Well Location/Site Name: ` drum • �,.Rotary Distill hutor _Land_Land Appraation of Sludge
---- ��--
Well ldentHication Number(from Permit): For Groundwater Treatment SystemsOther.
----�-�- ------�-
Weli Depth: IS fL Well Diameter: 1_�in. Checkpries❑ Influent (98)
NQIE: Values should reflect dissolved and
Screened interval:_r_____..-...-ft.to---�. Q Effluent (99) colloidal concentrations.
Depth to Water Level: -T ft.below measuring point.
Measuring Point(M.P.)iQ& ft.above land surface. Relative M.P.Elevation in ft.: Date sample analyzed: �-- -
Gallons of water pumpedfbailed before sampling:__ ___ Date sample collected: - f9 I�
uMhos Laboratory Name:
Field analyals: pH--- .- Specific Conductance _.or Certification No.
Temp. °C, Odor64e Appearance
No and field acidified YES NO) mt
�4RAMf="rERS(Samples for metals were collected unfiltered—YES mg/[ N[- N1CkSi.-. _-
COD _. ----_— m Nitrite (NOS) as N mg/I Pb - Leari_���-_ _ me
Coliform: MF Fecal /loom] Nitrate (NO3)as N mgll Zn-zinc mf
Coliform: MF Total /1 QOml Phosphorus: Total as P mgA Ammonia Nitrogen me
{Note:Use NIPN method for highly turbid samples) Orthophosphate
l Al -Aluminum mgl.1 Other (Specify Compounds and Concentration Ur
Dissolved Solids: Total_ mgl mg/l _ --- -- — ----
pH (when analyzed) --units Ba- Barium mg/1 -_--
TOC ---- . mg/l Ca- Calcium_ mgll
Chloride _ mg/I Cd- Cadmium mg/1
Arsenic mg/i Chromium:Tots! _ mg/l
Grease and Oils.—- - mg/1 Fe - Copper mg/l ORGANICS: (GC,GC/MS,HPLC)
Phenol - mg/l Fe - Mf:rs�ury mgll (specify test and method#.Attach tab report
Sulfate mg11 Report Attached? Yes_,_._(1) No
Specific Conductance �-- uMhos K- Potasslu mg/1 VQC _ _: method#=-
Total Ammonia 0, mg/I Mg - Magnesium_ mg/1 -- method #
7KN as N -_ mg/! Mn - Manganese—_ method#=
— — • . mill
r r •
__: f • • •
— • R • •
• • r • • wrt' ejrC ei
pe itle-Pteass print or type
�,..� � ..
( a
GW-59 Sign re o!Pe ttee(or Author a Agent
Rev.03=00

WATCR 1T ulyraiwn,urvunv.•»i4r,•••.•e.
GROUNDWATER QUALITY MONITORING: 1536 MAIL SERVICE CI:NtER COMPLIANCE REPORT FORM � DALEICI&NC21f99-11520 ° • 9 Ta 9221
FACILITY INFORMATION Please print Clearly or Type PERMIT#: Roe.►66 140;"' EXPIRATION DATE:
Facility Name: '� Non-Discharge UIC
Permit Name(if differs t): NPDES_ —• —-
Faci ity Address: ,Q- Gc PE OF PERMITTE=f OPERATION BEING MONITORED
." IV4. 275 County --s A� �w LY .�--
sr rr "err i r Telephone#• XT- 7 `� lagoon Remediation:Infiltration Gallery
Contact Person: p ,-,✓Spray Field Remedka8on:._��.___
Well location/Site Name:— POky "` — No.of Wells to be Sampled: Rotary Dlstnbutor Land Application of Sludge
Well Identification Number(from Permit): =103
ent SyMema Oilier: — - —
Well Depth:__ —ft. Weil Diameter: _inent (98)
Screened Interval: ft.to it. ent (99) NQIE: Values should reflect dissolved and
Depth to Water Level:_ � ft.below measuring point. colloidal concentrations.
Measuring Point(M.P.)is: -,L_ ft.above land surface. Relative M.P. Elevation in ft.: F Date sample analyzed:
Gallons of water pumpedlbailed before sampling: it) Date sample collected:_..fL-1L'LL_ am
Certification
N -
Field analysis: pH—._ 7 ,Specific Conductance uMh Name:
�os
Temp. 21.9M °C,Odor �' Appearance -
PARAMETERS(Samples for metals were collected unfiltered YES NO and field acidified YES NO)
mgA Nitrite (NO2) as N mgA Ni- Nickel mgli
COD _-���-�---Coliform: MF Fecal - _ _--_ mg/l Pb•Lead--/100ml Nitrate(NO3) as N 9
Coliform: MF Total -_____- _-__ - /100mi Phosphorus: Total as P mgA Zn -Zinc mg/I
(Note:Use MPH method for highly Wrbld semplea) Orthophosphate
mg/l Ammonia Nitrogen mg/I
Dissolved Solids: Total mg/i Al -Aluminum mg/l Other(Specify Compounds and Concentration Units)
pH (when analyzed)_----units Ba- Barlum_ mgA
TOC mgA Ca-Calcium m� -- W
Chloride._..— mgA Cd -Cadmium _
Arsenic mg/i Chromium:Total mgA
Grease and Oils mgfl Cu-Copper m ORGANICS: (GC,GC/MS,HPi-c)
SulfatePheno mgi Hg- Mercury mg/l (Specify test and method#.Attach tab report.)
Specific Conductance uMhos K- Potassium mg/l Report Attached? Yes (1) No (0
Total Ammonia e- mg/l Mg - Magnesium mg/l VOC : method#_ _
TKN as N mg/l Mn - Manganese mg/i method#
method#R
a r •
r
P or z ty Mahe and Title-Please print or type
GW-59 Slid&wre Of Panties of rmm Agent) (�ei
Rev.,03/2000
s