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HomeMy WebLinkAbout820240_Permit Renewal Application 2019_20190410State of North Carolina R Department of Environmental Quality Division of Water Resources 4FR 0 9 Z019 Animal Waste Management Systems esterauallty0�d��giW1 Request for Certification of Coverage Facility Currently covered by an Expiring Sate Non -Discharge General Permit On September 30, 2019, the North Carolina State Non -Discharge General Permits for Animal Waste Management Systems will expire. As required by these permits, facilities that have been issued Certificates of Coverage to operate under these State Non -Discharge General Permits must apply for renewal at least 180 days prior to their expiration date. Therefore, all applications must be received by the Division of Water Resources by no later than April 3, 2019. Please do not leave any question unanswered. Please verify all information and make any necessary corrections below. Application must be signed and dated by the Permittee. 1. Farm Number: 82-0240 2. Facility Name: Wade Blackburn Farm 3. Landowner's Name (same as on the Waste Management Plan): 4. Landowner's Mailing Address: 2984 Wildcat Rd City: Harrells State: Telephone Number: 910-532-2730 Ext. E-mail: 5. Facility's Physical Address: 2965 Wildcat Rd City: Harrells State: 6. County where Facility is located: Sampson 7. Farm Manager's Name (if different from Landowner): 8. Farm Manager's telephone number (include area code): 9. Integrator's Name (if there is not an Integrator, write "None"): 10. Operator Name (OIC): Stac�j. Moore 11. Lessee's Name (if there is not a Lessee, write "None"): 12. Indicate animal operation type and number: Current Permit: Operations Type Swine - Wean to Feeder Operation Types: Swine Cattle Wean to Finish Dairy Calf Wean to Feeder Dairy Heifer Farrow to Finish Milk Cow Feeder to Finish Dry Cow Farrow to Wean Beef Stocker Calf Farrow to Feeder Beef Feeder Boar/Stud Beef Broad Cow Gilts Other Other Certificate Of Coverage Number: AWS820240 Wade Blackburn NC Zip: 28444 NC Zip: 28444 Ernest Smith Farm Inc Phone No.: 910-385-5085 OIC #: 20254 Allowable Count 2,600 Dry Poultry Other Types Non Laying Chickens Horses - Horses Laying Chickens Horses - Other Pullets Sheep- Sheep Turkeys Sheep- Other Turkey Pullet Wet Poultry Non Laying Pullet Layers ROY COOPER covemor° MICHAEL S. REGAN Secretary LINDA CULPEPPER Dimfor NORTH CAROLINA Environmental Quallry February 27, 2019 Wade Blackburn Wade Blackburn Farm 2984 Wildcat Rd Harrells, NC 28444 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 htts://de .nc. ov/about/divisions/water-resources/water uality-re ional-o erations/afo or by writing or calling: NCDEQ-D WR Animal Feeding Operations Program 1636 Mail Service Center Raleigh, North Carolina 27699-1636 Telephone number: (919) 707-9100 In order to assure your continued coverage under the State Non -Discharge General Permits, you must submit an application for permit coverage to the Division. Enclosed you will find a "Request for Certificate of Coverage Facility Currently Covered by an Expiring State Non -Discharge General Permit." The_ application form must be completed signed and returned by April 3,_ 2019. Please note that you must include one tll copy of the Certified Animal Waste Management Plan ICAWMPI with the completed and signed application form. A_li_st of items included in the CAWMP can be found on pantie 2 of the renewal application form. Failure to request renewal of your coverage under a general permit within the time period specified may result in a civil penalty. Operation of your facility without coverage under a valid general permit would constitute a violation of NCGS 143-215.1 and could result in assessments of civil penalties of up to $25,000 per day. If you have any questions about the State Non -Discharge General Permits, the enclosed application, or any related matter please feel free to contact the Animal Feeding Operations Branch staff at 919-707-9100. Sincerely, A 4�_� Jon Risgaard, Section Chief Animal Feeding Operations and Groundwater Section Enclosures cc (w/o enclosures): Fayetteville Regional Office, Water Quality Regional Operations Section Sampson County Soil and Water Conservation District AFOG Section Central Files - AWS820240 Ernest Smith Farm Inc North,Cam riaDec art^zeatofcr.vro^m_nta^Yuata I DvsortofWater RsJan€es E Q 12 N. Sa sbL r St. 11E8E M.a Servrx t.e,tter I Ra e a , No rt� Caro sa 27ERB-1E S 13. Waste Treatment and Storage Lagoons (Verify the following information is accurate and complete. Make all necessary corrections and provide missing data.) Structure Name Estimated Date Built Liner Type (Clay, Synthetic, Unknown) Capacity (Cubic Feet) Estimated Surface Area (Square Feet) Design Freeboard 'Redline" (Inches) y 1 ? 190,362.00 29,000.00 22.00 Mail one (1) copy of the Certified Animal Waste Management Plan (CAWMP) with this completed and signed application as required by NC General Statutes 143-215.10C(d) to the address below. The CAWMP must include the following components: 1. The most recent Waste Utilization Plan (WUP), signed by the owner and a certified technical specialist, containing: a. The method by which waste is applied to the disposal fields (e.g. irrigation, injection, etc.) b. A map of every field used for land application (for example: irrigation map) c. The soil series present on every land application field d. The crops grown on every land application field e. The Realistic Yield Expectation (RYE) for every crop shown in the WUP f. The maximum PAN to be applied to every land application field g. The waste application windows for every crop utilized in the WUP h. The required NRCS Standard specifications 2. A site map/schematic 3. Emergency Action Plan 4. Insect Control Checklist with chosen best management practices noted 5. Odor Control Checklist with chosen best management practices noted 6. Mortality Control Checklist with selected method noted - Use the enclosed updated Mortality Control Checklist 7. Lagoon/storage pond capacity documentation (design, calculations, etc.) Please be sure the above table is accurate and complete. Also provide any site evaluations, wetland determinations, or hazard classifications that may be applicable to your facility. 8. Operation and Maintenance Plan If your CAWMP includes any components not shown on this list, please include the additional components with your submittal. (e.g. composting, digesters, waste transfers, etc.) As a second option to mailing paper copies of the application package, you can scan and email one signed copy of the application and all the CAWMP items above to: 2019PermitRenewal@ncdenr.gov - r JYIi NPR 09Z019 gms�luali� �,,�aoltons 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 143-215.613, any person who knowingly makes any false statement, representation, or certification in any application may be subject to civil penalties up to $25,000 per violation. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $10,000 or imprisonment of not more than 5 years, or both for a similar offense.) Printed Name of Signing Official (Landowner, or if multiple Landowners all landowners should sign. If Landowner is a corporation, signature should be by a principal executive officer of the corporation): Name: Title:.�i47 11 �G�VG�J Signature: (' (� &/2,0////z��r.t/" Date: /` 1 Name: Signature: Title: 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: (919) 707-9100 E-mail: 2019PermitRenewal@ncdenr.gov FORM: RENEWAL -STATE GENERAL 02/2019 Version —November 26, 2018 Mortality Management Methods indicate which method(s) will be implemented. When selecting multiple methods indicate a primary versus secondary option. Methods other than those listed must be approved by the State Veterinarian. Primary Secondary Routine Mortality a Burial three feet beneath the surface of the ground within 24 hours of knowledge of animal death. The burial must be at least 300 feet from any flowing stream or public body of water (G.S.106-403). The bottom of the burial pit should be at least one foot above the seasonal high water table. Attach burial location map and plan. Landfill at municipal solid waste facility permitted by NC DEQ under GS 15A NCAC 13B .0200. Rendering at a rendering plant licensed under G.S: 106-168.7. Complete incineration according to 02 NCAC 52C .0102. D a 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. Q a In the case.of dead poultry only, placing in a disposal pit of a size and design approved by the NC Department of Agriculture & Consumer Services (G.S. 106-549.70). a Any method which, in the professional opiniorlof 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 clone 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. F/"-. ae_ Signatur of Farm Owner/Manager Sign re of Technical Specialist Date 3 11�a �I( 9 Date 4/2/2019 Map, Hoover Rd Hoover Rd - Google Maps Imagery @2019 Google, Map data @2019 Google 500 # hftpsJ/www.google.com/maps/place/Hoover+Rd,+Franklin,+NC/@34.6671243; 78.1991325,1177m/data=!3m111e3!4m5!3m4!isOx89abcc847d334dfb:... 111 Nutrient Management Plan For Animal Waste Utilization This plan has been prepared for: Wade Blackburn Farm Wade Blackburn 2966 Wildcat Rd Harrells, NC 28444 (910) 532-2730 11-22-2005 This plan has been developed by: Greer Moore Private PO Box 338 Harrells, NC 28444 (910) 532 4493 Developer Signature Type of Plan: Nitrogen Only with Manure Only Owner/Manager/Producer Agreement I (we) understand and agree to the specifications and the operation and maintenance procedures established in this nutrient management plan which includes an animal waste utilization plan for the farm named above. I have read and understand the Required Specifications concerning -animal waste management that are included with this plan. Signature (owner) Date Signature (manager or producer) Date This plan meets the minimum standards and specifications of the U.S. Department of Agriculture - Natural Resources C °iwation Service or the standard of practices adopted by the Soil and Water C f rvation Commission. IL Plan Approved B °G=�Z PP Y• Technical Specialist Signature D to 203474 Database Version 3.1 Date Printed: 11 22-2005 Cover Page I Nutrients applied in accordance with this plan will be supplied from the following source(s): not innliadt- 1 in this n1an. Note: In source ID, S means standard source, U means user defined source_ 203474 • Database Version 3.1 Date Printed: 11-22 2005 Source Page 1 of 1 Planned Crops Summary Leaching _* Total Useable Tract Field Acres Acres Index (U) Soil Series Crop Sequence YE R 7595 J 0.13 0.13 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Ton 7595 K 0.13 0.13 WA Goldsboro Small Grain Overseed 1 _o Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 L 0.17 0.17 NIA Goldsboro Small Grain Overseed U) Tons i-iybrid Bermudagrass Hay 6.5 Tons 7595 M 0.09 0.09 N/A Goldsboro Small Grain Overs=d 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 N 0.14 0.1 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 O 0.14 0.14 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 P 0.13 0.13 N/A Goldsboro Small Grain Overseed 1.0 Tons l lybri d Bermudagrass Hay 6.5 Tons 7595 Q 0.17 0.17 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 R 0.13 0.13 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 S 0.10 0.10 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 T 0.17 0.1 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 U 0.17 0.17 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 V 0.131 0.13 NIA Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons PLAN TOTALS; 17.42 17.42 LI Potential Leaching Technical Guidance l k�w potential to contribute to soluble None 2 nutrient leaching below the root zone. Moderate potential to contribute to Nutrient Management (590) should be planned. 2 & <_ 10 soluble nutrient leaching below the root 7.L:110. High potential to contribute to soluble ^, utrient Management (590) should be planned. Other conservation practices that nutrient leaching below the root zone. improve the soils available water holding capacity and improve nutrient use efficiency > 10 should be considered. 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). n nI n -r a T' o*-- -- v-;- 4 T Tinto P.;..ta.r T T i,),)nMc 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 0000 P1 3.85 3.85 N/A Goldsboro Com, Grain 130 bu. Whew, Grain 65 bu. Soybeans, Manured, Double Crop 38 bu 0000 P2 3.24 3.24 N/A Goldsboro Corn, Grain 130 bu. Wbeat, Grain 65 bu. Soybeans, Manured, Double Crop 38 bu. 0000 P3 3.00 3.00 N/A Goldsboro Corn, Grain 130 bu. Wheat, Grain 65 bu. Soybeans, Manured, Double Crop 38 bu. 0000 P4 2.73 2.73 N/A Goldsboro Corn, Grain 130 bu. Wheat, Grain 65 bu. Soybeans, Manured, Double Crop 38 bu. 0000 P5 1.50 1.50 N/A Goldsboro Corn, Grain 130 bu. Why, Gin 65 bu. Soybeans, Manured, Double Crop 38 bu. 7595 A 0.121 0.12 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass; Hay 6.5 Tons 7595 B 0.17 0.17 MA Goldsboro Small Grain Overseed I.0 Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 C 0.17 0.17 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 D 0.12 0.1 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 E 0.13 0.13 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 F 0.13 0.13 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 G 0.17 0.17 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 H 0.17 0.17 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons 7595 1 0.12 0.12 N/A Goldsboro Small Grain Overseed 1.0 Tons Hybrid Bermudagrass Hay 6.5 Tons nr,') a �7A nsfsl,..P V.-;- i 1 nnfn Uri,.t.A t t MIN IM 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 other by-products, commercial fertilizer and residual from previous crops. An estimate ofthe quantity of solid and liquid waste that will be applied on each field 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 Venr 1 Tract Field Source ID Soil Series Total Acres Use. Aeres Crop RYE Applia Period `iitrogen PA Nutrient Req'd (lba/A) Comm. Pert. Nutrient Applied pbs/A) Res, (Ibs/A) Applic. Method Manure PA Nutrient Applied Obs/A) Liquid ManureA pplied (acre) Solid Manure Applied (acre) Liquid Manure Applied (Field) Solid Manure Applied (Field) N N N N 1000 gal/A Tons 1000 gals tons 0000 PI S5 Goldsboro 3.85 3.85 Corn, Grain 130 bu, 2/15-6/30 148 0 20 Irrig. 128 51.13 0.00 196.85 0.01 0000 PI SS Goldsboro 3.85 3.85 Wheat, Grain 65 bu, 9/1-4/30 136 0 0 Irrig. 82 32.59 0.00 125.49 0.01 0000 P2 S5 Goldsboro 3.24 3.24 Corn, Grain 130 bu. 2/15-6/30 148 0 20 Irrig. 128 51.13 0.00 165.66 0.01 0000 P2 S5 Goldsboro 3.24 3.24 Wheat, Grain 65 bu, 9/1-4/30 136 0 0 Irrig. 82 32,59 0.00 105.61 0.01 0000 P3 S5 Goldsboro 3100 3.00 Corn, Grain 130 bu. 2/15-6/30 148 0 20 Irrig. 128 51.13 0.00 153.39 0.01 0000 P3 S5 Goldsboro 3.00 3.00 Wheat, Grain 65 bu. 9/1-4/30 136 0 0 Irrig. 82 32.59 0.00 97.78 0.01 0000 P4 S5 Goldsboro 2.73 2.73 Corn, Grain 130 bu, 2/15-6/30 148 0 20 Irrig. 128 51.13 0.00 139.58 0101 0000 P4 SS Goldsboro 2.73 2.73 Wheat, Grain 65 bu. 9/1-4/30 136 0 0 Irrig. 82 32.59 0.00 88.98 0.01 0000 P5 S5 Goldsboro 1.50 1.50 Corn, Grain 130 bu. 2/15-6/30 148 0 20 Irrig. 128 51.13 0.00 76.69 0.01 0000 P5 S5 Goldsboro 1.50 1.50 Wheat, Grain 65 bu. 9/1.4/30 136 0 0 Irrig. 82 32.59 0.00 48.89 0.01 7595 A SS Goldsboro 0.12 0.12 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 2.40 0.01 7595 A S5 Goldsboro 0,121 0.12 Hybrid Bermudagrass Hay 6.5 Tons *3/1-10/15 296 0 0 Irrig. 296 118.24 0.00 14.19 0.01 7595 B S5 Goldsboro 0.17 0.17 Small Grain Overseed 1.0 Tons 10/1.3/31 50 0 0 Irrig. 50 19.97 0.00 3.40 0.01 7595 B S5 Goldsboro 0.17 0.17 Hybrid Bermudegrass Hay 6.5 Tons *3/1-10/15 296 0 0 Irrig, 296 118.24 0.00 20.10 0.01 7595 C S5 Goldsboro 0.17 0.17 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 3.40 0.01 7595 C SS Goldsboro 0.17 0.17 Hybrid Bermudagrass Hay 6,5 Tons *3/1-1.0/15 296 0 0 Irrig. 296 118.24 0.00 20.10 0.01 2034" Database Version 3.1. Date Printed: 11/22/2f-' WUT Page 1 Waste Utilization Table Year 1 Tract Field Source ID Soil Series Total Acres Use. Acres Crop RYE Applic, Period Nitrogen PA Nutrient Req'd (lbs/A) Comm. Fert. Nutrient Applied (lbs/A) Res, (1bs1A) Applic. Method Manure PA Nutrient Applied (lbs/A) Liquid ManureA pplied (acre) Solid Manure Applied (acre) Liquid Manure Applied (Field) Solid Manure Applied (Field) N N N N 1000 gal/A Tons 1000 gals tons 7595 D SS Goldsboro 0.12 0.12 Small Grain Overseed 1.0 Tons 10/1-3/31 SO 0 0 Irrig, 50 19.97 0.00 2.40 0.01 7595 D S5 Goldsboro 0,12 0.12 Hybrid Bermudagrass Hay 6.5 Tons *3/1-10/15 296 0 0 Irrig, 296 118.24 0.00 14.19 0.01 7595 E S5 Goldsboro 0.13 0.13 Small Grain Overseed 1,0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 2.60 0.01 7595 E SS Goldsboro 0.13 0.13 Hybrid Bermudagrass Hay 6.5 Tons 1 *3/1-10/15 296 0 0 Irrig. 296 118.24 0.00 15.37 0.01 7595 F S5 Goldsboro 0.13 0.13 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig, 50 19,97 0.00 2.60 0.01 7595 F S5 Goldsboro 0.13 0.13 Hybrid Bennudagrass Hay 6.5 Tons *3/1-10/15 296 0 0 Irrig. 296 118.24 0,00 15.37 0,01 7595 G SS Goldsboro 0.17 0.17 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 3.40 0.01 7595 G S5 Goldsboro 0.17 0.17 Hybrid Bermudagrass Hay 6.5 Tons *311-10115 296 0 0 Irrig, 296 118.24 0,00 20.10 0.01 7595 H SS Goldsboro 0.17 0.17 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig, 50 19.97 0.00 3.40 0.01 7595 H SS Goldsboro 0.17 0.17 Hybrid Bermudagrass Hay 6.5 Tons *3/1-10/15 296 0 0 Irrig. 296 118.24 0.00 20.10 0.01 7595 1 S5 Goldsboro 0.12 0.12 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0,00 2.40 0.01 7595 I S5 Goldsboro 0.12 0.12 Hybrid Bermudagrass Hay 6.5 Tons *311-10115 296 0 0 Irrig. 296 118.24 0.00 14.19 0.01 7595 J S5 Goldsboro 0.131 0.13 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 1 50 19.97 0,00 2.60 0.01 7595 1 S5 Goldsboro 0.13 0.13 Hybrid Bermudagrass Hay 6.5 Tons *311-10115 296 0 0 Irrig. 1 296 118.24 0.00 15.37 0.01 7595 K S5 Goldsboro 0.13 0.13 Small Grain Overseed 1.0 Tons 10/1.3/31 50 0 0 Irrig. 50 19,97 0,00 2.60 0.01 7595 K SS Goldsboro 0.13 0.13 Hybrid Bermudagrass Hay 6.5 Tons *3/1.10/15 296 0 0 Irrig. 296 118.24 0.00 15.37 0.01 7595 L S5 Goldsboro 0.17 0.17 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig, 50 19.97 0.00 3.40 0.01 7595 L S5 Goldsboro 0.17 0.17 Hybrid Bermudagrass Hay 6.5 Tons *311-10/15 296 0 0 Irrig. 296 118.24 0.00 20.10 0.01 7595 M S5 Goldsboro 0.09 0.09 Small Grain Overseed LO Tons 10/1-3/31 50 0 0 Irrig, 50 19,97 0.00 1.80 0.01 7595 M SS Goldsboro 0.09 0.09 Hybrid Bermudagrass Hay 6.5 Tons *3/1-10/15 296 0 0 Irrig, 296 118.24 0.00 10.64 0.01 7595 N S5 Goldsboro 0.14 0.14 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0,00 2.80 0.0( 7595 N SS Goldsboro 0.14 0.14 Hybrid Bermudagrass Hay 6.5 Tons *3/1-10/15 296 0 0 Irrig. 296 118.24 0.00 16.55 0.01 2030-4 ) Database Version.3.1 Date Printed; 11/22/2` } WUT Page 2 �6 Woc+a Ufili7a+inn Tahle Year 1 Tract Field Source ID I Soil Series Toil Acres Use, Acres Crop RYE APP1ic, Period Nitrogen PA Nutrient Req'd (lbs/A) Comm. Fert. Nutrient Applied (Ibs/A) Res. (lbs/A) Applic, Method Manure PA Nutrient Applied (lbslA) Liquid ManureA pplied (acre) Solid Manure Applied (acre) Liquid Manure Applied (Field) Solid Manure Applied (Field) N N N N 100D gal/A Tons 1000 gals tons 7595 O SS Goldsboro 0.14 0.14 Small Grain Overseed LO Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 2.80 0101 7595 0 SS Goldsboro 0,14 0.14 Hybrid Bermudagrass Hay 6.5 Tons *3/1.10/15 296 0 0 Irrig. 296 118.24 0.00 16.55 0.01 7595 P S5 Goldsboro 0.13 0.13 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0,00 2.60 0,01 7595 P S5 Goldsboro 0.13 0.13 Hybrid Bermudagrass Hay 6,5 Tons *3/1-10/15 296 0 0 Irrig. 296 118.24 0.00 15.371 0.01 7595 Q SS IGoldsboro 0.17 0.17 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 1 0.00 3.40 1 00 7595 Q S5 Goldsboro 0.17 0.171. Hybrid Bermudagrass Hay 6.5 Tons *311-10115 296 0 0 Irrig, 296 1 118.24 0.00 1 20.1.0 0.01 7595 R S5 Goldsboro 0.13 0.13 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 2.60 0101 7595 R S5 Goldsboro 0.13 0.13 Hybrid Bermudagrass Hay 6.5 Tons *3/1.10/15 296 0 0 Irrig. 296 118.24 0.00 15.37 0.01 7595 S S5 Goldsboro 0.10 0.10 Small Grain Overseed 1.0 Tons 10/1.3/31 50 0 0 Irrig. 50 19.971 0.00 2.00 0.0( 7595 S S5 Goldsboro 0.10 0,10 Hybrid Bermudagrass Hay 6.5 Tons *3/1.10/15 296 0 0 Irrig. 296 118.24 0.00 11.82 0.01 7595 T S5 Goldsboro 0.17 0.17 Small Grain Overseed 1.0 Tons 10/1.3/31 50 0 0 Irrig. 50 19.97 0,00 3.40 0.01 7595 T S5 Goldsboro 0.17 0.17 Hybrid Bermudagrass Hay 6.5 Tons *3/1-10/15 296 0 0 Irrig. 296 118.24 0.00 20.1.0 0.01 7595 U S5 Goldsboro 0,17 0.17 Small Grain Owneed LO Tons 10/1-3/31 50 0 0 Irrig, 50 19.97 0.00 3,40 0.01 7595 U S5 Goldsboro 0.17 0,17 Hybrid Bermudagrass Hay 6,5 Tons *311-10/15 296 0 0 Irrig, 296 118.24 0.00 20.10 0.01 7595 V S5 Goldsboro 0.13 0.13 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 2.60 0.01 7595 v S5 Goldsboro 0,13 0.13 Hybrid Bermudagrass Hay 6.5 Tons *3/1 10/15 296 0 0 Irrig. 296 118.24 0.00 15.37 0.01 Total Annlied. 1000 eallons 1,627.34 Total Produced, 1000 gallons 490.01 Balance, 1000 gallons-1,130.74 Total Applied, tons 0.01 Total Produced, tons 0.01 Balance, tons 0.01 Notes; 1. In the tract column, - symbol means leased, otherwise, owned. 2. Symbol * means user entered data. 203J" n� Database Version 3.1 Date Printed: 11/22/2" WUT Page ? 6 Waste Utilization Table Year 2 Source Total Use. Tract Field 1D Soil Series Acres Acres Crop RYE Applic. Period Nitrogen PA Nutrient Rod (lbs/A) Comm Fert. Nutrient Applied (lbs/A) Res. (lbs/A) Applic. Method Manure PA Nutrient Applied (Ibs/A) Liquid ManureA pplied (acre) Solid Manure Applied (acre) Liquid Manure Applied (Field) Solid Manure Applied (Field) N N N N 1000 gal/A Tons 1000 gals tons 0000 PI S5 Goldsboro 3.85 3.85 Wheat, Grain 65 bu. 9/1.4/30 136 0 0 Irrig. 54 21.73 0.00 83.66 0.01 0000 P1 S5 Goldsboro 3,85 3.85 Soybeans, Manured, Double Crop 38 bu. 411-9/15 1.49 0 0 Irrig. 149 59.52 0.00 229.14 0.01 0000 P2 S5 Goldsboro 3.24 3.24 Wheat, Grain 65 bu. 9/14/30 136 0 0 Irrig. 54 21.73 0.00 70.40 0.01 0000 P2 SS Goldsboro 3.24 3.24 Soybeans, Manured, Double Crop 38 bu. 4/1-9/15 149 0 0 Irrig. 149 59.52 0.00 192.83 0.01 0000 P3 1 SS Goldsboro 3,00 3.00 Wheat, Grain 65 bu. 9/1430 136 0 0 brig. 54 21..73 0.00 65.19 0.01 0000 P3 1 SS Goldsboro 3.00 3.00 Soybeans, Manured, Double Crop 38 bu. 411-9115 149 0 0 Irrig, 149 59.52 0.00 178.55 0.01 0000 P4 95 Goldsboro 2.73 2.73 Wheat, Grain 65 bu. 9/14/30 136 0 0 Irrig, 54 21,73 0.00 59.32 0.01 0000 P4 S5 Goldsboro 2.73 2.73 Soybeans, Manured, Double Crop 38 bu. 411-9115 149 0 0 brig. 149 59.52 0.00 162.48 0.01 0000 P5 S5 Goldsboro 1.50 1.50 Wheat, Grain 65 bu. 9/1-4/30 136 0 0 Irrig. 54 21.73 0,00 32.59 0.01 0000 PS $5 Goldsboro 1.50 1.50 Soybeans, Manured, Double Crop 38 bu. 4/1-9/15 149 0 0 Irrig. 149 59.52 0.00 89.28 0.01 7595 A S5 Goldsboro 0.12 0.12 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 2.40 0.01 7595 A S5 Goldsboro 0.12 0.12 Hybrid Bermudagrass Hay 6.5 Tons *311-10/15 296 0 0 Irrig. 296 118.24 0.00 14.19 0.01 7595 B SS i Goldsboro 0.17 0.17 Small Grain Overseed l A Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 3.40 0.01 7595 B S5 Goldsboro 0.17 0.17 Hybrid Bermudagrass Hay 6.5 Tons *3/1-10/15 296 0 0 Irrig. 296 118.24 0,00 20.10 0.01 7595 C S5 Goldsboro 0.17 0.17 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 3,40 0.01 7595 C SS Goldsboro 0.17 0.17 Hybrid Bermudagrass Hay 6.5 Tons *3/1-10/15 296 0 0 Irrig. 296 118.24 0.00 20,10 0.01 7595 D S5 Goldsboro 0.12 0.12 Small Grain Overseed 1.0 Tons 10/1.3/31 50 0 0 Irrig. 50 19.97 0.00 2:40 0.01 7595 D S5 Goldsboro 0.12 0.12 Hybrid Bermudagrass Hay 6.5 Tons *311-10115 296 0 0 Irrig. 296 118.24 0.00 14.19 0.01 7595 E S5 Goldsboro 0.13 0.13 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 2,60 0.01 7595 E SS Goldsboro 0.13 0.13 Hybrid Bermudagrass Hay 6.5 Tons *3/1-10/15 296 0 0 Irrig. 296 118.24 0,00 15.37 0.01 7595 F S5 Goldsboro 0.13 0.13 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.0 2.60 0.01 7595 F S5 Goldsboro 0.13 0.13 Hybrid Bermudagrass Hay T65Tons *3/1-10/15 296 0 0 1 Irrig. F296 118.24 0.00 15.37 0.01 203J" Database Version 3.1 Date Printed: 11/22/21- WUT Page 4 '.;6 Waste Utilization Table Year 2 Source Total Use. Tract Field ID Soil Series Acres Acres Crop RYE Applic, Period tiitrogen PA Nutrient Req'd (1bs/A) Comm. Fert. Nutrient Applied (lbs/A) lies, (lbs/A) Apple. Method Manure PA Nutrient Applied Obs/A) Liquid ManureA pplied (acre) Solid Manure Applied (acre) Liquid Manure Applied (Field) Solid Manure Applied (Field) N N N N 1000 gal/A Tons 1000 gals tons 7595 G S5 Goldsboro 0.17 0.17 Small Grain Overseed 1.0 Tons 1011-3/31 50 0 0 Irrig. 50 19.97 0.00 3.40 0.01 7595 G S5 Goldsboro 0.17 0.17 Hybrid Bermudagrass Hay 6.5 Tons *311-10115 296 0 0 Irrig. 296 118.24 0,00 20.10 0.01 7595 H SS Goldsboro 0.17 0.17 Small Grain Overseed 1.0 Tons 10/1-3/31 1 50 0 1 0 Irrig. 1 50 19.97 0.00 3.40 0.01 7595 H S5 Goldsboro 0.17 0.17 Hybrid Bermudagrass Hay 6,5 Tons *3/1-10/15 296 0 0 Irrig, 296 118.241 0.00 20.10 0,01 7595 1 SS Goldsboro 0.12 0.12 Small Grain Overseed 1,0 Tons 10/1-3/51 50 0 0 Irrig. 50 19.97 0.00 2,40 0.01 7595 1 S5 Goldsboro 0,12 0,12 Hybrid Bermudagrass Hay 6,5 Tons *311-10115 296 0 0 Irrig, 296 118.24 0.00 14.19 0.01 7595 3 S5 Goldsboro 0.13 0.13 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig, 50 19.97 0.00 2.60 0.01 7595 3 S5 Goldsboro 0.13 0.13 Hybrid Bermudagrass Hay 6,5 Tons *311-10115 296 0 0 Irrig. 296 118.24 0.00 15.37 0.01 7595 K S5 Goldsboro 0.13 0.13 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig, 50 19.97 0.00 2.60 OD 7595 K S5 Goldsboro 0.13 0.13 Hybrid Bermudagrass Hay 6.5.Tons *3/1-10/15 296 0 0 Irrig. 296 118.24 0.00 15.37 0.01 7595 L S5 Goldsboro 0.17 0.17 Small Grain Overseed 1.0 Tons 10/1.3/31 50 0 0 Irrig. 50 19.97 0100 3.40 0.01 7595 L S5 Goldsboro 0.17 0,17 Hybrid Bermudagrass Hay 6.5 Tons *311-10115 296 0 0 Irrig, 296 118.24 0.00 20.10 0.01 7595 M S5 Goldsboro 0.09 0.09 Small Grain Overseed 1.0 Tons 10/1-3/31 SO 0 0 Irrig. 50 19.97 0.00 1.80 0.01 7595 M S5 Goldsboro 0.09 0.09 Hybrid Bermudagrass Hay 6.5 Tons *3/1-10/15 296 0 0 Irrig. 296 118.24 0.00 10.64 0.01 7595 N S5 Goldsboro 0.14 0,14 Small Grain Overseed 1,0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 2.80 0.01 7595 N SS Goldsboro 0.14 0.14 Hybrid Bermudagrass Hay 6.5 Tons *311-10115 296 0 0 Irrig. 296 118.24 0.00 16.55 0.01 7595 0 S5 Goldsboro 0.14 0.14 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig, 50 19.97 0.00 2.80 0.01 7595 0 S5 Goldsboro 0.14 0.14 Hybrid Bermudagrass Hay 6.5 Tons *3/1-10/15 296 0 0 Irrig, 296 118.24 0.00 16,55 0,01 7595 P SS Goldsboro 0.13 0.13 Small Grain Overseed 1.0 Tons 10/1.3/31 50 0 0 Irrig, 50 19.97 0.00 2.60 0.01 7595 P S5 Goldsboro 0.13 0.13 Hybrid Bermudagrass Hay 6,5 Tons *3/1-10/15 296 0 0 Irrig. 296 118.24 0.00 15.37 0.01 7595 Q S5 Goldsboro 0.17 0.17 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig, 50 19.97 0.00 3.40 0.0+ 7595 Q SS Poldsboro 0.17 0.17 Hybrid Bermudagrass Hay 6.5 Tons *3/1-10/15 296 0 0 Irrig, 296 118.24 0,00 20.101 10 203r"', Database Version 3.1 Date Printed: 11/22/2''^ WUT Page 5 ",�6 %Woo+& TT+i1FsaFinn Tahln Vnor'7 Tract Field Source ID Soil Series Total Acres Use, Acres Crop RYE Applic. Period Mtrogen PA Nutrient Req'd (lbs/A) Comm. Fort, Nutrient Applied (Ibs/A) Res, (lbs/A) Applic. Method Manure PA Nutrient Applied (Ibs/A) Liquid ManureA pp8ed (acre) Solid Manure Applied (acre) Liquid Manure Applied (Field) Solid Manure Applied (Field) N N N N 1000 gal/A Tons 1000 gals tons 7595 R S5 oldsboro 0.13 0.13 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0,00 2.60 0.01 7595 R S5 Goldsboro 0.13 0.13 Hybrid Bermudagrass Hay 6.5 Tons *311.10115 296 0 0 Irrig. 296 118.24 0.00 15.37 0.01 7595 S 0.10 0.10 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig, 50 19.97 0.00 2.00 0.01 7595 S qS5Goldsboro ldsboro 0,10 0.10 Hybrid Bermudagrass Hay 6,5 Tons *3/1-10/15 296 0 0 Irrig, 296 118,24 0.00 11.82 0.01 7595 T Idsboro 0.17 0.17 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 3.40 0,01 7595 T S5 Goldsboro 0.17 0,17 Hybrid Bermudagrass Hay 6,5 Tons *3/1-10/15 296 0 0 Irrig. 296 118.24 0.00 20.10 0.01 7595 U SS Goldsboro 0,17 0.17 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 19,97 0.00 3.40 0.01 7595 U S5 Goldsboro 0,17 0,17 Hybrid Bermudagrass Hay 6.5 Tons *3/1.10/15 296 0 0 Irrig. 296 118,24 0.00 20.10 0.01 7595 V S5 Goldsboro 0.13 0.13 Small Grain Overseed 1,0 Tons 10/1-3/31 50 0 0 Irrig. 50 19.97 0.00 2.60 0.01 7595 V SS Goldsboro 0.13 0.13 1 Hybrid Bermudagrass Hay 6.5 Tons *311-10115 296 0 0 Irrig. 296 118.24 0,00 15.37 00 Total Applied, 1000 gallons 1,591.88 Total Produced, 1000 gallons 496,60 Balance, 1000 gallons -1,095.28 Total Applied, tons 0.01 Total Produced, tons 0.01 Balance, tons 0.01 Notes: 1. In the tract column, - symbol means leased, otherwise, owned. 2. Symbol * means user entered data. 203,1' 4 Database Version 3.1 Date Printed: 11/22/2 WUT Page F °� 6 The Available Waste Storage Capacity table provides an estimate of the number of days of storage capacity available at the end of each month ofthe 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 tile 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. C Avali le W . to for e a i Source Name I Swine Nursery Lagoon Liquid Start Date 9/1 Plan Year Month 1 1 1 2 1 3 1 4 1 5 1 6 1 7 Design Storage Capacity (Da s) 180 Available Storage Capacity (Days) 56 145 180 180 180 180 180 1 8 176 1 9 180 1 10 180 1 11 180 1 12 180 2 1 180 2 2 180 2 3 180 2 4 180 2 5 180 2 6 180 2 7 180 2 8 180 2 9 180 2 10 158 2 11 137 2 12 111 * Available Storage Capacity is calculated as of the end of each month 203474 Database Version 3.1 Date Printed: 11-22-2005 Capacity Page 1 of 1 The following Lagoon Sludge Nitrogen Utilization table provides an estimate of the number of acres needed for sludge utilization for the indicated accumulation period. These estimates are based on average nitrogen concentrations for each source, the number of animals in the facility and the plant available nitrogen application rates shown in the second column. Lagoon sludge contains nutrients and organic matter remaining after treatment and application of the effluent. At clean out, this material must be utilized for crop production and applied at agronomic rates. In most cases, the priority nutrient is nitrogen but other nutrients including phosphorous, copper and zinc can also be limiting. Since nutrient levels are generally very high, application of sludge must be carefully applied. Sites must first be evaluated for their suitability for sludge application. Ideally, effluent spray fields should not be used for sludge application. if this is not possible, care Mould 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 Crop Maximum PAN Rate lb/ac Maximum Sludge Application Rate 1000 gal/ac Minimum Acres 5 Years Accumulation Minimum Acres 10 Years Accumulation Minimum Acres 15 Years Accumulation Swine Nursery Lagoon Sludge - Standard Com 120 bu 150 13.16 6.62 13.24 19.85 Hay 6 ton R.Y.E. 300 26.32 3.31 6.62 9.93 Soybean 40 bu 160 14.04 6.20 12.41 18.61 203474 Database Version 3.1 Date Printed: 11-22 2005 Sludge Page 1 of 1 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 Tract 0000 0000 0000 0000 0000 Field PI P2 P3 P4 P5 Soil Series Goldsboro Goldsboro Goldsboro Goldsboro Goldsboro Application Rate (inches/hour) 0.50 0.50 0.50 *0.35 0.50 Application Amount (inches) 1.0 1.0 1.0 1.0 1.0 7595 A Goldsboro 0.50 1.0 7595 B Goldsboro 0.50 1.0 7595 C Goldsboro *0.35 1.0 7595 D Goldsboro 0.50 1.0 7595 E Goldsboro 0.50 1.0 7595 F Goldsboro 0.50 1.0 7595 G Goldsboro 0.50 1.0 7595 H Goldsboro 0.50 1.0 7595 I Goldsboro 0.50 1.0 7595 1 Goldsboro *0.35 1.0 7595 K Goldsboro 0.50 1.0 7595 L Goldsboro 0.50 1.0 7595 M Goldsboro 0.50 1.0 7595 N Goldsboro 0.50 1.0 7595 O Goldsboro 0.50 1.0 7595 P Goldsboro 0.50 1.0 7595 Q Goldsboro 0.50 1.0 7595 R Goldsboro 0.50 1.0 7595 S Goldsboro 0.50 1.0 7595 T Goldsboro 0.50 1.0 7595 U Goldsboro 0.50 I.0 7595 V jGoldsboro 0.50 1.0 'IM A'7A 7'l..a...l.... i7,.....:--'! 7 r%-.- II P111111nnC TA 12 T1....n 1 -4F 1 Crop Notes The following crop note applies to field(s): P1, P2, P3, P4, P5 Corn 1: CP, Mineral Soil, low -leachable In the Coastal Plain, corn is normally planted when soil temperatures reach 52 to 55 degrees fahrenheit. Review the Official Variety "green book" and information from private companies to select a high yielding variety with the characteristics needed for your area and conditions. Plant 1-2" deep. Plant populations should be determined by the hybrid being planted. Increase the seeding rate by 10°!o when planting no -till. Phosphorus and potassium recommended by a soil test can be broadcast or banded at planting. When planting early in cool, wet soil, banded phosphorus will be more available to the young plants. An accepted practice is to apply 20-30 lbs/acre N and 20-30 lbs/acre phosphorus banded as a starter and one-half the remaining N behind the planter. The rest of the N should be applied about 30-40 days after emergence. The total amount of N is dependent on soil type. When including a starter in the fertilizer program, the recommended potassium and any additional phosphorus is normally broadcast at planting. Plant samples can be analyzed during the growing season to monitor the overall nutrient status of the corn. Timely management of weeds and insects are essential for corn production. The following crop note applies to field(s): A, B, C, D, E, F, G, Il, I, J, K, L, M, N, O, P, Q, R, S, T, U, V Bermudagrass Coastal Plain, Mineral Soil, Poorly Drained to Somewhat Poorly Drained. Adaptation: Effective artificial drainage MUST be in place to achieve Realistic Yield Expectations provided for these soils. In the Coastal Plain, hybrid bermudagrass sprigs can be planted Mar. 1 to Mar. 31. Cover sprigs 1" to 3" -- deep (1.5" optimal). Sprigs should be planted quickly after digging and not allowed to dry in sun and wind. For Coastal and Tifton 78 plant at least 10 bu/ac in 3' rows, spaced 2' to 3' in the row. Generally a rate of 30 bu/ac is satisfactory to produce full groundcover in one or two years under good growing conditions. Tifton 44 spreads slowly, so use at least 40 bu/ac in 1.5' to 2' rows spaced I' 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. 203474 Database Version 3.1 Date Printed: 11-22-2005 Crop Note Page 1 of 2 The following crop note applies to field(s): A, B, C, D, E, F, G, H, I, J, K� L, M, N, O, P, Q, R, S, T, U, V Small Grain: CP, Mineral Soil, low -leachable In the Coastal Plain, oats and barley should be planted from October 15-October 30; and rye from October 15 November 20. For barley, plant 22 seed/drill row foot and increase the seeding rate by 5% for each week seeding is delayed beyond the optimum time. See the seeding rates table for applicable seeding rate modifications in the current NCSU "Small Grain Production Guide". Also, increase the initial seeding rate by at least 10% when planting no -till. Oats should be planted at 2 bushels/acre and rye at 1-1 1/2 bushels/acre. Plant all these small grains at 1-1 1/2" deep. Adequate depth control is essential. Review the NCSU Official Variety "green book" and information from private companies to select a high yielding variety with the characteristics needed for your area and conditions. Apply no more than 30 lbs/acre N at planting. Phosphorus and potash recommended by a soil test can also be applied at this time. The remaining N should be applied during the months of February -March. The following crop note applies to field(s): P1, P2, P3, P4, P5 Wheat: Coastal Plain, Mineral Soil, low -leachable In the Coastal Plain, wheat should be planted from October 20-November 25. Plant 22 seed/drill row foot at 1-1 1/2" deep 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. Adequate depth control when planting the wheat 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 total N is dependent on the soil type. Plant samples can be analyzed during the growing season to monitor the nutrient status of the wheat. Timely management of diseases, insects and weeds are essential for profitable wheat production. The following crop note applies to field(s): Pl, P2,, P3, P4, P5 Double -Crop Soybeans, Coastal Plain: Mineral Soil, low -leachable Double -crop soybeans should be planted as early in June as possible with planting completed by July 4th. When no tilling soybeans in small grain straw, it is essential to manage the straw to achieve adequate plant populations. 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. Plant 2-4 seed/row foot for 7-8" drills; 4-6 seed/row foot for 15" rows; 6-8 seed/row foot for 30" rows and 8-10 seed/row foot for 36" rows. Increase the seeding rate by at least 10% for no -till planting. Seeding depth should be 1-1 1/2" and adequate depth control is essential. Phosphorus and potash recommended for the soybeans can be applied to the wheat in the Fall. Soybeans produce their own nitrogen and are normally grown without additions of nitrogen. However, applications of 20-30 lbs/acre N are sometimes made at planting to promote early growth and vigor. Tissue samples can be analyzed during the growing season to monitor the overall nutrient status of the soybeans. Timely management of weeds and insects is essential for profitable double crop soybean production. `� 203474 Database Version 3.1 Date Printed: I 1-22-2005 Crop Note Page 2 of 2 Required Specifications For Animal Waste Management 1. Animal waste shall not reach surface waters of the state by runoff, drift, manmade conveyances, direct application, or direct discharge during operation or land application. Any discharge of waste that reaches surface water is prohibited. 2. There must be documentation in the design folder that the producer either owns or has an agreement for use of adequate land on which to properly apply the waste. If the producer does not own adequate land to properly dispose of the waste, he/she shall provide evidence of an agreement with a landowner, who is within a reasonable proximity, allowing him/her the use of the land for waste application. It is the responsibility of the owner of the waste production facility to secure an update of the Nutrient Management Plan when there is a change in the operation, increase in the number of animals, method of application, receiving crop type, or available land. 3. Animal waste shall be applied to meet, but not exceed, the nitrogen needs for realistic crop yields based upon soil type, available moisture, historical data, climatic conditions, and level of management, unless there are regulations that restrict the rate of applications for other nutrients. 4. Animal waste shall be applied to land eroding less than 5 tons per acre per year. Waste may be applied to land eroding at more than 5 tons per acre per year but less than 10 tons per acre per year provided grass filter strips are installed where runoff leaves the field (see USDA, MRCS 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). 203474 Database Version 3.1 Date Printed: 11/22/2005 Specification Page 1 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 dies. 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. 203474 Database Version 3.1 Date Printed: 11/22/2005 Specification Page 2 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. 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. 203474 Database Version 3.1 Date Printed: 11/22/2005 Specification Page 3 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. 203474 Database Version 3.1 Date Printed: 11/22/2005 Specification Page 4 FV 4n- 41 I Z54� fr _4W Possible Causes of Lagoon Failure Lagoon failures result in the unplanned discharge of wastewater from the structure. Types of failures include leakage through the bottom or sides, overtopping, and breach of the dam. Assuming proper design and construction, the owner has the responsibility for ensuring structure safety. Items which may Iead to lagoon failures include: Modification of the lagoon structure ---an example is the placement of a pipe in the darn without proper design and construction. (Consult an expert in lagoon design before placing any pipes in dams..) Lagoon liquid levels ---high levels are a safety risk. Failure to inspect and maintain the dam. Excess surface water flowing into the lagoon. Liner integrity ---protect from inlet pipe scouring, damage during sludge removal, or rupture from lowering lagoon liquid level below groundwater table. NOTE: If lagoon water is allowed to overtop the dam, the moving water will soon cause gullies to form in the dam. Once this damage starts, it can quickly cause a large discharge of wastewater and possible dam failure. 4W QUO"! ionolopgmuoul proper lagoon sizing, mechanical solids separation of flushed waste, gravity settling of flushed waste solids in an appropriately designed basin, or minimizing feed wastage and spillage. Lagoon sludge that is removed annually rather than stored long term will: have more nutrients, have more odor, and require more land to properly use the nutrients. Removal techniques: Hire a custom applicator. Mix the sludge and lagoon liquid with a chopper -agitator impeller pump through large -bore sprinkler irrigation system onto nearby cropland; and soil incorporate. Dewater the upper part of lagoon by irrigation onto nearby cropland or forageland; mix remaining sludge; pump into liquid sludge applicator; haul and spread onto cropland or forageland; and soil incorporate. Dewater the upper part of lagoon by irrigation onto nearby cropland or forageland; dredge sludge from lagoon with dragline or sludge barge; berm an area beside lagoon to receive the sludge so that liquids can drain back into lagoon; allow sludge to dewater; haul and spread with manure spreader onto cropland or forageland; and soil incorporate. Regardless of the method, you must have the sludge material analyzed for waste constituents just as you would your lagoon water. The sludge will contain different nutrient and metal values from the liquid. The application of the sludge to fields will be limited by these nutrients as well as any previous waste applications to that field and crop requirement. Waste application rates will be discussed in detail in Chapter 3. When removing sludge, you must also pay attention to the liner to prevent damage. Close attention by the pumper or drag -line operator will ensure that the lagoon liner remains intact. If you see soil material or the synthetic liner material being disturbed, you should stop the activity immediately and not resume until you are sure that the sludge can be removed without liner injury. If the liner is damaged it must be repaired as soon as possible. Sludge removed from the lagoon has a much higher phosphorus and heavy metal content than liquid. Because of this it should probably be applied to land with low phosphorus and metal levels, as indicated by a soil test, and incorporated to reduce the chance of erosion. Note that if the sludge is applied to fields with very high soil -test phosphores, it should be applied only at rates equal to the crop removal of phosphorus. As with other wastes, always have your lagoon sludge analyzed for its nutrient value. The application of sludge will increase the amount of odor at the waste application site. Extra precaution should be used to observe the wind direction and other conditions which could increase the concern of neighbors. Practice water conservation ---minimize building water usage and spillage from leaking waterers, broken pipes and washdown through proper maintenance and water conservation. Minimize feed wastage and spillage by keeping feeders adjusted. This will reduce the amount of solids entering the lagoon Management: Maintain lagoon liquid level between the permanent storage level and the full temporary storage level. Place visible markers or stakes on the lagoon bank to show the minimum liquid level and the maximum liquid lever (Figure 2-1). Start irrigating at the earliest possible date in the spring based on nutrient requirements and soil moisture so that temporary storage will be maximized for the summer thunderstorm season. Similarly, irrigate in the late summer/early fall to provide maximum lagoon storage for the winter. The lagoon liquid level should never be closer than 1 foot to the lowest point of the dam or embankment. Do not pump the lagoon liquid level lower that the permanent storage level unless you are removing sludge. Locate float pump intakes approximately 18 inches underneath the liquid surface and as far away from the drainpipe inlets as possible. Prevent additions of betiding materials, long-stemmed forage or vegetation, molded feed, plastic syringes, or other foreign materials into the lagoon. Frequently remove solids from catch basins at end of confinement houses or wherever they are installed. Maintain strict vegetation, rodent, and varmint control near lagoon edges. Do not allow trees or large bushes to grow on lagoon dam or embankment. Remove sludge from the lagoon either when the sludge storage capacity is full or before it fills 50 percent of the permanent storage volume. If animal production is to be terminated, the owner is responsible for obtaining and implementing a closure plan to eliminate the possibility of a pollutant discharge. Sludge Removal: Rate of lagoon sludge buildup can be reduced by: Identified problems should be corrected promptly. It is advisable to inspect your system during or immediately following a heavy rain. If technical assistance is needed to determine proper solutions, consult with appropriate experts. You should record the level of the lagoon just prior to when rain is predicted, and then record the level again 4 to 6 hours after the rain (assumes there is no pumping). This will give you an idea of how much your lagoon level will rise with a certain rainfall amount (you must also be recording your rainfall for this to work). Knowing this should help in planning irrigation applications and storage. if your lagoon rises excessively, you may have an inflow problem from a surface water diversion or there may be seepage into the lagoon from the surrounding land. Lagoon Operation Startup: 1. Immediately after construction establish a complete sod cover on bare soil surfaces to avoid erosion. 2. Fill new lagoon design treatment volume at least half full of water before waste loading begins, taking care not to erode lining or bank slopes. 3. Drainpipes into the lagoon should have a flexible pipe extender on the end of the pipe to discharge near the bottom of the lagoon during initial filling or another means of slowing the incoming water to avoid erosion of the lining. 4. When possible, begin loading new lagoons in the spring to maximize bacterial establishment (due to warmer weather). 5. It is recommended that a new lagoon be seeded with sludge from a healthy working swine lagoon in the amount of 0.25 percent of the full lagoon liquid volume. This seeding should occour at least two weeks prior to the addition of wastewater. 6. Maintain a periodic check on the lagoon liquid pH. If the pH falls below 7.0, add agricultural lime at the rate of 1 pound per 1000 cubic feet of lagoon liquid volume until the pH rises above 7.0. Optimum lagoon liquid pH is between 7.5 and 8.0. 7. A dark color, lack of bubbling, and excessive odor signals inadequate biological activity. Consultation with a technical specialist is recommended if these conditions occur for prolonged periods, especially during the warm season. Loading: The more frequently and regularly that wastewater is added to a lagoon, the better the lagoon will function. Flush systems that wash waste into the lagoon several times daily are optimum for treatment. Pit recharge systems, in which one or more buildings are drained and recharged each day, also work well. Lagoon surface --look for: 1. undesirable vegetative growth 2. floating or lodged debris Embankment ---look for: 1. settlement, cracking, or "jug" holes 2. side slope stability ---slumps or bulges 3. wet or damp areas on the back slope 4. erosion due to lack of vegetation or as a result of wave action 5. rodent damage Larger lagoons may be subject to liner damage due to wave action caused by strong winds. These waves can erode the lagoon sidewalls, thereby weakening the lagoon dam. A good stand of vegetation will reduce the potential damage caused by wave action. If wave action causes serious damage to a lagoon sidewall, baffles in the lagoon may be used to reduce the wave impacts. Any of these features could lead to erosion and weakening of the dam. If your lagoon has any of these features, you should call an appropriate expert familiar with design and construction of waste lagoons. You may need to provide a temporary fix if there is a threat of a waste discharge. However, a permanent solution should be reviewed by the technical expert. Any digging into a lagoon dam with heavy equipment is a serious undertaking with potentially serious consequences and should not be conducted unless recommended by an appropriate technical expert. Transfer Pumps ---check for proper operation of: 1. recycling pumps 2. irrigation pumps Check for leaks, loose fittings, and overall pump operation. An unusually loud or grinding noise, or a large amount of vibration, may indicate that the pump is in need or repair or replacement. NOTE: Pumping systems should be inspected and operated frequently enough so that you are not completely "surprised" by equipment failure. You should perform your pumping system maintenance at a time when your lagoon is at its low level. This will allow some safety time should major repairs be required. Having a nearly full lagoon is not the time to think about switching, repairing , or borrowing pumps. Probably, if your lagoon is full, your neighbor's lagoon is full also. You should consider maintaining an inventory of spare parts or pumps. Surface water diversion features are designed to carry all surface drainage waters (such as rainfall runoff, roof drainage, gutter outlets, and parking lot runoff) away from your lagoon and other waste treatment or storage structures. The only water that should be coming from your lagoon is that which comes from your flushing (washing) system pipes and the rainfall that hits the lagoon directly. You should inspect your diversion system for the following: 1. adequate vegetation 2. diversion capacity 3. ridge berm height OPERATION & MAINTENANCE PLAN Proper lagoon liquid management should be a year-round priority. It is especially important to manage levels so that you do not have problems during extended rainy and wet periods. Maximum storage capacity should be available in the lagoon for periods when the receiving crop is dormant (such as wintertime for bermudagrass) or when there are extended rainy spells such as the thunderstorm season in the summertime. This means that at the first signs of plant growth in the later winter/early spring, irrigation according to a farm waste management plan should be done whenever the land is dry enough to receive lagoon liquid. This will make storage space available in the lagoon for future wet periods. In the late summer/early fall the lagoon should be pumped down to the low marker (see Figure 2-1) to allow for winter storage. Every effort should be made to maintain the lagoon close to the minimum liquid level as long as the weather and waste utilization plan will allow it. Waiting until the lagoon has reached its maximum storage capacity before starting to irrigate does not leave room for storing excess water during extended wet periods. Overflow from the lagoon for any reason except a 25-year, 24-hour storm is a violation of state law and subject to penalty action. The routine maintenance of a lagoon involves the following: Maintenance of a vegetative cover for the dam. Fescue or common bermudagrass are the most common vegetative covers. The vegetation should be fertilized each year, if needed, to maintain a vigorous stand. The amount of fertilizer applied should be based on a soils test, but in the event that it is not practical to obtain a soils test each year, the- lagoon embankment and surrounding areas should be fertilized with 800 pounds per acre of 10-10-10, or equivalent. Brush and trees on the embankment must be controlled. This may be done by mowing, spraying, grazing, chopping, or a combination of these practices. This should be done at least once a year and possibly twice in years that weather conditions are favorable for heavy vegetative growth. NOTE: If vegetation is controlled by spraying, the herbicide must not be allowed to enter the lagoon water. Such chemicals could harm the bacteria in the lagoon that are treating the waste. Maintenance inspections of the entire lagoon should be made during the initial filling of the lagoon and at least monthly and after major rainfall and storm events. items to be checked should include, as a minimum, the following: Waste Inlet Pipes, Recycling Pipes, and Overflow Pipes ---look for: 1. separation of joints 2. cracks or breaks 3. accumulation of salts or minerals 4. overall condition of pipes System Calibration Information presented in manufacturer's charts are based on average operation conditions with relatively new equipment. Discharge rates and application rates change over time as equipment gets older and components wear. In particular, pump wear tends to reduce operating pressure and flow. With continued use, nozzle wear results in an increase in the nozzle opening which will increase the discharge rate while decreasing the wetted diameter. You should be aware that operating the system differently than assumed in the design will alter the application rate, diameter of coverage, and subsequently the application uniformity. For example, operating the system with excessive pressure results in smaller droplets, greater potential for drift, and accelerates wear of the sprinkler nozzle. Clogging of nozzles can result in pressure increase. Plugged intakes or crystallization of mainlines will reduce operating pressure. Operating below design pressure greatly reduces the coverage diameter and application uniformity. For the above reason, you should calibrate your equipment on a regular basis to ensure proper application rates and uniformity. Calibration at least once every three years is recommended. Calibration involves collecting and measuring flow at several locations in the application area. Any number of containers can be used to collect flow and determine the application rate. Rain gauges work best because 'J they already have a graduated scale from which to read the application amount without having to perform additional calculations. However, pans, plastic buckets, jars, or anything with a uniform opening and cross-section can be used provided the liquid collected can be easily transferred to a scaled container for measuring. For stationary sprinklers, collection containers should be located randomly throughout the application area at several distances from sprinklers. For traveling guns, sprinklers should be located along a transect perpendicular to the direction of pull. Set out collection containers 25 feet apart along the transect on both sides of the gun cart. You should compute the average application rate for all nonuniformity of the application. On a windless day, variation between containers of more than 30 percent is cause for concern. You should contact your irrigation dealer or technical specialist for assistance. `Reprinted for Certification Training for Operations of Animal Waste Management Systems Manual EMERGENCY ACTION PLAN PHONE NUMBERS DIVISION OF WATER QUALITY (DWQ) r5y( EMERGENCY MANAGEMNET SERVICES (EMS) 9r t - SOIL AND WATER CONSERVATION DISTRICT (SWCD) rl y� z NATURAL RESOURCES CONSERVATION SERVICE (NRCS) r COOPERATIVE EXTERSION SERVICE (CES) This plan will be implemented in the event that wastes from your operation are leaking, overflowing or running off site. You should not wait until wastes reach surface waters or leave you property to consider that you have a problem. You should make every effort to ensure that this does not happen. This plan should be posted in an accessible location for all employees at the facility. The following are some action items you should take. 1. Stop the release of wastes. Depending on the situation, this may ore may not be possible. Suggested responses to some possible problems are listed belwo. A. Lagoon overflow -possible solutions are: a. Add soil to berm to increase elevation of dam. b. Pump wastes to fields at an acceptable rate. c. Stop all flows to the lagoon immediately. d. Call a pumping contractor. e. Make sure no surface water is entering lagoon. B. Runoff from waste application field -actions include: a. Immediately stop waste application. b. Create a temporary diversion to contain waste. c. Incorporate waste to reduce runoff. d. Evaluate and eliminate the reason(s) that cause the runoff. e. Evaluate the application rates for the fields where runoff occurred. C. Leakage from the waste pipes and sprinklers -action include: a. Stop recycle pump. b. Stop irrigation pump. c. Close valves to eliminate further discharge. d. Repair all leaks prior to restarting pumps. D. Leakage from flush systems, houses, solid separators -action include: a. Stop recycle pump. b. Stop irrigation pump. c. Make sure siphon occurs. d. Stop all flows in the house, flush systems, or solid separators. E. Leakage from base or sidewall of lagoon. Often this is seepage as opposed to flowing leaks -possible action: a. Dig a small sump or ditch from the embankment to catch all seepage, put in a submersible pump, and pump back to lagoon. b. If holes are caused by bunny animals, trap or remove animals and fill holes and compact with a clay type soil. c. Have a professional evaluate the condition of the side walls and lagoon bottom as soon as possible. 1 2. 3. Fly 5. 0 Assess the extent of the spill and note any obvious damages. a. Did the waste reach any surface waters? b. Approximately how much was released and for what duration? c. Any damage notes, such as employee injury, fish kills, or property damage? d. Did the spill leave the property? e. Does the spill have the potential to reach surface waters? f. Could a future rain event cause the spill to reach surface waters? g. Are potable water wells in danger (either on or off the property)? h. How much reached surface waters? Contact appropriate agencies. a. During normal business hours call your DWQ regional office; Phone - -. After hours, emergency number: 919-733-3942. Your phone call should include: your name, facility number, telephone number, the details of the incident from item 2 above, the exact location of the facility, the location or direction of movement of the spill, weather and wind conditions. The corrective measures that have been under taken, and the seriousness of the sitution. b. If spill leaves property or- enters surface waters, call local EMS phone number. c. Instruct EMS to contact local Helath Department. d. Contact CEs, phone number - , local SWCD office phone number - -, and local NRCS office for advice/technical assistance phone number - -. If none of the above works call 911 or the Sheriff's Department and explain you problem to them and ask the person to contact the proper agencies for you. Contact the contractor of your choice to begin repair or problem to minimize off - site damage. a. Contractors Name: b. Contractors Address: c. Contractors Phone: Contact the technical specialist who certified the lagoon (NRCS, Consulting Engineer, etc.) a. Name: b. Phone: a 4 GA 4'-n 7. Implement procedures as advised by DWQ and technical assistance agencies to rectify the damage, repair the system, and reassess the waste managment plan to keep problems with release of wastes from happening again. W INSECT CONTROL CHECKLIST FOR. ANIMAL OPERATIONS Source Cause BMP's to Minimize Odor Site Specific Practices (Liquid Systems) Flush Gutters Accumulation of solids Lagoons and Pits Crusted Solids Excessive Vegetative Decaying vegetation Growth ,,kr-Flush system is designed and operated sufficiently to remove accumulated soil from gutters as designed. Remove bridging of accumulated solids at discharge L- Kti aintain lagoons, settling basins and pits where pest breeding is apparent to minimize the crusting of solids to a depth of no more than B-8 inches over more than 30% of surface. Maintain vegetative control along banks of lagoons and other impoundments to prevent accumulation of decaying vegetative matter along water's edge on impoundment's perimeter. (Dry Systems) Feeders Food Spillage esign, operate and maintain feed systems (e.g., bunkers and troughs) to minimize the accumulation keying wastage. up spillage on a routine basis (e.g. 7-10 day interval during summer; 15-30 day interval during winter). Feed Storage Accumulations of feed residues educe moisture accumulation within and around immediate perimeter of feed storage areas by insuring drainage away from site and/or providing adequate containment (e.g.. covered bin for brewer's grain and similar high moisture grain prod;i cts). �spect for and remove or break up accumulated solids in filter strips around food storage as needed. Animal Holding Areas Accumulations of animal wastes irninate low area that trap moisture along fences and food wastage and other locations where waste accumulates and and di turbance by animals is minimal, aintain 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). AMIC--November 11, 1996 .rage tank or basin Partial microbial decomposition ( ) Bottom or midlevel loading surface Mixing while filling ( ) Tank covers Agitation when emptying ( ) Basin surface mate of solids ( ) Proven biological additives or oxidants Settling basin surface Partial micobial decomposition Mixing while filling Agitation when emptying Manure, slurry or sludge Agitation when spreading spreader outlets Volatile ,gas emissions f) Extend drainpipe outlets underneath liquid le al move settled solids regularly f) Soil injection of slurry/sludges (1 Wash residual manure from spreader after use (► Proven biological additives or oxidants Uncovered manure, slurry Volatile gas emissions while drying (1 Soil infection of slurry/sludges or sludge on field surfaces () Soil incorporation within 48 hours () Spread in thin uniform layers for rapid drying () Proven biological additives or oxidants Dead animals Carcass decomposition roper disposition of carcasses Dead animal disposal Carcass decomposition (1 Complete covering of carcasses in burial pits pits () Proper location/construction of disposal pits Incinerators Incomplete combustion (1 Saco ry stack burners Standing water around Improper drainage Grade and landscape such that water drains facilities Microbial decomposition of away from facilities organic matter !re tracked onto public Poorly maintained access roads Farm access road maintenance ru rus from farm access Additional Information: Available From: Swine Manure Management; 0200 Rule/BMP Packet NCSU-County Extension Center Swine Production Farm Potential Odor Sources and Remedies, EBAE Fact Sheet NCSU-BAE Swine Production Facility Manure Management: Pit Recharge --Lagoon Treatment; EBAE 128-88 NCSU-BAE Swine Production Facility Manure Management: Underfloor Fluse--Lagoon Treatment; EBAE 129-88 NCSU-BAE Lagoon Desig 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 Environmental Assuranc Program: NPPC Manual NC Pork Produces Assoc Options for Managing Odor; a report from the Swine Odor Task Force NCSU Agri Communications Nuisance Concerns in Animal Manure Management: Odors and Flies; PRO107, 1995 Conference Proceedings Florida Cooperative Extension The issues checked ( ) pertain to this operation. The landowner/integrator agrees to use sound judgment in applying odor control measures as practical. I certify the aforementioned odor control Best Managment Practices have been reviewed with me. AW111 Signature) AMOC--November 11. 1996 SWINE FARM WASTE MANAGEMENT ODOR CONTROL CHECKLIST Source Cause BMP's to Minimize Odor Site Specific Practices Farmstead Swine production Ve etative or wooded buffers; Zecommended best management pwtices; Animal body Floor surfaces surfaces Dirty manure -covered animals Wet manure -covered floors Manure collection pits Urine Parital micorbial decomposition Goodjudgment and common sense Dry floors { 1 ad floors; Waterers located over slotted floors; (ers at high and of solid floors; Snderflpa manure buildup from floors; oor ventilation for drying Frequent manure removal by flush,pit re arge,or scrape ndelfloor ventilation Ventilation exhaust fans Volatile gases; Fa rnaintenance; Dust Efficient air movement Indoor surfaces Dust ashdown between groups of animals O Feed additives; O er covers; 11-KFeed delivery downspout extenders to feeder covers �.r tanks _ Agitation of recycled lagoon () Flush tank covers liquid whiles tanks are filling () Extend fill lines to near bottom of tanks with anti -siphon vents Flush alleys Agitation during wastewater Underfloor flush with underfloor conveyonance ventilation Pit recharge points Agitation of recycled lagoon {) Extend rechard lines to near bottom of liquid while pits are filling pits with anti -siphon vents Lift stations Agitation during sump tank filling () Sump tank covers and drawdown Outside drain collection Agitation during wastewater () Box covers or junction boxes conveyance End of drainpipes at lagoon Agitation during wastewater Lagoon surfaces Volatile gas emissions Biological mixing Agitation Irrigation sprinkler nozzles High pressure agitation Wind draft AMOC--November 11, 1996 {) Extend discharge point of pipes underneath lagoon liquid level �I-'Prr lagoon liquid capacity �f'I Co it agoon startup procedures M um surface area -to -volume ratio Minimum agitation when pumping () Mechanical aeration () Proven biological additives rn ate on dry days with little or no wind Mi 'mum recommended operation pressure Pu ' "take near lagoon liquid surface ump from second -stage lagoon Dry Manure Handling Accumulations of animal wastes 'Femove spillage on a routine basis (e.g. 7-10 day Systems interval during summer; 15-30 days interval during winter) where manure is loaded for land application isposel. ad Pr a for equate drainage around manure stockpiles. napect for and remove or break up accumulated wastes in filter stripes around stockpiles and manure handling areas as needed. The issues checked ( ) pertain to this operation. The landowner/integrator agrees to use sound judgment in applying insect control measures as practical. I certify the aforementioned insect control Best Management Practices have been reviewed with me. Signature) For more information contact the Cooperative Extension Service, Department of Entomology, Box 7613, North Carolina State University, Raleigh, NC 27695-7613. AMIC--November 11, 1996 ry Cif-_!_` Lal_P.: i?t-:.: Ciper-ator: BLAC��-MAN Courttyj': SA lP =f. _ D i starice to near e,t res ; ierlc e ' c,ther tharr „w ;er ) 1 . STEADY STATE L L VE ir,E. I a iT . y. �.:r17 ; b if Sows (farr'_iw� 4,_ 4 i€!isr,) .. 0 L `. lbs- o !_l){} i eais (wean c. fteede;`\ �y _•} iis. ." OT :_ STEADY a'}•AT �l�.j `W ;?a i`...li]r";i i. r,�'�L:�w) -- 7-._000 I•f11,-!T :li lhi ,? T�'iED .- REA7,Mc . 1 V I_`L M _��`. ( :`'�.F.�.1 ,01=.11 L . ;j a i- 7 E Q1 - i%C=iUPRt - f' {ji}rl itc_, `.�S'� �; tt'6zt:fs8rst 3!_lur- !- `SL'i rFt- ;J_ iu",te i1i.. SSLG'.- 1•iy Tr-eatr,r �`, � - c. CF r ib• SSE-\: V`�=' 1 ame = ; _:f}F„! cu"f i c feet r`_ii*ULT1'-.- � r KE�ars5 �.{a sia�glE S�aiclF9E. STORAGE VOLUME nFORc_+DSE aW ia�1a1ER ! / / d l SI,...� � Wi�F �E LCnwt� AS �6kded, �l :, ; urr. e - C} c u F.: c feet 4. TOTAL DESISI~; bLUIME Inside top: length 2?0 feet ; w i d t- 100 feet Trp of dike at elevation r=2. 50 fee t .- 2'.5:1( inside) t S:de slopes Freeboard 1.3 fee,. 51 0 feet Total design l a`oon i : au i d i evE l at e ! evat' on .'. Bottom of lag -Don at P_ 1 e': al i or, 4(-. .00 feet S E asE_ -r;a., high water tabie eie•''atiort 46.00 feet Total design voi4ume using F•r-irsmoiciai forfoula: %E`:1D SS/END S9:5-IDE.1. 5S/END2 WIDTH DEPTH 5 4 . it L . 5 _ _ .... .. a.- . 1'c1'EA OF TOP LEN116TH X, V.! DTi"? �4 94 Zf ff.07 (Area of Top) AREA C = D° �TTOM LENGTH X WIDTH = 3 8531 (Area of Bot.y_=rn) �Wr: �r AREA CJF Ni MSECT I CIN L.ENG` H X 4v I DTH :S 4 r6941 (Area �=f7 Midsection ,.4 ,_56 ;_,f_, C�L.I. FT. = ;Area t,--p+r4 Area z'4i(1sectt _!--)-;-Ar-ea S.ettorll3 'ADept.Yl/1_,^ 26507 66941 r.SC:1. VOL. Gr= LAer-tON AT ;OTA.L DESIGN LIQUID L t1EL = ..52036 CU. FT, APR 0 9 2019 'ew duality Regional operations WdOn 5. TEMPORARY STORAGE REQUIRED Drainage Area: Lagoon ( top _ef dike) Length X Width = 90 100 z9000 Square Feet Bui ldinjs `ri`_o and jot water) Length X Width = 0 0 0 Square Feet TOTAL LEA z9o0o Square Feet -_- Design temporary storage to be 180 days. A. Volume of waste produced Approximate da i 'y' product; on of manure in C:F/LP SSLW Volume = 78000 Lbs . SSLW < CF of waste/lb/day X 180 Volume = 1' 094 Cubic feet B. Volume of wash water- This is the amount of f res€'► water- used for washing floors or volume of fresh water used for a flush system. Flush systems that recirculate the lagoon water are accounted for in 5A. Volume = o 6a I I ons/ say X 180 days storage/7.45 gallons per GF Volume ` 0 Cubic feet C: volume of rainfall in excess of evaporation Use period of time when rainfall ex.ceecs eylporation by largest amount. 100 days excess rai nfa i 1 = 7.0 inches Votume = 7.0 Inches „ DA / 12 :aches per foot Volume = 16916.667 C-uD i c feet D. Volume of 25 year - 24 hour storm Volume = 7.0 inches / 12 inches per foot X DA Volume = 1691 7 Cubic feet TOTAL REgUIRED TEMPORARY STORAGE 5A. 190: 4 Cubic feet 5B. 0 Cubic feet 5C. 16917 Cubic feet 5D. 16917 Cubic feet TOTAL 52928 Cubic feet'. LI 6. SUMMARY Totat required vtwo l urve = 3; ()9t = Cult- t C j' e Tcttai desi n volume a'val i.- 1`=03.—=- '--ubic fee. Min. reyrd. truant. vol. plus sludge aC=urri.= Cu. Ft. At elev. 48.50 Ft; ifol= ;.'-'-545, *:' Cubic feet (end purr.pin8)✓- Tc.$a1 €3B5Ign `lotLi:tle i s5 Zstorm At e `ev. +-iO.50 Ft; Vol = 17 :27-6%s Cubic feet- (start pump i nq)v' Seasonal h i g, water table elevation i s 4r�•.00 Feet: which must be i i�L�eY titan the e i e'•rat I sin 4f z�topofoft:'eai•�,n�.'nL • rj l uirfe :-:'.50 DESIGNED BY ---------------------- DATE:-------- APPROVED BY DATE: XITE.. SEE AT i A-C-sED �4Av T E UTI_i ATIF �I. PL- -. ADD I ' i OVAL NOTES, ES, '------------------------------------------------------- ......... o lso f7b 64 ENT 0!, I I C 7�1 � .r• r S.D R 4^�00� o•W,CF1:t�J, - 2.96..D It)Q 0 _�_ � a id�c Slep�k • . i; ��!• I q ; C nLorO . .il1pO P.qx /DD �%rA 9, . o� �%1P�oMSft. 1 .. ... :. ... .. ..: . l.. ..: .� !'. i _ ,- ... ' .. • ! i A I'✓j . N..�..1 ,P,4c idm4. Q�r W: j�•.1 ( 1 � j }�' 44 ztL � I i f. �9� .s /1 47 J' o a i ilr'S SI3 : 3�'►� /n:o n q } i � I _,_�..�_ ....ice_. . .. '�i� ;j `, �ti-?•, ('t !* 'tir ti i f ilI` .`11. .ti•1`�t i� .., .mlmr/sYcel�Oie:.#W�1W' �:wafer.�wglw�lernrxr:a:•u6Rx•5ak� W ir. !. sRtAST1�rT of lYSlfrcriLrursr ve-IM-40 soft Cmrw^+rt ten swvfee Nov. 7/91 PLAN OF EXCAVATED WASTE STORAGE PIT NAME: c Mots Date: County: s„J Address: - L It" TH it ct atotaz,ro Y � r 1 i� �g ` M. Tot Mv. Adf N ave. Of"% ILIV. 1 _ Lena! ■'I %.S z I- b Me bwk for vetsar estwAaMem) Use of facility: cat city: .Onc lark O!R u c T. it M. --1Ele v . S',.> . C. Bottom Slw. °. wormal Liquid LONVsl slow. Storage for normal Precip. M jbximm Ligaid Le%#*l s3.ff v. e. 5 25 yr. 1RU= ste"48 M tt. crest ssw S]lan►.� .� Max.Flow Depth Freeboard �si.ti.• Top of Dam • TYPICAL CROSS-SECTION OF LAGOON CONSTRUCTION WITH �!A�Gr,T;A;T���I�AY�L�t+TERe 1 FOOT THICK CLAY LINER `r FILL (MINIMUM:) t r FILL AVERAGE GROUND r �± EXCAVATE THIS AREA AND 'CLAY ' VARIABLE VARIABLE BACKFILL WITH SANDY MATERIAL NO CLAY 1 FOOT THICK 1 FOOT 'TRICK CLAY LINER CLAY LINER EXCAVATE SANDY CLAY -CLAY AVERAGE GROUND SANDY MATERIAL NO CLAY SANDY CLAY -CLAY ADDITIONAL' EXCAVATION DUE TO LINER: AVERAGE DEPTH TO CLAY X 1 FQOT THICK X DISTANCE = CUBIC FEET = CUBIC YARDS 27 CUBIC FEET/CUBIC YARDS 1A l • A. y1 1 S, j � n. , ,•tea:m..ms.a�._,. , , gip. " ydd _ •� I '' / >ra I sGd it "'\ lu r'.... —...� lY: '_"'� ;`d � I, .i� �' ✓�' ,_ _. 1, r 1 t � y/ ��.'•,+ r/�f fY, .• i, I F'i ram. � p r + �,� f'�.�, i� '�� �!e � !' ,. {. """•'. 4411 QV cb 1. • �/ • ' _ h'y •ty. ' ._ ! 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Department of Agriculture, Soil Conservation Service cooperating s"d i S Conservation District _ sc In _ with _ r^ einu� tl- LY Wo V ' NoA �i / �)` L" �/L t_ GOA GoA Boo ; \ , y GoA Wa8 F_� (e7 Ra 1 Ln GaA Bae , c `^,O4 GoA G°P IL .i J 4 1 Ra t GoA RoA ` Ln 1Aia6 In �oq e Was ? - E GOA Was zZ ki yn a - s , 7 '' p A' }t To h `� h i� 9 To t h� ; irk i ��S r� � eat- '�, � #�•: • ry y.y,:�d, xx`` � '"' t "etc? 1 F o io a • Ba8 Y ty GoA GoA 10 �. ty y _ �� ill LeA ,. *` '''s; LeA ft.'. Bal io Ly :.. • '' ---.t .. L't F F t `l 1 8oA..: wa6 ; A GoA LY 1 L NuA L i f Ln , [ To Mee NoB CY AU Ln 5Fd r zai ti Jf LeA 'V To F Au A - w ';t xA '� aC Ra =r No F e ». 5 0 •,2. , h. �� �i � 4 A NoA Ln t Cy I 4 t i :R 3jf+ l i LeA!" To hew i � _ J^ .. �'� l� �y r -tat`. �. • � m;� � � +�•:` r: ." �� l�f�i = ,, '•� . ' _r'a�� ��•� r •« Te o-. r:.g,3 '.Fri '�'' '�:�� _ t +F," 9y�R�� Bey LeA G. � iA, � '� Le74r � ' }. '�• } Y,.' `.!� :�is Y �e'i� r. r � Y � Co i '''.. St!` F,b Ltd ± k •� . '•.� [Lay •1 •xi2 i. F, ' 'i .rf ' �l F ..rN. sy� i'L�' '- .1'••{ 4_1 l C. �'�?'j.'�a:A•- ++� _ .P y Y. S't' i.�'�'-jr�E�'� f''r t- .7` 0 e �: � ��, 'A * 1 FL*�:. -Rya '� .`�`t y5 .. 'AL »�:i •�•- � `Z i�J, .,.�. .. .. _ . , . .. _.. SCS - CPA -16 SOIL CONSERVATION SERVICE 2 -81 CONSERVATION PLAN MAP Owner U �!lrMs� .1 Operator- - - County State Date Approximate acres Approximate scale L la IF - Cooperating with Conservation District ' " Plan identification Photo number Assisted by USDA Soil Conservation Service t �-• ..r �' `• ` � t iL�- 1 iR• l Y 3[a X ` r � � },_ i' ns .%giKt..10. �Ty .♦ F`'f` ' �� }�' t�- S .�f ._•* 'jiti 4 :1 t •'f - 2 : �4t� ! , e r e i }r'�r •�1?.�hf 1.`4< $'-ate=• _,F ¢,..ye��? - J-�s `�ff..s=+ �1a i" t- a" 7 -.` *, '�',1 ."1+'Y,,,,), +l '►i. s '•,a' :- `� - w� q`',�, ;/ram '�E - _ V` . _ �+3�,.'�+:, - •�.1 x �."-,'fir• �''�. B+'+4. ,�s "+ 74 ie1! ` z� - r� A -+e. •" -i/°" «:,"r'`� P{>J�yM iy- t L„ I AM r.:.7. {$I _' f � ! Sri : { � / dh . o • ' la s I�- y�L{ .!I • � Jh, �.. _ i > � �'£ * fit) "- �T83., J `i ? F Spa �a7. ^.ILA 3. jt0 :,.r ,S♦�E +N. :+r ` f: w + �+ d�. t a n'_1;.�►' �, i n� :., �.: r- � �„ �:.. !Cie �Q�[ M. Ali s r t3 C `; NL CONSERVATIONSCS-ENG-W U. & DEPARTMENT OF AGRICULTURE Rev. 5-70 SOIL SOIL INVESTIGATIONTO DETERMINE SUITABILITY OF PROPOSED POND SITE FARMER'S NAME D19MCT 1 IsCOUNTY • • •' WATERSHEI) AREA MEASUREMENTS CROPLAND ACRES PASTURE- ACRES WOODLAND -ACRES TOTAL-ACRWES WORK -UNIT CONSERVATIWIST ■■■■■■■■■■■■ ■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■ ■ ■ ■■■■■■■■■ ■■■■■■ ■■■■■ ■ ■■■ ■■■■■ ■■ ■■ N■■■ ■■■ ■■■ ■■■■ ■■■ ■■■■■ ■■ ■■�0 ■■■ ■■■■■ ■■ ■■■■ii■■■■■■■■■■■■■■ ■■■■■■■■ ■■■■■■■■■■■■I■■ ■ ME MEN ■■lmmlm MEN ■ON. ■■ ■ ■■■■■■■■■■■�■■■■■■ ■ ■■■ ■■■ ■■ ■■ ■■■ ■■■■■■■■■MEN ■■■■■■ ■■ ■■■■■■■' MEN ■■■■■■ ■■■SEE ■■■■■■■■■■■■■■■SEMEN mom ■■■■ MIN ■■■■■■■■■■■ MESS■ SEES■■■ SEES ■■MINE■■ SEES■ ■■ NEI■ SEES SEES■ ■■■■�■ • t !� �l■I■i■i■'■I�■I I■I�I■�■�■I 1■I■ ■C■I I ® I■iN■1 I ■k `■I■[ 1 k k MiM ■I ®® f■k I I■ 1 1 1■I l I f■� ■;■1■1■ I I■■I N111 lt I l ■I I■1 ■I�I■I�!■ ' li t I '. I■I■� I I■!■�■1 i■1■ MIN i■1■ 1 ':■ ■I■I 1 l�l■i■IWE I I■ k I■ mom I■� ■I■ ■[■ ■ ■1 I� I I■1■i■1 ■I■I !Nis■ ■.■ ■ �1■�l�lim M ■I� ■I■I t 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 a - 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 -grovel mix fs1- fine sandy loam SP - Poorly graded sands 1- loam SM - Silty sand gl - gravelly loam SC -Clayey sands; sand -clay mixtures si-silt ML -Sifts; silty, v. fine sands; sandy or _clayey silt si1-silt loam CL-Clays of low to medium plasticity cl-clay loam CH - Inorganic clays of high plasticity sict -silty clay loam NH -Elastic silts eel -sandy clay loam OL-Organic silts and silty clays, low plasticity sic -silty clay OH -Organic clays, medium to high plasticity c-clay 1. Suitable material for embankment is available - Q Yes n No andicat* fahe.e hrooled OR fhr skdeh On rover" +laid REMARKS: i5c go,., =1rLti1. a .' , .+l d / t._ A , y lno, r :pO_ 41,niJ Fd rw. 4 D. b ef �' ftn '�.-�}cµl F �{ }: y �"'— AJ"e_h • f' �)±. �� , f �U. �, 2. Explain hazards requiring special attention in design (stews, svrbw..nK* elW GENERAL REMARKS: 24 26 26127 28129130 31 92 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 61 r, _.H Er U. S. Department of Agriculture Soil Conservation Service HAZARD CLASSIFICATION DATA SHEET FOR DAMS NC-ENG-34 September 1980 Landowner VA J r Z / � k tj County 5A!n? s b4 Community or Group No. Conservation Plan No. Estimated Depth of Water to Top of Dam Ft. Length.of Flood Pool Date of Field Hazard Investigatton ?- Z I - 913 Ft. Evaluation by reach of flood plain downstream to the point of estimated minor effect from sudden dam failure. Est. ev. : s eva on . kind of :improvements: of Breach Reach: Length: Width: Slope: Land Use Improvements ;Flood Above -FloodwateFloodrlain Above . Ft. , - Ft. ft. 2 ' 3 . Describe potential for loss of life and damage to existing or probable future downstream improvements from a sudden breach A SUDDEN FAILURE OF STRUCTURE WILL NOT ENDANGER LIFE OR DAMAGE PUBLIC TRANSPORTATION. AWL : ,c X DO a t! n 6 Hazard _Classification of Dam (a, b, c) (see HEM -Fart 520.21) AWE- -Dmn- Classification (L, I�1)II-I, IV, _V)__ -By name CS e Concurred 8y nay tit e NOTE: 1. Instructions on reverse side. 2. Attach additional sheets as needed. Date -7- -2-1 - 93 Date