820096_Structual Evalution_20240108

0 Division of Water Resources
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 820096 Facility Status: Active Permit: AWS820096 ❑ Denied Access
Inspection Type: Structure Evaluation
Reason for Visit: Routine
Date of Visit: 01/08/2023 Entry Time:
Farm Name: Michael Mathis Farm
Owner: Michael Monroe Mathis
Mailing Address: 181 Union School Rd
Physical Address: 8009 Taylors Ridge Rd
Inactive Or Closed Date:
County: Sampson Region: Fayetteville
10:00 am Exit Time: 11:00 am Incident #:
Owner Email: [e-mail]
Phone: [phone]
Clinton NC 28328
Clinton NC 28328
Facility Status: ❑ Compliant E Not Compliant Integrator: Murphy -Brown LLC
Location of Farm: Latitude: 34' 51' 27" Longitude: 78' 15' 33"
East of US 421, 11 miles S. of Clinton. Just south of Edmond Matthids Rd (SR 1004) and north of rest stop. Farm sign for 4902.
No office on farm.
Question Areas:
Certified Operator: Michael Monroe Matthis Operator Certification Number: 1007363
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name Monroe Matthis
On -site representative Michael Matthis
Primary Inspector:
Inspector Signature:
Secondary Inspector(s):
Diane Harrison
Phone:
Date:
Inspection Summary:
Level was 19 but the lagoon was surveyed and it was found to be 8 inches off so it was showing 11 inches on 1/8/2024
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Permit: AWS82009f Owner: Michael Monroe Matthis Facility Number:820096
Inspection Date:01/08/23 Inspection Type$tructure Evaluation Reason for Visit: Routine
Waste Structures
Effective Built Closed Designated Observed
Type Identifier Date Date Date Freeboard Freeboard
Lagoon 1 05/03/2006 01/01/1993 19.00 19.00
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