310239_IRR2_20180307

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FORM IRR-2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Zone #
Field Size (wetted acres) = (A) y,
Farm Owner
Owner's Address
Owner's Phone #
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
Facility Number 0
From Waste Utilization Plan
Crop Type //��/ Recommended PAN
WN /
e� Loading (lb/acre) 7
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Lagoon
ID
Date
(mm/ddtyr)
Irrigation
Waste Analysis
PAN"
(lb/1000 gal)
PAN Applied
(lb/acre)
(8) x (9)
1000
Nitrogen
Balance"
(lb/acre)
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
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Crop Cycle Totals =
Owner's Signature Operator's Signature
Certified Operator (Print) Operator's Certification No.
NCDA Waste Anaylsis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events.
Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
`""Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) Combined IRR1/2 Form - 8/3/2012

FORM IRR-2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Zone #
Field Size (wetted acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Irrigation Operator
Irrigation Operator's
,Address
Operator's Phone #
From Waste Utilization Plan
Crop Type J, Recommended PAN
(iV hP Loading (lb/scre)
Facility Number 0 "
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) 0 1)
Lagoon
ID
Date
(mm/dd/yr)
Irrigation
Waste Analysis
PAN*
(lb/1000 gal)
PAN Applied
(lb/acre)
(8) x (9)
1000
Nitrogen
Balance"
(lb/acre)
Weather
Code
Inspections
(initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
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Crop Cycle Totals = I
Owner's Signature
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Operator's Signature
Certified Operator (Print) Operator's Certification No.
* NCDA Waste Anaylsis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
***Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) Combined IRR1/2 Form - 8/3/2012

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FORM IRR-2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Zone #
Field Size (wetted acres) = (A) Z7,
Farm Owner
Owner's Address
Owner's Phone #
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
Facility Number 0 0
From Waste Utilization Plan
Crop Type i/ P a N f Recommended PAN 3
S� Loading (lb/acre)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Lagoon
ID
Date
(mm/dd/yr)
Irrigation
Waste Analysis
PAN*
(lb/1000 gal)
PAN Applied
(lb/acre)
8( ) x (9)
1000
Nitrogen
Balance"
(lb/acre)
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
/ %
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Crop Cycle Totals = 1 ( 10 5- 1
Owner's Signature Operator's Signature
Certified Operator (Print) Operator's Certification No.
" NCDA Waste Anaylsis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events.
"Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
**"Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) Combined IRR1/2 Form - 8/3/2012

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FORM IRR-2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Zone #
Field Size (wetted acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
Facility Number -
From Waste Utilization Plan
Crop Type C.o f„� Recommended PAN
Loading (lb/acre) J 31
111 111 (141 Ia1 IAN► IA1 171 (81 191 (10) (11)
Lagoon
ID
Date
(mm/dd/yr)
Irrigation
Waste Analysis
PAN*
(Ib/1000 gal)
PAN Applied
(lb/acre)
(8) x (9)
1000
Nitrogen
Balance"*
(lb/acre)
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gaUacre)
(7) / (A)
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Owner's Signature Operator's Signature
Certified Operator (Print) Operator's Certification No.
NCDA Waste Anaylsis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events.
*" Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
***Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) Combined IRR1/2 Form - 8/3/2012

FORM IRR-2
Field Size (wetted acres) =
Farm Owr
Owner's Addre
Owner's Phone
or
ss
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Irrigation Operator
Irrigation Operator's
Address
Operator's Phone #
Facility Number 0
From Waste Utilization Plan
Crop Type Recommended PAN / z
t!�f Loading (lb/acre)
M 1 I'll 131 (dl (Fl (Ft% (71 M (9) (101 (111
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Date
off .:
PAN Applied
(lb/acre)
000
Nitrogen
Balance*
._
(initials)
Total
IT 0 a" I mooi
volume
per Acre
rr
Owner's Signature
crop cycle i ours = 1 1 1 L 6- 1
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Operator's Signature
Certified Operator (Print) Operator's Certification No.
• NCDA Waste Anaylsis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events.
"Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
"Triter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) Combined IRR1/2 Form - 8/3/2012

FORM IRR-2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Zone #
Field Size (wetted acres) = (A)
Farm Owner
Owners Address
Owners Phone #
Irrigation Operator
Irrigation Operator's
Address
Operators Phone #
Facility Number -
From Waste Utilization Plan
Crop Type Recommended PAN
WA f� Loading (lb/acre) � Z�
(1) (2) (3) (4) 5) (6) (7) (8) (9) (10) (11
Lagoon
ID
Date
(mm/dd/yr)
Irrigation
Waste Analysis
PAN*
(I0000 gan
PAN Applied
pb/ac re)
(8) x (9)
1000
Nitrogen
Balance**
(lb/acre)
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gaUmin)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
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Crop Cycle Totals
Owners Signature Operators Signature
Certified Operator (Print) Operators Certification No.
* NCDA Waste Anaylsis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events.
** Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
***Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) Combined IRR1/2 Form - 8/3/2012