090014_CORRESPONDENCE_20171231

Rov-A,k
Structure Evaluation Inspection
Facility Number: 1 -- 1 Li Date: )1, RCA?
Time in: 7tob l4 Time out: Ct I IS ,N
Farm Name: IllideW L 1"s 11.)ei Farm 911 address:
Owner Name:
Facility Contact: l✓w
Onsite Representative: Il Integrator: kk(6
Certified Operator:
is
Is storage capacity less than adequate? Yes
Cert. Number
No
If yes is waste level into the structural freeboard? Yes No
Structure: 1 2 3 4 5 6
C Identifier:
Spillway?
Designed Freeboard (in.): �,WA-s 1` S �/
Observed Freeboard (in.):
Are there any immediate threats t e integrity of any of the structures
observed? Yes No .
Do any structures lack adequate markers as required by the permit? Yes _ No V
Does any part of the waste management system need repair Yes No
Condition of field's
Condition of receiving crop e v d
Comments:
m 44.

` ' 67 006/2007 11:50 9104232212 GALLBERRY CON PAGE 01
5556 Braxton Road
Hope Mills NC 28348
or;
-1 40M
JUN 06 W
DFNR-- FAYF; n-vMtLF REGIONALOFRCE
TO: StaveGuyton From Kathy Dugan
Fay 910-4815-0707 Pages; 2
Phat c 910-433-3300 Datm 6WO07
Re: 01C Designation for A & D CQ
Steve,
Will send (re -send) this to WPCSQCC.
-fr k'ovd�
12oq

0%0612007 11:50 9104232212 GALLBERRY CGN PAGE 02
7p;��"dl�
II JUN 06 2l
02 F4yFTrtWLLraNALoMCF
ANYMAL WASTE MANAGEMENT SYSTEM
OPERATOR IN CHARGE
ilESIGNAI'I
ANIMAL WASTE MANAGEMENT SYSTEM:
Facility ID Number: 9-fq� __ County: a 1 ad a n_
*****A#**&**e ***&*****i**** ***lo****** fir**** ************ ***
OPERATOR IN CHARGE oillut
Home Mailing Address gj Sjj'
CiState N
Certificate # 17 Of t Soci I security #-
Work Phone - W P% Home Phone_ q 1 D - & -A • 4 S W
sig"ture Date_ q- �
[ri�f#f**t**6****t Yt#*#**ff*irw�vYcsi�,t�i#Ie,t+k*.tti*Mt*ttttt�4*�Ir,kfs�F*� .
OPTIONAL:
BACKUP OPERATOR IN CHARGV
Home Mailing Address
Ciry. State Zip
C.ertwitate # Social Security #
Work Phone Hame Phone
Signature Date
wlwR*R �►$ti�7kk]C'kIt#***yt7!'R�k####yr rt##*!k*#rak tt R�lt#d'y1r �k*y4**#*�cRle4yrv**tir*#
OWNER rr .� 1 1]ikeLs
Mailing Address ' ity Eligg befh�p
State_ _N ZeP_.__ a9 elephone#_GAAt_ IUQa-450c-).>
Signature �or,+�► 1� ��: � _� _ Date � — 4 - D'f
#7k##*'!�**#7h$*#*##1Mde*t*iC#1r#litki![R#*##tiff#A#t7k#ataYt*�R�[fltllt*'RRx�7twsR#
Please Mail to: WPCSOCC
DiviApn of Water Quality
Mail Service Center 1619
Raleigh, N-C. 27699-1619

i
Fe: Lews7 Tatum Farm A D FUYwt
Subject: Re: Lewsi Tatum Farm
From: Art Barnhardt <[e-mail]>
Date: Thu, 03 Aug 2006 13:06:38 -0400
To: "J. R. Joshi" <jaya [e-mail]>, Ricky revels <Ricky.Revels@ncmaiLnet>
We have in the past done everything except fill out the form for him; mailed the
forms, notified the new owner,..... everything I know to do.
Other than take the form to both individuals and wait on them to sign it, I don't
know what else to do. I have forwarded your e-mail to Ricky so he can mull over a
solution to this.
ArtB.
J. R. 3oshi wrote:
Lewis Tatum of Lewis Tatum Farm (NCA20901.4) called this morning complaining about
the letters he has been getting. He says he sold the farm 2 years ago but still
gets the letters.
There is no change of ownership done for this farm.
I asked him to tell the new owner to file a change of ownership but he was in no
mood to do so. Without that, we cannot take his name off of this farm.
He asked to talk to you guys. if he calls, please let him know that we need a
completed change of ownership form. The form can be downloaded from:
http://h2o.enr.state.nc.us/aps/afou/documents/ChangeofOwnershipll-1-04.doc
Thanks.
1 of 1 8/10/2006 9.23 AM

Notification of Change of Ownership
Animal Waste Management Facility
(Please type or print all information that does not require a signature)
In accordance with the requirements of 15A NCAC 2H .0217(a)(1)(H)(xii) this form is official notification to the Division of
Water Quality (DWQ) of the transfer of ownership of -an Animal Waste Management Facility. This form must be submitted to
DWQ no later than 60 days following the transfer of ownership.
General Information:
Name of Farm:
Previous Owner(s) N
lity No:
ie No:
New Owner(s) Name: Phone
Mailing Address:
Farm b)cation: Latitude and Longitude:
County:
Please attach a copy of a county road map with location identified and describe below (Be specific: road names, directions,
milepost, etc.):
Operation Description:
Type of Swine No. of Animals
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Tvpe of Poultry
❑ Layer
❑ Pullets
No. of Animals
Other Type of Livestock:
Type of Cattle
❑ Dairy
❑ Beef
No. of Animals
Number o%Animals:
Acreage Available for Application: Required Acreage:
Number of Lagoons / Storage Ponds: Total Capacity: Cubic Fect (ft3)
Owner / Manager Agreement
I (we) verify that all the above information is correct and will be updated upon changing. I (we) understand the operation and
maintenance procedures established in the Certified Animal Waste Management Plan (CAWMP) for the farm named above
and will implement these procedures. I (we) know that any modification or expansion to the existing design capacity of the
waste treatment and storage system or construction of new facilities will require a permit modification before the new animals
are stocked. • I (we) understand that there must be no discharge of animal waste from the storagc or application system to
surface waters of the state either directly through a man-made conveyance or from a storm event less severe than the 25-year,
24-hour storm and there must not be run-off from the application of animal waste. 1 (we) understand that this facility may be
covered by a State Non -Discharge Permit or a NPDES Permit and completion of this form authorizes the Division of Water
Quality to issue the required permit to the new land owner.
Name of Previous Land Owner:
Signature:
Name of New Land Owner:
Date:
Signature: Date:
Name of Manager(if difl�rent from owner)
Signature:
Please sign and return this form to:
N. C. Division of Water Quality
Aquifer Protection Section
Animal Feeding Operations Unit
1636 Mail Service Center
Da te:
November 1, 2004

Raleigh, NC 27699-1636
November 1, 2004

Notification of Change of Ownership
Animal Waste Management Facility
(Please type or print all information that does not require a signature)
In accordance with the requirements of 15A NCAC 2H .0217(a)(1)(H)(xii) this form is official notification to the Division of
Water Quality (DWQ) of the transfer of ownership of an Animal Waste Management Facility. This form must be submitted to
DWQ no later than 60 days following the transfer of ownership.
General Information:
Name of Farm:
Facility No:
Previous Owner(s) Name: Phone No:
New Owner(s) Name: Phone No:
Mailing Address:
Farm Location: Latitude and Longitude:
County:
Please attach a copy of a county road map with location identified and describe below (Be specific: road names, directions,
milepost, etc.):
_Operation Description:
Type of Swine No. of Animals
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Acreage Available for Application:
Tvpe Of Poullry
❑ Layer
❑ Pullets
No. of Animals
Other Tvpe of'Livestock,
Required Acreage:
Type of Caltle No. of Animals
❑ Dairy
❑ Beef
Number of An imals:
Number of Lagoons / Storage Ponds: Total Capacity. Cubic Feet (ft3)
Owner 1 Manager Agreement
1 (we) verify that all the above information is correct and will be updated upon changing, I (we) understand the operation and
maintenance procedures established in the Certified Animal Waste Management Plan (CAWMP) for the farm named above
and will implement these procedures. I (we) know that any modification or expansion to the existing design capacity of the
waste treatment and storage system or construction of new facilities will require a permit modification before the new animals
are stocked. I (we) understand that there must be no discharge of animal waste from the storage or application system to
surface waters of the state either directly through a man-made conveyance or from a storm event less severe than the 25-year,
24-hour storm and there must not be run-off from the application of animal waste. I (we) understand that this facility maybe
covered by a State Non -Discharge Permit or a NPDFS Permit and completion of this form authorizes the Division of Water
Quality to issue the required permit to the new land owner.
Name of Previous Land Owner:
Signature: Date:
Name of New Land Owner:
Signature: Date:
Name of Manager(if difTerent from owner):
Signature: Date:
Please sign and return this form to:
N. C. Division of Water Quality
Aquifer Protection Section
Animal Feeding Operations Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
November 1, 2004

:1
<3 Page 1 of 2
Curtis Barwick
From: Keith Larick [[e-mail]]
Sent: Friday, August 05, 2005 9:06 AM
To: Curtis Barwick
Subject: Re: Sludge Survey Exemptions
Curtis,
{_
P T Y'•!k dull
". E Ff
R i § 2006
OEM -FAYETI -�4f REGU ALOF19CE
1 have added the due date of the next sludge survey to the spreadsheet. Let me know if you have any questions.
Thanks,
Keith
Curtis Barwick wrote:
Thank you Keith. I look forward to hearing from you.
CURTIS
-----Original Message ------
From: Keith L,arick[mailto:[e-mail]]
Sent: Wednesday, July 27, 2005 5:35 PM
To: Curtis Barwick
Subject: Re: Sludge Survey Exemptions
Curtis,
I got the mailing, and should get to it soon.
Keith
Curtis Barwick wrote:
Keith,
Please see the attached list of farms that I am asking for exemptions from
the annual sludge survey. I am sending via USPS the information sheets for
each individual farm. I am emailing this list so that you can reply back
after you have finished, with the due date for the next survey (if granted
an extension). This should save you having to send a letter to me about it.
Hopefully this will make it easier for you.
I look forward to hearing from you.
Thanks, CURTIS.
2/10/2006

SLUDGE SURVEY EXEMPTION LIST
CURTIS BARWICK
910 690-6314
Count' # Facliltv # Farm Name
First Name
Last Name
County
Type Next Survey
Due
26
59 David Collier Farm
David
Collier
Cumberland
Finish
2007
51
28 J & M Hog Farm
J & M Hog Farm
Johnston
Finish
2007
LAGOON 1 & 3 51
41 Spring Meadow Farm Unit 1
Whitley
Stephenson
Johnston
Sow
2008
51
46 Sandy Ridge Pork
Whitley
Stephenson
Johnston
Sow
2009
LAGOON #2 Or 82
42 John O Royal #1-8
John
Royal
Sampson
Finish
2007
82
53 F & W Farms I B - T Farm
F & W Farms
Sampson
Finish
2007
82
74 Linoard Howard & Son (New Farm Linoard
Howard
Sampson
Finish
2005
82
98 F&B Farms
Harold Frederick & Freddi Butler
Sampson
Finish
2007
82
132 Sam Hope Farms
Samuel J.
Hope
Sampson
Finish
2007
82
188 F&W Farms
James
Faircloth
Sampson
Finish
2007
82
190 Billy Lockamy Farm
Billy
Lockamy
Sampson
Finish
2006
82
202 Simmons Hog Farm
Ray
Simmons
Sampson
Finish
2006
82
215 T&T Farms
Frederick
Thornton
Sampson
Finish
2007
82
606 Goshen Farms
W. Nelson
Waters Jr
Sampson
Finish
2007
.8
666.J hnnny_Hope.Famns
John A.
Hope
Sampson
Finish---2006-.
82
667 Hall Farm
Coharie Hog Farm
Sampson
Finish
2007
82
725 C-7
Coharie Hog Farm
Sampson
Finish
2008
82
61 Knotty Pine Farm
Mike
Herring
Sampson
Finish
2007
LAGOON #2 Or 82
315 Bobcat Farms
Henry
Moore
Sampson
Sow
2007
82
711 Henry Moore Finisher/Bad Branch Henry
Moore
Sampson
Finish
2007
82
714 SHW Sow Farm LLC
SHW Sow Farm LLC
Sampson
Sow
2009
96
28 Bennie Barwick Finishing
Bennie
Barwick
Wayne
Finish
2007

November 6, 2007
Barry D. Billups
A & D Farms
89 Sandy Ridge Rd
Elizabethtown, NC 28337
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen 11. Sullins Director
Division of Water Quality
NOV 0 q .2007
DENR-FAYEMLLE REGIONAL OFFICE
Subject: Sludge Survey Testing Dates
Certificate of Coverage No. AWS090014
A&DFarms
Animal Waste Management System
Bladen County
Dear Barry D. Billups:
The Division of Water Quality (Division) received your sludge survey information on October
31, 2007. With the survey results, Kathy Dugan requested an extension of the sludge survey
requirement for the lagoon at the A & D Farms facility not to be required until 2009. • Due to the
amounts of treatment volume available, the Division agrees that a sludge survey is not needed
until 2009. The results of the 2009 sludge survey are to be submitted by March 1, 2010.
Thank you for your attention to this matter. If you have any questions, please call me at (919)
715-6937.
Sincerely,
71>�
Miressa D. Garoma
Soil Scientist
cc: Fayetteville Regional Office, Aquifer Protection Section
Kathy Dugan
Central Files
Aquifer Protection Section 1636 Mail Service Center
Intemet: www.newaterqualky.ore Location: 2728 Capital Boulevard
An Equal OpportunitylAlfirmative Action Employer— 50% Recycledl10% Post Consumer Paper
North Carolina
Amura!!J
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

Michael F. Easley, Governor
William G. Ross Jr_, Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
December 1, 2006
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 1
Barry D Billups
L & J Farms
89 Sandy Ridge Rd C Lzl'8LET,
Elizabethtown, NC 28337
Subject: Application for Renewal of Coverage for Expiring NPDES General Permit
Dear Permittee:
Your facility is currently approved for operation under one of the Animal Waste Operation NPDES General Permits, which expire on
July 1, 2007. Due to changes in federal rules, facilities that do not discharge nor propose to discharge may choose whether or not to
retain coverage under an NPDES General Permit. Copies of the draft animal waste operation NPDES general permits and the State
Non -Discharge General Permits are available at http://h2o.enr.state.nc.uslaps/afou/downloads.htm or by writing or calling:
NCDENR — DWQ Animal Feeding Operations Unit
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Telephone number: [phone]
In order to assure our continued coverage under one of these two types of general permits, you must submit an application for ermit
coveragee to the Division. Enclosed you will find a `Request for Certificate of Coverage Facility Currently Covered by an Expiring
NPDES General Permit.' The application form must be completed and returned by January 2, 2007. Please note, you must include
two (2) copies of your most recent Waste Utilization Plan with the 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 draft general permits, the enclosed application, or any related matter please feel free to contact the
Animal Feeding Operations Unit staff at 919-733-3221.
Sincerely,
Ted L. Bush, Jr., Chief
Aquifer Protection Section
Enclosures
cc (w/o enclosures): Bladen County Soil and Water Conservation District
Fayetteville Regional Office, Aquifer Protection Section
AFO Unit Central Files - 090014
Brown's of Carolina LLC
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636
Intemcu www.ncwatemuality.org Location: 2728 Capital Boulevard Raleigh, NC 276t74
An Equal OpportunitylAffirmative Action Empbyer— 50% Recydedlt0% Post Consumer Paper
Telephone:
Fax 1:
Fax 2:
Customer Service:
N"ow"� Carolina
)Vatura!!
(919) l✓
[phone]
[phone]
[phone]

A��
NC'DENR
FAX TRANSMISSION
DENR
FAYETTEVILLE REGIONAL OFFICE
FAYETTEVILLE, NORTH CAROLINA 28301-5043
VOICE: 910-433-3300
Fax: [phone]
To: #1; &e ss ct G a r`D ma -
Fax #: 9-/9 f ?/✓r�0,���
From: A 0- -5ar1tAd1d7-
Subject:
COMMENTS:
Date: ��-�I —e"�00 �
Pages (including cover):

_
Aug 30 06 02:31p Cape Fear Farm Credit 9108624562 p.1
Jul-OF3-04 03:40P usda services corster 91D8626447 P-01
4`90
1,4otificsttion of Change of Ownership
Animal Waste Management Fuihty
f
II
(Plaa%e type or print all in(ormakrn that dogs not require a signature)
I
111 a�:iOrdanLr with the requiremrn:s of 15A NCAC 7l4 .U217(u)! l!(H)txii) shin felrm t; .+[ ifira l to the Di lciun of
Hater Quaht-v (ilWQ) of the tronsfc•r of ownership of an Anirrtal Waste Manage- h s form t+t be sui)mttted 1,)
DWQ no later than Eft days [Otlowir-: the transfer ornµntrshlp.
General inf4tmation:
Nam,: a[ F,triu: L, 3 Farms Facifit. No
i
u7,,�\1
f reviuus Clwnerls) Name Lr-wt j 4. -JD Anti+\ Ta7�i Phone No:� U� v�-5al�ia CAVSK
T
a
Newowner(O Narnc _ c HU Phone No ib - 645 -Ldp WorK
�t h Sri T� �Q-gtDa-�aa terms
Mail Address.
tp - - 3444 to ti
i
Farm Localiur, 1—maude aitd Longitude' i _^ County &A
I
Plcasc atUch a copy 4f a county road ,nap with location irtenufied and dcsrntic bctuu (Be specific: mad names. (lnetainn>.
rnilenust. etc 1
Operation i).SaCrlOtinR: --.- �--Y - -
Ti pe ril 5u i+rr NO o/ rinir idf Tt fir rrj Puulir'r Mo. of Animals Tl rlt ul Novi vi N14 of 1111intcl.
Wesn to Feui.r _ D Lavar _s Still n r
Rlcrdcr to Fin Ish to��- - - �J Nun-Ldycr 'a Thv
_
FarTow ue Wcsu, Tipe of See) IYu rrl Allfwul, �3 Hecht,
:,_;�'�
1Farut�b,'rcctitr i.i8rtxiJ �Calte. .
:j Fan-aw :,i FInt�h _ D Fettlers `.
D Gilt, D Stucl.cT%
-��_-
_jB,Iar% Or%It'rTiernfLrirsroci.� - ititnnhr�of.A,unrllc
acaec AtatlshlL fo- Application- s'�' Required ACTcagC:_ - it • �__
Nornhcr of Laeonn: ! 5iora;e Pan& 1 T0131 Capacity: J Xx!Ufy-- Cubic Fcct (0)
................................ ........ ...........................................
Owner i Ni+ndgwr Allnkinwat
•r,''--_= __
1 (we) venl7 that all the abnvc information is iorrc,:t and will hr updated upun ih. ing. ! (We) vndcrstanJ the optrsttun and
mautlenane•_ proctduie.c mahiished in the arprnved anima! waste manueerrrew ptan for the farm s.%m d . ove anQ ,.ill
iniplen:;nt iltroc pmi:ttiures. ! (we) know That anyeikpan.son to l-ic tui.sing de,t.n .3p;:City Of th. u••aste trviiincrt ant! storstic•
,y;tcm or •:umtruou.•rt of new facilities will re4utre a new ccrtificitton in lit submitted w the DWQ hrtnrc the ne% anint34 are
iwC ed. 11ue)k under.tanJ thm there muu be no dkchardc 01 arllmli wails irtnn the itoraec or appiicauon iy'strn► w surfaic
. , '
xasar.01 the hart inner urrtc:it- inrouffn athan-massif cot,v ii ' -' -' -. _ w." ""'---'`'-_ •`� -e .,,....
t:YJn�d sir ltlinl d illji C:t:l ti i.;aa .6 -- .. -- rw.i.
ittitrn anu dieri nit:>t rat be run-oll' frum the uppli-;atirn of aniintil v m tc. I t-r) under.t:tnd that run-ofi of pniturant% tr,iM
l„uncine and hca.t aic areas must he mimmii.ed u>ing irchnicsl standards dri eluped by the Natuial Rzsnumeq climcrvaiion
Service The apprir, cJ plan will 1st fsieJ a: the iirm and at tht: ufticc 01 tN; Mast Suil wid Water conser%3LIon Districs. I of c)
l.n„w this -lily rn,-.LfWawli nitiit ix apt•raV%:d by i technical gvcmliat and ,uhmitt,:J it, (tic Soil anJ Water Conservation
Dl ttir( Pik -it to Irlpleltienl.anon A ViiallLr in land nwnentlip require., Mrittcn rlaii(1r3tum in DWQ iii .t net% ccritfiation lii
tric appru,cJ plan is Than irt) within 60 davit of a title trinsicr.
Name Of Nr- Land Owner : 1 1 1 i
•
tii�nnlarc: Unto: i-'�"•D�
Name of Nisnaper to Jil lcr,!rtt trim owner): Q me
5i�nature: SQre Date: NJj
Plea,e sirn and rruirn this form tq: NC Divisuai lr(\Vatcr Quality
Nq6-T)ieeh4fo Compliance & Enforcement Unit
1617 M:ul Service Center
ftalitigh. NC 27h9'1.1tii7
Jul- is, NMI

�F \NA rE9 Michael F. Easley, Governor
William G. Ross Jr., Secretary
7 North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
July 28, 2005
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
RECEIPT # 7002 2410 0003 0274 6884
Lewis Tatum
A&D Finishing
123 Lakewood Rd.
Elizabethtown, NC 28337
RE: Sludge Survey Testing Dates
Facility # 9-14
Bladen County
Dear Lewis Tatum:
The Division of Water Quality (DWQ) received your sludge survey information on
March 1, 2005. On your behalf, Kathy Dugan requested an extension of the sludge survey
requirement for the lagoon at the A&D Finishing farm. Due to the amount of treatment volume
available, DWQ agrees that a sludge survey is not needed until 2007. The results of the 2007
sludge survey are to be submitted with the Annual Certification Form that will be due on March
1, 2008.
Thank you for your attention to this matter. If you have any questions, please call me at
[phone],
Sincerely,
U
Keith Larick
Animal Feeding Operations Unit
cc: File# 9-14
Mark Brantley, Fayetteville Regional Office
Kathy Dugan
DW
Nor Carofinto
)UMMAtY
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Phone [phone] Customer Service
Internet: http://h2o.enr.state.nc.us 2728 Capital Boulevard Raleigh, NC 27604 Fax [phone]
Fax [phone]
An Equal Opportunity/Affirmative Action Employer- 50% Recyded110% Post Consumer Paper

LEWIS & 70HNNY TATUM (9) 720 G HOUSE
STATE ROAD #1507 - BLADEN COUNTY
ztl
1 0 . , 1�ji
0
L RECTIONS: FROM AMMONS, TAKE HWY. r 242 APPRX: 2 MILES,
TAKE A LEFT ON TO STATE ROAD r 15 0 6, TAKE THE DIRT ROAD TO THE
LEFT, STATE ROAD 30 1507 (CIILBERTH SMITH ROAD), FARM WILL BE .05
MILES.ON THE LEFT.
NLA=G ADDRESS: �4SHIPPING ADDRESS:
LEWIS & JOHNNY TATIIM LEWIS & JOEINY TATUM
RT. 2 BOX 14 STATE ROAD # 1507
ELIZABE=OWN, NC 28337 WHITE OAR, NC 28339
TATUM INSULATION [phone]
JOHNNY TATUM Hl [phone]
JOHNNY TATUM Wvz [phone]
BROWN'S OF CAROLINA- INC.
303 LAST CULLEGE^ STREL"-i • 1•.0. BUK 497 • WARSAW. N.C. 2S348-0487 • OFFICE: [phone] • FAX: [phone]

i
PLAN OF ACTION (PoA) FOR HIGH FREEBOARD AT ANIMAL FACILITIES
30 DAY DRAW DOWN PERIOD
I. TOTAL PAN TO'BE LAND APPLIED PER WASTE STRUCTURE
1. Structure NamelIdentifier (ID): A and D _ 9-14)
2. Current liquid volume in 25 yr.l24 hr, storm storage & structural freeboard I
17.0 inches
19.0 inches
2.0 inches
a. current liquid level according to marker
b. designed 25 yr./24 hr. storm & structural freeboard
c. line b - line a (inches in red zone) =
d. top of dike surface area according to design
(area at below structural freeboard elevation)
e_ line c/12 x line d x 7.48 gallons/ft3
3. Projected volume of waste liquid produced during draw down period
154000 ft2
19�gallons
f. temporary storage period according to structural design 180 days
g. volume of waste produced according to structural design 214151 3
h. current herd # 5000 certified herd Al6840
actual waste produced = current herd ## x line g = 156543 tt3
certified herd #
i. volume of wash water according to structural design
j. excess rainfall over evaporation according to design
k. (lines h + i +j) x 7.48 x 30 days/line f=
4. Total PAN to be land applied during draw down period
I_ current waste analysis dated 08/28/15
rm. {(lines e + k)/1000) x line I =
REPEAT SECTION 1 FOR EACH WASTE STRUCTURE ON SITE.
(Click on the next Structure tab shown below)
PoA (30 Day) 2/21/00
L� 1ft3
89833 ft3
307149 gallons
1.141bs11000 gal.
� Ibs. PAN
1

0
a
II. TOTAL POUNDS OF PAN STORED WITHIN STRUCTURAL FREEBOARD AND/OR 25 YR.124
HR. STORM STORAGE ELEVATIONS IN ALL WASTE STRUCTURES FOR FACILITY
1.
Structure A and D (9-14)
line m = 569.01b PAN
2.
Structure
line m =
lb PAN
3.
Structure
line m =
lb PAN
4.
Structure
line m =
lb PAN
5.
Structure
line m =
lb PAN
6.
Structure
line m =
lb PAN
n.lines 1+2+3+4+5+6= 5%0lbPAN
Ill. TOTAL PAN -BALANCE REMAINING FOR AVAILABLE CROPS DURING 30 DAY DRAW DOWN
PERIOD. DO NOT LIST FIELDS TO WHICH PAN CANNOT BE APPLIED DURING THIS 30 DAY PERIOD.
o. tract #
p. field #
q. crop
ir. acres
5- remaining
IRR-2 PAN
balance (lblacra)
t TOTAL PAN
BALANCE FOR
FIELD (ibs.)
column r x s
u_ applicationyvindowl
i
1586
4
Small grain overseed
3.55
50_00
177.5
Sep -Apr
1586
5
Small grain overseed
3.34
50.00
167.0
Sep -Apr
1586
6
Small grain overseed
3.10
50.00
155.0
Sep -Apr
1586
7
Small grain overseed
3.55
50.00
177.5
Sep Apr
1State current crop ending application date or next crop application beginning date for available
receiving crops during 30 day draw down period.
v. Total PAN available for all fields (sum of column t) = 677.0 lb. PAN
IV. FACILITY'S PoA OVERALL PAN BALANCE
w. Total PAN to be land applied (line n from section II) = 569.0 Ib. PAN
X. Crop's remaining PAN balance (line v from section III) = 677.0Ib. PAN
y. Overall PAN balance (w - x) =-1081b. PAN
PoA (30 Day) 2/21/00

PLAN OF ACTION (PoA) FOR HIGH FREEBOARD AT ANIMAL FACILITIES
30 DAY DRAW DOWN PERIOD
I. TOTAL- PAN TO BE LAND APPLIED PER WASTE STRUCTURE
1. Structure Name/Identifier (ID)_ A and D (9-14)
2. Current liquid volume in 25 yr.124 hr. storm storage & structural freeboard
a. current liquid level according to marker 18.0 inches
b. designed 25 yr./24 hr. storm & structural freeboard 19.0 inches
c, line b - line a (inches in red zone) 1.0 inches
d_ top of dike surface area according to design
(area at below structural freeboard elevation) 154000 ftt
e, line c112 x line d x 7.48 gallons/ft3 995993 gallons
3_ Projected volume of waste liquid produced during draw down period
f, temporary storage period according to structural design 1801days
g. volume of waste produced according to structural design F1713
h. current herd # 5472 certified herd # 6840
actual waste produced = current herd # x line g = 17�1 ff3
certified herd #
i. volume of wash water according to structural design
j_ excess rainfall over evaporation according to design
k_ (lines h + i } j) x 7.48 x 30 days/line f=
4. Total PAN to be.land applied during draw down period
I. current waste analysis dated 1 12/29/15
m, ((lines e + k)11000) x line I =
REPEAT SECTION I FOR EACH WASTE STRUCTURE ON SITE.
(Click on the next Structure tab shown below)
PaA (30 Day) 2121100
—� Jft3
89833 ft3
325572 gallons
1.10 lbs11000 gal.
463.7 lbs. PAN

IL TOTAL POUNDS OF PAN STORED WITHIN STRUCTURAL FREEBOARD AND/OR 25 YR.124
HR. STORM STORAGE ELEVATIONS IN ALL WASTE STRUCTURES FOR FACILITY
1, Structure A and D
2. Structure
3. Structure
4. Structure
5. Structure
6. Structure
line rn =
463.7 lb PAN
line m =
1b PAN
line m =
lb PAN
line m
lb PAN
line m = ib PAN
line m = lb PAN
n.lines i+2{3+4+5+6= 463.7lbPAN
ill. TOTAL PAN BALANCE REMAINING FOR AVAILABLE CROPS DURING 30 DAY DRAW DOWN
PERIOD. DO NOT LIST FIELDS TO WHICH PAN CANNOT BE APPLIED DURING THIS 30 DAY PERIOD.
0. tract #
p. field #
q. crop
r. acres
S. remaining
IRR-2 PAN
balance (Iblacre)
t. TOTAL PAN
BALANCE FOR
FIELD (Ibs.)
column r x s
u. application Wndowl
1586
4
Small grain overseed
3.55
50-00
177.5Sep-Apr
1586
5
Small grain overseed
3.34
50-00
167,0
Sep -Apr
158
6-Small
grain overseed
3.10
50.00
155.0
Se -Apr
1586
7
mall grain overseed
3,55
50.00
177,5
Se2-Apr
1586
8
Small grain overseed
3.42
50.00
171.0
Se -Apr
1 State current crop ending application date of next crop application beginning date for available
receiving crops during 30 day draw down period,
v. Total PAN available for all fields (sum of column t) = 848.01b. PAN
IV. FACILITY'S POA OVERALL PAN BALANCE
w. Total PAN to be land applied (line n from section 11) = 463.71b. PAN
x. Crop's remaining PAN balance (line v from section 111) = 848.0Ib. PAN
y. Overall PAN balance (w - x) 3841b. PAN

A
*A
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Ray Marlowe
Squirrel Hill Finishing
P.Q. Box 211
White Oak, NC 28399
Dear Ray Marlowe:
John E. Skvada, III
RECEIVEqP
fetary
March 28, 2014 APR _ 1 2014
DENR -FAYETTRIL LE REGIONAL OFFICE
Subject: Sludge Survey Testing Dates
Certificate of Coverage No. AWS090014
Squirrel Hill Finishing
Animal Waste Management System
Bladen County
The Division of Water Quality (Division) received your sludge survey information on March 6,
2014. With the survey results, you requested an extension of the sludge survey requirement for
the lagoon # 1 at Squirrel Hill Finishing facility. Due to the amount of treatment volume
available, the Division agrees,to an extension for the sludge survey requirement.
The next sludge survey at this facility's lagoon ##1 should be performed before December 31,
2019. Please call me at [phone] if you have any questions.
Sincerely,
J. R. Josh]
Animal Feeding Operations Branch
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
cc: Fg" cttev:ille_RegLQnal_Of. Aquifer Protection Section
Permit File AWS090014
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Phone: 91 M07-6464 1 Internet: httR:11www.nodenr.gov!
An Equal Opportunity 1 Affirmative Action Employer — Made m part by recycled paper

�� oENR-FRc
- - ��A DEC 2 9 M1
North Carolina Department of Environment and Natural Resources OWO
Beverly Eaves Perdue
Governor
Ray Marlowe
Squirrel Hill Finishing
P.O. Box 211
White Oak, NC 28399
Dear Ray Marlowe:
Division of Water Quality
Coleen H. Sullins
Director
December 28, 2011
Dee Freeman
Secretary
Subject: Sludge Survey Testing Dates
Certificate of Coverage No. AWS090014
Squirrel Hill Finishing
Animal Waste Management System
Bladen County
The Division of Water Quality (Division) received your sludge survey information on December
22, 2011. With the survey results, you requested an extension of the sludge survey requirement
for the lagoon # 1 at Squirrel Hill Finishing facility. Due to the amount of treatment volume
available, the Division agrees to an extension for the sludge survey requirement.
The next sludge survey at this facility should be performed before December 31, 2014. Thank
you for your attention to this matter. Please call me at [phone] if you have any questions.
Sincerely,
J. R. Joshi
Animal Feeding Operations Unit
cc: Fayettevillb;Regional Office, Aquifer Protection Section
Permit File AWS090014
1636 Mai! Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Btvd„ Raleigh, North Carolina 27504
Phone: [phone] SAX; 919-715-05881 Customer Service: 1-877-623-6748
Internet: www.ncwalerQuaiiiy.org
NorthCarotina
Naturally
An EcuaV OpportuWY l Pftirmauve, ACllon Emnlove,

K
X
MCDENR
North Carolina Department of Environment and
Beverly Eaves Perdue
Govemor
Raymond C. Marlowe, II
A & D Farms
PO Box 2)1
White Oak, NC 25399
Dear Raymond C. Marlowe, H:
Division of Water Quality
Coieen H. Sullins
Director
October 9, 2009
Natural Resources
RFCEit FD
OCT 13 290
©ENR-FA*TfE LLEREGIONAL oFRCI:
Dee Freeman
Secretary
Subject: Certificate of Coverage No. AWS090014
A&DFarms
Swine Waste Collection, Treatment,
Storage and Application System
Bladen County
In accordance with your change of ownership request received on October 1, 2009, we are hereby
forwarding to you this Certificate of Coverage (COC) issued to Raymond C. Marlowe, 11, authorizing the
operation of the subject animal waste management system in accordance with General Permit
AWG 100000.
This approval shall consist of the operation of this system including, but not limited to, the management
and land application of animal waste as specified in the facility's Certified Animal Waste Management
Plan (CAWMP) for the A & D Farms, located in Bladen County, with a swine animal capacity of no
greater than the following annual averages:
Wean to Finish: Feeder to Finish. 6840 Boar/Stud:
Wean to Feeder: Farrow to Wean: Gilts:
Farrow to Finish: Farrow to Feeder: Other:
If this is a Farrow to Wean or Farrow to Feeder operation, there may be one boar for each 15 sows. Where
boars are unnecessary, they may be replaced by an equivalent number of sows. Any of the sows may be
replaced by gilts at a rate of 4 gilts for every 3 sows.
The COC shall be effective from the date of issuance until September 30. 2014, and shall hereby void
Certificate of Coverage Number AWS090014 dated October 1, 2009. Pursuant to this COC, you are
authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any increase in waste production greater than the certified design capacity or increase in number
of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
Please carefully read this COC and the enclosed State General Permit. Please pay_ _careful attention to the
record keeping and monitoring conditions in this permit. Record keening forms are unchanned with this
General Permit. Please continue to use the same record keeping forms.
1636 Mail Service Center, Raienn, Nortn Camiina 27599-1636
Location: 272E Caoi-al divc.. Faleivi Nonn Carohna 27601 O112
?none:919-7L-3221 i AX 919-715-05881Cust me, Service 1-877-623-574E, NorthCaroiina
Internet www.nwate-muainy.org 'I . �j' (
-.a =oun! Uva, n1l'r=m,�aSive -c:an �maior� E.�1�"Qf

If your Waste Utilization Plan (WUP) has been developed based on site -specific information, careful
evaluation of future samples is necessary. Should your records show that the current WUP is inaccurate
you will need to have a new WUP developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards; and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Per 15A NCAC 2T .0105(h) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100-foot separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWNIP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties. and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, then an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the Animal Feeding Operations Unit for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
In accordance with Condition II.22 of the General Permit, waste application shall cease within four (4)
hours of the time that the National Weather Service issues a Hurricane Waming, Tropical Storm Warning,
or a Flood Watch associated with a tropical system for the county in which the facility is located. You
may find detailed watch/warning information for your county by calling the Wilmington, NC National
Weather Service office at [phone], or by visiting their website at www.erh.noaa.gov/er/ilm/.
This facility is located in a county covered by our Fayetteville Regional Office. The Regional Office
Aquifer Protection Staff may be reached at [phone]. If you need additional information
concerning this COC or the General Permit, please contact the Animal Feeding Operations Unit staff at
[phone].
Sincerely,
for Coleen H. Sullins
Enclosure (General Permit AWG100000)
cc: (Certificate of Coverage only for all ccs)
Fayetteville Regional Office, Aquifer Protection Section
Bladen County Health Department
Bladen County Soil and Water Conservation District
Murphy -Brown, LLC
APS Central Files (Permit No. AWS090014)
AFO Notebooks

O� W A rF� Michael F. Easley, Governor
�0 pG William G. Ross Jr., Secretary
7 North Carolina Department of Environment and Natural Resources
CO
p Y Coleen H. Sullins, Director
Division of Water Quality
July 1, 2007
Barry D Billups + l 2 »7
A&DFarms
89 Sandy Ridge Rd
Elizabethtown, NC 28337 _..
Subject: Certificate of Coverage No. AWS090014
A & D Farms
Animal Waste Management System
Bladen County
Dear Barry D Billups:
In accordance with your application received on 4-Jan-07, we are hereby forwarding to you this
Certificate of Coverage (COC) issued to Barry D Billups, authorizing the operation of the subject animal
waste management system in accordance with General Permit AWG100000.
This approval shall consist of the operation of this system including, but not limited to, the management
and land application of animal waste as specified in the facility's Certified Animal Waste Management
Plan (CAWMP) for the A & D Farms, located in Bladen County, with an animal capacity of no greater
than the following swine annual averages:
Wean to Finish: 0 Feeder to Finish: 6840 Boar/Stud: 0
Wean to Feeder: 0 Farrow to Wean: 0 Gilts: 0
Farrow to Finish: 0 Farrow to Feeder: 0
If this is a Farrow to Wean or Farrow to Feeder operation, there may also be one boar for each 15 sows.
Where boars are unneccessary, they may be replaced by an equivalent number of sows. Any of the sows
may be replaced by gilts at a rate of 4 gilts for every 3 sows
The COC shall be effective from the date of issuance until September 30, 2009 and replaces the NPDES
COC issued to this facility with an expiration date of July 1, 2007. You are required to continue
conducting annual surveys of sludge accumulation in all lagoons at your facility; the one-year extension
in Condition 111.19 does not apply.
Pursuant to this COC, you are authorized and required to operate the system in conformity with the
conditions and limitations as specified in the General Permit, the facility's CAWMP, and this COC. An
adequate system for collecting and maintaining the required monitoring data and operational information
must be established for this facility. Any increase in waste production greater than the certified design
capacity or increase in number of animals authorized by this COC (as provided above) will require a
modification to the CAWMP and this COC and must be completed prior to actual increase in either
wastewater flow or number of animals.
Please carefully read this COC and the enclosed State General Permit. Enclosed for your convenience is
a package containing the new and revised forms used for record keeping and reporting. Please pay
careful attention to the record keeping and monitoring conditions in this permit.
Aquifer Protection Section 1636 Mail Service Center
Internet: www.ncwater uali .o Location: 2728 Capital Boulevard
An Equal Opportunity/Affirmative Action Employer— 50% Recycledl10% Post Consumer Paper
N��,rth Carolina
/vutura!!r�
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

If your Waste Utilization Plan has been developed based on site -specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per 15A NCAC 02T .0111(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100-foot separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
Per 15A NCAC 02T .1306, any containment basin, such as a lagoon or waste storage structure, shall
continue to be subject to the conditions and requirements of the facility's permit until closed to NRCS
standards and the permit is rescinded by the Division.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Fayetteville Regional Office. The Regional Office
Aquifer Protection staff may be reached at 910-433-3300. If you need additional information concerning
this COC or the General Permit, please contact the Animal Feeding Operations Unit staff at (919) 733-
3221.
Sincerely,
for Coleen H. Sullins
Enclosures (General Permit AWG100000, Record Keeping and Reporting Package)
cc: (Certificate of Coverage only for all cc's)
Bladen County Health Department
Bladen County Soil and Water Conservation District
Fayetteville Regional Office, Aquifer Protection Section
AFO Unit Central Files
Permit File AW S090014

;C Barry Billups
!� 928 Culbreth-Smith Road
Elizabethtown NC 28337
• r
NUTRIENT MANAGEMENT PLAN
Grower(s):
Farm Name:
County:
Farm Type:
Fans Capacity:
Storage Structure:
Storage Period:
Application Method:
Lewis & Johnny Tatum
L & J Farms
Bladen
Feed -Fin
"S�(08+0
�rabic �C
80 days
Irrigation
r---- � l.PR092009
DW-FAYEr"LLF RE%' (M. Mrx
The waste from yvsr animal facility must be land applied at a specified rate to prevent pollution
of svface water and/or groundwater. The plant nutrients in the animal waste should be used
To reduce the amount of commercial fer t lbw required for the crops in the fields where the waste
is to be applied.
This waste utlization plan uses nitrogen as the limiting nutrient. Waste should be analyzed
befog a each application•, cycle. Annual soil tests are strongly encouraged so that all plant
'utnents can be balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization plan in order to ma)dmize
the f aEtilzer value of the waste and to ensure that it is applied in an environmentally safe manner.
1. Always apply waste based on the needs of the crop to be grown and the nutrient
content of the waste. Do not apply more nitrogen than the crop can utirze.
2. Soil types are important as they have different infiltration rates, leaching potentials,
ration exchange capacities, and available water holding capacities.
3_ Normally waste shall be applied to land eroding at less than 5 tons per acre per
year. Waste may be applied to land eroding at 5 or more tons per acre annually, but
less than 10 tons per acre per year providing that adequate filter strips are established.
4. Do not apply waste on saturated soils, when it is raining, or when the surface is frozen.
Either of these conditions may result in runoff to surface waters which is not allowed
under DWO regulations.
. V iird conditions should also be considered to avoid drift and downwind odor
4?0)5 ek�
RECEIVED 1 DEN 1 DWQ
AQUIFFR'PPOTFr.T1ON SFCTION
APR 0 6 ;Page: �

problems_
5. To maximize the value of the nutrients for crop production and to reduce the potential
for pollution, the waste should be applied to a growing crop or applied not more than
30 days prior to planting a crop or forages breaiang dormancy. Injecting the waste or
disking will conserve nutrients and reduce odor problems.
This plant is based on the waste application method shown above. If you choose to change
r►ethods in the future, you need to revise this plan. Nutrient levels for different application
methods are not the same.
The estimated acres needed to apply the animal waste is based on typical nutrient content
for his type of facility. In some cases you may want to have plant analysis made, which could
afiaiv additional waste to be applied_ Provisions shall be made for the area receiving waste to
be flexible so as to accommodate changing waste analysis content and crop type. Lime must
be applied to maintain pH in the optimum range for specific crop production.
This waste utilization pian, if carried out, meets the nequirements for compliance with 15A NCAC
2H _0217 adopted by the Environmental Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR ( gallons, ft3, tons, etc.):
WID
animals X 986 gal/animal/year
144, A40
�$la,s4f� gallons
,MOUNT OF PLANT AVAILABLE NITROGEN PRODUCED PER YEAR (lbs):
O 15,131.06
animals X 2.30 lbs/animal/year ;JOp#.00 lbs
PAN ev aAw o # teox ba." Or flxtv\ rec6 As 11) Aacl . pµ 165
Applying the above amount of waste is a big job. You should plan time and have appropriate
equipment to apply the waste in a timely manner.
The following acreage will be needed for waste application based on the crop to be grown,
soil type, and surface application.
Page. 2

Tract
Field
Zone
Soil
Type
Crop
Cade
Yield
IAc
lbs N
(unit
Acres
Lbs NIAc
Residual
Lbs N
/Ac
lbs N
Required
Time to
Apply
'86
2,6
1
KeA
B
4.1
50.00
2.58
205.0
528.90
Mar-Od
2
2
Fo
B
4.5
50.00
3.08
225.0
693.00
Mar -Oct
4.1
3
Fo
B
4.5
56.00
2.98
225.0
670.50
Mar -Oct
1
4
Fo
B
4.5
50.00
3.55
225.0
798.75
Mar-0ct
4.1
5
Fo
B
4.5
50.00
3.34
225.0
751.50
Mar -Oct
1
6
KeA
B
4.1
50.00
3.10
205.0
635.50
Mar4)ct
1
7
Fo
B
4.5
50.00
3.55
225.0
798.75
Mar -Oct
4,1
8
Fo
B
4.5
50.00
3.42
225.0
769.50
Mar -Oct
1
9
Fo
B
4.5
50.00
3.30
225.0
742.50
Mar43d
1
10
Fo
B­
4.5
50.00
3.30
225.0
742.50
Mar4Dd
4,1
11
Fo
B
4.5
50.00
3.22
225.0
724.50
Mar -Oct
5
1113
Fo
B
4.5
50.00
1.33
225.0
299.25
Mar4)d
5
12
Fo
B
4.5
50.00
2.86
225.0
643.50
Mar-0d
5
13
- Ce
B
4.1
50.00
2.68
205.0 .
549.40
Nlar-Oct
5
14
Ce
B
4.1
50.00
2.49
205.0
510.45
MarOct
5
15
Ce
B
4.1
50.00
2.66
205.0
545.30
Mar -Oct
2,6
1
KeA
K
50.00
2.58
50.0
129.00
S April
2
2
p K
50.00
3.08
50.0
154.00
S-April
4,1
3
D K
50.00
2.98
50.0
149.00
S April
1
4
Fo
K
50.00
3.55
50.0
1 TT.50
S-April
4,1
5
Fo
K
50.00
3.34
50.0
167.00
S-April
1
6
KeA
K
50.00
3.10
50.0
155.00
S-April
1
7
Fo
K
50.00
3.55
50.0
1 TT.50
S,April
4,1
8
Fo
K
50.00
3.42
50.0
171.00
S April
1
9
Fo
K
50.00
3.30
50.0
165.00
S-April
1
10
Fo
K
50.00
3.30
50.0
165.00
S-April
4,1 -
11
Fo
K
50.00
3.22
50.0
161.00
S April
5
11 B
Fo
K
50.00
1.33
50.0
66.50
S April
5
12
Fo
K
50.00
2.86
50.0
143.00
S-April
5
13
Ce
K
50.00
2.68
50.0
134.00
S-April
5
14
Ce
K
50.00
2.49
50.0
124.50
SApril
5
15
Ce
K
50.00
2.66
50.0
133.00
S- April
Total 47.44
Available N
*Difference
12175.80
11229.04
_1546.76
--Indicates that this field is being overseeded (.e. interplanted) or winter annuals follow summer
annuals.
*A negative number reflects the total lbs of additional nitrogen needed to achieve yields on
acreage listed in chart. A positive number means additional acreage is required to utilize the
nitrogen produced by the farm.
Page: 3

NOTE:
This plan does not include commercial fertilizer. The farm should produce adequate plant
railable nitrogen to satisfy the requirements of the crops fisted above.
The applicator is cautioned that P and K may be over applied while meeting the N requirements.
In the future, regulations may require farmers in some parts of North Carolina to have a nutrient
management plan that addresses all nutrients. This plan only addresses nitrogen.
In interplanted fields ( i.e. small grain, etc, interseeded in bermuda), forage must be removed
through grazing, hay, and/or silage. Where grazing, plants should be grazed when they
reach a height of six to nine inches. Cattle should be removed when plants are grazed to a
height of four inches. In fields where small grain, etc, is to be removed for hay or silage, care
should be exercised not to let small grain reach maiurdy, especially late in the season (i.e.
April or May). Shading may result if small grain gets too high and this will definately interfere
with stand of bermudagrass. This loss of stand will result in reduced yields and less nitrogen
being utilized. Rather than cutting small grain for hay or silage just before heading as is
the normal situation, you are encouraged to cut the small grain earlier. You may want to
consider harvesting hay or silage two to three times during the season, depending on the
time small grain is planted in the fall.
The ideal time to interplant small grain, etc, is late September or early October. Drilling is
recommended over broadcasting. Bermudagrass should be grazed or cut to a height of
,bout two inches before drilling for best results.
The following legend explains the crop codes listed in the table above:
Crowe Crop
A
Barley
B
Hybrid Bermudagrass - Grazed
C
Hybrid Bermudagrass - Hay
D
Com - Grain
E
Com - Silage
F
Cotton
G
Fescue - Grazed
H
Fescue- Hay
I
Oats
J
Rye
K
Small Grain - Grazed
L
Small Grain - Hay
M
Grain Sorghum
N
Wheat
O
Soybean
Lbs N utilized / unit yield
1.6 lbs N / bushel
50 lbs N / ton
50 lbs N / ton
1.25 lbs N I bushel
12 lbs N I ton
0.12 lbs; N / lbs lint
50 lbs N I ton
50 lbs; N I ton
1.3 lbs N / bushel
2.4 lbs; N / bushel
50 lbs N 1 acre
50 lbs N 1 acre
2.5 lbs N / cwt
2.4 lbs N / bushel
4.0 lbs N / bushel
Page: 4

Acres shown in the preceding table are Wired to be the usable acres excluding
tired buffers, filter strips along ditches, add areas unable to be irrigated, and perimeter anus
not receiving full application rates due to equipment !inflations. Actual total acres in the fields
listed may, and most Maly will be, more than the acres shown in the tables_
See attached map showing the fields to be used for the utilization of animal waste.
SLUDGE APPLICATION:
The waste utiliz2fion plan must contain provisions for periodic land application of sludge at
agronomic rates. The skidge will be nutrient rich and well require precautionary measures to
prevent over application of nutrients or otw elernents. Your production facility will produce
approximately 0.36 pounds of plant available nitrogen per animal per year in the
sludge based on the application method listed earlier.
If you remove the sludge every 5 years, you will have approximately 11664.00
pounds of PAN to ublize. Assuming you apply this PAN to hybrid bermudegrass hayland at the
rate of 300 pounds of nitrogen per acne, you will need 38.88 acres of land. If you apply
the sludge to com at a rate of 125 pounds per ape, you will need 93.31 acres of land.
Please be aware that these are only estimates of the PAN and land needed. Actual requirements
could vary by 25% depending on your sludge waste analysis, sod types, realistic yields, and
applications.
PPLICATION OF WASTE BY IRRIGATION:
The irrigation appl"rcabon rate should not exceed the intake rate of the soli at the time of irrigation
such that runoff or ponding occurs. This rate is limited by initial soil moisture content, soil
structure, sorl texture, water droplet size, and organic solids. The application amount should not
exceed the available water holding capacity of the soil at the time of irrigation nor should the
plant available nitrogen applied exceed the nitrogen needs of the crop.
if surface irrigation is the method of land application for this plan, it is the responsibility of the
producer and irrigation designer to ensure that an irrigation system is installed to properly
irrigate the acres shown in the preceding table. Failure to apply the recommerided rates and
amounts of nitrogen shown in the tables may make this plan invalid_
The following is provided as a guide for establishing application rates and amounts.
Track
Field
soil
Type
Grop
Application Rate
in/hr
Application Amount
' inches
2,6
1
KeA
SK
0.6
0.95
2
2
Fo
BK
0.5
0.95
4,1
3
Fo
BK
0.5
0.95
1
4
Fo
BK
0.5
0.95
4,1
5
Fo
BK
0.5
0.95
1
6
KeA
BK
0.6
0.95
Page: 5

1
7
Fo
BK
0.5
4,1
8
Fo
BK
0.5
1
9
Fo
BK
0.5
10
Fo
BK
0.5
` 4.1
11
Fo
BK
0.5
5
12
Fo
BK
0.5
5
13
Ce
BK
0.75
5
14
Ce
BK
0.75
5
15
Ce
BK
0.75
0.95
0.95
0.95
0.95
0.95
0.95
0.75
0.75
0.75
'This is the maudmum application amount allowed for the soil assuming the amount
of nitrogen allowed for the crop is not over applied_ In many situations, the apron
amount shown cannot be applied because of the nitrogen fimita#ion. The maximum
application amount shown can be applied under optimum soil conditions.
Your facility is designed for 180 days of temporary storage and the temporary storage must
be removed on the average of once every 6 mom ths. In no instance should the volume of the
waste stored in your structure be within the 25 year 24 hour storm storage or one foot of
freeboard except in the event of the 25 year 24 hour storm.
It is the responsiability of the producer and waste applicator to ensure that the spread equipment
is operated properly to apply the correct rates to the acres shown in the tables. Failure to apply
"` a recommended rates and amounts of nitrogen shorn in the tables may make this plan invalid.
Call your technical specialist after you receive the waste analysis report for assistance in
determining the amount of waste per acre and the proper application prior to applying the waste.
Additional Comments:
Plan based on actual farm records of 1999-2001. Average annual waste volume calculated as
3,593,300 gallons with an average of 2.5 #N11000 gal_ This would be an annual production of
8983.25 # PAN per year. To account for unusual weather occurrences, 11,229.04 # PAN was used
which is 25% more than the average and 15% more than the year with the highest PAN.
Page: 6

w

RECEIVED
OCT 0 § 2006
. FAv'tEVILLE RM0NAL 0FR CE
September 8, 2006
Barry D. Billups
L & J Farms
89 Sandy Ridge Road
Elizabethtown, NC 28337
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Envirunrnent and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Subject: Certificate of Coverage No. NCA209014
L & J Farms
Animal Waste Management System
Bladen County
Dear Barry D. Billups:
In accordance with your Notification of Change of Ownership received on August 31, 2006, we are
hereby forwarding to you this Certificate of Coverage (COC) issued to Barry D. Billups, authorizing the
operation of the subject animal waste collection, treatment, storage and land application system in
accordance with General Permit NCA200000.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the L & J Farms facility, located in Bladen County, with an animal capacity of no
greater than an annual average of 6840 Feeder to Finish swine and the application to land as specified in
the facility's Certified Animal Waste Management Plan (CAWMP). If this is a Farrow to Wean or
Farrow to Feeder operation, there may also be one boar for each 15 sows. Where boars are unneccessary,
they may be replaced by an equivalent number of sows. Any of the sows may be replaced by gilts at a
rate of 4 gilts for every 3 sows.
The COC shall be effective from the date of issuance until July 01, 2007, and shall hereby void Certificate
of Coverage Number NCA209014 dated April 9, 2003, and shall be subject to the conditions and
limitations as specified therein. Pursuant to this COC,. you are authorized and required to operate the
system in conformity with the conditions and limitations as specified in the General Permit, the facility's
CAWMP, and this COC. An adequate system for collecting and maintaining the required monitoring data
and operational inforination must be established for this facility. Any increase in waste production
greater than the certified design capacity or increase in number of animals authorized by this COC (as
provided above) will require a modification to the CAWMP and this COC and must be completed prior to
actual increase in either wastewater flow or number of animals.
Please carefully read this COC and the enclosed General Permit. Since this is a new joint State and
Federal general permit it contains many new requirements in addition to most of the conditions contained
in the current State general permit. Enclosed for your convenience is a package containing the new and
revised forms used f6r record keeping and reporting. Please pay careful attention to the record keeping
and monitoring conditions in this Dermit. The Devices to Automaticallv Stop Irrigation Events Form
must be returned to the Division of Water Quality no later than 120 days followin>" receivt of the
Certificate of Coverage. The Animal Facility Annual Certification Form must be completed and returned
to the Division of Water Quality -by no later than March 1 st of each year.
Aquifer Protection Section 1636 Mail Service Center
Internet: www.ncwateryualityor¢ Location: 2728 Capital Boulevard
An Equal Opportuno/Alfirmative Action Employer— 500l6 Recycled110% Post Consumer Paper
r4 ` Carolina
Naturally
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

If your Waste Utilization Plan has been developed based on site -specific .information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules„ standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per 15A NCAC 2H .0225(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100-foot separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Fayetteville Regional Office. The Regional Office
Aquifer Protection Staff may be reached at Fayetteville [phone]. If you need additional
information concerning this COC or the General Permit, please contact Miressa D. Garoma at (919) 715-
6937.
Alan W. Klimek. P.E.
Enclosures (General Permit NCA200000, Record Keeping and Reporting Package)
cc: (Certificate of Coverage only for all cc's)
Fayetteville Regional Office, Aquifer Protection Section
Bladen County Health Department
Bladen County Soil and Water Conservation District
AFO File
APS Central Files

--r
i
ANIMAL FACILITY ANNUAL. CERTIFICATION FORM
Certificate of Coverage or Permit Number County Year 200!L
Facility Name (as shown on Certificate of Coverage or Permit), a,i�a�i..�..Ft
Operator in Charge for this Facility &rry �_. � 1 t.2_ Certification # 161t{3
Laqd application of animal waste as. allowed by the above permit occurred.during.the past calendar year.
YES NO. If NO, skip Part I and Part.H and proceed to the, certification.. Also„if animal waste
was generated but not land applied, please attach an explanation on how the animal waste was handled.
Part I : Facility Information:
1. Total number of application -Fields ❑.or Pulls (please check thel appropriate box) in the Certified Animal
Waste Management Plan (CAWMP): 1(0 Total Useable Acres approved in the CAWMP
41.��-
2. Total number of Fields ❑ or. Pulls tple�ase check the appropriate box) on which land application
occurred during the year: 19 Total Acres on which waste was applied
3. Total pounds of Plant Available Nitrogen (PAN) applied during the year for all application sites:
3ao
4. Total pounds of Plant Available Nitrogen (PAN) allowed to, be land applied annually by the CAWMP and
the permit:
5. Estimated amount of total manure, litter and process wastewater'sold or given to other 'Persons and taken
off site during the year Q_ tons =❑ or gallons ❑ (please check the appropriate box)
6. Annual average
"� number of animals by type at this facility during 'the previous year:
7. Largest and smallest number of animals by type at this facility at any-one.time during,the previous year:
Largest W 7 SO
Smallest 39 Q5
(These numbers -are for informational purposes only since. the only permit limit on the, number of animals
at the facility 'is the. annual. average numbers) .
8. Facility's Integrator if applicable: NAA-_V a" Irowk_
Part II: Facility Status:
IF THE ANSWER TO ANY STATEMENT BELOW IS "NO", PLEASE PROVIDE A WRITTEN
DESCRIPTION AS TO WHY .THE FACILITY WAS NOT COMPLIANT, THE DATES OF ANY NON
COMPLIANCE, AND EXPLAIN CORRECTIVE ACTION TAKEN OR PROPOSED TO BE TAKEN TO
BRING THIS FACILITY BACK INTO COMPLIANCE.
1. Only animal waste generated at this facility was applied to the permitted sites during Yes ❑ No
the past calendar year.
AFACF 3-14-03

2. The facility was Wowed in such a way that ere was no direct tvnoff of waste from $ Yes ❑ No `
the facility (inclu�the there
lagoons/storage ponds and the application sites) during
dw pest calendar year.
3. There was no discharge of waste to surface water from this facility during the past Yes ❑ No
calendar year.
4.
There was no freeboardyviolation in any lagoons or storage ponds at -this facility during
Yes ❑ No
the past calendar year.
5,
There was no PAN application to any fields or crops at this facility. greater.than the
l Yes ❑ No
.levels specif.0 in this -facility's CAWNP during the past calendar year.
b_
All land application equipment was calibrated at least once during the past. calendar year.
� Yes • ❑ No
7.
Sludge accwnulation in all lagoom did not exceed tie volume -for w1uch the lagoon
Yes ❑ No
was designed or reduce ithe lagoon's minimum tmatment-volurne to less titan the volume
for which the lagoon was designed..
8.
A copy of the Annual Sludge Survey Form for this facility is attached to this Certification.
$ Yes ❑ No
9.
Annual soiki un4ly*in wwe performed on each field receiving ani[nal waste during the
Yes ❑ No
past calendar yea.
10. Soil pH was mainudnW as specifiW !n We permit dwing the past calcudtu Ycar? Ycs ❑ No
11. All required monitoring and reporting was performed in accordance with the facility's Yes ❑ No
permit during the past calendar year.
'12. All operations and maintenance requumnents in the permit were complied with during Yes ❑ No
the past calendar year or, in die ease of a deviation, prior authorization was received
from the Division of Water Quality.
13. Crops as specified in the CAWNP were maintained during the past calendar year on.all Yes ❑ No
sites receiving animal waste and the crops grown were removed in accordancc with
the facility's permit.
14. All buffer requirements -as specified on the permit and the CAWMP for this facility were Yes O No
maintained during each application of animal waste during the past calendar year,
"1 certify under penalty of Law that this document and all atwzhmeats were pmpaxW uudr.L- t,ty dinctiov or
supervision in accordance with a system designed to assure that qualified pstsonnel.ptoperly gather and
evaluate the iaformaiien submliud. Rased on my inquiry of the person or persons who manage the.sysiem, or
Chase persons directly responsible for gathering the information, OW information submitted is, to the best of
my knowledge and belief, true, accurate, and complete. l am aware that tlrere.are signiftMM penalties for.
submitting f4lbe iuforrnation, including the possibility of Pines and imprisonment for knowing violations."
r V• (� i S hG r
or
UP-42MOOM11.0 Tz!
I" nfr__�
S' o Operator in Charge Date .
(Bent from Prrtrtittee)
AFACF 34403
RI

_ !_
Rainman Environmental, LLC
Post Office Box 115
Kenansville, NC 28349
Lagoon Sludge Survey Form
Farm Permit or DWQ Identification Number - Jonny Tatum Farm
Lagoon Identification 1
Person(s) Taking Measurements RO Britt _
Date of Measurements 20-Mar-04
Methods/Devices Used for Measurement of:
a. Distance from the lagoon liquid surface to the top of the sludge layer:
Disk
b. Distance from the lagoon liquid surface to the bottom (soil) of the lagoon: Grade Rod
c. Thickness of the sludge layer if making a direct measurement with "core sampler": NA
Lagoon Surface Area (using dimensions at inside top of bank): 3.7 acres
Estimate number of sampling points:
a. Less than 1.33 acres: Use 8 points
b. If more than 1.33 acres: 3.7 acres x 6= with maximum of 24.
At the time of the sludge survey, also measure the distance from the Maximum Liquid Level
to the Present Liquid Level (measure at the lagoon guage pole). 8.6 Inches
Determine the distance from the Maximum Liquid Level to the Minimum Liquid Level 2; .6 Inches
The distance from the present liquid surface level to the Minimum Liquid Level 1.�8 Feet
Record from the Sludge Survey Data Sheet the distance from the present liquid surface level
to the lagoon bottom (average for all the measurement points): 10. <$ Feet
Record from the Sludge Survey Data Sheet the distance form the present liquid surface level
'—'to the top of the sludge layer (average for all the measurement points): I 7.3 Feet

Record from the Sludge Survey Data Sheet the average thickness of the sludge layer. 2.9 Feet
Calculate the thickness.of the existing Liquid Treatment Zone: waFeet
* Note: If the Calculated thickness of the existing Liquid Treatment Zone is less than 4 feet, a
sludge removal and utilization plan may be required by N. C. DWQ. See your specific permit or
contact DWQ for more information.
Completed By: Danna Westerbeek Printed Name
"QL Signature
q . 1 � ' O I Date

Rainman Environmental, LLC
Post Office Box 115
Kenansvi[le, NC 28349
Appendix 2: Sludge Survey Data Sheet
Farm Permit or DWQ Identification Number
Lagoon Identification
Person(s) Taking Measurements
Date of Measurements
Jonny Tatum Farm
1
Ro Britt
20-Mar-04
Grid Point Distance from liquid Distance from liquid Thickness of sludge
surface to top of surface to lagoon
Number sludge bottom (soil) layer
1
7.50
9.5
2.00
2
8.75
10
1.25
3
8.00
10
2.00
4
7.75
10.5
2.75
5
8.50
10
3.50
6
6.75
10.25
3.50
7
8.00
10.5
2.50
8
6.25
10.5
4.25
9
7.00
10.5
3.50
10
7.75
10.5
2.75
11
8.75
10.5
1.75
12
7.00
10.5
3.50
13
8.50
10.25
1.75
14
5.50
10.25
4.75
15
5.50
10.25
4.75
16
8.25
10.5
2.25
17
8.50
10.5
2.00
18
7.50
10.5
3.00
19
7.00
10
3.00
20
6.75
9.5
2.75
21
7.00
10
3.00
22
6.25
9
2.75
23
24
Average
7.3
102
2.9

Farm Niame:.Johnn Tatum
Date: 3/20/2004
Grower: Johnny Tatum
Lagoon ID Lagoon 1
i
Top of Dike Elvation
Bottom of Dike Elevation
Start Pump Level
Stop Pump Level
Current Freeboard
Top of Dike Length
45.00
Ft.
33.00
Ft.
43.30
Ft.
41.00
Ft.
29.00
In.
770 width
200
Grid Point
Water Depth
Distance From
Liquid Surface to
Top of Sludge
Thickness of Sludge
1
9.50
7.50
2.00
2
10.00
8.75
1.25
3
10-00
8.00
2.00
4
10.50
7.75
2.75
5
10.00
6.50
3.50
6
10.25
6.75
3.50
7
10.50
8.00
2.50
8
10.50
6.25
4.25
9
10.50
7.00
3.50
10
10.50
7.75
2.75
11
10.50
8.75
1.75
12
10.50
7.00
3.50
13
10.25
8.50
1.75
14
10.25
5.50
4.75
15
10.25
5.50
4.75
16
10.50
8.25
2.25
17
10.50
8.50
2.00
18
10.50
7.50
3.00
19
10.00
7.00
3.00
20
9.50
6-75
2.75
21
10.00
7.00
3.00
22
9.00
6.25
2.75
23
0.00
24
0.00
nu i t: fui Sjuage nneasuremenrs in reet
i
� t i
tihfY Cf. YGM

State of North Carolina��
�`"ti� Department of Environment, Health and Natural Resources
Division of Water Quality
S I ° ly�� Non -Discharge Permit Application Form 1 Survey
F E�E�l (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
REG.Ot�&eral Permit - Liquid Animal Waste Operations
r The following questions have been completed utilizing information on file with the
Division. Please review the information for completeness and make any corrections
which are appropriate. If a question has not been completed by the Division, please
complete as best as possible. Do not leave any question unanswered.
Application Date: �6— "/ Z
I. REQUIRED ITEMS CHECKLIST
Please indicate that you have includeu the following required items by signing your initials in the space provided next touch
item.
2"
A lican u is ^�
L One completed and signed original and one copy of the application for General Permit - Animal
Waste Operations; -
2. Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is disposed; �J
3. Two copies of the Certified Animal Waste Management Plan (CAWMP). If the facility does
not have a CAWMP, one must be completed prior to submittal of a general permit application
for animal waste operations.
II. GENERAL INFORMATION:
I . Farm's name: Lewis Tatum Farm
2. Print Land Owner's name: Lewis Tatum
3. Land Owner's Mailing address: Rt 2. Box 14 _._... .
City: Elizabethtown NC Zip: 28337
Telephone Number: 862-3634
4. County where farm is located: Bladen
5. Farm Location (Directions from nearest major highway. Please include SR numbers for state roads. Please include a copy
of a county road map with the location of the farm identified): SR 1507 1/4 mile South of intersection with SR 1506 and
2 miles South of Ammon. _
6. Print Farm Manager's name (if different from Land Owner): rR `
7. Lessee's Integrators n (if applicable; please circle which type is listed): AS D li A) p'
09 - 14
FORM: AWO-G-E 2/26/97 Page 1 of 3

III. OPERATION INFORMATION:
1. Farm No.: 09-14
2. Operation Description: Swine o ration j
Feeder to Finish (P W o
Certified Design Capacity
Is the above information correct? yes; Ono. If no, correct below using the design capacity of the facility
T eWof Swine No. of Animals Tvpg of Poultu No. of Animals Tyne of Cattle No. of Animals
0 Wean to Feeder 0 Layer 0 Dairy
0 Feeder to Finish 0 Non -Layer 0 Beef
0 Farrow to Wean (# sow) 0 Turkey
0 Farrow to Feeder (# sow)
0 Farrow to Finish (# sow)
Other Type of Livestock on the farm: 14 I f _No. of Animals: ! _
3. Acreage cleared and available for application: -1£00 Re Mired Acreage (as listed in the CAWMP): �v
4. Number of Lagoons: 1 ; Total Capacity: Cubic Feet (ft3)
Number of Storage Ponds: ; Total Capacity: Cubic Feet (ft3)
5. Is animal waste being applied on any field which has subsurface drains? YES or O (please circle one)
6. Are subsurface drains present in the vicinity of or under the lagoon? YES o O (please circle one)
IV. A
APLICANT'S CERTIFICATION:
I, r (Land Owner's name listed in question I1_2), attest that
(_gal/ � r
this application for ls //O-4,r ,eon (Farm name listed in question II. I)
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 e as inincomplete. !� Sign 7 . �'W.t.� Date /i / �1
V . MANAGER'S CE
IFICATION: (complete only if different from the Land Owner)
1, � /1/1 M �/} 4 M (Manager's name listed in question 1I.6), attest that this
l
application for _mow 13 / �+ iPih (Farm name listed in question II.I;
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 Z urned as inc plete.Signre Date r ��
THE �iQ'MPLETED AbCICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
'/ SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: [phone]
FORM: AWO-G-E 2/26/97 Page 2 of 3

-yrV5
YO
r'
97 Af1G 25 PH 124: 17
liiiillll
M
;�p
Q ty W v I J�
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NUTRIENT MANAGEMENT PLAN
Grower(s):
Lewis & Johnny Tatum
Farm Name: -
L & J Farms
County:
Bladen
Farm Type:
Feed -Fin
Farm Capacity:
6840
Storage Structure:
Anaerobic Lagoon
Storage Period:
180 days -
Application Method:
Irrigation
The waste from your animal facility must be land applied at a specified rate to prevent pollution r'D
of surface water and/or groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops in the fields where the waste
is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient. Waste should be analyzed
before each application cycle. Annual soil tests are strongly encouraged so that all plant
nutrients can be balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization plan in order to maximizi= _
the fertilizer value of the waste and to ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be grown and the nutrient
content of the waste. Do not apply more nitrogen than the crop can utilize.
2. Soil types are important as they have different infiltration rates, leaching potentials,
cation exchange capacities, and available water holding capacities.
3. Normally waste shall be applied to land eroding at less than 5 tons per acre per
year. Waste may be applied to land eroding at 5 or more tons per acre annually, but
less than 10 tons per acre per year providing that adequate filter strips are established_
4. Do not apply waste on saturated soils, when it is raining, or when the surface is frozen.
Either of these conditions may result in runoff to surface waters which is not allowed
under DWQ regulations.
Page: 1

5. Wind conditions should also be considered to avoid drift and downwind odor
Droblems.
3. To maximize the value of the nutrients for crop production and to reduce the potential
:or pollution, the waste should be applied to a growing crop or applied not more than
30 days prior to planting a crop or forages breaking dormancy. Injecting the waste or
disking will conserve nutrients and reduce odor problems.
This plan is based on the waste application method shown above. If you choose to change
methods in the future, you need to revise this plan. Nutrient levels for different application
methods are not the same.
The estimated acres needed to apply the animal waste is based on typical nutrient content
for this type of facility. In some cases you may want to have plant analysis made, which could
allow additional waste to be applied. Provisions shall be made for the area receiving waste to
be flexible so as to accommodate changing waste analysis content and crop type. -Lime must
be applied to maintain pH in the optimum range for specific crop production.
This waste utilization plan, if carried out, meets the requirements for compliance with 15A NCAC
2H .0217 adopted by the Environmental Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR ( gallons, ft3, tons, etc.):
6840 animals X 985.50 gal/animal/year =
6,740,820 gallons
AMOUNT OF PLANT AVAILABLE NITROGEN PRODUCED PER YEAR (lbs):
6840 animals X 2.30 Ibslanimallyear =
15,732.00 Ibs
Applying the above amount of waste is a big job. You should plan time and have appropriate
equipment to apply the waste in a timely manner.
Page: 2

,/ %
The following acreage will be needed for waste application based on the crop to be grown,
soil type, and surface application.
Tract
Field
Soil
Type
Crop
Code
Yield
/Ac
lbs N
/unit
Acres
Lbs N/Ac
Residual
Lbs N
IAc
Ibs N
i Required_
Time to
Apply
A.~
1586
1A
KeA
C
5.5
50.00
1.� -ty275.0 it 357.50
Mar -Oct
1586
113
KeA
B
4.7
50.00
1.3 i 235.0 i 305.50
Mar -Oct
1586
2
Wo
3.8
50.00
3.9 .,190.0 t 741.00
)
Mar -Oct
1586
3
KeA
B
4.7
50.00
6.2 (235.0 1457,00
Mar -Oct
1586
4
Fo
B
5.1
50.00
�.L
8.5 255.0 12167.50
Mar -Oct
1586
5
Fo
B
5.1
50.00
11.3 i 255.0 12881.50
Mar -Oct
1586
6
Fo
B
5.1
50.00
7.5 1912.50
Mar -Oct
1586
7
Fo
B
5.1
50.00
1255.0
5.3 255.0 1351.50
Mar -Oct
1586
8
Fo
B
5.1
50.00
7.6 : 255.0 1938.00
Mar -Oct
1586
--1A
KeA
K
50.00
1.3 50.0 65.00
S April
1586
-1 B
KeA
K
50.00
1.3 50.0 65.00
S April
1586
-2
Wo
K
50.00
Al
3.9 S""'` r 50.0 195.00
S April
1586
--3
KeA
K
50.00
6.2 50.0 310.00
S-April
1586
--4
Fo
K
50.00
8.5 �rz,2 . 50.0 425.00
S April
1586
--5
Fo
K
50.00
11.3 50.0 565.00
S-April
1586
-6
Fo
K
50.00
7.5 50.0 375.00
S-April
1586
-7
Fo
K
50.00
5.3 50.0 265.00
S-April
1586
-8
Fo
K
50.00
7.6 50.0 380.00
S-April
Total 52.9
Available N
"Difference
15757.00
15732.00
-25.00
Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow summer
annuals_
'A negative number reflects the total Ibs of additional nitrogen needed to achieve yields on
acreage listed in chart. A positive number means additional acreage is required to utilize the
nitrogen produced by the farm. .
NOTE:
This plan does not include commercial fertilizer. The farm should produce adequate plant
available nitrogen to satisfy the requirements of the crops listed above.
The applicator is cautioned that P and K may be over applied while meeting the N requirements.
In the future, regulations may require farmers in some parts of North Carolina to have a nutrient
Page: 3

�nagement plan that addresses all nutrients. This plan only addresses nitrogen.
In interplanted fields ( i.e. small grain, etc, interseeded in bermuda), forage must be removed
through grazing, hay, and/or silage. Where grazing, plants should be grazed when they
reach a height of six to nine inches. Cattle should be removed when plants are grazed to a
height of four inches. In fields where small grain, etc, is to be removed for hay or silage, care
should be exercised not to let small grain reach maturity, especially late in the season (i.e.
April or May). Shading may result if small grain gets too high and this will definately interfere
with stand of bermudagrass. This loss of stand will result in reduced yields and less nitrogen
being utilized. Rather than cutting small grain for hay or silage just before heading as is
the normal situation, you are encouraged to cut the small grain earlier. You may want to
consider harvesting hay or silage two to three times during the season, depending on the
time small grain is planted in the fall
The ideal time to interplant small grain, etc, is late September or early October. Drilling is
recommended over broadcasting. Bermudagrass should be grazed or cut to a height of
about two inches before drilling for best results.
The following legend explains the crop codes listed in the table above:
Cop Code Crop Lbs N utilized 1 unit yield
A
Barley
1.6 lbs N / bushel
B
Hybrid Bermudagrass - Grazed
50 lbs N / ton
C
Hybrid Bermudagrass - Hay
50 lbs N / ton
D
Cam - Grain
1.25 lbs N / bushel
E
Corn - Silage
12 lbs N / ton
F
Cotton
0.12 lbs N / lbs lint
G
Fescue- Grazed
50 lbs N / ton
H
Fescue- Hay
50 lbs N / ton
Oats
1.3 lbs N 1 bushel
J
Rye
2.4 lbs N / bushel
K
Small Grain - Grazed
100 lbs N / acre
L
Small Grain - Hay
133 lbs N / acre
M
Grain Sorghum
2.5 lbs N / cwt
N
Wheat
2.4 lbs N / bushel
O
Soybean
4.6 lbs N 1 bushel
Acres shown in the preceding table are considered to be the usable acres excluding
required buffers, filter strips along ditches, odd areas unable to be irrigated, and perimeter areas
Page: 4

' eceiving full application rates due to equipment limitations. Actual total acres in the fields
ed may, and most likely will be, more than the acres shown in the tables.
See attached map showing the fields to be used for the utilization of animal waste.
/ SLUDGE APPLICATION:
The waste utilization plan must contain provisions for periodic land application of sludge at
agronomic rates. The sludge will be nutrient rich and will require precautionary measures to
prevent over application of nutrients or other elements. Your production facility will produce
approximately 0.36 pounds of plant available nitrogen per animal per year in the
sludge based on the application method listed earlier.
If you remove the sludge every 5 years, you will have approximately 12312.00
pounds of PAN to utilize. Assuming you apply this PAN to hybrid bermudagrass hayrand at the
rate of 300 pounds of nitrogen per acre, you will need 41.04 acres of land. If you apply
the sludge to com at a rate of 125 pounds per acre, you will need 98.50 acres of land.
Please be aware that these are only estimates of the PAN and land needed. Actual requirements
could vary by 25% depending on your sludge waste analysis, soil types, realistic yields, and
applications.
APPLICATION OF WASTE BY IRRIGATION:
The irrigation application rate should not exceed the intake rate of the soil at the time of irrigation
such that runoff or ponding occurs. This rate is limited by initial soil moisture content, soil
structure, soil texture, water droplet size, and organic solids. The application amount should not
exceed the available water holding capacity of the soil at the time of irrigation nor should the
plant available nitrogen applied exceed the nitrogen needs of the crop.
If surface irrigation is the method of land application for this plan, it is the responsibility of the
producer and irrigation designer to ensure that an irrigation system is installed to properly
irrigate the acres shown in the preceding table. Failure to apply the recommended rates and
amounts of nitrogen shown in the tables may make this plan invaiid.
The following is provided as a guide for establishing application rates and amounts.
Tract
Field
Soil
Type
C Eqp
Application Rate
in/hr
1586
1 A
KeA
C
0.60
1586
1 B
KeA
B
0.60
1586
2
Wo
B
0.40
1586
3
KeA
B
0.60
1586
4
Fo
B
0.50
Application Amount
'inches
0.95
0.95
0.75
0.95
0.95
Page: 5

6'.
e-�a
5
Fo
B
0.50
6
6
Fo
B
0.50
1586
7
Fo
B
0.50
1536
8
Fo
B
.0.50
1586
—1A
KeA
K
0.60
1586
—1 B
KeA
K
0.60
1586
—2
Wo
K
0.40
1586
—3
KeA
K
0.60
1586
—4
Fo
K
0.50
1586
-r5
Fo
K
0.50
1586
--6
Fo
K
0.50
1586
—7
Fo
K
0.50
1586
—8
Fo
K
0.50
0.95
0.95
0.95
0.95
0.95
0.95
U5
0.95
0.95
0.95
0.95
0.95
0.95
'This is the maximum application amount allowed for the soil assuming the amount
of nitrogen allowed for the crop is not over applied. In many situations, the application
amount shown cannot be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil conditions.
Your facility is designed for 180 days of temporary storage and the temporary storage must
be removed on the average of once every 6 months. In no instance should the volume of the
waste stored in your structure be within the 25 year 24 hour storm storage or one foot of
freeboard except in the event of the 25 year 24 hour storm.
It is the responsiability of the producer and waste applicator to ensure that the spreader equipment
is operated properly to apply the correct rates to the acres shown in the tables. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may make this plan invalid.
Call your technical specialist after you receive the waste analysis report for assistance in
determining the amount of waste per acre and the proper application prior to applying the waste.
Additional Comments:
Page: 6

NUTRIENT MANAGEMENT PLAN CERTIFICATION
Name of Farm: L & J Farms
Owner/Manager Agreement:
I/we understand and will follow and implement the specifications and the operation and
maintenance procedures established in the approved animal waste nutrient management
plan for the farm named above. I/we know that any expansion to the existing design capacity
of the waste treatment and/or storage system, or construction of new facilities, will require a
new nutrient management plan and a new certification to be submitted to DWQ before the new
animals are stocked.
I/we understand that I must own or have access to equipment, primarily irrigation equipment,
to land apply the animal waste described in this nutrient management plan. This equipment
must be available at the appropriate pumping time such that no discharge occurs from the lagoon
in the event of a 25 year 24 hour storm. I also certify that the waste will be applied -on the land
according to this plan at the appropriate times and at rates which produce no runoff.
This plan will be filed on site at the farm office and at the office of the local Soil and Water
Conservation District and will be available for review by NCDWQ upon request.
Name of Facility Owner:
Signature:4,
Date
Name of Manager (if different from owner):
Signature:
Name of Technical Specialist:
Affiliation:
Address:
Telephone:
Signature:
1,4 7i r✓�
Please Print
Jimmy R. Vinson
Brown's of Carolina, Inc.
P.O. Box 487
Warsaw, NC 28398
[phone]
9' J
Date
Page: 8

11 IL
�.r_'r`.1•,Jy._�•1: >` 1E� �:"� � � .t a �� iR �S�'' l •,�„+�: 4�;.,,j �j� �+
do
IL v
4r; 1
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id

MRCS WASTE UTILIZATION
PLAN SPECIFICATIONS
1. Animal waste shall not reach surface waters of the state by runoff, drift, manmade conveyances, direct applicatiM or
direct discharge during operation or land application. Any discharge of waste which reaches surface water is
prohibited.
2. There must be documentation in the design folder Chit the producer either o«Tns or has a notarized agreement for use
of adequate land on which to properly apply the waste. If the producer does not own adequate land to property
dispose of waste, he/she shall provide a copy of a notarized agreement with a landowner who is within a reasonable
proximity, allowing himThes the use of the land for waste application. It is the responsibility of the owner of the
facility to secure an update of the Waste Utilization Plan when there is a chance in the operatton, increase in the
number of aaimak method of utilization, or available land.
3. Animal waste shall be applied to meet, but not exceed, the Nitrogen needs for realistic crop yields based on soil type,
available moisture, historical data, climate conditions, and Ievel of management, unless there are regulations that
restrict the rate of application for other nutrients. Actual yields may be uacd in lieu of realistic yield tables at the
discretion of the planner.
4_ Animal waste shall be applied on land eroding less than 5 tons per acre per year. Waste may be applied to land that
is a-oding at more than 5 tons but less than 10 tons per acres per year providing grass filter strips are installed where
runoff leaves the field. (See FOTG Standard 393-Filter Strips)
S. Odors can be reduced by injecting the waste or disking alter waste application. Waste should not be applied when
there is danger of drip from the irrigation field
6. When animal waste is to be applied on acres subject to flooding, it will be soil incorporated on conventionally tilled
cropland When applied to conservation tilled crops or grassland, the waste may be broadcast provided the
application does not occure during a season prone to flooding. (See "WIteather and Clunate in North Carolina" for
guidance.)
7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that r moti does not occure off -site
or to surface waters and in a method which does not cause drift from the site, during application. No ponding should .
occur in order to control odor and flies.
S. Animal waste shall not be applied to saturated soils, during rainfall events, or when the surface is frozen.
9. Animal waste should be applied on actively growing crops in such a manner that the crop is not covered with waste
to depth that would prohibit growth. The potential for salt dantape fmtn animal wastt should also be considered
10. Waste nutrients 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 muumutn and a suftdbTe-�rover crop
planted to take up released nutrients. Waste shall not be applied more than 30 days prior to planting of a crop or
forages breaking dormancy.
11. Any new swine faciIity 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 componet of a swine farts shall be at least 50 feet
from any residential properly boundary and from any perennial stream or river other than an irrigation ditch or
canal. Animal waste other than swine waste from facilities site on or after October 1. 1995. shall not be applied
closer than 25 feet to surface water. This distance may be reduced fur waters that art net perennial provided
adequate vegetative filter strips are present (See Standard 393 - Filter Strips).

NRCS WASTE UTILIZATION
PLAIN SPECIFICATIONS
(CONTIlVUED)
12. Animal waste shall not be applied closer than 100 feet from wells_
13. Animal waste small not be applied closer than 200 feet of dweilinrs oilier than those mvned by landowner.
14. Waste shall be applied in a manner not to reach other properr and public right-cf-ways.
15. Animal waste shall not be discharged into surface waters, drainageway s or wetlands by a discharge or by over -
spraying Animal waste maybe applied to prior converted cropland provided it has been approved as a land -
applications site by a "technical specialist". Animal waste applied on grassed %satencacs shall be at agronomic rates
and in a manner that causes no nmoff or drift from the site.
I6. Domestic and industrial waste from washdown facilities, showers, toilets. sinks, etc., shall not be discharged into the
animal waste management systenL
17. A protective cover of appropriate vegetation will be established on all disturbed areas (lagoon embankments,
berms, pipe nuns, 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 cou_sidercd appropriate. Lagoon areas should be
kept mowed and accessible. Lagoon berms and structures Should be inspected regularly for evidence of erosion,
leakage, or discharge.
18. If animal production at the facility is 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 he 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 vegetalbles and other crops for direct human consumption -
However, if animal waste is used on crops for direct human consumption it ahnttld onh- be applied preplant with no —
further applications of animal waste during the crop season.
21. Highly visible permancuet markers shall be installed to mars: the top and bottom elevations of the temporary storage
(pumping volume) of all waste treatm=t lagoons. Pumping shall be managed to maintain the liquid level between
the markers. A marker will be required to mark the matimurn storage volwne fur ,rasa storage ponds.
22. Soil tests shall bemade every year, and a liquid waste analysis shall betaken within 60 days of application
conLsisteat with waste utilization plan. Poultry litter shall be tested p6or to appiication. Soil and waste analysis
records shall be kept for five years.
Dead animais will be disposed of in a manner that curets NC: regulations.

E-N,M- RGENCY ACTION PLAN
PHON--- NVI1rL3FRS
DW
El�YC=1 iCYZVL-�iAC—::. rm SYSTEM ill* .
SWCD Qio _fGL lv93G
2gCS �/o AL
•- Tcis pL-i Fri be iiLp 1e_..ert in the eve= t!= woes frara your operadea are IezCag
oveaa4.ir r� or, rur ]:,nz air Site. Yau shculd act Trait =tfi warms reach sux&te waters ar1cTVc
your proper y to corisi er tL� you have a problem. You should crake cvay efnrt to ewe tit
this does cot happen_ Tni�,*L� 14�ie be no r3 *n acressicie �o,�,r '�, �.fr�r aIl_ema a at c
affiL Tae fallew--,ng are some aeon you should take.
I. Stop the re?=e of wzs=t . Dcp=cfnz an die -« on.. this mzy or mzy not be poss-mle-
Sc: wed re=arses to soxne pesucle problems are used below.
AL La aca ave. a—pcsz:cle sclutic= are: _
a. A.dd scU to be•m to iase e?eroa ofc�zrz.
b. P,=p wzsta tea fells at a=. accz-otabie rasa.
C. Stop as flaws to the lagcan
d_ ca-a a pumping actor.
c. hLE_ sure no wz±:: is a t;:uZs (a.gom
B. R=c E uc:a F. s:e appUc=oa include:
a_ ,Lnez"I te?y stap wask apcIi :cry -
_ b. Cre;+e a Eversion to Cr[; "•! Klutz. �•
c. Lncorpera_r. Tr!?�G to r-i:ce rL':.o
• d. E�ra?ui*e cad er,. ' }- the rar.(s) tit
csd runoff.
tuaae. EvzUatz the appucztioa rates for the uetds Where =Offoc=w,ed.
C. Le=kge from the aas'w pipes and srr�.-Mersaction include:
a. Stop r yc:_ pu=.
b. Stan iriorz pu.up.
C. Clcsc Svcs to camir—zt- !dzer L '
- d. R.epa:r an le --La prior to res-�,".S peps.

D. Le=kcage Baru fiush syr,=-A houses, solid separatars-ac:ioa include:
a. Stop re--- rCle p'-Mp.
b. Stcp ir,—;sa-daa pump-
C. Maki S-,:.: a sa s;ahoa ace•.:.►=.
d- Stop all flows in the house,fn .sla syste:ns, or solid separators.
c. Repair, all le' ks prior m mr.—ting pumps.
E. L _k=ge far.-i base Cr sd-,:r of Iagaor,. Ofter. this is seepage as opposed to flowing
: Ierks-passiale a.—ctica:
a. Dig a s::an well or ditc:z to Esc:zan se --page, gat in a subme.-sIIk pu. np, and pt=p
bark to Iz2oon-
b. If hales are czLsed by bL=. wffig animals, trap or remove artirnais and fill holes and
compani with a CL--•y type Snit.
- c. Hzve a grafess:anz-1 ev`T *e •th condition of the side walls and lagaca bottom as Saoa
as pcssfole.
2. Assam the,e.we=t of the SuM and note ary ob,,iaus da-rages.
a- Did th4 v --,r-e-reach any surface ware,,?
b. pzora;dmate-'y how a,-uch was re?ease3 and far what dLraz an?
c. A-zy des: ge oat_ , such as e.^player injury. fish Us, or praperry dan=e?
d. Did the spill leave the prope.ry?
C. Does &,e ssui ►zve the gatential to :e=ch surce waters?
f Could a 1-1--i e•1eni ", a the s,ui to MC..I; sar-f-ke waters?
g- Are potz!:Ie cra_er wens in d n er (either on or of of size prape. .
h. How ra- :ch =c:,ed s•�r e =.,?
3. Coa =� ar prapr:ate agencies.
�-: a_ Dig rer. ,ai busirless hoar; czII your D WQ (Division of Water Quality) rrg anal afic,—'.
- Prone 9l4 S�fG ��L. AFL= hot-,--,, --,, =,e+rgezcy number ?If 733 39 Yaur phone call
shcuIe include: your tta.*-:e, fizMr,, te.Iephone manber, the details of the iacidi=± fives keaz
2 above, tic ex Ia an of the &=Mry, the location or dire�oa ofmov=neat of the
Framer and Rind conditions. The ccre- a treasures that have been ttr d=1210 r and the
s.• :auszess of the s.` ,--dcn.
b. I- spM Ives prope. f or e^te.., =!act western, czU Ian EMS Phone m=ber 9I1-
c- I�tu �� ENA5 to coma.local F--t-alth Degararte_zt
d_ Conte CS, phone n=ber. 9/D A64 y4r9/, local SWCD office pboue m=be:
q/4 &2, a d [CC--? �+IRCS aECe for a_ivircrte=:,nical ass Phone nutaber - -
4. U acne of uHe alcove wce-cs, call 911 er t.e Sheriff s Depamne-it aid explaln yourprablc= to
then L-,d asiC &..at pe, son to ccnt.:ct the pm= agencies for you-

r"
VA-

LAGOON MARFhER
2-15YR/24HR. STORM
FREEB(
MAXIMUM
6 Mc X,! 7 y
MINIMUM LEEL
(7PERMANENT

OPERATION AND MAINTENANCE PLAN
------------------------------
This lagoon is designed for waste treatment (permanent storage) with
min. odor control. The time required for the planned fluid level to be
reached (permanent + temporary storage) may vary due to soil conditions .
flushing operations, and the amount of fresh water added to the system.
The designed 6 months temporary storage is an estimated volume
based on: 1) waste from animals; 2) excess rainfall after evaporation;
and 3) the largest 24 hour (one day) rainfall that occurs on the
average of once every 25 years. The volume of waste generated from
a -given number of animals will be fairly constant throughout the year
and from year to year. This estimate is based on 7 inches of excess
rainfall which is equal to or exceeds the highest 6 months excess in
a year. The -average annual excess rainfall is approximately's inches.
Therefore, an average of 8 inches of excess rainfall will need to be
pumped each year. The 25 year rainfall will not be a factor to consider
in an annual pumping cycle, but this storage volume must always be
available. A maximum elevation is determined in each design to begin
pumping and this is usually the outlet invert of pipe(s) from
building(s). If the outlet pipe is not installed on the elevation to
begin pumping, a permanent marker must be installed on this elevation
to indicate when pumping should begin. An elevation must be established
to stop pumping to maintain minimum treatment depth (6.feet).
Pumping can be started or stopped at any time between these two
elevations for operating convenience as site conditions permit, such as
weather, soils, crop, and equipment in order to apply waste without
runoff or leaching.
Land application of waste water is recognized as an acceptable
method of disposal. Methods of application include solid set,
center pivot, guns, and traveling gun irrigation. Care should be
taken when applying waste to prevent damage to crops.
The following items are to be carried out:
1. It is strongly recommended that the treatment lagoon be pre -
charged to 1/2 its capacity to prevent excessive odors during
start-up. Pre -charging reduces the concentration of the initial
waste entering the lagoon thereby reducing odors. Solids should be
covered with effluent at all times. When precharging is complete,
flush buildings with recycled lagoon liquid. Fresh water should not
be used for flushing after initial filling.

The attached waste utilization plan shall be Iullowed.-.This
an recommends sampling and testing of waste (see attachment)
fore land application.
3. Begin pump -out of the lagoon when fluid level reaches eleva-
tion 43.3 as marked by permanent marker. Stop pump -out when
the fluid level reaches elevation 41.0 or before the fluid depth is
less than.6 feet deep (this prevents the loss of favorable
bacteria). The design temporary storage, less 25 year storm
is 303984 cubic feet or 2273803 gallons. As stated before, this
volume will vary considerably from•year.to year.
4. The recommended maximum amount to apply per irrigation is
one (1) inch and the recommended maximum application -rate is 0.3
inch per hour.
5. Keep vegetation on the embankment and areas adjacent to the
lagoon mowed annually. Vegetation should be fertilized as needed
to maintain a vigorous stand.
6.' Repair any eroded areas or areas damaged by rodents and
establish in vegetation.
7. All surface runoff is to be diverted from the lagoon to stable
outlets.
S. Keep a minimum of 25 feet of grass vegetated buffer around
waste utilization fields adjacent to perennial streams. Waste will
not be applied in open ditches. Do not pump within 200 feet of a
residence or within 100 feet of a well.
9. The Clean Water Act of 1977 prohibits the discharge,of
pollutants into waters of the United States. The Departtent of
Environment, Health, and Natural Resources, Division of Environ-
mental Management, has the responsibility for enforcing this law.-

Nlortalily ManagemeuL Methods
(clack which mcthod(s) are being implemented)
❑ Burial three rest beneath the surface of the ground within 3=1 tours after
knowicd„e or the death. The burial must be at least 300 feet from any flowing
1 stream or public bodv of water.
Rendcdn- at a rcadering plant licensed under G.S. 106-163.7
❑ Complete utcincration
❑ In the case of dead poultry only, placing in a disposal pit of a size and'design
approvcd by the Departntcni of Agriculture
Gl Any method which in the professional opinion of the State Veterinarian would '
make possible tic salva,c or part of a dead animal's valtic without endangering
human or animal health. (Written approval of the State Veterinarian must be
attaclicd)
Insect Control Checklist for Anlmal Operations
S��urcc f oust nR41's lip Cuirlr4rl lusct:ls Silk: Speelfic l'ruclives
l.ltluid Syslcnts
Flush Gutters kelimliklialt of Solids Cl Flush sysium is designetl luul ultcrilml
sufiicicmlly to rumovc accmmihictl sullrls from
81111crs us desigaud.
o ltcmtove britlhhti; oracctlmttthdctl suli+ls;tt
lfisyhnrl;a
1JOU111tus Will I'ils Ctusted 'ulids Malmnln Iuannois, scullnt; busies wtd tilts ►vhet'u
pest brectlint; is nitparonl to mtiliflokc the
crusting orsolids to it dcpllt of no team: than G -
-- inches over mnrc 1him 30% of surracc.
Iacessive Vu6clalive NellyinL ve60.111(m Sit Mrtimtuiu vendutiva canlrol along huula of
lium 11 hignous mitt ulhcr impotmthucnis to prevent
accumoalinn ur ticcnyini; vegetative utaer
slung writer's cilge on impouuibimit's periutcler.

1
Swine Farm. Waste Managoment Odor Control Chocklist
Suurcc Cuusc / Ilpll's In i111111u11cc Odal. Silt Specific I'rnclictV
falllulcal{ Swulc illuductiula VcLcialive or woo{Icll buffers; - - -
/Rcconlllelldcd'besl llailanclltell practices;
dl-cool{ judgnlcllt and Common scnso.
Aliival bully surfaces • hilly Manure -covered ulillals Dry Iloors
(heir slu faces • Wel Manure -covered flours Sluilcd llnnrs;
Wulcrers bleated over sloticd floors;
Ll Feeders Itl high end of solid floors;
11 Scrapc nlatlllrc buildup From floors;
Cl ,Unt1ctTlnnr vcllilaliol for dryblg
Mallule C11llectlull Mils + lfrllle; VL FICu1lICl11 111i11111Ie felllOVili f1t15 , pil ItAlurce.
• Pallial ulicruhial decol►posilintl or scrape:;
n- , Underfloor vcnlilulinn
VClnil,l61111 cNilausl 1'4-nls
Volatile gases;
V
1-an I11aiwenalluc;
Dust
7
Efficient air Ilovemem
1luluur anrfal us
1y115I
1
Waslldnlvll belweell groups of 1111i111idS;
171
Feed additives;
Cf
I*ccller covers;
[a
1-cell delivery rlow11i1111111 cKICildel's III fcellcr
covers
1111111111I1kS
• Agiltilina of recycled lagoon
Cl
Flush 11111k covers;
lilluld while: lucks lire fillblg
Cl
INIC1111 fill lilies l011car bultuul of ialks wish
loll -siphon vents ---
Fillsil alleys
a Agholion during wastewater
Cl
Undcrnoor flush with Iunlcrlloor vcnfiiatiun
CnilveyallCC
Vil Icclrll'gc puillls
• Agifulimn bfrecycicll IaUlln
fa
NICI1II Iudlorge lilies III Ileac 11111111111 III pits
liquid while plis are filling
tivitil anti -siphon will
IJII waliums
• Auhn hill dudou sully (all:
fa
511ni11 Milk ClIvels
filling will ►frawlluwn
nw,ilia drain eaucciion
AChalbnl d11rim: waslemiler
U
Ifox covers
kr jt111ctilll ilexes cunveyllucu
l' 1, 19961 PURII 3
L

Suorce Cause LIMPS In Mloiolize t')Ilnr v Slit Specific Pructicts
Crld aftlraillllilles III • . Auilulioii duiiog wustewillcr C1 lixlcnd discliarge Iloilit ofpipcs lindcrricaiil
lal;oon conveyallec ingoou licluld level
l.l,goull surfaces • Volatile on ciuissious; 'roper lagoon liquid capacity;
• 13101001cal Inixiuu; Corrccl lagnan startup limccilures;
• Agitation //i Minlnlltln surfuco area-In-volwuc raliu;
' . yCl M(nllnnns agllallon ►vlicn,puniping;•
n Mcchalticid Perallon;
n Proven binlogicul nihlitivas
lrrigillioll %lifillUef
•
I ligll prussuic ugllallon;
Irl'lgalu oil thy days will) lill(e o no lviod;
fill -riles
.
Wind III-if1
�•
Mininuun rccoinuscudcd nperaling pressure;
l
Pomp lmAr near lagoon liquid slirfucc;
Cl
111111111 front secolld-clace lagnall
Slnraue hale ur Imsin
•
l'+nllu) microbial Ilccolullosiliun;
171
ltollom or midluvel loading;
sllrl'ul e
•
MIx11% ►vllllu fillhig;
11
'I'unit covers;
•
Agllallon when emplying
Q
Rusin sorrow orals of solids;
[:1
Proven biological nildhives or oxidants
scilliaL basin sal fate
1'ait(4l mkruhiul decompodduu;
Cl
INIciid druinplim oulicis umlcrocaiil liclidd
•
Mixtnu while fillilig; •
Ievel;
•
Al;(lullon when emplying
M
Heinuve scilled soliils regularly
Mm ire, slurry or sliidgu
•
Agilulion wiicii spreading;
Ci
Soil hijecliarl of sillrry/sillilges;
spreuder uullcis
a
Volatile gas cnliss(alls
0
Was(I•residual mamirc frnm spreadv after use;
f=f
Proven biological mWilives or oxWallis
Ih+cove(ell uuurill-C,
Volilliie gas colissiuns whilu
0
Suil IIIJcl:liuu ul'Slulrylsilldgcs
slurry or sholge un field
dry(ng'
11
Soil Incorpornlion ►villtin 18 firs.;
sill laces
1:1
Spread in Iliin iodfomi layers for rapid drying;
171 Provcu biological aildhives nr oxidanls
Decal 1116111als Carcass -cumposilioll X Proper disposition ol'curcasscs
Dead IIIliIll+ll ilklillsill • Cut-coss i econlllusilicill f7 CulnlllCit: COM1111; Ur CarC+ISSUS ill Ili+llill (ills;
ells f ] I'rnper IOLnIIir+l�Cn11Sl1ilClliili nl'1 NMiil lilts
• 111coloplew i:oudlusliull U Suconllary stuck hmucrs
ivembrr 11, 1916, 1'uqu I

Saeucr culise 11MI's In h11r►hulto 041111.
Sllc S edric I'roclices
Stamling %villa unnuiul • liripiuper drainage; AO ❑radc null h adscape such dial tivnier drains
lacilhics . Microbial deeoniyinsidoll or away rroln riicililies
orgnnic 111aller
4111111111; trucked ulna • i'aorly nininlaissed access muds Tuml access road mninlc:uauco
pu1111C 14111411 tan hfarul L5Y.
access
Ashlliional lorni-mallmi ;
Avaliulile hrnm ;
Sivine hlunnre Munauemcol ; 0200 Ili eAlMI' Packet
NCSI I, Cuumy IiRlensism Ccnier
' SlYiilcs l'{udllClloli 1 arul l'olentlu) OdorSourccs and llentcdies ; IiUAL Ncl Sheet
NCSU - IIAII
Swine rrnrhicllon Facilily Munura Maungcmcnt: Pit Recliurge - hignun Trculment ; FRIAli 128-88
NCSU - IIAR
Swine l'rmhicliou Docility Munum Munugeincol: [luderiluor Mush - Lagoon Trenlmcul ; 11MA1 129-88
NCSU . 11A1i
Lugano Design and Munal;cEncul for Livestock Mumire,rrcalmeul and Slnrnge ; EBAF Ilia -II]
NCSU • IIAI:
Culibraliun of Manure aml Wuslewaler Applicalioti Lspilpmeul ; I'sllAE fact Sheel
NCSU - BAH
Cuulrullbig Odors from Ssvinc ilnildings ; I'll1-]a
NMI - SIVIlic Rxlcnsiun
Flivlronmenrul Assurance 11rngrum ; NI'I'C Manual
NC I'mk I'nnluccrs Assua
Oplious for Munuging Ador; a report rrom ilia Swine Odor Tusk Forco
NCSII Agri Common lcallolls
Kilruicu Cruicums in Anliuul Manure Manuytlllenl: Dilors and Irlies ; PRO107. 1775 Courcrunc4 Proccedhics
Florilhl Cunpoillive EXIC115111n
VClldlef I I, I �1fi� I'ilg1: s '

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Govemor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
August 14, 1997
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Lewis Tatum
Lewis Tatum Farm
Rt 2, Box 14
Elizabethtown NC 28337
Farm Number: 09-14
Dear Lewis Tatum:
A&T44
Ael7i
�EHNFi
You are hereby notified that Lewis Tatum Farm, in accordance with G.S. 143-215.10C, must
apply for coverage under an Animal Waste Operation General Permit. Upon receipt of this letter, your
farm has thirty (30) days to submit the attached application and all supporting documentation. In
accordance with Chapter 626 of 1995 Session Laws (Regular Session 1996), Section
19(c)(2), any owner or operator who fails to submit an application by the date specified
by the Department SHALL NOT OPERATE the animal waste system after the specified
date. Your application must be returned within thirty (30) days of receipt of this letter. Failure to submit
the application as required may also subject your facility to a civil penalty and other enforcement actions
for each day the facility is operated following the due date of the application.
The attached application has been partially completed using information listed in your Animal
Waste Management Plan Certification Form. If any of the general or operation information listed is
incorrect please make corrections as noted on the application before returning the application package. The
signed original application, one copy of the signed application, two copies of a general location map, and
two copies of the Certified Animal Waste Management Plan must be returned to complete the application
package. The completed package should be sent to the following address:
North Carolina Division of Water Quality
Water Quality Section
Permits and Engineering Unit
Post Office Box 29535
Raleigh, NC 27626-0535
If you have any question concerning this letter, please call J R Joshi at [phone] extension
363 or Ed Buchan with the Fayetteville Regional Office at [phone].
fi;r- A. Preston Howard, Jr., P.E.
cc: Permit File (w/o encl.)
Fayetteville Regional Office (w/o encl.)
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

11. TOTAL POUNDS OF PAN STORED WITHIN STRUCTURAL FREEBOARD AND/OR 25 YR-124
HR. STORM STORAGE ELEVATIONS IN ALL WASTE STRUCTURES FOR FACILITY
1.
Structure A and D (9-14)
lime m = 648.9 lb PAN
2.
Structure
line rn =
lb PAN
3.
Structure
line rn =
lb PAN
4.
Structure
line m =
ib PAN
5.
Structure
line rn =
lb PAN
6.
Structure
line m =
1b PAN
n. lines 1 + 2 + 3 + 4 + 5 + 6 = 648.9 lb PAN
Ill. TOTAL PAN BALANCE REMAINING FOR AVAILABLE CROPS DURING 30 DAY DRAW DOWN
PERIOD. DO NOT LIST FIELDS TO WHICH PAN CANNOT BE.APPLIED DURING THIS 30 DAY PERIOD.
o. tract #
p. field
q., crap
r. acres
s. remaining
IRR-2 PAN
balance (Ib/acre)
t. TOTAL PAN
BAI ANCE FOR
FIELD {lbs.?
w1umn r % s
u, application v+indowl
1586
. 4
Bermudagrass
3.55
86.00
305.3
Mar -Oct
1586
5
Sermudagrass
3.34
73.00
2Q.8
Mar -Oct
1586
6
Berrnudagrass
3.10
102.00
316.2
Mar -Oct
1586
7
Bermudagrass
3.55
118.00
418.9
Mar -Oct
1 State current crop ending application date or next crop application beginning date Tor available
receiving crops during 30 day draw down period.
v. Total PAN available for all fields (sum of column t) =
1284 2 lb. PAN
IV. FACILITY'S PoA OVERALL PAN BALANCE
W. Total PAN to be land applied (line n from section 11) =
648.9 lb. PAN
x. Crop's remaining PAN balance (line v from section 111) _
1284.2 lb. PAN
y. Overall PAN balance (w - x) =
-635 Ib. PAN
PoA (3D Day) 2121/00

PLAN OF ACTION (POA) FOR HIGH FREEBOARD AT ANIMAL FACILITIES
30 DAY DRAW DOWN PERIOD
I_ TOTAL PAN TO BE LAND APPLIED PER WASTE STRUCTURE
1. Structure Name/identfer (ID): and D (9-14)
2. Current liquid volume in 25 yt./24 hr_ storm storage & structural freeboard
a. current liquid level according to marker 15.0 inches
b. designed 25 yr./24 hr. storm & structural freeboard 19.0 inches
c. line b - line a (inches in red zone) _ 2.0 inches
d. top of dike surface area according to design
(area at below structural freeboard elevation) 154000 it2
e_ line c/12 x line d x 7.48 galions/ft3 191987 gallons
3. Projected volume of waste liquid produced during draw down period
f. temporary storage period according to structural design 1870 days
g. volume of.waste produced according to structural. design 214151 ft3
h. current herd # F--50-0-01 certified herd # G840
actual waste produced = current herd # x line g =
certified herd # -
i. volume of wash water according to structural design
j. excess rainfail over evaporation according to design
k. (lines h + i-+ j) x 7.48 x 30 dayslline f=
4. Total PAN to be land applied during draw down period
1. current waste analysis dated OCT 2018 71
M. ((lines e + k)/1000) x line 1=
REPEAT SECTION 1 FOR EACH WASTE STRUCTURE ON SITE.
(Click on the next Structure tab shown below)
PoA (30 Day) 2121I00
156543 113
fi3
89833 rt3
307149 gallons
1.30lbs/1000 .gal.
648.9lbs_ PAN

Hug 30 06 02: 31 p Cape Fear F.ar•m� Credit 9109624582
] •,rt 1-7z 4[]P u�6a servicQ-C6dr•tto SIL1�d?_f64�'! V-02
REGEIVEp 6q9 4 q 0
i jot'iftcation of Change or Ownership-t3e(do
AUG In 2005 I Anima? wastr ie7s�tia�ement 1F:�cijit11
(Pi ,air type fir print ati tnfor,1136Un fiat doc5 u-, rgwle a v_naturc)
DW-FAYETULLER fawtioi[c
cw, - at 15A NCAC 2H .0217(:t)t 11(H)i 6) ihiz fram !ti of r ifica i to the DitiNaori of
W.jtcr Qu,khiv (n%VQ1 ul'ihe trl:ttsit:r of ownership of all Aninial'<I`'aste ;visnae m - ' 11 s Form wa t)t submitted {'a
fair( ttt,tn 1) davc friUmv!ng aie transfer of n-.nership,
,
GPticrtt'1 //��ftf'or�ria•1i�n„fn: I}•..�p� yy� � � �f
ldirn.: of re -no V `wi �Y�'•1�. - _—. .._� ; �' --. -.-,�f 1._i:,.r 1ti0 -- �j�
�'ri'Y1t1t1] (}w 'Nam! 1. Ui�t' r.. v t5�i 3 ff.�Llili�
NC." ovtnff(a) N;
Madme Adcl:es�
Uttiudc and Longaode _.._ r -- _. - ---
p.1
it) -%L-1 � 6 Zx ihome
att.tch a Ct't1Y of yt}t:r.ty fowl snap W-.in 'rkCar, lnn id,'ill'I-fl1 `,art rt t'ViL Y• he s�It:C.s-f: .';7u I„Mt �WifL I 'ty
Q.ft �dlli(M D14SriPlel111n:
T1pe of 5y+r+(r r`r'�a o/rllrt'•I(tf.i
Weal, it Feec{cr _
ifJrtt tirr iC• Flrllsh -,b.�,
f arr; t. t,t Wcan
J FDrrtwv' t,' CCUj,:r
J Fano m Finish
J Gill. _.� • ..
J 3.Iarti _ ..------
Tl'pe nj PL-Wvk, No of Arnwair
D Laver
NUn-Luk'cr .....^..-.�- -
Tipe rij'Bref o1 Aw,1,o6
,j 1? rr:uti
FkcJtf5
D 5tot kcrs _
Url:e, rkpe nt Lr es+r( k,
7 k re tlf DOI"I kYrr Of AVMIC(,
�..: Dry' �--�-
.i -
-
jCal,r
NrrulF:rr �f.-4+t:rri��ls
AL:rca!- A%:,fuhtc for Appll�:atiur, S�' r Reyutrcd A;rcagc --sz . 9_-� — -
Ntimht:r of La oom 1 Siomge 4 on& 1 Total Capacity: Cubit: Fist
...•wr............r...*.ewrr..+.ri,r..•a........ *.ar.............+....a ..•
O%vntr / \''tanager Agrrrment
I vertfy ihai ail the ahnvc iniormantin is t:orrcct ant] will it• ',ipd ,,cJ u{11n t:ilanging 1 (u. } unrJcrstanJ lbe and
M'.11luenance prttC+,iares esznhiished to the ai praved an:rrlal wnve nianazement ;, :wj IUr the F.lrm n.1,nCt7 ab»r An,f k !1
Implemcnt 111cic rro edurty. i (wC) krkyw (hilt lint' t.lpat+"mo to !iu dxl$ling deign, :3paclly (I; trk: waste IrcnitrtL:nt lru] wif.gv
:r:!+rn or,tlnstrv�it,+n of new fzctljtteS wlii rcyuire a ncw crrlification m he submtktert w the DWQ hcrnrc the new animate ore
:",ItKed { OW!) undil..rit:tnd that (her,* mtj�i bit no discharge of anima} waste from ibc iltiraye or appi-, Talton �ysit! i Its 5tlrfxc
:x,ir. L:'. tt1,; tntlCf di1'2:!1] ttSr:]llLr) ryt tit:lfi•I1i]Ll'! C+t` !Girl%: tl�iifi tItii ivas yl.i+.lb , µ:i k,it, __ •y4,:e _� :�,.u.
sii,+rm alto tlttr. rat: t rot be run-olt burn the upplit;ation of anitnoi wa�itc. i !wel tr,ai run-off of rriiltlinnic from
1,•urtiAnL_ .i-d hca+t .rye LiCM r' uM he dlinrinurcd U�,`ng [Ct;h;titsl st3ndt lr:ls dvv%+[Omeu {7}' :he Mianol {ieNevree.; C oriwrvankln
Se(Vt1;t' ..rho Jr( 170, 0d i'1a(1. YAl ltt firCJ at the tarrn and at tf`e: affi 'c of itic: 1vJ V1',1!,r C i!tiL'Yt itwll Dtstrlti 1, l l Ac 1
t. ",,y♦•' llilrrt..t(t,_+ri owit hi:tiT%ccialto an%'. A atl:r �a°rl'.,S:LJiIISC
U-1riE, 1}tkc r'^;•'n':t:t•Ilit'tl rt41i4.1rlyt 011.lilSt,lWnt'i�{ti{?ir;((Lr'1�
tnc aFptn• c,f rl.tn ,� t n.,n�v.t, wtthrn (>tk dar : of a nttc iras,4lcr q
`dsIri o(tir 1, erttt Q+vttee ;�t i 3 _ - -.
'V�rr;u nt �lxnal+,t�r t,t Sil terar' :rnm nwncr►:,,_ Some,
Plta5e silpi ind rett.rrs thia form ttr.
NC Diviwlctt: of iNziter Qualit)
Non-11jicharRC ttimplionce & Enim-c.t;rr ew (,rtri
16111 ial.rii Service Cerltcr
R:,]e1tii1.:Vuv' j.7hN°�• tt,!"
July I.;, �1.000
q19 ' )rS .. 058