090199_INSPECTIONS_20171231

NORTH CAROLINA .�
Department of Environmental Qual

(� I
MI)
Type of Visit: ( 'Compliance Inspection V Operation Review Q Structure Evaluation O Technical Assistance I
Reason for Visit: (�rRoutlne 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Dented Access
Date of Visit: fS �1�, j Arrival Time: Departure Time: County: - etRegion:
Farm Name: I�Vt C I t<Gy Owner Email:
Owner Name: S� 3_r i Pva- 4e5 LL&Phone:
Mailing Address:
Physical Address:
Facility Contact: C�1w'f fS GGLV W Gf t Title: Phone:
Onsite Representative: fit' r Integrator: I rC r _s
Certified Operator: +`kto tt."� `G� Certification Number: 8
Back-up Operator: Certification Number:
Location of Farm: Latitude:
Longitude:
Design Current
Design
Current
Design Current
Swine
Capacity Pop.
womm
Wet Poultry
Capacity
Pop.
Cattle
Capacity Pop.
Wean to Finish
La er
DairyCow
Wean to Feeder11---INon-LUer
DairyCalf
Feeder to Finish
DairyHeifer
Farrow to Wean
Deslgn
C•urre t
D Cow
Farrow to Feeder
1) loult ,
Ca aci
P.a
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes � ❑ NA ❑ NE
❑ Yes ❑ No [3'iN;3� ❑ NE
❑ Yes ❑ Na fffN`A[] NE
[:]Yes [:]No
❑ Yes Q
❑ Yes 21 o
❑-NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page 1 of 3 21412015 Continued

Facili Number: IDate of Inspection: S roc $
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No 2-NA -❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): � 6 g,_
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
[ o DNA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
P46' ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental
threat, notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
Eg-< ❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
[2,Na-0 NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes [JN� NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑-No— ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 0-N-o❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): tom. r _0 C /3 - A �ir V
13. Soil Type(s): , ,,, 6 0 ilL-1
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑<o ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
[5 fq-o
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
[D—N'
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
[3-Nrr-
❑ NA
[] NE
18. Is there a tack of properly operating waste application equipment?
❑ Yes
[9-N-6
❑ NA
❑ NE
Reauired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes [a -NU- ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes Q-M-6- ❑ NA ❑ NE
the appropriate box.
❑ WUP ❑Checklists [:]Design [:]Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes [2- T- ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis [] Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield [:1120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes E]-N5' ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 0J1vo ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

FacilI Number: 01 - I I q jDate of Inspection: S Twl 1i
24. Aid the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [Rl�o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑'No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes 1VO ❑ NA [] NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface the drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑- lffo ❑ NA ❑ NE
❑ Yes ❑ o ❑ NA ❑ NE
❑ Yes [] V ❑ NA ❑ NE
[:]Yes No ❑ NA ❑ NE
❑ Yes
Q No
❑ NA
❑ NE
❑ Yes
ETN
�No
❑ NA
❑ NE
❑ Yes
❑ NA
❑ NE
Commifi& rQefis"r..tt6 6es'tiMnV Ei laln ari" XES answers and/or, an additlonahrecoinmenda°tiona'or�an other comments ' 1 "' $ . ;,.
,3 s 3 `"W; q>;u,:.a� �� : ,g Y,s er. '. �?., .',.?aI'+i i. y 3,, R
Use drawin s of facili tto�better ex ,laim:situations (use additlonal• ages�as;necessa_ry).:� , , :.:; , ,,, , , ; K , . , . _, .�. ;�..e z1 t;; t
C� �;, ��,,F► (o t i• �-z s l u�y s �Y� r�— r 17- — r 7
6 'A
1 2-c7
Z zed, 3 ��
ReviewerlInspector Name: Phone: V) ` 13 t �I
0
ReviewerlInspector Signature: Date: S
Page 3 of 3 2/4/20 S

AIMS 19 m
ieFDivision of Water Resources
Facility Number - 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: U Compliance Inspection Q) Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: (2Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access 11
Date of Visit: Arrival Time: Departure Time: �S County:`rH Region: ,Zed
r
Farm Name: � lyl C ia--eft., Owner Email:
Owner Name: �J 41 L f��`° r'r! Phone:
Mailing Address:
Physical Address:
Facility Contact: l_( "�, (36"00' Title:
t
Onsite Representative:
Certified Operator: t wt
Back-up Operator:
Location of Farm:
Design Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder e0 1 tav
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Latitude:
Phone:
Integrator: [At- q " -S
Certification Number: 22- 0
Certification Number:
Design Current
Wet Poultry Capacity Pop.
La er
Non -Layer
Layers
Non-L
Pullets
Other
Poults
Design Current
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
Longitude:
Design Current
Cattle Capacity Pap.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes o ❑ NA ❑ NE
a. Was the conveyance man-made? ❑ Yes [] No �A ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No []-N-A ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes ❑ No [][NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes �'�'o ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ' ❑ Yes u No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 214120.15 Continued

Facili Number: jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes [3-Nrh—❑ NA ❑ NE
r a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No []�NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 57
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [] -iVo E] NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes [EJ'o ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes l] l5o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes Quo ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ° ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes []-N-o ❑ NA ❑ NE
maintenance or improvement'?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes C3'No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ,2❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): 13 `7
13. Soil Type(s): k 0 o
14.
Do the receiving crops difter from those designated in the C MP?
❑ Yes
[] No
❑ NA
❑ NE
15.
Does the receiving crop and/or land application site need improvement?
❑ Yes
�No
❑ NA
❑ NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
ffNo
❑ NA
❑ NE
.
acres determination?
17.
Does the facility lack adequate acreage for land application?
❑ Yes
[rNo
❑ NA
❑ NE
18.
Is there a lack of properly operating waste application equipment?
❑ Yes
�o
❑ NA
❑ NE
Required
Records & Documents
19.
Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
�No
❑ NA
❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? Ifyes, check
❑ Yes
El —No
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ZNo
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and l" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge'? ❑ Yes �No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes dNo
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑NA ❑NE
❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
EGKoo
❑ NA ❑ NE
•25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
21�o
❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
❑ Yes
❑ No
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
C5No
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility tail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the ReviewerMnspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes [5 No ❑ NA ❑ NE
❑ Yes / No ❑ NA ❑ NE
❑ Yes E j No ❑ NA ❑ NE
❑ Yes [3 o ❑ NA ❑ NE
❑ Yes ONo
❑ Yes Cn'No
❑ Yes EI'No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Comments (refer to question #):-Explain any YES answers and/or any additional recommendations orany tither cnminents ;.'y .>
Use drawings of facility to better explain situations (use additional pages as..hecessary)
Reviewer inspector Name:
Reviewer/Inspector Signatu
Page 3 of-3
Phone:U` l 33 3
re: Date: l
21412015

("Vision of Water Quality
Faellity Number ®- O Division of Soil and Water Conservation
O Other Agency
Type of Visit: ompliance Inspection 0 Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: Clioutine O Complaint Q Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: f` Arrival Time: Departure Time: County: a Region:
Farm Name: P4,. e t7 -kW 0- Z ^� Owner Email:
Owner Name: S4 .�,�y �Rit�-.. ✓ Q rC &� Phone:
Mailing Address:
Physical Address:
Facility Contact: (3.,, ,9t Title:
—v
Onsite Representative:
Certified Operator: �... VL, • 1 'l
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Latitude:
Phone:
Integrator: & 13
Certification Number: �cJ
Certification Number:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layer
h' Non -La er
Non-L;
Pullets
Other
Poults
Design Current
Discharees and Stream Imaaets
1. Is any discharge observed from any part of the operation?
Discharge originated at:' ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (if yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)? _
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
.Non -Dairy
$cef Stocker
$eef Feeder
Beef Brood Cow
❑ Yes �o ❑ NA ❑ NE
[-]Yes [:]No
❑ Yes ❑ No
[:]Yes [:]No
❑ Yes Ej'�No
❑ Yes E:�No
E:_N A ❑ NE
[3-NA ❑ NE
ffNA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
Page I of 3 21412011 Continued

Facility Number: - Date of Inspection:
Waste Collection &'Treatment
4,'Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes EZP40 [] NA NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No A ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): T
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
[2-Ko�
❑ NA
❑ NE
waste management or closure plan? '1
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental
threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
� 'N-o ❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
q 1'T
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
Q'l o_
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
Flo
❑ NA
❑ NE
maintenance or improvement?
I. L Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
cl-<O
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge
into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application
Outside of Approved
Area
12. Crop Type(s):
13. Soil Type(s): o/. (r 12 ZJ
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
o
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
[ No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No
❑ NA
❑ NE
acres determination?
17, Does the facility lack adequate acreage for land application?
❑ Yes
ELJrNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ NA
❑ NE
Required Records & Documents,,
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
lJ No
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
&No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections []Monthly and I" Rainfall Inspections ,f. ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes [3-1Co ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 0-57 ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facili Number: - Date of Ins ection: d
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes To ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes E3 1"' E] NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [2-W ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes io ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes rNo
oNA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes ❑ No ❑ NA ❑ NE
Comments (refer to question #) Explain any YES answers and/or any additional recommendations or any other, comments.
Use drawings of faclilty,to better explainp situations (use:addltional pages as necessary). ` z
s
a l`�
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
-A A, 0 Phone: 433 ` 3 3
Date: l ginr
.2141214

Facility Number: - Date of Ins ectio .^-
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
[Ej'lqo _ ❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Frceboard (in): - -� 3-
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
[ J-Nv ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
[3'No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate.public health or environmental threat, notify
DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
� ❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
[3 ` o ❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
�`6 ❑ NA
❑ NE
maintenance or improvement?
Waste Application
W. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
L-'qo ❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
[3 lqo ❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals
(Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate
Manure/Sludge
into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
[3-]To
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
[] Yes
C-1\lo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
io
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[3-M
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
2- -oo
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? if yes, check
❑ Yes
Cg-�to
❑ NA
❑ NE
the appropriate box.
❑WUP [I Checklists ❑ Design ❑ Maps ❑ Lease Agreements []Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes [2 l�o
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis [] Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and l" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes [3 No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [3"&o
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facility Plumber: bate of inspection:
24. D!d the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes' ❑ NA ❑ NE
the appropriate box(cs) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes D-Mr- ❑ NA ❑ NE
[3 Yes []Nb —❑NA ❑NE
❑Yes [jbky— ❑NA ❑NE
❑ Yes ❑bier ❑ NA ❑ NE
[—]Yes 0-N-o ❑ NA ❑ NE
❑ Yes U 1q_o ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes Q-Pd'o ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes Callo ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes D No ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
00 6 1� �c 3 P— 3:7
Reviewer/Inspector Name: D t
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
Date r 1
2/4/20I1

rGrDivision of Water Quality _ t'7
Facility Number - ® 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: omp ante Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: $_/ / Arrival Time: q ; od Departure Time: 19 —,,OJI County:
�. ff
Farm Name: � /� y ,$r � k r 5 ., j c J,��2 Owner Email:
`11 r r� j r`1�-"—
Owner Name: �7 `j p I/%t pry �S _ /� G ]'hone:
Mailing Address:
Physical Address:
Facility Contact: CGt�/f`� . , ��t,�Nj�C Title: e Phone:
ne
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Integrator:
Region: FF Q
Certification Number: a4.9IV I
Certification Number:
Latitude:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
HL�
aer
O Non -Layer
You
Pullets
Puults
Design Current
Longitude:
Design Current
Cattle Capacity Pop.
Dairy_Cow
Daia Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharees and Stream Impacts
1 • Is any discharge observed from any part of the operation? [:]'Yes Z No ❑DNA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes ❑,No ❑.NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes ❑ No' ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ® No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes © No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

Facility Number: jDate of Inspection:
Waste Collection & 'Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
allo ❑ NA ❑ NE
❑No ❑NA ❑NE
Structure 6
❑ Yes M No ❑ NA ❑ NE
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
[&No
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental
threat,
notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
No
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
[g No
❑ NA
❑ NE
maintenance or improvement?
Waste A lication
10. Are there any required buffers, setbacks, or compliance alternatives that need
[] Yes
No
❑ NA
❑ NE
maintenance or improvement'?
JR
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes M No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):Gt/�1
13. Soil Type(s):�
14. Do the receiving crops differ from those designated in the CAWMP7
❑ Yes
®, No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No
❑ NA
❑ NE
Reauired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
[:]Yes
[RNo
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
®,No
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
® No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather
Code
❑ Rainfall ❑Stocking [] Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
10 No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
1!5 No
❑ NA
❑ NE
Page 2 of 3 21412011 Continued

Facility Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
24. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
�] Yes
� No
❑ NA
❑ NE
[:]Yes
® No
❑ NA
❑ NE
❑ Yes
[S No
❑ NA
❑ NE
❑ Yes ® No ❑ NA ❑ NE
❑ Yes [�! No ❑ NA ❑ NE
❑ Yes ® No ❑ NA ❑ NE
❑ Yes No
Yes No
❑ Yes kch No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better exDlain situations (use additional naves as necessary).
4
Reviewer/Inspector Name:
Phone: /0­e/-T,33QDO
Reviewer/Inspector Signature: Date:
Page 3 of 3 21412011

ivision of Water Quality
Facility Number - ® 0 Division of Soli and Water Conservation 70/�
0 Other Agency
Type of Visit: (JH,�ffi��piiance Inspection C) Operation Review Q Structure Evaluation O Technical Assistance
Reason for Visit: O Koutine 0 Complaint 0 Follow-up 0 Referral 0 Emers:encv 0 Other 0 Denied Access
Date of Vislt: 13rrivalTime: r 3 Departure Time: i Da County: r.e,
Farm Name: Z201Y l 'tOwner Email:
Owner Name: lrli� L G Phone:
Mailing Address:
Physical Address:
Region: ��
Facility Contact: %%1;�`yy�8rs Title:�r Phone:
Onsite Representative: Integrator: zf1,�
Certified Operator: xa:) fY`Certification Number:}
Back-up Operator: Certification Number:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Latitude:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
La er
p Non -Layer
Pullets
Other
Poults
Design Current
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
Longitude:
Design Current
Cattle Capacity Pop.
DaiCLCow
Dairy Calf
Dairy Heifer
Dry Cow
.Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes allo ❑ NA ❑ NE
❑ Yes ❑ No
[:]Yes ❑ No
❑ NA ❑ NE
❑NA ❑NE
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ®, No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters [:]Yes [allo ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

t
Facili Number: - Date of Inspection: j
Waste Collection & Treatment
`S 4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes [Z No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No [DNA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes C&No ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes ® No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes 0 No ❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 54 No ❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes Z] No ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 0 No ❑ NA
❑ NE
maintenance or improvement?
1 l . is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes DD No ❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ -PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manurc/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes DR No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes JZ No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes M No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
2] No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
ELNo
❑ NA
❑ NE
Reoulred Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
® No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
2[ No
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑ Checklists [:]Design [:]Maps [:]Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
[a No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
[:]Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections [:]Monthly and V Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
® No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
[N No
❑ NA
❑ NE
Page 2 of 3
21412011 Continued

,y Facility Number: IT - j TEI Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [g No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 0 No ❑ NA ❑ NE
the appropriate box(es) below.
❑ F'aiiure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? []Yes 29 No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes B No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
[a No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
® No
[DNA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
® No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? if yes, check the appropriate box below.
❑ Yes
� No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
� No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
®, No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
MNo
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments. .
Use drawings of facility
//to better explain situations (use`additional pages as necessary).
n-t�/`'CII�SJ `C1 r•�C �/f �Wx'� �� i �l Tp— Si i1S�P
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Phone: 22WZ ! `a0
Date: .3 am _';Za /;2
21412011
Page 3 of 3

Ion of Water Quality
=FacifityNumber �' O Division of Soil and Water Conservation
O Other Agency
Type of Visit ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: "% Arrival Time: Oc'� Departure Time: l7 County: r''L_ Region:
Farm Name: an �� �.y Owner Email:
Owner Name:______ _ �lG Phone:
Mailing Address:
Physical Address:
Facility Contact: /n k"190-W f' &�d rr '5 _'Title: f&2tt Phone No:
401
Onsite Representative: S`�--�-L- Integrator:
Certified Operator: Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: = o = I 0 11
Longitude: a ° = 1 ❑
14
Swine
Wean to Finish
L.l Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
.Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
00 1 10 Non -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullcts
❑ Turke s
❑ TurkeyPoults
❑ Other
Discharges & Stream impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑ Dairy Cow
-
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page 1 of 3
❑ Yes 9N0 ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
RNo
❑ NA
❑ NE
❑ Yes
U-No
❑ NA
❑ NE
12128104 Continued

r
Facility Number: Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ®.No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spiilway?:
Designed Freeboard (in): _.Z ot
Observed Freeboard (in): Jr7_ �_C7
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes , ®.No
❑ NA
❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
KNo
❑ NA
❑ NE
through a waste management or closure plan?
If any of Questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
RNo
❑ NA
❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
[:]Yes
'No
❑ NA
❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
� No
❑ NA
El NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
allo
❑ NA
❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
ENo
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s) &-[/�
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
BNo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
C,No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[--] Yes
❑.No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
No
❑ NA
❑ NE
18. Is there a lack of properly operating waste appiication equipment?
❑ Yes
R_No
❑ NA
❑ NE
Reviewer/inspector Name Phone:/1J l/ ,tea
Reviewer/inspector Signature: Date: 'rwZel/
Page 2 of 3 111161W Lontlnuea

r
Facility Number: — Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes 9 No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes B-No ❑ NA ❑ NE
the appropirate box. ; ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes E�No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes C.No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes LK No ❑ NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the pert -nit?
❑ Yes
ENo
❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
BNo
❑ NA
❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
ZLNo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
C&Vo
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
RNo
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
®.No
❑ NA
❑ NE
and report the mortality rates that were higher than normal'?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
54,�o
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
3 I.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
�No
❑ NA
❑ NE
General Permit'? (ie/ discharge, freeboard problems, over application)
32.
Did ReviewerAnspector fail to discuss review/inspection with an on -site representative?
❑ Yes
allo
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
r
r
&No
❑ NA
❑ NE
Additional Comments and/or Drawings:
3N moo; -7 Ir ri-s �Na
Page 3 of 3 12128104

Type of Vleit ttompliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit i0'Routlne O Complaint O Follow up O Referral O Emergency Q Other ❑ Denied Access
Date of Visit: =Arrival Time: Depart�l'ime: �(�a County: Region:
Farm Name: v-- - �jG�rz2faL Owner Entail:
Owner Name: dl l�� L-1- I:f— I'ltone:
Mailing .address:
11hysical Address:
Facility C:'ontact: f -✓' '1'it:le:
Onsite Itepresentalive: S al
Certified Operator:
Back-up Operator:
Locatiau (if Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Gilts
Other
❑ Other
Latitude: 71
0
Phone No:
Integrator:
Operator Certification Number:
Hack -up Certification Number:
=" Longitude: =° =' ="
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
O O I Non -Layer
Dry Poultry
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
. Design Current
Cattle Capacity Population
❑ Daity Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ D Cow
❑ Non -Dairy
❑ Beef Stocket
❑ Beef Feeder
❑ Beef Brood Co
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes f _No ❑ NA ❑ NE
El Yes
❑No
❑NA
❑NE
[I Yes
❑No
El NA
El NE
❑NA
El NE
❑Yes
El No
❑ Yes
L.No
❑ NA
❑ NE'
❑ Yes
ZLNO
Cl NA
❑ NE
12128104 Continued

ti Facility Humber: — 9�
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure l Stmeture 2 Structure 3 Structure•]
Identifier:
spillway?:
Designed Freeboard (in): 27 2,7�_
Observed Freeboard (in):
"I
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes �lo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes DqNo ❑ NA ❑ NE
❑ Yes kNo ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ;0 No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes
�R_No
❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require [l Yes
r/No
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
&�No
❑ NA ❑ NE
maintenance/improvement?
It. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes
.ZNo
❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs [:]Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) �t
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes
J5N71 No
❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes
,&No
❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination'r❑ Yes
N1 No
❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes
iRNNo
❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes
INo
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/inspector Name Phone:
Reviewer/Inspector Signature: Date: '?
Il/9Qw4 t onrrnuea

Facility Number: 91, — Date of Inspection
Reauired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes 0 No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ® No ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
[4 No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
W No
❑ NA
❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
r'71 No
❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
R .No
❑ NA
❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
ES No
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
ELNo
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
&No
❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
E!�No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
&No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
qNo
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
0,No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
O No
❑ NA
❑ NE
12128104

Division of Water ,Quality. -/ 7
a Facttiity_Number: 0`Division of Soil and Water Conservation
_ . _._ 0 Other Agency
d
F
ype of Vlslt Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
eason for Visit al outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
r
Date of Visit: Arrival TimeTTFOOD Departure Time: County=
a Farm Name: U r -� Owner Email:
Owner Name: f z Phone: _
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:`
Title:
Integrator:
Region f
i
Certified Operator: w �� Operator Certification Number:
Back-up Operator: r ' Back-up Certification Number: �2_
Location of Farm:
Design Current
Swine Capacity Population
❑ Wean to Finish
Is -Wean to Feeder 1=
❑ Feeder to Finish
LJ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
Other
❑ Other
Latitude: ❑ e = = Longitude: = ° 0 ` = `d
Design Current
Wet Poultry Capacity Population
IE]Lay er
❑ Non -La er I IEE]
Dry Poultry
❑ Layers
❑ Non -La ers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
EjDairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system'? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes 4No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
[&No
❑ NA
❑ NE
❑ Yes
5LNo
❑ NA
❑ NE
12128104 Continued

Facility Number: — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes E No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No ❑ NA ❑ NE
Structures Structure Structure 3 Structure 4
Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes O.No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes RNo ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? [:]Yes AINo ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes Fk?No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes INo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 34�o ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes [5(No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drifl ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAIVMP?
❑ Yes
125-No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
JZ_No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑ Yes
EUNo
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
MNO
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
2 No
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/Inspector Name ; Ile Phone: W
Reviewer/Inspector Signature: Date:
12128104 Continued

Facility Number: — Date of Inspection
Reaulred Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes allo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes V_No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
2 L Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes �No ❑ NA El NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes 6No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes X-No ❑ NA ❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
�4 No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
P1�40
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
0 No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
WNo
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
5kNo
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
ANo
❑ NA
❑ NE
and report the mortality rates that were higher than normal'?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
ZNo
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
M_No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
ANo
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
PIo
❑ NA
❑ NE
Additional Comments and/or Drawings:
12128104

E
Visit Com 'ance Inspection Q Operation Review Q Structure Evaluation Q Technical Assistance
for Visit Routine Q Complaint Q Follow up Q Referral Q Emergency Other ❑ Denied Access
Date of Visit: % ,Arrival Time: Departure Time: ; a 1 County: Region:
Farm Name: � n-tf- Owner Email:
Owner Name: �� ! 1 Phone:
Mailing Address:
Physical Address:
Facility Contact: Ch,-23 Sin
Title:
Onsite Representative:
Certified Operator:
Phone No:
Integrator.•
Operator Certification Number:
Back-up Operator: I Back-up Certification Number:
Location of Farm: Latitude: = 0 01 = 11 Longitude: ❑ ° ❑ 1 = 1{
Design urrent11111111-
Uesign Current
Design Current
Swine Capacity Population
Wet Poultry C•apaciity Population
Cattle
Capacity Population
1❑ Wean to Finish
❑ La er
❑ Dair Cow
Wean to Feeder110
Non -Layer
ry Calf
❑ Feeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
Ury Poultry
❑ Dry Cow
❑ Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish
❑ Layers
❑ Bee!'Stocker
❑ Gilts
❑ Non -La ers
❑ Pullets
El Turkeys
❑ Beef Feeder
❑Beef• Brood Cowl I
❑ Boars
Other
El TU rkey Points
❑Other
Number of Structures:
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation`?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge'?
Page 1 of 3
❑ Yes XNo ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
0 No
❑ Yes
� No
❑ NA
El NE
❑ Yes
KNo
❑ NA
❑ NE
12128104 Continued

C
Facility Number: — Date of Inspection 7 1
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
ZNo
❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA ❑ NE
Structure t Structure 2 Structure 3 Structure 4
Structure
5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): 1 3
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
® No
❑ NA ❑ NE
Oe/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
5� No
❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or
environmental threat,
notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
[& No
❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
� No
❑ NA El NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
[ d No
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
NJ No
❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
4 No
❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop
type(s) c�
13. Soil type(s) %V t7
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
M No
❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
[Z No
❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[] Yes
[0 No
❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
R No
❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
D, No
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations, (use additional pages as necessary):
a
Reviewer/inspector Name �`�. p---�— Phone:
Reviewer/inspector Signature: Date: cv:�
12128104 Continued

1 Facility Number: — Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ® No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 14 No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ®.No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 5jNo ❑ NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
0 No
❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
� No
❑ NA
[I NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
N No
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
0 No
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP7
❑ Yes
No
❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
No
❑ NA
❑ NE
and report the mortality rates that were higher than normal'?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
® No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
RNo
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
®,No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
4 No
❑ NA
❑ NE
Comments and/or Drawings:
12128104

"ivision of Water Quality
7Fadfity Number Q Division of Soil and Water Conservation v'
1 _. ...._.. ._._..,_. Q Other Agency
Type of Visit t.J51to-mpllance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: — Arrival Time: T,,1f.3� Departure Time: ; pD County:
Farm Name: `e /A 4,-i-Q / C}- Owner Email:
Owner Name•, [ __ 4 s' Phone:
Mailing Address:
Physical Address:
dog. Region:
Facility Contact: LfN,"] C) 'Title: Phone No:`AID 1271 rCO3,-2-
Onsite Representative: S��^-� Integrator: ,(�'L�
Certified Operator: W r.Fr Operator Certification Number:
Back-up Operator:
Location of Farm:
Swine
❑ Wean to Finish
[Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Back-up Certification Number:
Latitude: E=] o = ' = " Longitude: = c 0 ' =
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
❑ Non-Layet
Other
❑ Other
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dg Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
c. What is the estimated volume that reached waters of the State (gallons)?
Number of Structures: �)
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes [.No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes 9 No ❑ NA ❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes MNo ❑ NA ❑ NE
12128104 Continued

Facility Number: —
Date of Inspection 7
Waste Collection & Treatment
�l 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
C&No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure
5 Structure 6
Identifier: O 31
Spillway?:
Designed Freeboard (in): 31 1
Observed Freeboard (in): 3 A- 3!j�
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
0 No ❑ NA ❑ NE
(ic/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
® No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or
environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
5LYes
❑ No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
0 No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
XNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
[RNo ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
® No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu., Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge
into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
O No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
0 No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
� No
❑ NA
El NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
0 No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[R No
❑ NA
❑ NE
Comments (refer to question ft Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
f�:•�vct; ry �a�v-n- V�� � c�rr ��3 `TD S`T�� �i^���---
Reviewer/Inspector Name rT-^ �- Phone: gl1i53��3�
Reviewer/Inspector Signature: Date: —
12128104 Continued

i
Facility Number: ` Date of inspection"
' Reauired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes IN No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ®,No ❑ NA ❑ NE
the appropirate box.
❑ WUP ❑Checklists El Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 19 No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
1a No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
0 No
❑ NA
❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
® No
❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
2[No
❑ NA
❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
® No
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certificatioh?
❑ Yes
R[No
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
Z No
❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
t@ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
B No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
O No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
® No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
GSNo
❑ NA
❑ NE
Comments and/or Drawings:
12128104

't
Type of Visit (F)-Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit Ct Koutine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: Arrival Time: I r"3 O I Departure Time: pD County: ��r'n Region:
Farm Name: Ctki / "M: f Owner Email:
Owner Name: _ _C�i L L Phone:
Mailing Address:
Physical Address:
Facility Contact: C 141 e 4 S r t i'' Title:
Onsite Representative: —S
Certified Operator: 4f_,� ripel F;�w Ler-
Phonee No:
Integrator: O7L�
Operator Certification Number: V'14_9 9;2'
Back-up Operator; Back-up Certification Number:
Location of Farm:
Desi�
me ° Capa
Wean to Finish
Wean to Feeder y�
Feeder to Finish
Farrow to Feeder
Farrow to Finish
Gilts
Boars
jer:
Other
Latitude: 0 c= 6= Longitude: 0 o 0`=
Current" Design; Cui
y Population Wet�Poultry Capacity Pope
1LJ Non -Layer
Dry F9 ..ry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
rent
atton Cattle
❑ Dairy Cow
E 3 ❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non-Dai
❑ Beef Stocker
❑ Beef Feeder
Number of Structures L
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page 1 of 3
❑ Yes [9 No ❑ NA ❑ NE
❑ Yes
0 No
❑ NA
❑ NE
❑ Yes
allo
❑ NA
❑ NE
El NA
El NE
❑ Yes
"Ok
❑ Yes
Q�No
❑ NA
❑ NE
❑ Yes
�&.No
}
❑ NA
❑ NE
12128104 Continued

Facility Number: — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes XNo ❑ NA ❑ NE
a. if yes, is waste level into the structural freeboard? ❑ Yes [�LNo ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): 3
Observed Freeboard (in): IVIO
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
kNo
❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes
R7rNo
❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? []Yes
E4No
❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? [:]Yes
[4No
❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes
14No
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
C� No
❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes
®.No
❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
13. Soil type(s)
f
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
® No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
Z No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
® No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
[KNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[4 No
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.'
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/Inspector Name rG✓ a+-ti- Phone:
Reviewer/Inspector Signature: Dater �Oo
rugC 4 U,J J i�i �. ui vt �.vrsurrscw

Facility Number: Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes 9 No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes &No ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ® No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
5d No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
No
❑ NA
❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
No
❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
No
❑ NA
❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
® No
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
;Z No
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
13 No
❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
19 No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
JSa No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
® No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
Z No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
4No
❑ NA
❑ NE
al Comments and/or
Page 3 of 3 12128104

r
tD �tvision of Water Quality
lr14-9=1umber O9 O Division of Soil and Water Conservation
0 Other Agency
of VisitmpliaRce Inspection Operation Review Structure Evaluation Technical Assistance
on for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
E
Date of Visit: �Arrival Time: /"3 fl I Departure Time: Q'D County: it
Farm Name: i r u1 Owner Email:
Owner Name: 171F L/'-' . L L- C Phone: 21a z0=3a &'q
Mailing Address: _ 0 O ,SAD %5~9 Z_a 3z.__ /T: 111_ 1111f, R
Physical Address: 49 r—Dat 5 R ' /DO 1
Facility Contact: _Gt/a-tcr`.-! r_�� Title:
Onsite Representative: --
Certified Operator:✓
Back-up Operator:
Location of Farm:
Phone No: /Q—AtY%%yy
Integrator:. f?��rr�� �•*��
�7 c�
Operator Certification Number: _ [e6_51?o�--
Back-up Certification Number:
Latitude: = o = . Longitude: 0 ° = ' ❑
Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle
❑ Wean to Finish
Wean to Feeder OD 17
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
Discharges 8& Stream Impacts
❑ La er I I El
` ❑ Non -La et
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Design Current
Capacity Population
❑
Dairy Cow
❑
Dairy Calf
❑
Dai Heifei
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocker
❑
Beef Feeder
❑
Beef Brood Cow
Number of Structures:
1. Is any discharge observed from any part of the operation?
❑ Yes
4 No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
[KNo
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
RNo
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑ Yes
R No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
[Q No
❑ NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
12 No
❑ NA
❑ NE
other than from a discharge?
12128104
Continued

Facility Number: t4
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
,KNo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
MNo ❑ NA ❑ NE
Structure 1 Structure 2, Structure 3 Structure 4
Structure 5 Structure 6
Identifier: - o�
Spillway?:
Designed Freeboard (in): 91,E
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
� No El NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
®,No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
[5d No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
[]Yes
EgNo ❑ NA LINE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
4. Does any part of the waste management system other than the waste structures require
❑ Yes
[0 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
5fNo ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
[Z No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
[:]PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into
Bare Soil
❑ Outside of Acceptable Crop Wi/ndowl [I Evidence of Wind Drib [I Application Outside of Area
12. Crop type(s) �roV/� ►,. N , / Ih V }-Af7� �.--: ti It ; Q � 'I�Zp st u S
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
®, Yes
KNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determinations❑ Yes
[9,No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
E&No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
kNo
❑ NA
❑ NE
CjDeLTirt ccA r' 7-0 WDP -KePeL
^
Reviewer/Inspector Nam710
eAr
"" Phone:'4!/��
Reviewer/Inspector Signature: Date:
12128104 Continued

►_ • , -;
Facility Number: Date of Inspection O �,
Required Records & Documents
0, Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes EgNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes D�No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes URNo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24, Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
Ifyes, contact a regional Air Quality representative immediately
31, Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
Additional Comments and/or Drawings:
❑ Yes
XNo
❑ NA
❑ NE
❑ Yes
FUl No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
91 No
❑ NA
❑ NE
❑ Yes
&No
❑ NA
❑ NE
❑ Yes
X No
❑ NA
❑ NE
❑ Yes [XNo ❑ NA ❑ NE
❑ Yes ['No ❑ NA ❑ NE
❑ Yes E,No ❑ NA ❑ NE
❑ Yes kNo ❑ NA ❑ NE
❑ Yes
5�No
❑ NA
❑ NE
❑ Yes
RINo
❑ NA
❑ NE
12128104

Type of Visit • Compliance Inspection O Operation Review O Lagoon Evaluation !
Reason for Visit 0 Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: 1 D -t7 Time: ��
Q Not O erational Q Below Threshold
Ofermitted Q Certified © Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: ......._?4. ZL_..._._....V . (�r..»... _�._. ��... »......._... County: _. cfs rt7....... __...... ......... »....
»
Owner Name: 'Phone No: ,,.. , /c� : ,
Mailing Address:... w ..Q.c._......... ..
Facility Contact: ___ _W__ .1_..__ r L!L ._ ».»» _ Title:.__ __ _m_...». _ ... .»__ ..__. Phone No: ._.....„,»..».» » .» ..»..� __..
Onsite Representative:...._.... �pct ��• .. „.•� �,� d[ integrator:
Certified Operator:.•, ----•,,,„,»•• �r ,,...._.. _ ��tr,�,q..„.»,_.,,„..„•...»... Operator Certification Number:._.»,�.,�>>'� ......
Location of Farm:
Daoilne ❑ Poultry ❑ Cattle ❑ Flarse Ladtude 4 'd Longitude " ' 04
Desi�.CnnraaNW. Current � Design r `,Current
Swute Ca Po tilatznn Poultry.";
a rPo nlafaon:.• CAW ,PO ulatxon-<.'
;Ca
Layer
can to Feeder $ `:EO
, j] Dairy
FM«
Feeder to Finish on -Layer
.
❑ Non -Dairy
4k
Farrow to Wean
Farrow to Feeder Other
a , - T
Farrow to Finish
kk I: Des1���CtT
�w
Gilts
7T�lill
Boars
-:SNumber
x'�4��}k[7`
��7,
. : 'ti : [...,l�i . Y:R
�Y�L•TY� ��� �
:i.:-
- 1 � �.R C��ri'yt._Mmiti
Discharm & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 0, o
Discharge originates! at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes [moo
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑'Flo
c. If discharge is observed, what is the estimated flow in gal/min? 1
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes [moo
2. Is there evidence of past discharge from any part of the operation? ❑ Yes O No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 214o
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes PNo
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .... _ .. _.-- ._.. __._ . •�_._ . »» _ _. »»W....».. _ ».. W - -... _.. » ... _ »_ __.... _._ . _» _._ »_» .__ ... .
Freeboard (inches):
12112/Q3 Continued

Facility Number: — Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
E?fqo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
❑ Yes
2-510
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
B'Ro
8. Does any part of the waste management system other than waste structures require maintenancetimprovement?
❑ Yes
2f4o
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
❑ Yes
214o
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
Q'�o
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Yes
L—J'-No�
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑hopper and/or Zinc
r / r
12. Crop type J v bAJ. n �S iT met f ., , Pee ""n n -:0 ,��r... u�S .Sr►� e►
S0
/� Gra .'ti
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
9NO
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
P No .,.
16. Is there a lack of adequate waste application equipment?
❑ Yes
12'90
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes E140
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes [}moo
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional ❑ Yes M-No
Air Quality representative immediately.
Reviewer/Inspector Name
ReviewerAnspector Signature:
Date:
Final Notes
I2/I2103 Continued

Fad ty Number: -I � Date of Inspection /!1 • a
Reauired Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? [:]Yes EWo
22. Does the>cility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WP, chpidilts, s, etc.) ❑ Yes E o
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes E3-No
n ❑ *htste-Amdysis ❑ Seil-Sal ttg—
g a3 7 .'t •� . /, '] G -�1 ��. 3 �, y-�� J.
24. Is facility not in compliance with any applicable setbacl'C criteria in effect at the time of design? El Yes B'No
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes alm
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes Ea*No
28. Does facility require a follow-up visit by same agency? ❑ Yes E1,90
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes 0jSo
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) ❑ Yes EWO,
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No
32. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes ❑ No
34. Did the facility fail to calibrate waste application equipment? ❑ Yes ❑ No
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No
❑ Stocking Form ❑ Crop Yield Form Q-Rief&— ❑ Inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
10 No violations or deficiencies were noted daring this visit. You will receive no further correspondence about this visit.
sof l S&#VWles
-�a Ikea i, r -N,," ►"onIL4
12112103

,1.� ah -14� 15.
11
Type of Visit V Compliance inspection 0 Operation {review 0 Lagoon Evaluation If
Reason for Visit
Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facility lumber Q Date of Visit: S'lS-- D Time: 07
Not erational Q Below Threshold
OPermitted IlCertified 0 Conditionally Certified [3 Registered Date Last Operated or Above Threshold:
Farm Dame: __ __[HGyzksa -,d'i % a County: 1&1406-w
Owner Dame: ___-_,�,T� Phone No:
Mailing Address:
Facility Contact: L10 v A i C_ Title:
Onsite Representative: iwlst ��' LSa nay
Certified Operator: -
Location of Farm:
Phone No:
Integrator: 1"ilc.
Operator Certification Number: 119MXS
dd Swine ❑ Poultry ❑ cattle ❑ Horse Latitude 0 �� �" Longitude 1 K
Design Current
Design Current
Design Current
Swine Callacitv Po uiadon
POUI!U
Capacity Population Cattle
Ca aclty Population
Wean to Feeder
00
❑ Laver
I❑
Dairy
❑ Feeder to Finish
❑ Non -Laver
I
1
10 Non -Dairy
Farrow to Wean
❑ Other
❑ Farrow to Feeder
❑ Farrow to Finish
Total Design Capacity
b0
❑ Gilts
❑ Boars
Total SSLW
Number of Lagoons ® � [] Subsurface Drains Present 110LaizoonArea 113 S ray't:ield Area
..Holding Ponds I Solid Traps ❑ No Liquid Waste Management Svstem
Discharges 8 Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No
Discharge originated at: ❑ Lagoon ElSpray Field ❑ Other
` a. If discharge is observed, was the conveyance man-made? ❑ Yes [A No
b. if discharge is observed, did it reach Water of the State? (if yes, notify DWQ) ❑Yes No
c. if discharge is observed, what is the estimated flow in gal/min? N 1
d..Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes No
Waste Collection 8 Treatment+
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: / o�
Freeboard (inches):
y
05/03/01 Continued

Facility Number: 09 — Date of Inspection I .S = !S' 03
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes 141 No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? (If any of questions 4-6 was answered yes, and the situation poses an ❑ Yes No
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes 1 ] No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes [A No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes 00 No
Waste Aonlicatio
10. Are there any buffers that need maintenance/improvement?
❑ Yes
[,A No
1 1. Is there evidence of over application?[I Excessive Ponding ❑ PAN [IHydraulic Overload
❑ Yes
LJ No
12. Crop type he-cL+ . POW Cjrn s . >P ere"WE'r eon XL'+s� Se,_�earir
13, Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
(x] No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
No
b) Does the facility need a wettable acre determination?
❑ Yes
No
c) This facility is pended for a wettable acre determination?
❑ Yes
[8 No
15. Does the receiving crop need improvement?
❑ Yes
[A No
16. Is there a lack of adequate waste application equipment?
❑ Yes
[I No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes P No
18, Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes [N No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes [X] No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ;V No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes W No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ic/ discharge, freeboard problems, over application) ❑ Yes DO No
23. Did lteviewerAnspector fail to discuss review/inspection with on -site representative? ❑ Yes 50 No
24. Does facility require a follow-up visit by same agency? ❑ Yes rt No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Fie]pY� ❑ Final Notes...._..
U, hse ,drawin s of facilit eta better ex lain situations , use additional a �s as necessar n
Fc�r,rr looks �oocQ. Reca�dP� w G It k��t.
x
Reviewer/Inspector Name'"
Reviewer/inspector Signature: Date:
O5103101 Continued

5
Facility number: L1q — /`j�j' Date of Inspection
Oda• Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge actor below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes No
28. Is there any evidence of wind drift during land application? (i.e, residue on neighboring vegetation, asphalt, ❑ Yes P5 No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes % No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes � No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes No
Additional Comments and/or Drawings:• i.
05103101

O`DlviMon of Water Qnalitj
O Divisionol'Soil and Water'Conservation'
O Other Agency
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit U Routine Q Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 9 199 Date of Visit: 3-28-20p2 Time:
O Not O )erational O Rciow Threshold
M Permitted M Certified [] Conditionally Certified [3 Registered Date Last Operated or Above Threshold
FarmName: ............................................................. ........................... County: RJAIdgil ............................................... FRO .............
OwnerName: ................................................... J.C.T.,.LLC........ ................................ I......... Phone No: 9.1.Q-S.90:-3.269...:........,........,.....................................
Mailing Address; P.R.l�vs..7.�.9..................................... . tiuxtRAi,l1..D[+G.,....................................................... M.4.4.8 ..............
FacilityContact: WLIAlAt:lie;y...................................... ............. 'Citle:........... ..................................................... Phone No:...................................................
Onsite Representative:VY.;AIx.U.uxupy:............................................................................... Integrator: M.urF,ttY.kaAr>�Iy.F.iirl>as.
................. ........
Certitied Operator: Yv1 mau................................... Mr.q.W.U.Sr ........................................ Operator Certification Number. z5.Z2.7.............................
Location of Farm:
rom Clarkton, take 211 east 2.7 miles to SR 1001, turn right and go 1.1 miles to farm entrance on left +
® Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude 78 36 00
Design Current
Swine C inarity Ponnlntian
® Wean to Feeder
8400
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
Cl Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer I I[] Dairy
❑ Non -Layer I JE1 Non -Dairy
❑ Other
Total Design Capacity 8,400
Total SSLW 252,000
Number of Lagoons 1 2 j ❑ Subsurface Drains Present ❑ Lagoon Area JCI Spray Field Arcs
Holding Ponds 1 Solid Traps I I ❑ No Liquid Waste Management System
Discharges & Stream ImuaCtS
1. Is any discharge observed from any part of the operation`? ❑ Yes M No
Dischorge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water ol'the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gaUrnin?
d. Does discharge bypass a lagoon system'? (11'yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes M No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection & Treatunent
4. Is storage capacity (Freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes M No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ...................................................................................................................................................................................................................
Freeboard (inches): 40 48
05103101 Continued

Facility Number: 9--199
Dale of Inspection 1 3-28-2002
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
G. Are there structures on -site which are not properly addressed and/or managed through a waste management or
Closure plau?
(If any of questions 4-6 was answered yes, and'the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type Soybeans Wheat
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14, a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination`? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement`?
16. Is there a lack of adequate waste application equipment'?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Pcm-iit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (rel'er to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages"as necessary): Field Copy ❑ Final Notes
Well maintained tarns, good records.
Reviewer/Inspector Name Paul Sherman
Reviewerllnspector Signature: Date: -?pap
05103101 Continued

r
Sk
Facility Number: 9-199 Date of Inspection 3-ZS-ZUOZ
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property) '
29. Is the land application spray system intake not located near the liquid surface of the lagoon'?
30. Were any major maintenance problems with the ventilation fan(s) noted'? (i.e, broken fan belts, missing or
or broken Can blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover'?
32. Do the flush tanks lack a submerged fill pipe or a pernianent/temporary cover?
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
Additional oniments and/orDrawings:
r
05103101

i -:y E^ r 4sw ^w - ' x,;, �c'�i'^,�C"r•r h. I T' �.7'. n
D,vrsion of Water uaht v� r r
^..� ? ,.J..•�:�"�+,+ ^i'r" W :3�P'' 6ie� �. _ �. :� R'Eln���t�l��a J�n��n�. t� �Q&�GuSR"
�isianof"Sail e1r'�
'OthAgency d � _ � #i!� ,� k�` •1 na .E r .,
a
9
i�,'.°`::.y�
of Visit 6 Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit ® Routine O Complaint O Fallow up O Emergency Notification O Other ❑ Denied Access
Facility Number
jDateorvisit.- Time:
�
Q Not Operational 0 Below Threshold
9 Permitted ® Certified © Coon�ditipnally Certified © Registered Date Last Operated or
Above Threshold: .......................
Farm Name: ..... ; ...... .......G�,l �.....Z.`e-Z ... County: ...... ff ....................................
Owner Name: .............�.C.� L� L'...G:............................................................. Phone No:.. zz.��..... �.r.211l..................
Facility Contact:.....D!Q.............Title Phone No ........................................
Mailing Address: ....... .......... c%�G /f�✓1"A. ... ..... ZQ.............................................................
Onsite Representative: u!!4',,,,,c�✓ Integrator:,,,, �._,
/...,................`................................... �."'�!...s............
Certified Operator: ............. /!............................. Operator Certification Number:
Location of Farm:
❑ Swine ❑ poultry ❑ Cattle ❑ Horse Latitude • i « Longitude • 4 44
- Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
Wean to Feeder GL1 Qd ❑ Layer Dairy
❑ Feeder to Finish ❑ Non -Layer ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars ' . 'Total SSLW
!t.!fr
Number�af Lagoons'. ' Z ❑ Subsurface Drains Present ❑Lagoon Area JE3 Spray Field Area
_:.
Holding Ponds/ Sohd Traps ❑ No Liquid Waste Management System
Discharges & Stream Impact
1. Is any discharge observed from any part of the operation? ❑ Yes *0
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance than-niade? ❑ Yes Of -No
b. If discharge is observed, did it reach Water of [lie State'? (If ycs, notify DWQ) ❑ Yes tZNo
c. If discharge is observed, what is the estimated now in gal/min'?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes O�No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes KNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 'NNo
01/01/01 Continued

Facility Number:0 —
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes PS No
Structure 1 Structure 2 Structurc 3 Structure 4 Structure 5 Structure 6
Identifier: ................................... ................//.......
Freeboard(inches) : ......... ..... 97./�..............�f..... �........................................................
.... ......
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
❑ Yes kIo
❑ Yes *No
❑ Yes RNo
❑ Yes KTIo
❑ Yes YQ No
❑ Yes '&-No
❑ Yes RNo
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
17. Are rock outcrops present?
18. Is there a water supply well within 250 feet of the spray6eld boundary?
❑ On -site ❑ Off -site
Reauired Records & Documents
❑ Yes ;<No
❑ Yes IR"No
❑ Yes A No
❑ Yes XNo
❑ Yes IgNo
❑ Unknown BYe, E]-No A�
19. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes WNo
20. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WY, chefk design, ms, etc.) ✓ ❑ Yes No
21. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes ❑ No
22. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes XNo
23. Did the facility fail to have a actively certified operator in charge? ❑ Yes A!�No
24. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes JE�No
25. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes ONO
26. Does facility require a follow-up visit by same agency? ❑ Yes :ONo
27. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes PkNo
Odor Issues
28. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below IZPYes ❑ No
liquid level of lagoon or storage pond with no agitation?
29. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes kNo
01/01/01 Continued

a 14
Facility Number. p — Date of Inspection Printed on: 10/26/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below rtwes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes JkNo
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes RNo
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes X No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes JXNo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes No
IK
Additional Comments and/orDrawings:
5/00 Al
2,(�/0/

® Divisions of Water Quality
0 Division of Soil and Water, Conservation
dOther A enc "
g y � � EE 3
• i
Type of Visit ®Compliance Inspection Q Operation Review Q Lagoon Evaluation
Reason for Visit ® Routine O Complaint Q Follow up Q Emergency Notification Q Other ❑ Denied Access
Facility Number
Date of Visit: /71L�b Time: �(�t% Printed on: 7/21/2000
O�
Q Not Operational Q Below Threshold
®-Permitted ® Certified 0 Conditionally Certified [3 Registered Date Last Operated or Above Threshold: ...............
FarmName: ..................fi(N..... V.�rli%.A)..... .-0..Z......................... I..................... County:.........e f�Gl.................................................
Owner Name.................... lcl.T..Z (....ez................................................................ Phone Net: (9/O� �fU —x24-7../
.................,
FacilityContact: ........ R-..k, ..............'Title:.......................................................... Phone No:...................................................
Mailing Address:.......T...�2... (..... ..tee ..1.. .............. ..........................
/�
Onsite Representative:......fN,r¢' Y............................................ Inte};rater:.... �-w iy...� ...................
Certified Operator: ............. l�f��C:!.........�..k.!'�!�/............................................... Operator Certification Nuumber:..........................................
Location cif Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • & '+ Longitude �• �6 �«
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
Wean to Feeder Qv Pji90 ❑ Layer ❑ Dairy
❑ Feeder to Finish ❑ Non -Layer ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons Z 10 Subsurface Drains Present I ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharl,;es & Stream Impacts
1. Is any discharge observed from any part of the operation'?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is observed, was the conveyance man-made?
b. Ii' discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c, If discharge is observed, what is the estimated flow in galhnin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes kNo
❑ Yes gNo
❑ Yes RNo
❑ Yes [2�No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes 5?'No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 5UNo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes -)iZNo
Structur' I Structure 2 Structure 3 Structure 4 Structure S Structure 6
Idcntificr: ...............: ./�..............:..r 1,/1.............................................................................................:..........................................................
Freeboard (inches):
5100 Continued on back

� L
Facility Number: Date of Inspection I� Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes 09 No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes EkNo
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement'? Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes A No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes RNo
Waste Application
10.
Are there any buffers that need maintenance/improvement?
❑ Yes
IS No
11.
Is there evidence of over application? ❑ Excessive Pognding ❑ PAN ❑ Hydraulic Overload
❑ Yes
Ig No
12.
Crop type zged.rS,.dsx, sJ+•.�/A/1'�/�/
13.
Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
PNo
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
�§No
b) Does the facility need a wettable acre determination?
❑ Yes
KNo
c) This facility is pended for a wettable acre determination?
❑ Yes
gNo
15.
Does the receiving crop need improvement?
P Yes
❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
2 No
Required Records & Doctiments
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
Yes
(ie/ WUP, checklists, design, maps, etc.)
❑
No
19,
Does record keeping need improvement? (ic/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
XNo
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design`?
❑ Yes
1p No
21.
Did the facility fail to have a actively certified operator in charge'?
❑ Yes
No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
® No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
K No
25,
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
�RNo
P.Q•YiQl'a iQi s,oe (IgticjengpN -Wix ro hotet�• 00� ing tbis,visit' . Y,oji Will•re0iye tjd futt�iPC, .'
.
correspondence:a�otit:this:visit.':::.:: •. •....... •. •.'.'.'.'. •. • .'.'.'.'.'.... •.'.'.'.'. .
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary);
Reviewer/Inspector Name
Reviewer/Inspector Signature: es t Date: 3�4 b S/pp

Facility Number: Date of inspection Printed on: 7/21/2000
Odor Issues C y— / f
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge al/or below Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes 9No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes of No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes BFNo
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes JE[No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes No
Additional Comments and/orDrawings:
Ab
r
5100

s
10 Routine
O ,Complaint ,0 Follow-up of DWQ inspection
O Follow-up of DSWC review ® Other
Facility Number
Date of Inspection
L ime of Inspection
a -c7
� 24 hr. (hh:mm)
permitted
Farm Name:
y�
{�,j Certifiieed [3 Conditionally Certified
................. f 1 t1� �! C'^J �....
0 Registered Not O crational
`................................ County.
Date
%Last Operated:
... ..'..............................
Owner Name:
..............:.....-r�,....
phone No:...................
FacilityContact: ...................................................:..........................Title:................................................................ Phone No:...................................................
Mailing Address: ..............1/00......1 4L...... ai.,1.?r.o.a'f-- .................. ..e-hfV4 "i /0C........................ 1;?FX 2 '.
...............
..........Onstte Representative: W �� ..... ... Integrator:
. �!..1 f
Certified Operator:............W.ct,1.4......`s
s
N rl'1 ,,,•••,,, .................. Operator Certification Number:..........................................
Location of Farm:
A
............... .... ..... .. ..
Latitude 0=1 i° Longitude ' & "
Design �f Current '.
'Current
`Desrgn : Current r ' h 'In
Swine y
.Ca' acit ..Po elation , .1?oultr
,Design"
Ca' acit' Po `elution Cattle' ` + ` ` `
r, Ca acr .. ,Po elation
Wean to Feeder Y00
❑ Layer
❑Dairy
Feeder to Finish
'❑ Non -Layer
❑ Non -Dairy
❑ Farrow to Wean
r ; ..4. , ,'SSE' '�� �° �k y�:tti si,,a
:�
❑ Farrow to Feeder
❑ Other-,
❑ Farrow to Finish
Tfltal'Destgn Capacity" b�O
❑ Gilts
Boars
R ,r
.. .
NumberW Lagoons1?A:-, ` c�
".'' "
❑surface
Sub
Drains present 110
Lagoon Area
❑Spray Field Area
Hnldmg Ponds/ 5ohd,Trups ,
#,
❑ No
Liquid Waste Management System
ft- L! _
Discharges lac Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: [:]Lagoon ❑ Spray Field ❑'Other
a. If discharge is observed, was the conveyance man-made'?
b. If discharge is observed, did it reach Water of the Stutte? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min'?
d. Dues discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4• Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure; I Structure'-' Structure 3 Structure 4 Structure 5
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes Alo
Structure 6
Identifier: 2
Freeboard (inches): ................ a
l
5. Are there any i mediate threats to the integrity of any of a str lures pbse ve (ie/ trees, severe erosion, o
/✓®7'� s+� ✓rr 4— WCiS e 1n, Clltc� Ae seepage, etc.)
3/23/94 �� /Q�� )e" i I-Q50,sYt-S �'r37t trot e� Me iC CoL� r_.-_ r,��C n don back

a
a 0 Division of Soil and-Water�Consertvation hOperation Review,; r ;i is
Q Division of Solt ands°Water C.onserV8tloll %om�plianC@°Ms'PeCt1011
Division Of Water Quality - ComplaanCe nspeCtion�IV, t,ai �Wf EE
Other Agency Operation IRevlew"
Routine O Com laint O Follow-up of DW2 inspection O hollow-u of DSWC review O Other
Facility Number Q Date of Inspection
Time of lnspeclion 24 hr. (hh:mm}
0 Permitted [3 Certified (] Conditionally Certified © Registered © Not Operational Date Last Operated:
Farm Name: ........... �� lr 5 er,,, County:......... /✓ 4 �°�"�.......:.........................1 U.................... 1..............................................................
Owner Name:........ ..l (T il .. .......... N :1. I!�............ .t�. Lr.............. Phone No:....................... o....(...rz..l..(,.....,.,............................
/ 1 Z
Facility Contact: ..... a .. ......�.V. rN.��................... Title: ... 1= it'd...... .... t.......:......, Phone No:..........,...................:....................
f� r�
Mailing Address:......X ................1.....�........, >� ......... s.(�`'..l.l...(../� ........... ............ I...............
OnsiteRepresentative:.....". ..a:.!......... ...........!, .. .r { r�................................. Intel;rator:.................................. ....................................................
Certified Operator: ..... k)a .lcr., G I'yl e 2l.,V-s'�........
±, Operator Certification Number;
Location of Farm:
............ ....................
Latitude Longitude
.D- _ 1 Desi n Current., Design Current
Capacity PooSwine Capacity tyPopulation YourYulation Capacity Po ula Lion.
O
Wean to Feeder Utj ❑ Layer Dairy
Layer
❑ Feeder to Finish ❑ Non -Layer ❑Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feder a Other�.
❑
❑ Farrow to Finish
Total Design Capacity2 OD
El G1ltsi
❑ Boars Total SSLW
Number'of Lagoons <F. '' ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area;
Holding, Ponds /Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation? ❑ Yes ANo
Discharge originated at; [:]Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? El Yes No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes o
c. if discharge is observed• what is the estimated flow in gal/min'?
d. Dees discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes o
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes r 0
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure h
Identifier:
Freeboard (inches): .........3.2....r........ .........3 1..r/.........................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
..................................
❑ Yes MNo
Continued on back

ti
Facility Number: Q — Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of
over application?/� ❑ Exc ssive Ponding ❑ PAN
12. Crop type I?lOr VIAt�l�YCA / a_,t� ) �A4 G II cro-11 n
'13. Do the receiving crops differ with those designated�p�DpliCation?
e Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25, Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes P(No
❑ Yes No
❑ Yes KNo
❑ Yes /, No
❑ Yes WNo
❑ YesA-A No
'A
❑ Yes KrNo
❑ Yes No
❑ Yes PNo
❑ Yes ENO
❑ Yes No
❑ Yes KNo
❑ Yes ( No
❑ Yes ',�] No
❑ Yes ANo
❑ Yes )r No
❑ Yes �No
❑ Yes �No
❑ Yes fi�No
❑ Yes )J�No
❑ Yes ,'No
�ib •viola600' s'oi'• ftrjcie ws wire opted- � wiog ois,visit; • :Y;op ' iil •�ecgiye ttjo fui-t er;
comes' 61idence' about: this visit: '
Comments (refe'r ta,questiion #)..,Explain any'iYES answersiand/or any recommendations'nr{any,other�eomments"j!,1€E �'!
Use drawings of facility to better`explain situatioins: (use additional pages as tiecessarv).
IZ s i-r GE �l txJ 7rar",-, a ,,,d 140
� e1,
Ir--arri iS iH 9000( s� ,
Reviewer/Inspector Name
Reviewer/Inspector Signature:
/ r-r � cPa_ "�' a �ct.S �ee. l�er•,�� ;�.e cl
Date:
3/23/99

Facility Number: D -- l9 I)atc of Ii►sl�ection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below MYes ❑ No
liquid level of lagoon or storage pond with no agitation?
2T Are there any dead animals not disposed of properly within 24 hours? ❑ Yes No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes JVNo
roads, building structure, and/or public property)
29! Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes o
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes 4'No
31. Do the animals feed storage bins fail to have appropriate cover? El Yes ' `rNo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? Y. lgeNo
t f
itiona ommenfs an or• D swings: . ,
- . u e , <<:
11
... � - �.- �.i
7
3123/99

Il
0 Division of Soil and Water Conservation 0 Other Agency
Division of Water Quality
19 Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review - O Other
Date of inspection
Facility Number d4 Time of Inspection 0 24 hr. (hh:mm)
13 Registered [3 Certified © Applied for Permit 0 Permitted 113 Not Operational I Date Last Operated:
Farm Name: ................................................................ County:f_ - . .......................
!✓,4,:,�ac�'�t............ r�l�:�/,�:..✓....................
Owner Name:..,'. ...f'....c................................................. Phone No ( �LO .....�.��'" �:��...�...........................
FacilityContact: ..... c,C� :. 2_5 ........ Title: .......................................................... Phone No:...................................................
Mailing Address:.. .r....`....`...Ar"... 7 ;Y1...��.��//�C...Zd��,�f�......................................................^....... ..........................
Onsite Representative:..^.f;%!&a.e-././t/!! t- ............... .. Integrator:..... % ...................
Certified Operator:...............�>w!./..........
.. ... ............................ Operator Certification Number,......
Location of Farm:
..................................................................................................................................................................................................................................
A
Latitude Longitude
Swine
IE
;Design "Current
'Capacity Population
Wean to Feeder
G•c)
Zap
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current
Poultry
Capacity.=Population Cattlel.
❑ Layer
JEI Dairy
❑ Non -Layer
ID Non -Dairy
❑ Other
T. 'T Aa1 Design Capacity
.Total: SSLW
<a
x d
Number of Lagoons I Holding Ponds. JEJ Subsurface Drains Present ❑ Lagoon Area ID Spray Field Area
" ❑ No Liquid Waste Management System
'en ra
Jr. Are there any buffers that need maintenancelimprovement?
❑ Yes
(FNo
2. Is any discharge observed from any part of the operation?
' ❑ Yes
KNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a, If discharge is observed, was the conveyance man-made?
❑ Yes
JE�-No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
❑ Yes
MNo
c. If discharge is observed, what'is the estimated flow in gaUmin?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
❑ Yes
kNo
3. Is thereevidence of past discharge from any part of the operation?
❑ Yes
No
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
No
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
j No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
OrNo
7. Did the facility fail to have a certifiedoperator in responsible charge?
❑ Yes
KNo
7/25/97
Continued
on back

F�
Facility Number: 403' —
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes %jrNo
Structures (Lag,00ns,llolding Ponds, Flush fits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes kNo
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(ft): ..........r .. !K.r .,......... �?/r�...............................................................................................................................................
10. Is seepage observed from any of the structures? ❑ Yes 6�No
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes, Q•No
12. Do any of the structures need maintenance/improvement? ❑ Yes •RNo
(If any of questions 9.12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13, Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes OrNo
Waste Application
14. Is there physical evidence of over application? ❑ Yes RNo
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type............................................................................................................................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? Yes ❑ No
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For (certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25, Were any additional problems noted which cause noncompliance of the Permit?
0. No.violations:or defteieheie's.were noted-d firing this:visit:..Y.ou.'will reeeive,h&fdrther
:. a ert!*) dente moot -this" visit.,',',, . .
❑ Yes PA No
Yes ❑ No
Yes jPW xrAll
❑ Yes 03'No
❑ Yes W No
❑ Yes R No
.I'Yes ❑ No
❑ Yes No
❑ Yes No
�:.�`& •R fi- - � � 3 S i 1rT -.-� x` �*£ yB °e `6�E "Y3ei k .FIY`
mmente (refer to�grtestion #) Explain any YES answers and/or any recomn ndataons or;.any other cptntrx antsna
&iJse dt w nga of facrhty,to better;exp63in A uahanx. (use addtttottal pages as necessary)
eta a
13. �s- 7/25/97
',
Reviewer/lnspector Name `
Reviewer/Inspector Signature: Date::21/ ]

PUMP STATION NOTES
PUMP AND CONTROLS DATA
1 THE PRECAST CONCRETE PUMP TANK SHALL BE DESIGNED AND
CONSTRUCTED IN ACCORDANCE WITH THE REQUIREMENTS SET
FORTH IN THE "LAWS AND RULES FOR SEWAGE TREATMENT AND
DISPOSAL SYSTEMS" NCDEH'NR -- DIVISION OF ENVIRONMENTAL
HEALTH, ON —SITE WASTEWATER SECTION — SECTION .1954.
2. THE RUMP TANK SHALL BE FABRICATED WITH AN OPEN TOP.
A BAR GRATE COVER WILL BE FABRICATED BY OTHERS.
3. THE EXCAVATION FOR THE PUMP TANK SHALL BE LEVEL AND
UNIFORM TO ENSURE FULL BOTTOM BEARING ON THE SOIL.
BOTTOM GRADE SHALL_ BE VERIFIED PRIOR TO SETTING THE
TANK
4. THE JOINT BETWEEN IHE TWO TANK HALVES SHALL BE SEALED
WITH 1" HUTYL RUBBER SEALANT ROPE. AFTER SETTING THE
TANK,, THE MATING JOINT AND ALL PIPE PENETRATIONS SHALL
RE FILLED AND SEALED USING HYDRAULIC CEMENT INSIDE AND OUT.
5. A "FLOAT TREE" SHALL BE PROVIDED IN THE PUMP TANK FOR
MOUNTING FLOAT SWITCHES. THE FLOAT TREE SHALL BE A 2"
PVC PIPES SET IN A 5 GALLON BUCKET OF CEMENT, OR SIMILAR
DEVICE THAT CAN BE EASILY REMOVED FROM THE TANK WITHOU F
DISTURBING THE PUMPS OR VICE ',,'E-RSA.
6. THE FORCE MAIN FROM THE PUMP STATION TO THE LAGOON SHALL
BE 6" SCHEDULE 40 OR SDR 2+6 PVC PIPE_. SCHEDULE 40 PIPE
SHALL- HAVE SOLVENT CEMENT WELDED JOINTS, SDR 26 PIPE. SHALL
HAVE GASKETED JOINTS. THE FORCE MAIN SHALL BE INSTALLED
AT A MINIMUM BIURY DIFPTH OF 3 FEET.
7, THE PUMP DISCHARGE PIPING SMALL BE 4" SCHEDULE 40 PVC PIPE
WITH SOLVENT CEMENT WELDED JOINTS. THE DISCHARGE PIPING
SHALL BE INSTALLED AS CLOSE TO THE OUTSIDE OF THE TANK
WALL AS POSSIBLE TO MAKE PIPE LESS SUSCEPTIBLE TO DAMAGE:.
£!_ THE ENGINEER WILL ASSIST IN SETTING THE FLOAT SWITCH LE\/FLS
DURING THE FINAL INSPECTION. THE SYSTEM MUST BE COMPLE rED
AND INSPF;,11 D PRIOR TO FARM CERTIFICATION.
9. LIFT CUT HAND WINCH AND FRAME ARE RECOMMENDED FOR TAF
GROWER'S CONVENIENCE, ,AND IS NOT A REQUIRED PART OF THE
PUMP STATION CONSTRUCTION.
(2) MYERS MODEL V4WHV NON —CLOG SUBMERSIBLE WASTEWATER
PUMPS (VERTICAL DISCHARGE)
4" DISCHARGE, 3" SPHERICAL SOLIDS HANDLING CAPACITY
5 HP, 1750 RPM, 60 Hz, 230 VOLT, SINGLE PHASE
6 1/2" IMPELLER
CONTROL PANEL:
MYERS CAT# CWHV4-50-21DW DUPLEX CONTROL PANEL OR EQUAL
5 HP, 230 VOLT, SINGLE 'PHASE
NEMA 4X FIBERGLASS ENCLOSURE, SEPARATE PUMP CIRCUITS,
ALTERNATING PUMP SEQUENCER, ELAPSED TIME METERS,
OVERP01F RELAY, PUMP RUN LIGHTS, SEAL- LEAK LIGHTS
FLOAT SWITCHES
(3) MYERS PM15NO FLOAT SWITCHES, POLYPROPYLENE ENCASED
18 - 2 ` JOW/A34 K 41 STRAND CABLE (LIFT STATION PUMPS)
(1) MYERS PM15NC FLOAT SWITCH, POLYPROPYLENE ENCASED
18- 2 5JOW/A, 34 X 4, STRAND CABLE (RECYCLE PUMP SHUTOFF)
r. 1RICAL SERVICE TO CONTROL PANEL
BE SIZED FOR BOTH PUMPS
Ira "1iNG sIML.1L T.ANE:C Ul.,.)I_ Y
F
I.D. -- 60" `~
STEPS
4" PVC PIPE I
4" BRONZE. E OWY
GATE VALVE
4" IRON BODY S'.",1 IN
CHECK VALVES
I
i
4" PVC PIPL
WINCH FRAMi — MADE FROM STEEL PIPE
TA I'ICsNAE?Y WANE MAYBE MADE FROM TREATED 4X4"S
\ x
4" IPON BODY SWING \ �
t:.HF-C'K VAL.VF
I
4" BRONZE
FLANGED CONNECTION BODY GATE VALVE
F
HAR GR A I F COVER
,`�. 1 f—Llf-.I—CILIT HAND
V i
PUMP POWLH `
I CORD I `�
FIRECAl:' i CONCRETE I
PVC MANHOLE
I PIPF I r
I I,
� -A � _
(21 s � � Irk _'L'7 STEEL }
r- F-11 `r St LEVE f ;1t,' SWIV"E° i- '_tP RA T!`_ rti
I
I
I
`c
36" BURY DEPTH
►.l A N H _ C STEP S
` 9 D )LLEI_*hti I1;_ iAFc(ilr ..;;PING
ruM�
NIN�J-L_:�_ ��►•tit_r�SIE3
4 ,
SWITC,HFS (T`PFARMS INC.
i'
110V WEATHERPROOF
CONVENIENCE OUTLET
LLL_, dCAL DISCONNECT
,NTROL PANEL
t= LO.- r )NTT Oi, C'CRD�
N" u I A F_4j
I I I NE V-71E Tl I
Pp
`>H U FOV F
St.ation Detaib­
I

biI
--Z7777-
AA,

SANDY SOIL MATEM& N
TOP 1 0' AS INDICATED P r
, CS INYf TFGAf1FjFJ WOR
LINER
SAND? yA)11-S
FEE
EAItiirNC GRADE
..}xrTIJ{J ILA:
A kkNIMIIM OF
roP.E Tk1:NCN
'; L' IN TU THE
7114.. ;L A
V
.1. II iJ _1 �—
T �.TTTT . ..a .A._ TI I
All -;N IN$FUE EDGE '_IF CURE J ! 11, i I �—
,OPE TREK::" �,0A� iif *R[,L
iM
E.rat ilnuk»' :r A %kNius -u A
s r1
111 i
TR NrH 'MT++ r:-FE INSIDE TtW
DIKE CROSS SECTION.
N.rs.
i
—� -- -- — — •;5 gar i' PUI{ i-raar: rilli TFl
i
I
VN--RE 1'E PAC-
2 BUILDING PAD SECTION.
2 N.T.S.
M (JRPH Y
T 'I
A
P. 0. ROX 759 ROSE HILL,
PHONE : (910) 289 .- 2171 NOR I-H CAROLINA 28458
T
c
WIDTH
PINEVIEW NURSER17' #2
G!EAE RAL DETAILS
(1E=MENT HLOCK PAL)
HP-ro, r MAo, IN
a:_.rx t F _,,.! BE[,"
F'rr f_ 5t�! i ' OR T SHALL BE — f
13A�;kFlfLli.C' MISN CC.AV
AN6 C*MI'A,�IEO
NOTES
1. THE GROWER MAY USE EITHER
i- )NCRETE BLOCK QJPLA`;H PAD OR
FLEXIBLE PIPE SCOUR PP.OTECTION
DEVICE:.
�'. THE `'PLASH PAL) `aHALL EX TEND
MINIMUM OF 1.0' UPSLOPE OF THE
PIPF END TO 7.0' BE'Y'OND fHE TOE
0TIDE SLOPE.
ZE rF EILOCr SHALL CIE LAIC,
HF.�? 1n;s�l� v wlrli NC.
+at iYh_the
I r'I W"JIMOM
' •.RCE MAIN 1 _ — STRAP PIPE—� — 1 r01`t'L MAIN
SECURELY
J� TO CRADLE
%A
12 k 6 — 4' FIEF
— — 1�� k 19 — !d• FM
, Tro±F.A TLU (T ) PI
r -
7YP, MF AIEE1
4 A C IRE A lED
4 t A TREATED
II P05T
1' CRADLE OPHON.;
A — A
L SGUUK PKUIt(:IIUN DEVICEJ
3 N.rs.
{ y Hivri ENL 'R'ALJE
WO r.wtN� i Pt.,INT
i
{
CUW END (;PAC)E `
REFERENCE POINT
­ .- �It. 't.: l' rfl1.[I'J l: r1+
00' BUILDING LENGTH
SLOPE
ITTf-
17-r�r-T� _I I---
5 BUILDING PAD SECTION (LENGTH_
2 N.T.S.
BRA W!',) h) . -'HB
MA'1 r i,01
:HEC:KE_D HY- JNI
F([ L I ()14
-' ('AL -I . f,)u('VL

ley
07 U■v
tTP#29
1
THE SITE EVALUATION FOR THIS FACILITY WAS
CONDUCTED ON SEPTEMBER 30, 1996. L�
ALL SURVEY COLLECTIONS, LOCATIONS, AND ELEVATION
DATA GATHERED BY MURPHY FAMILY FARMS
ENGINEERING DEPARTMENT.
SEE DETAILt" TEMPORARY SEDIMENT TRAP
{ ) LENGTH = 24.00' J
Now TD
THIS SITE IS BEING CLEARED FOR THE CONSTRUCTION _ + WIDTH = 12.00'
OF THIS FACILITY, THEREFORE, NO OBSERVATC10
ION OVERALL DEPTH = 2.84
TRENCH IS REQUIRED. U 1 S SEDIMENT STORAGE DEPTH = 1.34'
STONE WEIR LENGTH -= 4.0'
X' __ 'SEE DETAIL
't
CONTROL POINT # 579
REBAR
N = 6541.8396
E = 4738.1860
ELEV. = 93.84
CONTROL POINT # 490
ORIN REBAR j
BENCHMARK N = 6459.0909
RRS 10 IN DOGWOOD E = 4538.3443 j
ELEV. = 97.82 ELEV. = 94.2.1
I�.
jL. 014
400' SETBACK FROM
PINEVIEW NURSERY #1
SEE DETAIL
CONTROL POINT # 530 3
REBAR
N = 6290.5766
E = 4.717.0853
g7r ru - Or, ')d
! +- 5 I �'
r
i
LOW END OF PAD
ELEVATION = 96.00
TPJ15
PRECAST CONCRETE
PULL PLUG BOX
TOP ELEVATION - 97.92
BOTTOM ELEV. = 95.25
INV. OF DISCHARGE = 94.08
5' DIA. PRECAST CONC.
PUMP CHAMBER
TOP ELEVATION = 98.26
INVERT IN ELEV. = 93.76
BOTTOM SUBGRADE ELEV. = 90.2E
CONTROL POINT # 273
REGAR
N = 61 Z4.1 299
E = 4436.6700
ELEV. = 98.55
PRECAST CONCRETE
PULL PLUG BOX
TOP ELEVATION 98.25
BOTTOM ELEV. = 95.58
INV. OF DISCHARGE = 94.41
GRAPHIC SCAI.,E
40 0 20 40 do
k IN FEET ?
MU.RP-HY
!60
0
L
�aq
02
ILL
SEE DETAIL
kw
� n ,
ti 2Z.7
I
CONTROL POINT # 555
APPROX. 250 LF - 6"
PVC FORCE MAIN
INV 0 LAGOON = 98.5
MIN. BURY DEPTH = 3
f
f REBAR
i
N = 6418.0864
E = 4971.3464
ELEV. - 94.53
I AqJUL
r
Lj
01
0 w
c 0
EE DETAI /�CL CL
TuP OF UVI,:E
WIC) TH (T'�'F' )
TS 1PS
r7
PAD
T F { TP
8' BACKWATER� ' _ � . �--'1--� ems.
VALVES
TP 2 f
/ CONTROL POINT # 49
REBAR
N = 6120.1270
E = 4862.7917
ELEV. = 94.97
WAJL h, L2VC.
P. 0. BOX 759 R'OSF HILL.,
pHoNF I(91 O i 289 - 2111 NORTH CAROONA 28,158
� nl�lr irlr rnr��Fiw�•���
:f
11 U0- 8DISCH,__..-..r
PIPE 0 I
9''�24' LOADING
5 �
CHUTE.
4780' SETBACK
FROM BROWN'S SOW FARM
0
LAGOON ELEVATION DATA
TOP OF DIKE ELEV. = 99.50
START PUMP ELEV. -= 96.90
STOP PUMP ELEV. = 94.50
FINISHED BOTTOM ELEV. = 88.30
_ TEMPORARY SEDIMENT TRAP
LENGTH = 28.00'
,L WIDTH = 14.00'
OVERALL DEPTH = 104'
SEDIMENT STORAGE DEPTH = 1.54'
STONE WEIR LENGTH = 4.0'
SEE DETAIL
r
HIGH END OF PAD
_ELEVATION = 96. 6 `a
y„ MINIMUM
ROAD WIDTh
2 14 FT
TRUCK
TURN AROUND �
�,. BENCHMARK
/ RRS 6 IN GUM TREE
ELEV. = 95.61
I
OWNER:
JC; 1, LLCC
412 I..AFA.YETTE SIREE I
CLINTON, NC 28328
EARTHWORK
CALCULATION
DATA
METHOD USED:COMPOSITE
TOTAL EXCAV, olON
7279 CY **
EXCAVATED CLAY 635 CY
PAD AND DIKE FILL
5965 CY
REQ'D FOR CORE TRENCH 635 CY
NET
1314 CY
CLAY BORROW 0 CY
SUITABLE FOR CORE
TRENCH 635 CY
VASTE
679 CY
* FILL VOLUMES HAVE
BEEN ADJUSTED
BY 15%
FOR SHRINKAGE DUE
TO COMPACTION.
**
TOTAL EXCAVATION
VOLUME INCLUDES
UNDFRC'UT FOR
Sq
CORE TRENCH.
E 7NERAL NOTES:
11 ELEVATIONS SHOWN ON THIS PLAN ARE BASED ON AN ASSUMED BENCHMARK
ELEVATION AND DO NOT REPRESENT MEAN SEA LEVEL DATUM.
21 ANY HEAVY VEGETATION AND/OR ROOT MAT SHALL BE STRIPPED FROM PAD
y I AND LAGOON AREAS PRIOR TO PLACING FILL, ROOTS IN EXCESS OF 2
INCHES IN DIAMETER WILL NOT BE ALLOWED IN FILL SECTIONS, ANY STUMPS
'ENCOUNTERED IN LAGOON SIDE SLOPES OR BOTTOM MUST BE REMOVED,
3, THE SOILS INVESTIGATION DONE BY MURPHY FARMS INDICATES SUITABLE
MATERIAL FOR USE AS A LINER IN THE PROPOSED LAGOON AREA. A CLAY
jNER WILL NOT BE REQUIRED, HOWEVER, A CLAY CORE TRENCH WILL BE
REQUIRED UNDER THE DIKE. THE CORE TRENCH AND ALL DIKE FILL
MATERIAL SHALL BE THOROUGHLY AND UNIFORMLY COMPACTED SUCH THAT THE
PERMEABILITY AFTER PLACEMENT SHALL NOT EXCEED 1.25 X 10--6 CM/SEC.
THE INNER SLOPES OF THE LAGOON SHALL ALSO BE SCARIFIED AND COMPACTED
AFTER EXCAVATION SO THAT THE EXISTING CLAY SURFACES ARE RESEALED.
UNDISTURBED CORE SAMPLES OF THE CLAY MATERIAL WILL BE TAKEN AFTER
COMPLETION AND WILL BE LAB TESTED TO CONFIRM THE PERMEABILITY. SEE
DIKE / CORE TRENCH SECTION ON SHEET 2.
4� fHE LAGOON IS BEING PLACED IN A WET AREA WITH THE WATER TABLE
?IBEING VERY NEAR EXISTING GRADE. IT IS IMPERATIVE THAT THE
CONTRACTOR INSTALL DRAINAGE MEASURES AT THE START OF THE PROJECT
AND MAINTAIN THEM UNTIL ALL. LAGOON GRADING AND LINING IS COMPLETED.
5. THE LAGOON SHALL BE PRECHARGED WITH WATER TO AT LEAST 1/2 THE
TREATMENT ZONE DEPTH AS SCION AS THE LINER IS COMPLETE AND HAS BEEN
TESTED. THIS IS IMPORTANT TO HELP REDUCE START-UP ODORS.
F i
6.,,ALL FILL MATERIAL PLACED ON -THE BUILDING PAD AND LAGOON DIKES
`SHALL BE COMPACTED TO 95% OF THE STANDARD PROCTOR MAXIMUM DRY
I )ENSITY. IT' IS RECOMMENDED THAT COMPACTION BE DONE WITH A
3HEEPSFOOT ROLLER,
7. ,BUILDING PAD ELEVATIONS SHOWN ON THIS PLAN REPRESENT BLDG. SLAB
13UBGRADE. SEE PAD CROSS SECTIONS FOR GRADE REFERENCE POINT.
['e ` 0-v..1/A n A TT R FP! A. /'1 /•1 f'4 i. 1 r'1,:zr- rrnr r^IF-.i- r'1 rF+ • nr- '7- 4 1 1b 11 r-�r ^1 Y-
F-\V Ir'^r"11 i11nr
V. .,1144liN 1 Fyl\V t-r-ivv VF\ 4I1iL VIIJ M... GAVF Vim,/ f141L Vr 1 VF\{.. VJ Af 11 IL.1\TAT J{^
jT-ED ON PLAN.
9. I `#V' i`ER k. r-F`L Y WELLS FLAG O CN�I THE SITE T M F
1 k E S EMUS BE A MINIMUM 0
ADO' FROM THE CLOSEST POINT OF THE LAGOON-
1)0, THE FOLLOWING ITEMS SHALL BE DONE WITH REGARDS TO THE LAGOON
CONSTRUCTION BEFORE THE FACILITY IS CERTIFIED: LAGOON DIKES
LEGEND 1' 'FERTILIZED, SEEDED AND MULCHED INSIDE AND OUT; APPROVED SCOUR
PROTECTION DEVICES INSTALLED AT THE DISCHARGE PIPES; THE STAFF
r-� EXISTING WOOD SL I N E GAUGE' INSTALLED; THE LAGOON PRECHARGED.
WETLANDS
I
SEEDING NOTES:
--- -- - 50 -. - - EXISTING CONTOUR
50 -- FINISHED CONTOUR
F- M
PVC; FORCE MAIN ,
8" PVC DISCHARGE PIPES
MINIMUM BUILDING / LAGOON
SETBACK LINE
-------- m-----�` TEMPORARY DIVERSION
SWALE // DIVERSION
-1 4' X 8' CONC. BLOCK
SPLASH PAD
PROPOSED FARM ROAD
STAFF GAUGE
TF
(;?� SOIL TEST PIT
P1. LI, .., 01, PAD, LAGOON, OFFSET
STAKEOUT POINTS
THRUST BLOCKING
PINEVIEW NURSERY #2
4200 NURSERY
1 AL_L DISTURBED AREAS SHALL_ I3E SEEDED, FERTILIZED AND MULCHED AS
SOON AS POSSIBLE AFTER. FINAL GRADING IS COMPLETED. THIS INCLUDES
INSIDE SLOPES OF THE LAGOON.
2. PREPARE DISTURBED AREAS FOR SEEDING BY GRADING IN ALL SURFACE
WATER DIVERSIONS AND SHAPING TO FINAL GRADES SHOWN ON PLAN,
3_ APPLY LIME AND FERTILIZER THEN DISK TO PREPARE A 3 TO 4 INCH
SMOOTH SEEDBED- APPLY SEED AND FIRM SEEDBED WITH A CULTIPACKER OR
SIMILAR EQUIPMENT, APPLY MULCH AND SECURE WITH A MULCH ANCHORING
TOOL OR NETTING.
SOIL AMENDMEN IS.
2000 LBS OF 10-10--10 FERTILIZER (1000 LESS/ACRE)
4 TONS OF DOLOMITIC LIME (2 TONS/ACRE)
200 BALES OF SMALL GRAIN STRAW (100 BALES/ACRE)
SEEDING SCHEDULE:
Winter
120 LBS OF FLSCUE" (60 LBS/ACRE) -- SEPT- 1 TO NOV 30
80 LBS OF RYE GRASS (40 LBS/ACRE) -- DEC 1 TO MAR 30
60 LEIS OF' RYE GRAIN (30 LBS/ACRE) - nurse crap for fescue
20 LBS OF UNHULLED COMMON BERMUDA GRASS (10 LBS/ACRE)
- JAN 1 TO MAR 30
summer
120 LESS OF PENSACOLA BAHIA GRASS (60 LBS/ACRE)-MAR 15 TO JUNE 15
16 LBS OF HULLED COMMON BERMUDA GRASS (8 LBS,/ACRE)-APR 1 - JULY 31
TOTAL AREA TO BE SEEDED AND MULCHED = 2 ACRES (APPROX)
now
[�Ff
0
z
U
I"
LLJ
0

r- --9
BLADEN LA—) LIN
L)RA WN H ) .
MAY 5, 1997
CHECKED BY. JNT
SHEET J OF 4
_>c'ALE: 1 '" = 40'

N
CURE TRENCH SHALL EXTEND
A MINIAWM OF 2.0' INTO
tkIST1Nf. CLAY
EYI'iiING CLA r IN BOTTOM
UINWOM DEPTH C1F ZO'
Im
__" LJ 1 L LLj 14rrr_14
— ('ORE TRENCH SHALL fat_ VADE ENGUGH
TO ACCOMODATE PROPER COMPACTION
FOIJIPMENT A MINIMUM OF d 0'
N.T.S.
INSIDE TOP OF DIKE -
ST,AKING PC4NT
- I E C4.A Y LINER
-jllillP=_�l
EMSTTNG CLAY
IIII rim
MURPHY�
SANDr
SCALS
DIKE CROSS SE.
N.T.S.
FARMS,,,.
P. 0. BOX 759 ROSE HILL,
PHONE : (910) 289 - 2111 NORTH CAROLINA 28458
I Z 00'
a•IQpi2 f)iFSfl
FOR CLAY
-- 1 LINEF, — 5 OF
TCP OF DIKE
STMP TOPSOIL BEFORE FILLING DIKE
CTION
ExISTING GkADf
i:TRIN6 FORCE MAIN INTO
LA50ON 1 FOOT BELOW
PINEVIEW NURSERY #1
DETAILS
Ff'RCE MAIN
PIPE SUPPiOkT SHALL BE —/
BACK.FILLED Y44TH CLAY
AND COMPACTED
5TRAP PIPE
SE.CUR£LY
f TO CRADLE
2 ■ i TRFATEO I TyP)
a x n IREATT'D
POST
CRADLE OPTION'S
A -- A
A MINIMUM Ur I.0 Ut'�LVr't. Ut Irit-
PIPE END TO 7.0' BEYONG THE TOF
OF THE SLOPE.
CRADLE
'ZRI TE BLOCK SHALL BE LAID
TOGS THER TIGHTLY MATH NO
GAPS BETVKEN
1-� — 7 0' MINIMUM
PYR!-.F MAIN
f
2 A r TRFATED
x a TREATED
POST
SCOUR PROTECTION DEVICES
N.T.S.
— COMPACTED GRANULAR BACKFILL
MATERIAL 1.0' MIN
III=-I�i{{
�I1-
�-4r-I11
ill
IIIIII
I---
vvvvvvvvvvv
0 V V 0 d V 0 `! Q V v
-I
--I
0 0
0 0
�� 6' DIAMETER SOCK COVERED.
PERFORATED PLASTIC PIKE
7(I ESTkNG GROUND L'
0
v e-
I
� I 1
v 0
I I! I 11
ksACK,FVLL MATL.RIAL. AROUND PIPE
Q
q
SHALL BE A COARSE SAND WITH
I
LESS THAN `)% PASSING #200
D
`�✓
I — I
SSEVE AND 'SHALL BE COMPACTED
17 © p
O Q D
I
TO 95%OF 57ANDARD PROCTOR
_
MAXIMUM DRY DENS! T�
0'
MINIMUM
SUBSURFACE DRAIN PIPE
N.T.S.
&LADEN COUNTY
DRAWN BY: JWR
MA 'r" I' ,
�'HI.-G lP H r: J N 7
r_>f

PUMP STATION NOTES
mp
AND
ONTROLS DATA
I.D. = 60"
I THL PRECAST CONCRETE PUMP FANK SHALL BE DESIGNED AND
CONSTRUCTED IN ACCORDANCE WITH THE REQUIREMENTS SFT
FORTH IN THE "LAWS AND RULES FOR SEWAGE TREATMENT AND
DISPOSAL SYSTEMS" NCDEHNR — DIVISION OF ENVIRONMENTAL.
HEALTH, ON —SITE WASTEWATER SECTION — SECTION .1954.
2- 11-lF PUMP IANK SHALL BE. FABRICATED WITH AN OPEN FUP.
A BAR GRATE COVER WILL BE FABRICATED BY OTHERS.
3. THE EXCAVATION FOR THE PUMP TANK SHALL BE LEVEL AND
UNIFORM TO ENSURF FULL BOTTOM B APING ON "rHF ' C01;_
BOTTOM GRADE. SMALL BE VERIFIED PRIOR TO SE FTING THE
TANK
4, THE JOINT BETWEEN THE TWO TANK HALVES SHALL BE SEALED
WITH 1" BUTYL RUBBER SEALANT ROPE. AFTER SETTING IHE=
TANK, THE MATING ,JOINT AND ALL PIPE PENETRATIONS SHALL
BE FILLED AND SEALED USING HYDRAULIC CEMENT INSIDE. AND OUT.
5. A "FLOAT TREE" SHALL BE PROVIDED IN THE PUMP TANK FOR
MOUNTING FLOAT SWITCHES_ THE FLOAT TREE SHALL BE A 2"
PVC PIPE SE I IN A `i GALLON BUCKET OF CEMENT OR SIMII.AR
DEVICE THAT CAN BE EASILY REMOVED FROM THE TANK WITHOUT
DISTURBING THE PUMPS. OR VICE VFtRSA
6. THE FORCE MAIN FROM THE PUMP STATION TO FHE LAGOON SHALL
BE 6" SCHEDULE 40 OR SDR 26 PVC PIPE SCHEDULE 40 PIPE
SHALL HAVE SOLVENT CEMENT WELDED JOINTS, SDR 26 PIPE SHALL_
HAVE GASKETED JOINTS. THE FORCE MAIN SHALL BE INSTALLED
AT A MINIMUM BURY DEPTH OF 3 FEET.
7. THE PUMP DISCHARGE PIPING SHALL BE 4" SCHEDULE 40 PVC PIPF
WITH SOLVENT CEMENT WELDED JOINTS, THE DISCHARGE PIPING
SHALL. BE INSTALLED AS CLOSE TO THE OUTSIDE OF THE TANK
WALL AS POSSIBLE TO MAKE PIPE LESS SUSCEPTIBLE TO DAMAGE..
B. THE ENGINEER WILL ASS.ST @N Sr TTING THE I`LOA1 SWITCH LFVLLS
DURING THE FINAL INSPECTION, THE SYSTEM MUST BE COMPLETED
AND INSPECTED PRIOR TO FARM CERTIFICATION.
0. LIFT CUT HAND WdNC;H AND FRAME ARE; RECOMMENDED FOR TH'F
GROWER'S CONVENIENCE. AND IS NOT A REQUIRED PART OF THE
PUMP STATION CONSTRUCTION.
1
P
PUMPS.
(2) MYERS MODEL V4WHV NON —CLOG SUBMERSIBLE WASTEWATER
PUMPS ('VERTICAL DISCHARGE)
4" DISCHARGE, 3" SPHERICAL SOLIDS HANDLING CAPACITY
5 HP, 1750 RPM, 60 Hz, 230 VOLT, SINGLE. PHASE
6 112" IMPFIA-ER
CONTROL PANEL:
MYERS CAT# C:WHV4-50-21DW DUPLEX CONTROL PANEL OR EQUAL
5 HP, 230 VOLT, SINGLE PHASE
NEMA 4X FIBERGLASS ENCLOSURE, SEPARATE PUMP CIRCUITS,
ALTERNATING PUMP SEQUENCER, ELAPSED TIME METERS,
OVERRIDE RELAY, PUMP RUN LIGHTS, SEAL LEAK LIGHTS
I-L0AT SWT FCh)..__"
(3) MYERS PM15NO FLOAT `)WITCHES, POLYPROPYLENE ENCASED
' t, .' SJOW/A 34 r 11 S FRAND ti; AHL_E: LIFT 'STA LION F'UmPS)
(1) MYERS PM15NC Fl 04' `,W1TC.H, a`OLYPPO PYLFNE FNCASE 1';
C, 5Jr)A, 34 � . f RAND C AL3l.E t:I* Yi_;'LI, i�f 1AtiF� SH'I;T�:it
'SIZE
I [SEND
BEND
,BENS}
TIES
PLUGS
4"
6"
R"
6"
6"
6"
Ei,
t
8"
8*
14"
6"
8'
12'
10"
12'
6"
8"
I .3
8"
8"
8"
10"
15"
t3'
8"
10"
5'
9"
9"
t12"
12"
20"
10"
16'
14"
10"
12"
6"
10"
11 "
14"
i 14'
25"
19'
14
.—:N
E� _
h" 2"
20' 3C)"
24' S6`
6"
_Z„.
[6'
27'
32�
12"
14'
14'
16'
8"
10"
11'
12"
14
16'
1E'
18'
16'
18"
3n*
34"
16^--1£3"
20
21"
25'
:J=i
24
26
11 J_
4" 4 E'
15 16"
1 h" I i 8"
18"__20"
r.'i'
24
29
2Q"
3f3"
25' 722"" 48
2.6" , -If)* 150"
29 29 58"
f7a=��.
r�
t
PLAN VIEW
UQTL_.
ELE�= '' ICrAL SERVICE TO CONTROL. PANEL.
SHA.L_: BF SIZED FOR BOTH 'PUMPS
RUNT` iNG SIMULTANEOUSLY
110V WEATHERPROOF
",0NVFN11=_NCE 4DU TLET
ELECTI✓!, AL DISCONNECT —
Gam;
FLOAT ?Ol CORDS ----.
f�TJ
STEPS
4" PVC PtPF
4" BRONZE BODY
GATE VALVES
4" IRON BODY 5WIIAG
CHECK VALVES
4" PVC PIPE
�r.
WINCH FRAME MADE FROM STEEL PIPE
STA FIONA Y FV AML MAY BE MADE FROM TREATED 4X4'S
,
4" IRON HOD Y SWING
4" BRONZE �
FLANGE[) CONNECTION — BODY GATT- VALVE
U Al uR A TE. C 0 1_I_ - -1-
I_I I 1P
.J t HAND WINCH

u
yd„
K:
I I
7
0
0
71
FTI
70
9

L F7-1
VG PAD SECTIONLENGTHj
I'AG" PAD SECTION 1NIQTH)
N.T.S.
7
J L'INF_;, '�Dik\1 CROSS SECTION 6
N.T.S. (2
i
FARMS[ N' C.
611('Xe 1 p i C. 'A i-e j
PINEVIEtiti' NLIKSERy' #.I
DFTAIL��
-
f I ' :-.' -. . - i ', I
w
I..
SCOUR PROTECTION DEVICE:S'
N.T.S.
,,Alf o i I
MINIMUM REQUIRED FARM ROAD,
N.T.S.
jot

GENERAL NOTES:
1. ELEVATIONS SHOWN ON THIS PLAN ARE BASE ON AN ASSUMED BFNCH-
MARK ELLVATION AND GAO NOT REPRESENT MEAN SEA LEVEL DATUM
2- ANY HEAVY VEGETATION AND/OR ROOT MAT SHALL BE STRIPPED FROM
PAD AND LAGOON AREAS PRIOR TO PLACING FILL ACTUAL STRIPPINC
REQUIREMENTS SHALL BE SITE SPECIFIC, AND SHALL BE DETERMINED IN
THE FIELD BY MURPHY FARMS PERSONNEL. THIS MATERIAL SHALL
BE STOCKPILED AND MAY LATER BE RESPREAD ON BACKSLOPES TO HELP
REESIABUSH VEGETA-LION, BUT SHALL NOT BE USED AS STRUCTURAL I- -ILL.
INDIVIDUAL- ROTS OF 2 INCHES IN DIAMETER OR GREATER WILL NOT BF
ALLOWED IN FILL SECTIONS. ANY STUMPS LNCOUNTERED IN LAGOON SIDE
SLOPES OR BOTTOM MUST BF REMOVED,
3. THE SOILS INVESTIGATION DONE BY MURPHY FARMS INDICATES
SUITABLE MATERIAL FOR USE AS A LINER IN THE PROPOSED LAGOON
AREA. THE SIEGE SLOPES OF THE LAGOON SHALL BE UNDERCUT FOR
1.6' THICK 'LINER AND THE EXISTING CLAY IN THE BOTTOM SHALL BE
SCARIFIED AND MIXED. THE LINER MATERIAL AND THE BOTTOM CLAY `:HALL
BE THOROUGHLY AND UNIFORMLY COMPACTED SUCH THAT THE PERMLABI[ 'ITY
AFTER PLACEMENT SHALL NOT EXCEED 1.25 X 10-6 CM/SEC. UNDI S 1)JRBED
CORE SAMPLES OF THL LINER MATERIAL AND THE BOTTOM CLAY WIL p11
TAKEN AFTER COMPLETION AND WILL BE LAB TESTED TO CONFIRM 'H. -
PERMEABILI IY. THE MURPHY FARMS ENGINEERING DEPT MUST APPR1, r .,.+_
LINER MATERIAL PRIOR TO PLACEMENT. SEE LINER/DIKE CROSS SE(--M >N
DETAIL ON SHEET 2.
4. THE LAGOON IS BEING PLACED IN A WET AREA WITH TI`-iE WATER TART r
BEING WITHIN THE 'EXCAVATED DEPTH, !T !S IMPFRATIVF THAT THE
CONTRACTOR INSTALL DRAINAGE MEASURES AT THE START OF THE
PROJECT AND MAINTAIN THEM UNTIL ALL LAGOON GRADING AND LINi!,,,,
IS COMPLETED.
5. THE LAGOON SHALL BE PRECHARGED WITH WATER TO AT LEAST 1/2 THE
TREATMENT ZONE DEPTH AS SCION AS THE LINER IS COMPLETE AND HAS
BEEN TESTED. THIS IS IMPORTANT TO HEI.P REDUCE START-UP OiFrF?`,
AND 'TO GUARD AGAINST SLOUGHING OF THE. LINER MATERIAL.
6. ALL FILL MATERIAL PLACED ON THE BUILDING PAD AND LAGOON DIKE'
SHAI._L BE COMPACTED TO 95% OF THE STANDARD PROCTOR MAXIMa-ilwl I)RY
DENSITY, IT IS RECOMMENDED THAT COMPACTION BE DONE WITH A
SHEEPSFOO F ROLLER.
e- BUILDING PAD ELEVATIONS SHOWN ON THIS PLAN REPRESENT ULDG
SLAB SUBGRADF SFF PAD CROSS SECTIONS FOR GRADE REFERENC T
POINT,
8. BUILDING PAD AND LAGOON DIKE SIDE SLOPES ARE 3: 1 UNLESS
C+TH'ERWISL NOTLU UN PLAN.
9. ANY WATER SUPPLY WELLS PLACED ON THE SITE MUST BE A MINIMUM
100' FROM THE CLOSEST POINT OF THE LAGOON
10. THE FOLLOWING ITEMS SHALL BE DONE WITH REGARDS TO THE l_AGOCTv
CONSTRUCTION BEFORE 'THE FACILITY 15 CERTIFIED: LAGOON DIKLS
FERTILIZED, SEEDED AND MULCHED INSIDE AND OUT; APPROVED SC(r,-1(ti
PROTECTION DEVICES INSTALLED AT THE DISCHARGE PIPES; THL
STAFF GAUGE INSTALLED; THE LAGOON PREC:HARGED.
SEEDING NOTES: ,
1 ALI DIS-!URSEC AREAS SHALL- BE SEEDED, FFR`,LuZFD AND k4uL,FiE0 AS
SOON AS POSSIBLE AFTER FINAL GRADING IS COMPLETED. THIS I
INLL I DES IN -AIDE `,L_OPI S Of THE LAGOON.
-EPARL �)i lLlf•`BLD AREA F,'-)R :SLE) iN(, UY t-RAIDING IN ALL SIJRFA :I
"A`FR DIVERSIONS AND SHAPINC TO FIN41_ GRADI=S SHOWN ON PLAty
IMF ANE) Ft-RTI;_!,'-ER THEN DISK TO f REPA�R A 3 TO 4 INC-H.
SMO0 € H SEE DHE D APPLY' SEED AND FIRM SEEDBED WITH A
C l� TIE ( Eh (43 SIMPLAP EC,I1,11I1Mf- r� I c0_1PI Y MLJI_C;H AND SECUR!
A MULCH ANCHORING TOOL OR NETTING..
SUIL
ANI
NLrv1r
NT:-1):
3000
L_HS
011- 10-
10-10 I-fRIIL1,2ER 1.1U00 LBS/ACRE)
6
Tr )N`I
OF DOLOMITIC LIME (12 TONS% ACRE")•
C:��Iv ? 1'; tw I'N b12fi2
300
SAL FS
C .`1►1�ALi_ GRAIN STRAw (100
GALES/ACRE)
F,Fb;,,P
I - ' 04f- 61
SEEDING
SCHEDULE:
F- - 4340.07 ?
winter
180
LBS OF
FES 'LJE (b() SEP
I 1 F0 NOV 30
1201
LOS OF
RYE GRASS (4C: _EIS/ACRE)
DEC 4 TO kitI 30
90
LBS OF
RYE GRAIN (.3C' LBS/ACRE) -
nurse crop*or fescue
30
LBS OF
ONHOLLED COMMON BF:RMIJOA.
(BRASS; (10
,JAN ) TO MAP 30
sumrr)er c,�
90) LOS (.�T I''Lr4SAC"LA D4f-IIIA GRtfO5; ;60 *—E3' /A i
24 LBS 10F HULLED ',-n.VVr)N BFPKIO `iA. CPA,�S (8 LhBS/A.CRE'- APP
TCTA'L t Rim, 1' (BE SEE! -,FL' A%N0 41UI.,CI-IE_G 3 iv(- FC-
• r�
3
1
1
I!.
J
c�
E 1P a a
FA R M k S" INC.
THE SITE EVALUATION FOR THIS FACILITY WAS CONDUCTED
ON SEPTEMBER 30, 1996.
ALL SURVEY 'COLLECTIONS, LOCATIONS AND ELEVATION DATA
GATHERED BY MURPHY FAMILY FARMS ENGINEERING DEPT.
THIS SITE IS BEING CLEARED FOR THE CONSTRUCTION OF
THIS FACILITY, THEREFORE, NO OBSERVAJION TRENCH IS
REQUIRED.
MAGNETIC NORTH
CONTROL PNT #265
RFBAR
N = 5891.5728
E __ 4046 8 7 -76
-1� ELEV = 104 ,
-� 0
EARTHWORK CALCULATION DA--1 A.
METHOD +_.I'�E1). CC)Iv1POSITE
TOTAL, E.Xt_AVA1i(_)N 9.1bj - ** LXCITILL! 1_,Ai
PAD AND DIKE FILL C-) I L RI_Q'I1 FOR LINIFF='
NET 4 962, _ Y
)U11ABLL FOI". LINER 1,
• II_ L VOLUMES HAVE HFl= N ADJUSTED BY -10% AND 41LA1
Vt 1LIJMFS F= • v �,� "�, Fs.�r; `_,'HRVhih Ar;F L:+I_II_ ir' ('(}},"�.r�r'T°(�h1
w4 T(i iA� h_',I.i 1!(,)N ;VI: INCI 111)1 i!1Vs I-R1 ^ I I-' yf
LINER.
LACE_ ON _EVA I-I'ON DATA
TOP �")F DXI EL. _= 105 00
START PUMF EL. 102,40
STOP P[jI'v!P = 99.80
F= INISHLU BC'Ott EL. 93.8­0
L�t�tCyu
EXI'SIING W000 i-IT;I_
PROPOSED) CLEARING I.?MI
WETLANDS
EXISTING CONTOUR
—__- --_- 60
FINISHED CONTOUR
Dp
S" PVC DISCHARGE PIPE
FM
PVC FORCE MAIN
THRUST BLOCK
---°--n --- ` `
�^—'---' SUBSURFACE DRAIN TILE
MINIMUM BUILDING / LAGOON
W
- _ SETBACK LINE
m
TEMPORARY DIVERSION
- t- --
•-� SWALE / DIVERSION
---
4' X 8' CONC. Bg-OGK
SPLASH PAO
STAFF GAUGE.
HIGH END OF PALL _,1- �_ `�-�-_�- 0 SOIL TEST P1 T
�- ELEV = 103.60
-`' '�yy CONTROi PNT # ?O PAD, LAGOON, OFFSET
1500 BROWNS SOW REBAR �'
FARM SETBACK STAKEOUT POINT`'
�~ N -- 6364.2031
--�. �- E 41b4,939.
ELEV = 101.47
/ 6" DRAIN TILE 9,1•"1'1.<:�l,
F2 _� - _ 00' �ROPE14fiY !1��'=98.00 APPROX
P4 500 LF 6
;711 rn P3 � } ,,, - `'� -L-� _�ACk (HIGH PNT) C'tJRRL)GATEC}
CONI•i AS)IC DRAIra TILT= REB ROL PNT #430,'
�__,- -
PRECAST CONCRETE PULL. PLUG BOX _ r F 1M TH s-ILTER SOCK N = 6685.1564
TOP ELEV = 105.2L) -�`' ` ---�. _ 1 ..-.. 0.50, C = '41 70.9860
FLED PAD SEI EIOTT(�M F'LEV = 10?.53 --'` �, _ `�" SIp..�„ . - �
F1 ELEV 97..32
INV OF DISCHARGE PIPE = 101.37 % v �-- '��. a'
A T EXIST ORADF� , rr
p� 8 TILE — � �` ..�.--+>~,_ c� ti ' . R A I N
�
C�
f 3P 12 f- �•-- �' i 4�- I
L't L1JAU1JU I 1-riU 1 L
I j 1I CONTROL 'PNT #273
r a N
L'I''PP 0 0.7"i' SLOPE z v J ? d
1 •` 0 I
6' DRAIN TILT:
INV-97.00 j
J 400' SETB A r 1=: FROM
I-'INLVIEW uL ,,SERY
y.i. RACKWAR _ .a�.-�- - - - - �_ _ _! �� I►,I,r r I N�r ra _ r;!
VALVES f - MIN
09 7F' 4 Ie4x
- r. LOW Ct i,, OF i " I _ _ r 105
,'
Y [? CLEAR ACCESS ROAD
RENTrk r<a ^ K TO LAGOON 0 _ _� 16
RPS N t
L +
1 F'F:F"IE.TAIL ;H I L CONTROL PNT #Z'";r r � v
gF'RAR
CONCRETE PUMP
OP ELE'. t
!"IV :Ia IOC; `
� 1
�1 f
IL_r
eJ
t
f-
,�f
r�-
C�
�f
o!
TY 15 W D PH 19. 00 ' ` � D +� - •• �
AI
i RL _AST <<'ONUI<L C L I ylJl_i. I._UC Bj K -1
NUI�[�M t lE v 0
INV OF DISC,HARGL PIPI. 101.0-3
i � [ 7 ai f I 1i '4
I
60
f IN FEET )
1 itti:I1 40 f+
N UP,
P 11V E VIE T17
10
PP F