780067_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental 06

67,
13j:nA s -c -j k-., d y/o z /o S
{ ivision of Water Quality
Facility Number % 0 Division of Soil and Water Conservationx
Q Other Agency
Type of Visit
Compliance Inspection
0 Operation Review O Structure Evaluation
0 Technical Assistance
Reason far Visit
outine O Complaint
O Follow up O Referral 0 Emergency
0 Other ❑ Denied Access
Date of Visit: Arrival Time: /0, 00 Departure Time: /� �3'�i¢+.. County: 44dry/
Farm Name: „�,5 F� / /�� Owner Email:
Owner Name: Fu ev !'G Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative: Integrator: fN dee
r.v o�Gv
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Operator Certification Number -
Back -up Certification Number:
Region: -/`P -a
Latitude: [=O
o = =1 Longitude: = ° =' E="
t i
t
Wean to Finish
Wean to Feeder
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
❑ Non -La et
Dry Poultry
❑
Layers
❑
Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Cattle
Design Current
Capacity Population
Li Dairy Cow I ¢
EI_Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ 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 [P No ❑ NA ❑ NE
❑ Yes
[P No
❑ NA
EINE
❑ Yes
No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
[ No
❑ Yes
[ No
❑ NA
❑ NE
❑ Yes
[j3 No
❑ NA
❑ NE
12/28/04 Continued

Facility Number: 7 - 7
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 Ievel into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
❑ Yes Q�No ❑ NA ❑ NE
❑ Yes R1 No ❑ NA ❑ NE
Structure 5 Structure 6
Spillway?:
r/
Designed Freeboard (in): f 9
Observed Freeboard (in): fi "e j SA. V-." /z = 36 if
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ZNo ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed ❑ Yes [XNo ❑ 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 M No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes PNo ❑ 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 [21No ❑ NA [:INE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes Q�No ❑ NA ❑ NE
maintenance/improvement?
IL . Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes qNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or l0 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)ty..Jp
P4y IC', r
bk / oLI t vr%,j !
ff
l��[c Li-- Ce�y7n.v� -{r- i -e c,p- � w c i-Ck N L4jdd� le- S,
13.
Soil type(s)
�p Oo-.1LN CSI+ Sc.-.��`iti f %r­rvjLI-R4-0 L—d Cr -'Drs
hiuT i iiL T�IIQL✓G[� Imo]
14.
Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
[jNo
❑ 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?❑ Yes
[7VNo
❑ 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 application equipment?
❑ Yes
E] 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):
Fes,•,.--_ 10'rG../'
P4y IC', r
bk / oLI t vr%,j !
ff
l��[c Li-- Ce�y7n.v� -{r- i -e c,p- � w c i-Ck N L4jdd� le- S,
t /a7�661J 04 -ST
�p Oo-.1LN CSI+ Sc.-.��`iti f %r­rvjLI-R4-0 L—d Cr -'Drs
hiuT i iiL T�IIQL✓G[� Imo]
Reviewer/Inspector Name
Phone:/Q.A33.3340
Reviewer/Inspector Signature:
Date: 2 - O/- Z 00$
12/28/04 Continued

Facility Number: '] —� Date or 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 ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 21 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
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
[�rNo
❑ 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
[,2 No
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
No
❑ 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
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
1;9'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
No
❑ NA
❑ NE
12/28/04
E

Division of Water Quality
Facility Number 7 $ !v % 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: � ZD 3i Arrival Time: //9.00 Departure Time: //. �� . ;...� County: 6116f-rd—l' Region:
Farm Name: Z5LA � N e � z /ds �"e s-svr Owner Email:
Owner Name: ��ts c.✓ c/S Phone:
Mailing Address:
Physical Address:
Facility Contact: T Ods Title:
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
Phone No: !!
Integrator:�Cr NT ,
Operator Certification Number:
Back-up Certification Number:
Latitude: [::] o='= Longitude: 0 0 0 6 0
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑
Layer
❑ Non -La et
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑
Turkeys
❑
Turkey Poults
❑ Other
Discharp_es & Stream Impacts
I . 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 Heifej
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co
l I
Number of Structures:
f
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?
:.I
❑ Yes [No ❑ NA ❑ NE
❑ Yes
QYNo
❑ NA
❑ NE
❑ Yes
[4 No
❑ NA
❑ NE
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
1� No
❑ NA
❑ NE
❑ Yes
Q5 No
❑ NA
❑ NE
12/28/04 Continued

U
Facility Number: 7 D —to
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 1
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 21 .0r
Structure 2 Structure 3 Structure 4
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 0 No ❑ NA ❑ NE
[:]Yes (7fNo ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes RNo ❑ NA ❑ NE
13 Yes [�No ❑ NA. EINE
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 �d No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes [2fNo ❑ 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 [F No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes [NNo ❑ 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 > l0% or ] O 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) %►'�! �j�rh, u �✓ o- �.�.c/�f'r�•`N (O t�e.✓S� e� _ -
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment?
❑ Yes
W No ❑ NA ❑ NE
LPVNo ❑ NA ❑ NE
No ❑ NA ❑ NE
P No ❑ NA ❑ NE
P 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) y,
w,
Reviewer/Inspector Name i Gi
�p�� -
- - Phone
`j/O. 33.333 O
Reviewer/inspector Signature: �"
/�,
Date:tf�
ZD -Zoa �-
Page 2 of 3 12/28104 Continued

Facility Number: 78 — j, 7 Date of Inspection -Za o7
Required 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 [WNo ❑ NA EINE
the appropriate box. ❑ WUP ❑ Checklists
❑ Design El Maps El 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 ❑ 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 8 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
[P No
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
® No
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
[A No
❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
M 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
® No
❑ NA
❑ NE
General Permit? (icl discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
❑ Yes
[P No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
R No
❑ NA
❑ NE
Additional Comments _and/or Drawings:
Page 3 of 3 12/28/04

Type of Visit ® Compliance Inspection 0 Operation Review 0 Structure Evaluation O Technical Assistance
Reason for Visit 0 Routine O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: 2 - ZQ -b(D Arrival Time: Departure Time: County: R010e Orf Region: `"
Farm Name: �raZ C � ,e _s Owner Email:
v
Owner Name: �uG_ve— A:: aI s Phone:
Mailing Address:
Physical Address:
Facility Contact: /�1% t�a _S Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Phone No:
l
Integrator:—
operator
ntegrator:_
Operator Certification Number -
Back -up Certification Number:
Location of Farm: Latitude: [--]'
❑ ' = Longitude: =0
=' ❑ u
Design Current Design Current
Swine Capacity .Population Wet Poultry Capacity Population
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
® Farrow to Feeder ct O 1 2
❑ Farrow to Finish
❑ Gilts
❑ Boars '
U
Other
❑ Other
❑ La er
❑ Non -La et
Dry Poultry
❑ La ers
❑ Non -Layers
❑ Pullets
❑
Turkeys
❑
Turkey Pouits
❑ Other
Discharees & 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 Heifei
E]Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co IL
Number of Structures:
E
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 rgNo ❑ NA ❑ NE
❑ Yes
[ No
❑ NA
❑ NE
❑ Yes
No
❑ NA
'EINE
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
RNo
❑ NA
❑ NE
❑ Yes
N No
❑ NA
EINE
12/18104 Continued

Facility Number: -7 Gj 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 i Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
rI
Observed Freeboard (in): Z O
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 DU No ❑ NA ❑ NE
❑ Yes ® No ❑ NA EINE
Structure 5 Structure 6
❑ Yes ER No ❑ NA ❑ NE
❑ Yes ® No ❑ NA ❑ NE
If any of questions 4fi 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
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
9 No
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
[9 No
❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes
[S 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 Drifi ❑ Application Outside of Area
12. Crop type(s) geyk-t -A c� .., Sista/l Gr�,',.1 �as r COy/✓ . S. a//Gra.i✓
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CA WMP? ❑ Yes
(SNo
❑ NA ❑ NE
15_ Does the receiving crop and/or land application site need improvement? ❑ Yes
5No
❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination,'[-] Yes
No
❑ NA ❑ NE
IT 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
Pri'_srrs f4 uNat*1 -'r 14"(3- ) 11ygr/-A.•,.4 &4,7 o.4 f
rc • •'-• /nt ` & a r<' s4 ­v 1 NSPe t�`frinn
Reviewer/Inspector Name i t K -I P-, e— V e f S^} ; ;y Phone: fla� �jigia' /S��
Reviewer/Inspector Signature: Date: Z - 20 --.26 h 4-
12/28/04 Continued

Facility Number: rJ 9 — 7 Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes YNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes [X No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below, ❑ Yes N 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 ® No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes (F No ❑ NA ❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
(3d No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
[:]Yes
[XNo
[:INA
❑NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
W No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
5&No
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
CgNo
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
ZNo
❑ 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
%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
IN No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
5?No
❑ NA
❑ NE
ArddfhOSQaE Co>nments9arad/or Drawingsx'i 1- -17, .
12128104
12128104

Type of Visit ID Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit O Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facilih. dumber Date of X'kit: I tO Time:
IQ Not O erational 0 Below Threshold
® Permitted ® Certified 0 Conditionally Certified Q Registered Date Last Operated or Above Threshold:
Farm Name: �-t 6A, 1 G�C,y.,t Countv: _ !LLz'3 '
Owner Name: �_- USr ��f-kiln ___ Phone No: �tb 1 F (o FIL
Mailing _address: .241A Cie, u.l <„ k U., y,r d , g ci -
Facilit% Contact: a Title: ^ bl_ry%.� _ Phone No:
Onsite Representative: -Ll 4-Cr.a_ F-1 11J, Integrator:
Certified Operator: el A^ Operator Certification Number: 1t D
Location of Farm:
®Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 4 = Longitude •
Design Current Design Current Design Current
Swine Ca acitr- Population Poultry Capacity Porpuladon Cattle Capacity Population
❑ Wean to Feeder 10 Laver I 1 ❑ DairyI I --d
E3Feeder to Finish ❑ Non -Laver ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
IN Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon area ° ❑ S rav Field Area
Holding Ponds /Solid Traps II _ <' M leo Li uid Waste Management System
Discharges & 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 State? (if yes, notify DWQ)
c. if discharge is observed. what is the estimated flow in cal/min'
d. Does discharge bypass a lagoon system? (If yes, notiA, DWQ)
❑ Yes [, No
❑ Yes ❑ No
❑Yes 0 N
❑ Yes ❑ No
2. is there evidence of past discharge from any pan of the operation?
El Yes Z No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State outer than from a discharge? ❑ Yes ® No
Waste Collection 8 Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ]� No
Strucnu-e I Structure 2 Structure 3 Structure 4 Structure 5 Structure 5
Identifier:
Freeboard (inches):
05/03/01 Continued

Facility Number: 7K — G
Date of Inspection i
5. Are there any immediate threats to the integrity of any of the structures observed? (iel 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 buffcrs that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
❑ Yes (ANo
❑ Yes [O No
❑ Yes [j] No
❑ Yes ® No
❑ Yes ® No
❑ Yes P No
❑ Yes [53 No
13_ Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
[;9 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?
❑ Yes
V No
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes q 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 [,a No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes JO No
20. is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ®.No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes [bio
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 [5 No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes [RNo
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
�w��'�vR
Comaeents (refer to°questiori; Explaih any YE5 ansFvers aadlor _aa� recvmmendiiteons or an other comments.
Use drawings of facility to better explain situations. (use.additronaE pages as necessary):
T , . ❑ Field Covv ❑Proal Notes
�AYbGX_at 4 -o 0-4
LO
r
Reviewer/Inspector Name _
Reviewer/Inspector Signature: Date:
05103101 Continued

Facility Number: g — (a Date of Inspection
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 fan 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 permanent/temporary cover?
❑ Yes L@ No
❑ Yes (ij No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes No
❑ Yes ❑ No
;Additional C©mmeAts ae�/o� Dra�vi�
A6
05103101

w
Facility Number
Date of Visit: /D d Time: D
7
Not O erational Below Threshold
M Permitted IRCertified ©Conditionally Certified D Registered Date Last Operated or Above Threshold:
Farm Name: u�.f. �,4,eh. CounUgzazz r"'_.)
Owner Name: .J�� Phone No: C
Mailing Address: _p� �� ��L l�i��/ . �!«6iib�J: /
Facility Contact: Ti� Title: Phone
//No:
Onsite Re resentalive: —k `/ /
p / ,_— Integrator: �•✓ /�i_�i✓�,¢�.�"
Certified Operator: —i���r /�`� Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0' 0 " Longitude • 0 0
.-Destgtt = Current , _ Design =.Current Destgn w= Current
Ga acitti : Po ulstton _- Poultry' . Ca pasty _ Populition, Cattle_ -- ''Ca arth.:_P© uiatton -
❑ Wean to Feeder 10 Layer I Ell D
airy
❑ Feeder to Finish = ❑Nor -Laver INon-Dairy'
❑ Farrow to Wean =
❑
:.; ❑ Farrow to Feeder Other
Farrow to Finish D Total Deet Ca aci
P 13
Gilts ty
❑
Boars Total SSL -W: --,T:
1Viitnbef f Lagoaas © ❑Subsurface Drains Present ❑ Lagoon Area ❑ S ray Field Area
HaEdtag E?finds /.Soltd,iraps _ � ❑ No Liquid NVaste Management System
Disebarees & 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 State? (if yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does 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 S- Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure l Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches): -3 7
05/03101
❑ Yes XNo
❑ Yes tKI-No
❑ Yes )"No
❑ Yes
ArNo
❑ Yes
Pa'No
❑ Yes
egrNo
❑Yes�'vo
Structure 6
Continued

Facility Number: — O�7
Date of Inspection
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 ves, 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 t 4,i�1' c::14 @w eld
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
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?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18 Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
❑ Yes KNo
❑ Yes 1�rNo
❑ Yes F No
❑ Yes XNo
❑ Yes XNo
❑ Yes P(No
❑ Yes RNo
❑ Yes in No
❑ Yes �YNo
❑ Yes FNo
❑ Yes (:No
❑ Yeso
ElYes ��,No
[]Yes *No
(ie/ W checkli design aps etc.) ❑ Yes XNo
.� f
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysts & soil sample reports) ❑ Yes RNo
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes RNo
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes OkNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes XNo
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑ Yes ANO
24. Does facility require a follow-up visit by same agency? ❑ Yes gNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMI'? ❑ Yes '%No
Q No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (refry to question #) Ezp[sin any`YE5'aaswers $ad/or ani recommiendations or anv'otlser comments. — - -
Use drawitigs�of factitty to -better ezplatn situations: ii_w- additional pages as aecessarti) : - ❑ Field Copv ❑ Final Note.,; t _
-
Reviewer/Inspector Name
Reviewer/inspector Signature: A i
O5103101
Date: Gt'l QZ
Continued

Facility Number: ��' —`� Date of Insp(Ttion
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or belowYes ElNo
liquid level of lagoon or storage pond with no agitation? IX
27. Are there anv 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, 0 Yes No
roads, building structure, and/or public property)
24. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes RKNo
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.c_ broken fan belts, missing or
or broken fan blade(s), inoperable shutters. etc.) Cl 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
05/03/01

(Type of Visit kXCompliance Inspection O Operation Review O Lagoon Evaluation
Resson for Visit ttRoutine O Complaint. O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: -G Mme:
0—Not Operational Q Below Threshold
P1,rermitted ACertilied p Conditionally Certified [3 Registered Date Last Operated or Above Threshold:
Farm Name:�'§d County: ....... A�Ubg a..
Owner Name:«, lrY...Y............1. d^I ............................. Phone Na: .......... .... »,....
Facility Contact: .......-R.AUT4 fr.#r . ......... ....j ................... Title:................. ....................... Phone No: ..- .._ ......
Maing Address: .. ..... .� ..�u'�"��..
C... ... .............. !��._ ..
Onsite Representative: ............ ,R11!i........................................................ Integrator:. .......... ..fpn,.r�..... _...W
Certified Operator:.- .. ........... _ r .9 J , ,S . Operator Certification Number:._
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �• 0° �« Longitude • �i�u
Desige Current :. Design Current : Destl®n Current
Swine Cs ei Po tilatton--"_Poetltry Ea ae>t ` Po ulation Cattle a ..'.dti
ro Con
Wean to Feeder ❑ Layer ❑Dairy
Feeder to Finish ❑ Non -Layer ❑Nan -Dairy
Farrow to Wean
Farrow to Feeder ❑ Other
Farrow to Finish- Total Design Capacity
Gilts = - .
Boars Totalsshm' ;
Ntamber::of i.t=igoons "': ❑Subsurface Drains Present ❑Lagoon Area . ❑ Spray Field Area
:= Holduig Poizds l Solid Trags_ _ No Liquid Waste Management System - -
Dischar & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes o
Discharge originated at: ElLagoon ❑ Spray Field [IOther
40r
a. If dischargc is observed, was the conveyance man-made?
❑ Yes 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?
d. Does discharge bypass a lagoon system? (If yes, notify DW Q)
❑ 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 No
Structure i Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identi1ier:................................................................................................... ....................................
Freeboard (inches): -36
5/00
Continued on back

Facility Number: 7f= Date of InspectionQ—O
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ANo
seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes 4No
(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 maintenancelimprovement? ❑ Yes PNo
S. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ONo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ANo
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ;dNo
11. Is there evidence of over application? ❑ Excessive Po9ding ❑ PAN/[] Hydraulic OV
lioad ❑Yes Wo
12. Crop type QeriAtLur K_ Z 1,-4( e
13. Do the receiving crops differ with thoL designated in a Certified An' al Waste M;
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?
Reauired Records & Documents
(CAWMP)? ❑ Yes ANO
❑ Yes
JKNo
❑ Yes
J4 No
❑ Yes
ONo
❑ Yes
U(No
❑ Yes
JXNo
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?
fer lap
1
��-,rw� 160kS dea
(ie! WUP, checklists, design, maps, etc.)
❑ Yes
$r No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
ZNo
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ YesNo
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
VNO
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
14No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
KNo
! -ti9iati4� er dtf cpenci ware nofeo d0ritig thls:vlsjt; - yowill ree 'i q fur' -
corres deuce: aND ' this visit' :
Comments{refer to gnestion #) Explalu any YF.S answers atnd/or any. recommendations or any other comm==
_ents.._F
Use dons. (use additiwnat
rswiags`of• facility to better�exlilain situati page
fer lap
1
��-,rw� 160kS dea
�OodZ? .
C j a•D� �e r.tit t.�a.. "f�r HiQ ¢' Corte.
Reviewer/Inspector Name o -
Reviewer/Inspector Signature: Date: 5100
/J 6

- `t
Facility Number: Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or belowYes ❑ 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 o
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;NoNo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
_Additional:_Comments an or - - °-
A6
5100

w
_ r Conservation Operation Review -
Q Ihvisian of Soil and Wate _
' A Division of Soil and Water G►nservationCompliance Iispectton
x
�` Division of Water ` aIi Y Eom vaiice Ins hon x
- Qu- t3' p P'M `-
-Other Agency_ Operagan Review
10 Routine Q Complaint Q Follow-up of DWQ inspection O Follow-up of DSWC review Q Other
Facility Number Date of Inspection
1•ime of Inspection HR 24 hr. (hh:mm)
0 Permitted ® Certified (3 Conditionally Certified E3 Registered 1E3 Not Operational I Date Last Operated:
r
..................... y• ............. /
Farm Name: ................ r.!-�s........---�fl-iQ�..............................._.. (.Dunt �,�Ix. .................... ....... ........----.-..
f Z
Owner Name: ........ G�� ^Jr<....... % f0' . ................................................... Phone No:.. �llJyl.--• � ( .................
FacilityContact: ........4_e .....lr!- (............... Title :................................................................ Phone No: ...................................................
Mailing Address: ........L/.............................. r✓fi�.�r�i� ril��%F_ ,�P. eS!...../�r ¢,afe�}�� ..�V�rJ......tc3, ....................
. ............. . ..................
Onsite Representative......... ,c, 7 .......1����� ....... Integrator: ............................. ................................................
1 ,
r
Certified Operator:..... s •moi ..................'/ - ................................. Operator Certification Number:............................. .......
Location of Farm:
......:.............................._.._.
..-...---._-_.-_..__...-•......................................................-------...
...._-._.-__.-.__._.........---.._-.-.-
................................................-.....................................T
Latitude �� �� 0 t Longitude
Design Current -- Design '-'Current--"- -_ Design Current
-
.r3', . C.a ac.
Swine _C
:,.Capacity Po ulation I?oult ity-Po ulation Cattle -Capacity Population
❑ Wean to Feeder' ❑ Layer I j ❑ Dairy
❑ Feeder to Finish ❑ Non -Layer ` ❑ Non -Dairy -
Farrow to Wean -
❑ Farrow to Feeder ❑ Other
Farrow to Finish Q _ T6ta1 Design Capacity.
❑ Gilts,
❑Boars - �� Tota1SSM =
Dischar es & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'? [:3Yes No
h. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes eM-No
c. If discharge is observed, what is the estimated flow in gal/ruin?
d. Does discharge bypass a lagoon system? (If ycs, notify DWQ) []Yes No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes k No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes NNo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ,4No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
�� 9
Freeboard(inches):..................................................................................................................... ...................................
5. Are there any immediate threats to the integrity of any of the structures observed'? (ic/ trees, severe erosion, ❑ Yes N'No
seepage, etc.)
3123/99 Continued on back
i�

Facility Number: '7r — Date of Inspection
6. Are there structures on-site which are not property 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 maintenancelimprovement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste application
❑ Yes X No
%Yes I] No
❑ Yes RNo
❑ Yes 5Q No
10. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
H. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes PqNo
12- Crop type /1. �iy+,•r�� _,�A��
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes N 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? ❑ Yes ❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
M -No
Required Records & Documents
Use drary�ngs of facilrty to:better.explatn situations{use additional pages as necessary)�s
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?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
'�kNo
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
ANo
20-
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
XNo
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
P'No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
A No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
❑ Yes
PQ No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
f No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
KNo
�• O...iouihgr ylolatQnsOT dfCIeIC£S reot�dtr>rtil$vlStt,Yog�eeve B#tnP
corrin oridei ke: about; this visit:
Comments (referto":ques on #):° "Explain any YES answers and/or any recommendations or. any,ather cotnmen#g:
Use drary�ngs of facilrty to:better.explatn situations{use additional pages as necessary)�s
Reviewer/Inspector Name r
Reviewer/Inspector Signature: Date: 21�

Y Facility Number: Date of Inspection 7 2oora
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/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
JKNo
28.
Is there any evidence of wind drift during land application? (Le. residue on neighboring vegetation, asphalt,
❑ Yes
NNO
roads, building structure, and/or public property)
29.
!s the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
ko
30.
Were any major maintenance problems with the ventilation fan(s) noted? (Le. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes
tKNo
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
KNo
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes
W. No
"ddrtion
-AaUCommenls"an or rawmgs
3123199
3123199

Division of Sail
Ihvision of Soil:
f Drn of Wat
ID Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other
Facility Number Date of Inspection Ij = b
Time of Inspection !30 24 hr. (hh:mm)
© Permitted Certified 13 Conditionally Certified [3 Registered � Q Not Operational] Date Last Operated; ,,,,,,,,,,,,,,,,
Farm Name: .......� County: ...........................................
IJ
Owner Name:.....?-�.r1.�.-�..... ..........1.....!. efd............................................ Phone No:.......... :....�g.....................................
Facilitv Contact: ...........IU�..Wn.e.-C.......................................Title: Phone No:
- y�
Mailing Address: ... jA,...... LJ... 3�J.................................................1t
c............. Z
Onsite Representative �`�N................................................ Integrator: .................... :.................................................
......................... P.....................
J
Certified Operator: 1�,�
p....:�-z�.�.en.e......................14(..�%............................... Operator Certification Number: .............
Location of Farm:
i
......................................................................................................................... ............ .................................................. ....... ................... .............................. I .......................
.
Latitude 0 6 •i Longitude 0 ° 44
? Design Current Design Curreiot Design Cu"'r`"rent
Svv�ne' . , w. -
Ca acity Po uladon :.;:Poultry Capacity _ P_ulation Cattle -Capacity. Population.
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
Farrow to Finish
Gilts,
❑ Boars
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'? ❑ Yes jJ No
b. If discharge is observed, did it reach Water of the State? (Il'yes, notify DWQ) ❑ Yes No
c. If discharge is observed. what is the estimated flow in gal/thin?
d- Does discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes KNO
2- Is there evidence of past discharge from any part of the operation? ❑ YesrNo
o
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? El Yes
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes MNo
i
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: nn
Freeboard (inches): 0 2-V
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes 9jN0
seepage, etc.)
3/23/99 Continued on back

Facility Number: — 7Date a Inspection
- p
corres oric�eirce. a�o�nf this visit: ..:: ::.:
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
.
17.
Fail to have Certificate of Coverage & General Permit readily available?
closure plan?
❑Yes
kNo
(Ii any of questions 4-6 was answered yes, and the situation poses an
iP gd�) 5.'1�e .
immediate public health or environmental threat, notify DWQ)
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
7. Do any of the structures need maintenance/improvement?
❑ Yes
9 N
8. Does any part of the waste management system other than waste structures require maintenatice/improvement?
❑ Yes
No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
❑ Yes
No
elevation markings?
❑ Yes
No
Waste Application
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
10. Are there any buffers that need maintenance/improvement?
❑ Yes
XNo
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
ONo
12. Crop type
Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
❑ Yes
13. Do the receiving crops differ with those designated i t e Certified Animal Waste Management Plan (CAWMP)?
❑ YesNo
Does facility require a follow-up visit by same agency?
14- a) Does the facility lack adequate acreage for land application?
ElYes
No
b) Does the facility need a wettable acre determination?
❑ Yes
[%No
c) This facility is pended for a wettable acre determination?
❑ Yes
rNo
15. Does the receiving crop need improvement?
❑ Yes
KNo
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑i"No
_Required
Records & Documents
corres oric�eirce. a�o�nf this visit: ..:: ::.:
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
0 No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
iP gd�) 5.'1�e .
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
V1 No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
KNo
20,
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
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?
Yes
OINo
(ie/ discharge, freeboard problems, over application)
❑
23.
Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
❑ Yes
KNo
24.
Does facility require a follow-up visit by same agency?
❑ Yes
�No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
V .No
CNV .VtWAtiofis-or• defclencies were jaO ed• i Oifig this:visit; You WI�. i eCelVe il0 11)j'It 1eC , ,
corres oric�eirce. a�o�nf this visit: ..:: ::.:
Comments (refer to queshgia #) iExplain:amy YES answers and/or any recatninendahoos o��an other comments= _
Use drawtngsof facility Eo better explatn;s�tuahons_ ( addlbonal pages asnecessary} �x �... -- .__
� _
n� �
a_ AefJ r4Qr-ker- t4�_ 1 -yo.- tykes,- %ve-1 is
A
iP gd�) 5.'1�e .
,� a ''� s: rT y- m ..
Reviewer/Inspector Name i z b _ , '� `_ �:= ..:, h ; `
Reviewer/Inspector Signature: Date: �z
1 3/23/99

t
• s
Faclity Number: Date of Inspection s =z
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 fan 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 permanent/temporary cover? 4
❑ Yes O(No
❑ Yes VkNo
❑ Yes qNo
❑ Yes KNo
❑ Yes qfNo
❑ Yes WNo
❑ Yes ,fNo
3/23/99

t
R Routine
0 Division of Soil and Water Conservation ❑ Other Agency
Division of Water Quality
Follow -un of
Follow -un of DSWC review O Other
Facility Number
Date of Inspection 16� 9l
-
Time of Inspection � 24 hr. (hh:mm)
Registered Certified 0 Applied for Permit © Permitted JE1 Not Operational Date Last Operated:
Farm Name: ...............FA---.....&d"r?rN-----.................................... .................... County:........------....--- P{S SP.r`1-----.....................
Owner Name: .............. I&S-9 .11&r.n.N ►........................... . Phone No:............. .......... .3ff--...� t .....................
Facility Contact: ............. N.Cr1.Q........ lS.................. Title:............................. .-------- Phone No:
J r ` q,
Mailing Address: ............ �^�ln�l .el.:.f.n..l.. IG .......0`��.............................. 5�......`.......'pvX...........313...:... ......................
.......
Onsite Representative: ...... ........... jEu._ K•-.k.e........... FkUs...........I......... _........... integrator: .............. r Pl�fr............................................
Certified Operator: .............. J&ir7 cftc............. ..t..l..cLt s.............._ ...... Operator Certification Number : --.---a 0�. _._....
Location of Farm: �J
Latitude Longitude �• �0"
6g ` :.D'slgn::" - Current - °' ars.;.. x ,,.o, Fc.�:. "'.Desigm CnrCeQL'..,
Svvtne Capacity Popaladon Poultry., Capacity Population Cattle
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
Farrow to Finish 0 90
❑ hilts
❑ Boars
s�r;,TM Current :,Z-
pacity'� Population-
Number of Lagoons 1 Holding•.Ponds,'�'® " ❑ Subsurface Drains Present ❑Lagoon Area ❑ Spray Field Area
an a�""�r'H§� y FY' ..'� ,� �,ac# r k, `€�h'" � � �. i �` $ � _s,+ r u ,;w,y, ` x w•»' "} ,'
x ;,� ❑ No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvernent?
2. 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 Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in ;al/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/47
❑ Yes V(No
❑ Yes A No
❑ Yes jo No
❑ Yes J( No
N/A
❑ Yes 0 No
❑ Yes PNo
❑ Yes No
Yes ❑ No
❑ Yes I�No
❑ Yes A No
Continued on back
❑ Layer
=-
10 Dairy
-3
❑ ikon -Layer
❑ Non -Dairy
hY
❑ Other
y
Y
Total Destgti Capacity
YC_'I
z
YTotal SSLW;Y
s�r;,TM Current :,Z-
pacity'� Population-
Number of Lagoons 1 Holding•.Ponds,'�'® " ❑ Subsurface Drains Present ❑Lagoon Area ❑ Spray Field Area
an a�""�r'H§� y FY' ..'� ,� �,ac# r k, `€�h'" � � �. i �` $ � _s,+ r u ,;w,y, ` x w•»' "} ,'
x ;,� ❑ No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvernent?
2. 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 Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in ;al/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/47
❑ Yes V(No
❑ Yes A No
❑ Yes jo No
❑ Yes J( No
N/A
❑ Yes 0 No
❑ Yes PNo
❑ Yes No
Yes ❑ No
❑ Yes I�No
❑ Yes A No
Continued on back

Facility Number: —
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes gNo
Structures (LagoonsMoldine Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) Iess than adequate? ❑ Yes XNo
S cture I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
X
........... ....11. ....................................................................•-----....................................................I..........-••--•----.----
Freeboard (ft): ............... a.�t�............ ...... ..............
10. Is seepage observed from any of the structures? ❑ Yes PrNo
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes (aNo
12. Do any of the structures need maintenancetimprovement? Z(Yes ❑ No
(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 No
Waste_ Application
14. Is there physical evidence of over application? ❑ Yes ONO
(If in excess of WNW, or runoff entering waters of the State, notify DWQ)
15. Crop type ....................... %'1/1't �........ .
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes JXNo
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
XNo
18.
Does the receiving crop need improvement?
❑ Yes
XNo
19.
Is there a lack of available waste application equipment?
❑ Yes
A No
20.
Does facility require a follow-up visit by same agency?
❑ Yes
XNo
21.
Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
❑ Yes
P(No
22.
Does record keeping need improvement?
Yes
❑ No
For Certified or Permitted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
I(No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
ONO
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
❑ No
0: No. violativns-o' deficiencies.were.noted,during this.visiC- .Y.ou:will receive no:ftirtlier.::
corresppndehce about this;visit: :
Comments refer to ueshon It E L-unan omrnerifs
{ q ) xp y YES answers and/o a y reoommertdhtrans or'anyEothec r n
g
�i5
ITs�,�rawgs�,u �fS�dG�ty*oto, betf�+eac{eIa n�sttins�use addititt� gages as',;�i>�ery){ x _
3�-���°.�<5� �_�����
�yvr U4W . N j —(a,- t'`°.e 4a,00
n)`[@s t.uc�.s,e ( s— 7125197
;
Reviewer/Ins ector Name KQ
Reviewer/InspectorSignature: Date:
• oe

Division of Soil and Water Conservation ❑ Other Agency
Division of Water Quality
10 Routine O Complaint O Follow-up of DWO insptvtion O Follow-up of DSWC review O Other
Facility Number Date of Inspection
Time of Inspection : 30 24 hr. (hh:mm)
Registered 0 Certified 0 Applied for Permit 13 Permitted 10 Not O erational ' Date Last Operated:
Farm Name: �etr'County: ......��CSfl�...........................................................
.........................................•-- ...........-........................................ .
Owner Name:...Cr-�`�t1e.................. r...`.. .... .. Phone No: �. .� �' g�.
Facility Contact:---..�t'`G ek! r. ..... E'e- 1......7........QTitle: „ ©.�`' k.LpGr................................. Phone No: .�� *^..-� W.................
Mailing Address: 2�. JJ .... !.��g,l�... ,....f1 ..`.......... Ll.!'� 1 ' r.....`.`..... ................... 2
................. ...... Pv C
Onsite Representative:... l�.r. ��Pt-s integrator:...
....--•• ......................... .......... ......
Certified Operator:.. `.'. `u -......a �` ` 5 Operator Certification Number, ................... .....
Location of Farm:
Latitude Longitude
Destgn,Ctrrent
r 3 Design Current :Y Design #Carretit
Somme-m acPo uatton C PoWry tle,
= ❑ Wean to Feeder
.,.._.. .�.CaCa ,ainx
❑ Dairy
❑ Feeder to Finish
MLayer
er I A—= ❑ Non -Dairy
❑ Farrow to Wean
Farrow to Feeder
. Other
Farrow to Finish 4
y . �x V n�
A� -E `Total Design Capacity 9
❑ Gilts
_
Boars
,x
w TotalzSSLW
ttis
4Q
x Sck:' -;
Number of Lagoons /Holding Pends ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
g
...........
tsA
„�` Yn,y
,- ❑ No Liquid Waste Management System
p ri
u
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part
of the operation?
Discharge originated at: [I Lagoon ❑Spray Field ❑Other
a. If discharge is observed, was the conveyance man-made?
b. if disrh.►rL- a is observed, did it reach Surface Water? (If yes, notify DVVQ)
e. if discharge is observed, what is the estimated flow in gallmin?
d. Does discharge bypass a lagoon system'? ([f yes, notify DVa'Q)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system
(other than lagoons/holding ponds) require
maintenance/improvement?
6. is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7125197
❑ Yes No
❑ Yes No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
El Yes ANO
❑ Yes XNo
❑ Yes (�'No
E-1Yes
// ��No
Xe o
/Continued oii back

i
Facility Number: —/ —
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Laimoons.Roldinu Ponds. Flush Pits etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3
Cl Yes �NO
❑ Yes )I�No
Structure 4 Structure 5 Structure 6
Identifier=
Freeboard (ft): ..........2 ..............
10. Is seepage observed from any of the structures? ❑Yes No
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes No
12. Do any of the structures need maintenance/improvement? ❑ Yes No
(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?
Waste Annlication
❑ Yes Y9 �.o
14. Is there physical evidence of over application? ❑ Yes 51�No
(If in excess of W or runoff Gnt/nn waters of the State, notify DWQ) /
15. Crop type r✓ .. p...!.........O..J�.�..-lam (fop ........... G'Qr` /�..... f,�S.1- 5 ................... ...................
16. Do the receiving crops differ with thesignated in the Animal Waste Management Plan (AWMP)? ❑ Yeo
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes o
18. Does the receiving crop need improvement? [01Yes No
19. Is there a lack of available waste application equipment? ❑ Yes No
20. Does facility require a follow-up visit by same agency? El Yes �No
21. Did Reviewer/Inspector fail to discuss reviewrnspection with on-site representative? ❑ Yes 9k N0
22, Does record keeping need improvement? ❑ Yes ❑ No
For -Certified or Permitted Facilities _Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑ Yes ❑ No
24. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
25. Were any additional problems noted which cause noncompliance of the Permit? ❑ Yes ❑ No
No.violationsor defieietzcies.were noted:during this.visit.,'Yoit;WiA i-kei ive.no.ftiriher,..
correspondence dliout this: visit: • . • ::::
� _�. n;r} X4
Cflmrxteats {refer^ toagtieshon #) ExplainaiiyYES answers aid/or�any recgiunend;3tronsor airy otEtercotriamexits
a •a��
Use drawin of fici4ty to better explaui tilatipns.z(use additional
pagesYas `pecessl
eX:2 .5%`..c'we,;:x#CIIN�a "i`' . MCE➢E: ` -..7'' , ::1 .''. a&"'r'iXc 'x4 ,..S.,r cK '".h - .. s ?! �{3.€t.➢».3w'.
�nn
Nr r• F�[S (s L�>dr L Qn, QC'-b'�r-��Cct'�-�a�^ /VX_C5,
`
7125197
[,A
ap w
ReviewertInspector Name : a
Reviewer/Inspector Signature: Date: /Z-y'-rj'`�
v

N
State of North Carolina
Department of Environment, XT
Health and Natural Resources • •
Fayetteville Regional Office
. A A 0 111 amdd -IM-9 -0K
James B. Hunt, Jr., Governor
Jonathan B, Howes, Secretary
Andrew McCall, Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
September 6, 1995
Field Farms
ATTN: Mr. Eugene Fields
Rt. 9, Box 313
Lumberton, NC 28358
SUBJECT: Compliance Inspection
Robeson County
Dear Mr. Fields:
On August 25, 1995, an inspection of your animal operation was performed by the
Fayetteville Regional Office (FRO). Please find enclosed a copy of our Compliance
Inspection Report for your information. It is the opinion of this office that this facility is
in compliance with 15A NCAC 2H, Part .0217, and that Animal Waste Management is being
properly performed.
Should you have any questions regarding this matter, please feel free to contact me
at [phone].
Sincerely,
Ricky Revels
Environmental Technician IV
RR/bs
Enclosure
cc: Facility Compliance Group
/20
Wachovia Building, Suite 714, Fayetteville. North Carolina 28301-5043 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Actlon Employer W% recycled/ 10% post -consumer paper

Site Requires Immediate Attention: NO
Facility No. 7 5 - G 7
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: Agsi i 5 , 1995
Time: 11A: 4S
Farm Name/Owner: F.'� Ids m4,*, / f'ie/ds
Mailing Addnm: Rt. 9 jgcx 3/3 44,n,6cr Ne 28358 .
County: noGesa•+�
Integrator:_ NIA _ Phone:
On Site Representative:uvz �:, ids . — Phone: t9•t21 738 - N Si( -
Physical Address/Location: _ . _ SA. Z t1 to Gnnr.x 3 rlt./rx owr !et'- Near Old Wf,:te-v.'l e Rte.
is
Type of Operation: Swine ✓ Poultry Cattle
Design Capacity: , 50a Number of Animals on Site: +�5v
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: Longitude: -
Circie Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) Yes or No Actual Freeboard: / Ft. —!2Inches
Was any seepage observed from the lagoon(s)? Yes or No Was any erosion observed? Yes or No
Is adequate land available for spray? Yes or No Is the cover crop adequate? Yes or No
Crop(s) being utilized: Raw G ro.p=s c Cons fa 1
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? Yes or No
100 Feet from Wells? Yes or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or No
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line: Yes or No
Is animal waste discharged into water of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or No If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Yes or No
Additional Comments: 10WVr-v musf dire -3s ow- Co,w_e of 1a:,crrJ A; _ --,L iN :w.r i -%vv
}, ru,aS4' [•fi �3� QN [a r[',s[,¢d Mw:rts 6AA,7N Sr *Vf u� DIDn.! ,?tiOt 7
f1LCta:h i.Y1 Ili -71 A--
:�K
Inspector
Signature
cc: Facility Assessment Unit Use Attachments if Needed.