820344_INSPECTIONS_20171231

NORTH CAROLINA .�
Department of Environmental QuA

Division of Water Quality
Facility Number $Z 0 Division of Soil and Water Conservation
I 1 :01 0 Other Agency
Type of Visit 0 Compliance 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: Departure Time: /% 30 County: Region:
Farm Name: �¢ Lcl4rd �'V�r�r``�r Owner Email:
Owner Name: /Aof:' g l Phone:
Mailing Address:
Physical Address:
Facility Contact: CUr4 s BrkAtk- Title:. Y
Onsite Representative: &-u k4 -S B4V1. 11 Integrator:
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
Other
❑ Other
Phone No:
AA rC_ 'V�' Y/
Operator Certification Number:
Back-up Certification Number:
Latitude: =0 =
o= I Longitude: =0=g 00g
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ La er
❑ Non -Layer
Dry Poultry
❑ Layers
❑
Non -Layers
❑ Pullets
❑ Turkeys
❑Turke 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?
w;t .
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑
Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co
Dumber 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 q No ❑ NA ❑ NE
❑ Yes
N No
❑ NA
❑ NE
❑ Yes
[� No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
[P No
❑ NA
❑ NE
❑ Yes
P No
❑ NA
LINE
11/18/04 Continued

•
Facility Number: $Z- 3r7'
Date of Inspection /O -ASS -o
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):
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 ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ 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 ❑ No ❑ 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 ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ 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 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) -Eeu m" d0.. C f / ��sft� �rn%N �O.S.J . SoY�xurs �s4, !,,¢
13. Soil type(s) o A JAJW cjr`,+Np+`�-n tiJ
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 ❑ 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?
18. Is there a lack of properly operating waste application equipment?
❑Yes El No 0 N 0 N
❑ Yes ❑ No ❑ NA ❑ NE
:Comments (refer 'to -'qu-estion #-): Explain auy YES answers and/or any recommendations or any other comments t ;
.Use drawings of facility to better explain situations ,(use additional pages as necessary)::
ReviewerllnspectorName rc j ,gVd$ Phone: 9/6. 175,3300
ReviewerAnspector Signature: Date: i0-yy- zo07
Page.1 of 3 12/28/04 Continued

r •
Facility Number: $ Z —= Date of Inspection
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 EMM ❑ NA ❑ NE
the appropirate box.
❑ WUP El Checklists El Design E3 Maps El 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
0 No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
VINo
❑ 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
19 No
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
IM No
❑ NA
[I NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
C] Yes
$n 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
[XNo
❑ 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
1�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
7 No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
El Yes
� No
❑ NA
❑ NE
Additional Comments and/or Drawings:
12/28/04

Type of Visit ® Compliance Inspection O Operation Review O 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: 5'02 -Q(p Arrival Time:Q® Departure Time: County: QA4 Region: I R- 0
Farm Name:�nDtn��S. o:.a�vc� �N?��.�'3 Owner Email•
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:�.ow.r, s t6 �,,1 cxvel Title:
Onsite Representative: gmw:6— $ryrr.�1�K IA%wtrTl A2,J4,i. d
Certified Operator:
Back-up Operator:
Location of Farm:
Phone No:
Integrator: 6) IQlfl -
Operator Certification Number:
Back-up Certification Number:
Latitude: =0 =5 Longitude: = o ❑ t ❑ u
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑ Wean to Finish
❑ Wean to Feeder
Feeder to Finish //00
3r
❑ Farrow to Wean l
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other – -�
❑ Layer
❑ Nan -La et
Dry Poultry.
❑ Layers
❑ Non -Lavers
❑ 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?
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocket
❑ Beef Feeder
❑ Beef Brood Cowl
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 [A No ❑ NA ❑ NE
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
[ja No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
R No
❑ Yes
[X No
❑ NA
❑ NE
❑ Yes
�j No
❑ NA
❑ NE
12128/04 Continued

Facility Number: Date of Inspection -C�Z-
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 1P No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes Q9 No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 410
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
EN No
❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
Bic +rI11><
13. Soil type(s) WIDrd.; 14 a- 'Vr i Lbro_4w/zCt aa% SLOt-n
6. Are there structures on-site which are not properly addressed and/or managed ❑ Yes
ER No
❑ NA ❑ NE
through a waste management or closure plan?
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
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 ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination:
❑ Yes
4. Does any part of the waste management system other than the waste structures require ❑ Yes
[d No
❑ NA ❑ NE
maintenance or improvement?
❑ Yes
W No
Waste Application
❑ NE
18. Is there a lack of properly operating waste application equipment?
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
EX No
❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes
[0 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. Croptype(s) &✓"iAAo.._ (3-Va SflAetI! 7111i►J Gl-►s ��.L.r«.s Suww�w�L.lid�cv��n.aiS�
Bic +rI11><
13. Soil type(s) WIDrd.; 14 a- 'Vr i Lbro_4w/zCt aa% SLOt-n
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
[M 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
W No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
® No
❑ NA
❑ NE
Reviewer/inspector Name r fG �[ V z.�°S", • ` � r't Phone: (9/0) JZV6 — 15
Reviewer/lnspectorSignature: Date: S^B�—ZOr7�
12/28/04 Continued

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
Facility Number: gZ, — jt� Date of Inspection
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ No
Required Records & Documents
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes
191 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 p El Other
28.
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
10 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
rM 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
MNA
❑ 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
® No
❑ NA
❑ NE
Other issues
28.
Were any additional problems noted which cause non-compliance of the permit or CA WMP?
❑ 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
[29 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
0 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
PO No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
;9 No
❑ NA
❑ NE
Adderiinal"Comments andlor:Drawings: _
12/28104

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: 3 .a Arrival Time: Ia LSD Departure Time: County: S0 1,— leJdr-J Region: P iZ%J
t
Farm Name: Te-) r--% , Aczi.a c . ck `. `S/�oca � s r+ ..i1:«t Owner Email:
Owner Name: orr' HdwGcG o Phone: q/0 SL `r .Sl Y
Mailing Address: 3 S_ 4.0 c�04r of x! d. /`&Y!y y'We N e -
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative: Ca�f. [}Ori,j � DQry! 14&&Xt LIntegrator:
Certified Operator: as r / %-X64"11_ p Operator Certification Number: 8,710
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
Back-up Certification Number:
Latitude: [ [=A Longitude: Q o= 0 u
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
❑ Non -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turke 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
❑ Dairy Cow
❑
Dairy Calf
❑ Dai Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stoekei
❑ Beef Feeder
❑ Beef Brood Co
4 >
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?
El Yes ®No [__1 NA El NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
[2 No
❑ NA
❑ NE
❑ Yes
A No
❑ NA
❑ NE
12128/04 Continued

Facility Number: f s — 3 Z:1Y
Date of Inspection �a °
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 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: % oZ
Spillway?: 1:AI1 t`ISrtG Aojc.a u m c.__JF_ W . � �s c =C U -1-a'
Designed Freeboard (in): %9, 02
Observed Freeboard (in): c27 "
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
M No
El NA
El NE
(ie/ large trees, severe erosion, seepage, etc.)
r
6. Are there structures on-site which are not properly addressed and/or managed
❑ Yes
®No
[INA
❑ 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
❑ 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
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑Yes
No
El NA
El NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes [)-a 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 Drill ❑ Application Outside of Area
12. Crop type(s) _ vim. + a I G rr cc rr• < l is 4t—
U.
;13. Soil type(s) Glar��r r, i�}� �� i; CA fryv;//-
14.
i//-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 ® 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?
18. Is there a lack of properly operating waste application equipment?
❑ Yes R No ❑ NA ❑ NE
❑ Yes [� No ❑ NA ❑ NE
l o+e - -t-
G e S t., I- <_
i -c] j C: O^ fr' C��
i 4:� 4 " J ' r G , 1,
r
i1 .c LI
b r c-.- G. o S cz �- C 6 t'� nc1 r<
Reviewer/Inspector Name Phone: 4/v c1J6 / - ,tr
Reviewer/inspector Signature: Date: 3 1 /o / d J7-
12128104 Continued

Facility Number- Date of inspection 3 1f w
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes W 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 El Checklists El Design ❑Maps El 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 I" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes W No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes Q No ❑ NA ❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NA
R 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
[)0 No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
❑ NA
W NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
[2 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
W 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
[1 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
0 No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
[A No
❑ NA
❑ NE
AF&Mto l(Comments`and/orDrawings
12/28/04
12/28/04

(Type of Visit (fCoompliance Inspection O Operation Review O Lagoon Evaluation I
Reason for Visit D Routine O Complaint O Follow up p Emergency Notification Q Other ❑ Denied Access
Facility Number Date of Visit: Tune: = 6
Q Not O erational Q Below Threshold
0 Permitted 0 Certified © Conditionally Certified [3 Registered
Farm Name: nDt�r� 8118`l4Mf. LCC. `
Owner Name: ..,...,..._ --:•-�--•---.-_--._----------
Mailing Address: _.......
......------._........
Facility Contact: Title: ow -ea
Onsite
Certified Operator: ----------- �-------------- ----•
Location of Farm:
Date Last Operated or Above Threshold:
County:
Phone No: s` -7 51'1.
_......,-. T.-� k ............. _._..__....__... as 3 ��_.....
Phone No:
Integrator: .. _ �— .� ......____--
Operator Certification Number: ^ �b- ------------
ET'Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 4 44 Longitude • 4 «
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 53'fIo
Discharge 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 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 DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes 2140
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes C;�No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Struct e I Structure 2 Struq re 3 Structure 4
Identifier: ......................_ a.........._...................�.
Freeboard (inches): a� 43_
.12112103
❑ Yes [?I�o
Structure 5 Structure 6
Continued

Facility Number: — Date of Inspection o+
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(id W1JP, checklists, design, maps, etc.)
23. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
25. Did the facility fail to have a actively certified operator in charge?
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
27. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
28. Does facility require a follow-up visit by same agency?
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
32. Did the facility fail to install and maintain a rain gauge?
33. Did the facility fail to conduct an annual sludge survey?
34. Did the facility fail to calibrate waste application equipment?
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
❑ Yes M<
❑ Yes R(No
❑ Yes �No
❑ Yes W<o
❑ Yes &140
❑ Yes QNo
❑ Yes Q'N10
❑ Yes �io
❑ Yes [fNo
❑ Yes Q'�To
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
[:]Yes ❑ No
❑ Yes ❑ No
Q No violations or deficiencies were noted during this visit. You will
receive no further correspondence about this visit.
ddrtaoiia�lxComments
as►d/br
t.*54C $4-� ern
14j .
!2112103

A
Facility Number:
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 yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancefimprovement?
S. 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
10. Are there any buffers that need maintenancelimprovement?
❑ Yes [Ko
❑ Yes &Kqo
❑ Yes RrNo
❑ Yes U?1�0
❑ Yes 92r&o
❑ Yes [R<o/
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes Q'NO
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type ea" -b' � OW4.16 }
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes L'S 0
14. a) Does the facility lack adequate acreage for land application? ❑ Yes YNO
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 Q'No
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below ❑ Yes ZNo
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes B"N' o
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes Qfio
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 E31�0
Air Quality representative immediately.
Commeat� {refer to question #) Explain aay YFS siEswers and/or any recommendations oran quwr cuwm=Wt �
y, =3- w�
gUse drawings c facility to better explain sttnahons. (ase addttzonal pages as necessary) eld Copy ❑ Final Notes
e _
Leh 4� p, N►iNiywsi►�.
t
Reviewer/Inspector NamGMgf� " }
e -�
. �r
Reviewer/inspector Signature: Date: 5 5/04
12112103 Continued

Facility Nunber:_a;L-_39 �
4.1- , Division of Environmental Management
yv Animal Feedlot Operations Site Visitation Record
Date: a 7
Time:,) -�
General InforatiQn
Farm Name: -S-T "-,w w County: o�
Owner Name: same s IlAv^ot s 92wr,-4 _ _ Phone No: SG'71
On Site Representative: L'.i ffis i3r__r c,! tcL Integrator. C� I.,•.r�
Mailing Address
Physical Address/Location: `3 1 IYy1[,�a � c+71 C�Z,< _- 5
Latitude: 35 / oS Sv Longitude: l�l,� ..S"Z7
Operation# pescri_ption: (based on design characteristics)
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Carle No. of Animals
0 Sow 0 Layer C1 Dairy
O Nursery 0 Non -Layer 0 Beef
0 Feeder
OtherTvve of Livestock0�0 Number ofAnimals: �
Number of Lagoons: (include m the Drawings and Observations the freeboard of each lagoon)
Facility InspedQj
Lagoon
Is lagoon(s) fiwboard less than I foot + 25 year 24 hour storm storage?: Yes 0
Is seepage observed from the lagoon?:
Is erosion observed?:
Is any discharge observed?
0 Man-made 0 Not Man-made
Cover Crop
Does the facility need more acreage for spraying?:
Does the cover crop need improvement?:
{ list the crops which need improvement}
Crop type: esosL Acreage:
Setback Criteria
Is a dwelling located within 200 feet of waste application?
Is a well located within 100 feet of waste application?
Is animal waste stockpiled within 100 feet of USGS Blue Line Stream?
Is anima] waste land applied or spray irrigated within 25 feet of Blue Line Stream?
AOI — January 17,19%
Yes 0
Yes 0
Yes 0
Yes 0
Yes 0
Yes O
Yes D
Yes 0
Yes 0
No�g
No
N
No�
Nog%
NoX

.l•
Maintenance
Does the facility maintenance need improvement? Yes ❑ No
Is there evidence of past discharge from any part of the operation? Yes a
Does record keeping need improvement? Yes ❑ No�y
Did the facility fail to have a copy of the Animal Waste Management Plan on site? Yes ❑ Nod
Explain any Yes answers:
Signature: Date:
cc: Facility Assessment Unit Use Attachments if Needed
)Drawino or Observations:
��-
1
AOI — January 17,1496 4

z�
Site Requires Immediate Attention: Ac,
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
/ ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: , 1995
Time: 2: zo
Farm Name/Owner: J . h0.0"as a'c"daga
Mailing Address: Re -1 ,.. __&iic 26q �- T� a ,•t1-_ 2-9—
County: y.•
Integrator: Phone:
On Site Representative: Phone:
Physical Address/Location:,,�
Type of Operation: Swine JC Poultry Cattle
Design Capacity: Number of Animals on Site:
DEM Certification Number: ACE_ DEM Certification Number: ACNEW
Latitude: Longitude: "
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm
(approximately 1 Foot + 7 inches) Yes or No
Was any seepage observed from the lagoon(s)?
Is adequate land available for spray? Yes or No
Crop(s) being utilized: 4
Does the facility meet SCS
Actual Freeboard: Ft. Inchest*
Yes or No Was any erosion observed? Yes or No
Is the cover crop adequate? Yes or No
minimum setback criteria? 200 Feet from Dwellin ') ke�br No
100 Feet from Wells? e or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or PO
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 100 If Yes, Please ExpWn.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? �jor No
Additional Comments:
Inspector Named
2:5�_L 092i��
Signature
cc: Facility Assessment Unit Use Attachments if Needed.
event

r
y Site Requires Immediate Attention: --A—h
• �, Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: 2..13 , 1995
Time: Z. 10
Farm Name/Owner: �► _-S
Mailing Address:
County:
Integrator: Phone:
On Site Representative: Phone:
Physical Address/Location:
Type of Operation: Swine ,\ -/ Poultry Cattle
Design Capacity: — Number of Animals on Site: _
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: Longitude: "
Circle 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)Vap-opo
r No Actual Freeboard: Ft. Inches
Was any seepage observed from then(s)? Yes oraWas any erosion ob rved? Yes or iVo
Is adequate land available for spray. Y or No Is the cove crop adequate? Ye or No
Crop(s) being utilized:
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? Ye or No
100 Feet from Wells?Ye or No
Is the animal waste stockpiled within 100 Feet of USGS Blue -Line Stream? Yes or(s
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line: Yes or N�
Is animal waste discharged into water of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or Qo 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 r No
Inspector Name
Signature
cc: Facility Assessment Unit Use Attachments if Needed.

411W. A dh
�:GISTRAT=ON FORM FOR A-NIMAL FEEDLOT OPERATIONS
Department of Environment, Health and Natural Resources
Division of Environmental Management
Water Quality Section
If the animal waste management system for your feedlot operation is
designed to serve more than or equal to 100 head of cattle, 75
horses, 250 swine, 1,000 sheep, or 30,000 birds that are served by
a liquid waste system, then this form must be filled out and mailed
by December 31, 1993 pursuant to 15A NCAC 2L.0217 (c) in order to be
deemed permitted by DEM. Please print clearly.
Farm Name: I rhe A s j 14- scln.3
Mailina Address: 1 1 1 Com .'R&Ll
County: Phone No. -5-4,7- (0-6-
Owner
0YSOwner (s) Name:
Manage= (s) Name:
Lessee Name: N A
Farm Location (Be as specific as possible: road names, direction,
milepost, etc.) tiDiV4t ,t //e,13i) 3.5 :IPPS/ �r./� /e.;,,,,�v
, Ic-/
d leA
Latitude/Longicude if known:
Desicn canacir_v of animal waste management system (Number and type
c T con ined ani gal (s)rel---- .
Average animal population on the farm (Number and type of animal (s)
raised) 624 -Iowi .7OVC; .,&-.0-Y Loi .._
Year Production Began: lf�5 ASCS Tract No.: /41 gl/
Type of waste Management System Used: L -441V �rr;
Acres Available for L Appli Zion of W ste: �a
Owner (s) Signature (s) TE:
DATE:

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.GISTRATiON FORM FOR A -,N! rt3.L FF_DLOT OPERATIONS
R
DeparL.ment of Environment, Health and Natural Resources
Division of Environmental Management
Water Quality Section
If the animal waste management system for your feedlot operation is
designed to serve more than or equal to 1.00 head of cattle, 75
horses, 250 swine, 1,000 sheen, or 30,000 birds that are served by
a liquid waste system, then this form must be filled out and mailed
by December 31, !993 pursuant to 15A NCAC 2H.021'7 (c) in order to be
deemed per:nitzed by DEM. Please print clearly.
a -m Name:�J . ! '� s
Mailing Address: 94 f Co L/ (j
Councy: I'��,.,_�S4F. Phone No. 1'-&7- /91S
owners) Name
Manace= (s) Name:
_essee Nate NA
_ar.n Location (Be as specific as possible: road names, direction,
milepost, e_c )
Lac=rude/Longitude if known:
Desicn capacicv cf animal waste management system (Number and type
cf confined animal (s))
_ Average anima; population on the farm (Number and type of animal (s)
-raised) G.74 1111 u &Z7
Year Production Began: ASCS Tract No.:
;ype of waste Management System Used: jr,
Acres Available for L d Appli -tion of W ste: �a
Owner (s) Signature (s)
i/ DATE
Fye#v 4 1��h �e(�`�r�+ 0&7 Siz /006 o �� a .�—
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