820395_CORRESPONDENCE_20171231

NUH I H UAHULINA
Department of Environmental Qual

IV-1

1,.
Waste Utilization Plan
Producer: Scott Matthis
Name of Farm: Tators Pig Parlor
Location: 5009 Moseley Ave.
Clinton NC 28328
Phone: [phone]
Type of Operation: Feed -Finish
Number of Animal: 4340
Storage Structure: Anaerobic Lagoon
Method of Application: Irrigation
Amount of waste produced per year:
Amount of plant available N (PAN) producedlyear:
County: Sampson
RECEIVED ! DENR 1 DWQ
AQlllria'ppnn r,no w- MON
MAR 3 a 2009
8246 ton/year
9982 Ibs.lyear
The waste from your animal facility must be land applied at a specified rate to prevent
pollution of surface water and/or groundwater. The plant nutrients in the animal waste
should be used to reduce the amount of commercial fertilizer required for the crops in the
fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient_ Waste should be analyzed
before each application cycle. Annual soil tests are strongly encouraged so that all plant
nutrients can be balanced for realistic yields of the crop to be grown.
Several factors are important in the implementing your waste utilization plan in order to
maximize the fertilizer value of the waste and to ensure that it is applied in an environmentally
safe manner.
1. Always apply waste based on the needs of the crop to be grown and the nutrient
content of the waste. Do not apply more nitrogen than the crop can utilize.
2_ Soil types are important as they have different infiltration rates, leaching potentials,
cation exchange capacities, and available water holding capacities.
3. Normally waste shall not be applied to land eroding at more than 5 tons per acre per
year. Waste may be applied to land eroding at 5 or more tons per acre annually, but
less than 10 tons per acre per year providing that adequate filter strips are
established.
4. Do not apply waste on saturated soils , when it is raining, or when the surface is
frozen. Either of these conditions may in runoff to the surface waters which is not
allowed under DWQ regulations.
5. Wind conditions should also be considered to avoid drift and downwind odor problems.
6. To maximize the value of the nutrients for crops production and to reduce the potential for
pollution, the waste should be applied to a growing crop or applied not more than 30 days
prior to planting a crop or forages breaking dormancy. Injecting the waste or disking will
conserve nutrients and reduce odor problems.
This plan is based on the waste application method shown above. If you choose to change methods
in the future, you need to revise this plan. Nutrient levels for different applications methods are
not the same.
The estimated acres needed to apply the animal waste is based on typical nutrient content for
this type of facility. Acreage requirements should be based on the waste analysis report from
your waste management facility. In some cases you may want to have plant analysis made, which

Tators Pig Parlor
Page 2
could allow additional waste to be applied. Provisions shall be made for the area receiving
waste to be flexible so as to accommodate changing waste analysis content and the crop type.
Lime must be applied to maintain pH in the optimum range for specific crop production. This
waste utilization plan, if carried out, meets the requirements for compliance with 15A NCAC
2H .0217 adopted by the Environmental Management Commission_
YOUR WASTE UTILIZATION PLAN IS BASED ON THE FOLLOWING:
Tract No.
Field No.
Soil Type
Crop
Code
Yield/Ac
Lbs_ N
unit
Acres
Lbs N
Used
Month to
Apply
Lbs. N
Per Ac.
6350
1
Au
SB/DC
18
4
42.1
3031
JUN-AUG
72
6350
1
Au
WA
1
100
42.1
4210
SEP-APR
100
6350
4
Au
SA (Graze)
1
110
20.6
2266
MAR-AUG
110
6350
4
Au
WA (Graze)
1
100
20.6
2060
SEP-APR
1 100
6350
5
Au
SA (Graze)
1
110
23.7
2607
MAR-AUG
1 110
6350
5
Au
WA (Graze)
1
100 1
23.7
2370
SEP-APR
1 100
SA = Summer Annual
WA = Winter Annual
Total 86.4 16544 lbs.
Available Nitrogen 9982 lbs.
Surplus or deficit -6562 lbs.
Applying the above amount of waste is a big job. You should plan time and have appropriate equipment to apply
the waste in a timely manner.
Addendum to WUP's for Triple M Farms, Runt, Meats, and Reds, and Tators Pig Parlor
In addition to the fields listed in the WUP, the following fields are available for waste application. Irrigation piping has been install in
these fields and interconnected to the lagoons at these three farms.
Tract No.
Field No.
Soil Type
Acres
10418
2&3
Au
54,79
7032
1
Au
13,10
6351
1
BoB
12.36
6350
b
Au
21.70
The following table is organized by soil type and show alternate crops that can be planted along with the yields, nitrogen application
rate per acre, application windows, rates and amounts for each.
Tract No.
Field No.
Soil Type
Crop
Code
YieldlAc
Lbs. N
unit
Acres
Lbs N
Used
Month to
Apply
Lbs. N
Per AG.
All
Au
C-SILAGE
2T
110
MAR-JUN
220
All
Au
CISB
75
0.98
MAR-JUN
73.5
All
Au
SBDC
18
4.0
JUN-AUG
72
All
Au
Wheat
45
2.4
SEP-APR
108
All
Au
SA
1
110
APR-JUL
110
All
Au
WA
1
100
SEP-APR
100
All
Au
CB (Graze)
4.1
50
MAR-SEP
205
All
Au
OS (Graze)
1
5o
OCT-MAR
50
Ail
BoB
C-SILAGE
2T
110
MAR-JUN
220
All
SoB
CISB
60
0.92
MAR-JUN
55.2
All
BoB
SBDC
18
4.0
JUN-AUG
72
All
BoB
Wheat
40
2.4
SEP-APR
96
All
BoB
SA
1
110
APR-JUL
110
All
BOB
WA
1
100
SEP-APR
100
All
WaB
C-SILAGE
2T
110
MAR-JUN
220
All
WaB
CISB
75
0.g8
MAR-JUN
73.5
All
WaB
SBDC
18
4.0
JUN-AUG
72
All
WaB
Wheat
40
2.4
SEP-APR
96
All
WaB
SA
1
110
APR-JUL
110
All
WaB
WA
1
100
SEP-APR
100

Tators Pig Parlor Page 3
The applicator is cautioned that P and K may be over applied while meeting the N requirements. In the future,
regulations may require farmers in some parts of North Carolina to have a nutrient management plan that
addresses all nutrients. This plan only addresses nitrogen.
In interplanted fields (i.e. small grain, etc. interseeded in bermudagrass), forage must be removed through
grazing, hay and /or silage. Where grazing, plants should be grazed when they reach a height of six to nine
inches. Cattle should be removed when plants are grazed to a height of four inches. In fields where small grain
etc. is to be removed for hay or silage, care should be exercised not to let small grain to reach materity,
especially late in the season ( i.e. April or May) Shading may result if small grain gets too high and this will
definitely interfere with the stand of bermudagrass. This foss of stand will result in reduced yields and less
nitrogen being utilized. Rather than cutting small grain for hay or silage just before heading as is the normal
situation, you are encouraged to cut the small grain earlier. You may want to consider harvesting hay or silage
two to three times during the season, depending on the time small grain is planted in the fall.
The ideal time to interplant small grain, etc. is late September or early October. Drilling is recommended over
broadcasting. Bermudagrass should be grazed or mowed to a height of about two inches before drilling for best
results.
Caution must be exercised in grazing or haying summer annuals under stressed conditions. Nitrate poisoning
may occur in livestock. Sampling forage or hay for nitrate levels is recommended.
Acres shown in the tables are considered to be the usable acres excluding required buffers, filters strips along
ditches, odd areas unable to be irrigated, and perimeter areas not receiving full application rates due to
equipment limitations. Actual total acres in the field listed may, and most likely will be, more than the acres
shown in the tables.
See attached map showing the fields to be used for the utilization of animal waste.
SLUDGE APPLICATION:
The waste utilization plan must contain provisions for periodic land application of sludge at agronomic rates.
The sludge will be nutrient rich and will require precautionary measures to prevent over application of nutrients
or other elements. Your production facility will produce approximately 1562 lbs. of plant available
nitrogen per year in the sludge.
If you remove sludge every 5 years you will have approximately 7812 lbs. of PAN to utilize. Assuming
you apply this PAN to hybrid bermudagrass hayland at the rate of 300 lbstacre you :will need 26
acres of land. If you apply the sludge to corn at the rate of 125 lbs. of nitrogen per acre you will need 62
acres of land. Please be aware that these are only estmates of the PAN and the land needed. Actual
requirements could vary by 25% depending on the sludge waste analysis, soil types, realistic yields, and
application methods.
APPLICATION OF WASTE BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the soil at the time of irrigation such that
runoff or ponding occurs. This rate is limited by initial soil moisture content, soil structure, soil texture, water
droplet size, and organic sofids. The application amount should not exceed the available water holding capacity

Tators Pig Parlor
Page 4
of the soil at the time of irrigation nor should the plant available nitrogen applied exceed the nitrogen needs of
the crop.
If surface irrigation is the method of land application for this plan, it is the responsibility of the producer and
irrigation designer to ensure that an irrigation system is installed to properly irrrigate the acres shown in tables.
Failure to apply the recommended rates and amounts of nitrogen shown in the tables may make this plan
invalid.
The following table is provided as a guide for establishing application rates and amounts.
Tract No.
Field No.
Soil Type
Crop
Code
Applic.
Rate in/hr
Applic.
Amount
6350
1
Au
SB/DC
0.6
0.96
6350
1
Au
WA
0.6
0.96
6350
4
Au
SA (Graze)
0.6
0.96
6350
4
Au
WA (Graze)
0.6
0.96
6350
5
Au
SA (Graze)
0.6
0.96
6350
5
Au
WA (Graze)
0.6
0.96
All
Au
C-SILAGE
0.60
0.96
All
Au
CISB
0.60
0.96
All
Au
SBDC
0.60
0.96
All
Au
Wheat
0.60
0.96
All
Au
SA (Graze)
0.60
0.96
All
Au
WA (Graze)
0.60
0.96
All
Au
CS (Graze)
0.6
0.96
All
Au
OS (Graze)
0.6
0.96
All
BOB
C-SILAGE
0.75
0.95
All
BOB
C/SB
0.75
0.95
All
BOB
SBDC
0.75
0.95
All
BOB
Wheat
0.75
0.95
All
BOB
SA (Graze)
0.75
0.95
All
BOB
WA (Graze)
0.75
0.95
All
WaB
C-SILAGE
0.50
1.00
Ail
WaB
CISB
0.50
1.00
All
WaB
SBDC
0.50
1.00
All
was
Wheat
0.50
1.00
Ail
WaB
SA (Graze)
0.50
1.00
All
WaB
WA (Graze)
0.50
1.00

Tators Pig Parlor
Page 5
This is the maximum application amount allowed for the soil assuming the amount of nitrogen allowed for the
crop is not over applied. In many si*Luations the application amount shown cannot be applied because of the
nitrogen limitations. The maximum application amount shown can be applied under optimum soil conditions.
Your facility is designed for 180 days of temporary storage and the temporary storage must be removed on the
average of once every 6 months. In no instances should the volume of the waste be stored in your structure
be within the 25 year 24 hour storm storage or one foot of freeboard except in the event of the 25 year 24 hour
storm.
It is the responsibility of the producer and the waste applicator to ensure that the spreader equipment is operated
properly to apply the correct rates shown in the tables. Failure to apply the recommended rates and amounts of
nitrogen shown in the tables may make this plan invalid.
Call your technical specialist after you have receive the waste analysis report for assistance in determining the
amount of waste per acre and the proper application rate prior to appling the waste.
NARRATIVE OF OPERATION

Page 6
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm: Tators Pig Parlor
Owner/Manager Agreement Scott Matthis
I (we) understand and will follow and implement the specifications and the operation and maintenance proce-
dures established in the approved animal waste utilization plan for the farm named above. I (we) know that any
expansion to the existing design capacity of the waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the North Carolina Division of Water (duality
before the new animals are stocked. I (we) also understand that there must be no discharge of animal waste
from this system to the surface waters of the state from a storm event less severe than the 25-year, 24 hour
storm.The approved plan will be filed on -site at the farm office and at the office of the local Soil and Water
Conservation District and will be available for review by NCDWQ upon request.
Name of Facility Qwner. Scott Matthis
Signature:
Name of Manager (If different from owner)
Signature:
Name of Person Preparing Plan: G. Glenn Clifton
Affiliation: Prestage Farms, Inc. Phone: [phone]
Address: P.O. Box 438
Clinton, NC 28329
Signature: ` C_
Date: 7IJJ f ��
Date:
Date: '7 1 - -1- d D S

Michael F. Easley, Governor
T_
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins. Director
Division of Water t�uality
July 1, 2007A Scott `
Tators Pig Matthis
for JUN Z % 2012
5009 Moseley Ave _. .
Clinton, NC 28328
Subject: Certificate of Coverage No. AWS820395
Tators Pig Parlor
Animal Waste Management System
Sampson County
Dear A Scott Matthis:
In accordance with your application received on 20-Feb-07, we are hereby forwarding to you this
Certificate of Coverage (COC) issued to A Scott Matthis, authorizing the operation of the subject animal
waste management system in accordance with General Permit AWG100000.
This approval shall consist of the operation of this system including, but not limited to, the management
and land application of animal waste as specified in the facility's Certified Animal Waste Management
Plan (CAWMP) for the Tators Pig Parlor, located in Sampson County, with an animal capacity of no
greater than the following swine annual averages:
Wears to Finish: 0 Feeder to Finish: 4340 Boar/Stud: 0
Wean to Feeder: 0 Farrow to Wean: 0 Gilts: 0
Farrow to Finish: 0 Farrow to Feeder: 0
If this is a Farrow to Wean or Farrow to Feeder operation, there may also be one boar for each 15 sows.
Where boars are unneccessary, they may be replaced by an equivalent number of sows. Any -of the sows
may be replaced by gilts at a rate of 4 gilts for every 3 sows
The COC shall be effective from the date of issuance until September 30, 2009 and replaces the NPDES
COC issued to this facility with an expiration date of July 1, 2007. You are required to continue
conducting annual surveys of sludge accumulation in all lagoons at your facility; the one-year extension
in Condition HL 19 does not apply.
Pursuant to this COC, you are authorized and required to operate the system in conformity with the
conditions and limitations as specified in the General Permit, the facility's CAWMP, and this COC. An
adequate system for collecting and maintaining the required monitoring data and operational information
must be established for this facility. Any increase in waste production greater than the certified design
capacity or increase in number of animals authorized by this COC (as provided above) will require a
modification to the CAWMP and this COC and must be completed prior to actual increase in either
wastewater flow or number of animals.
Please carefully read this COC and the enclosed State General Permit. Enclosed for your convenience is
a package containing the new and revised forms used for record keeping and reporting. Please pay
careful attention to the record keeping and monitoring conditions in this permit.
Aquifer Protection Section 1636 Mail Service Center
Internet: www.ncwaterauality.ora Location: 2728 Capital Boulevard
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110°%o Post Consumer Paper
NoorthCarobna
Nawa!!tm
Raleigh. NC 27699-1636 Telephone: [phone]
Raleigh. NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

If your Waste Utilization Plan has been developed based on site -specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Periittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per 15A NCAC 02T .0111(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100-foot separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
Per 15A NCAC 02T .1306, any containment basin, such as a lagoon or waste storage structure, shall
continue to be subject to the conditions and requirements of the facility's permit until closed to NRCS
standards and the permit is rescinded by the Division.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Fayetteville Regional Office. The Regional Office
Aquifer Protection staff may be reached at 910433-3300. If you need additional information concerning
this COC or the General Permit, please contact the Animal Feeding Operations Unit staff at (919) 733-
3221.
Sincerely,
for Coleen H. Sullins
Enclosures (General Permit AWG100000, Record Keeping and Reporting Package)
cc: (Certificate of Coverage only for all cc's)
Sampson County Health Department
Sampson County Soil and Water Conservation District
Fayetteville Regional Office, Aquifer Protection Section
AFO Unit Central Files
Permit File AWS820395

December 1, 2006
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
A Scott Matthis
Tators. Pig Parlor
5009 Moseley Ave
Clinton, NC 28328
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Subject: Application for Renewal of Coverage for Expiring NPDES General Permit
Dear Permittee:
Alan W. Klimek, P.E. Director
Division of Water Quality
RECEIVED
DEC 06 =
OW-FArETWUE RE MLORiM
Your facility is currently approved for operation under one of the Animal Waste Operation NPDES General Permits, which expire on
July 1, 2007. Due to changes in federal rules, facilities that do not discharge nor propose to discharge may choose whether or not to
retain coverage under an NPDES General Permit. Copies of the draft animal waste operation NPDES general permits and the State
Non -Discharge General Permits are available at hgp://Uo.enr.state.nc.us/gps/afou/downloads.htm or by writing or calling:
NCDENR - DWQ Animal Feeding Operations Unit
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Telephone number: [phone]
In order to assure your continued coverage under one of these two types of eneral permits, you must submit an application for permit
coverage to the Division. Enclosed vou will find a 'Request for Certificate of Coverage Facility Currently Covered by an Expiping
NPDES General Permit.' The application form must be completed and returned by January 2 2007. Please noteyou must include
two 2 copies of your most recent Waste Utilization Plan with the application form.
Failure to request renewal of your coverage under a general permit within the time period specified may result in a civil penalty.
Operation of your facility without coverage under a valid general permit would constitute a violation of NCGS 143-215.1 and could
result in assessments of civil penalties of up to S25,000 per day.
If you have any'questions about the draft general permits, the enclosed application, or any related matter please feel free to contact the
Animal Feeding Operations Unit staff at 919-733-3221.
Sincerely,
Ted L. Bush, Jr., Chief
Aquifer Protection Section
Enclosures
cc (w/o enclosures): Sampson County Soil and Water Conservation District
Fayetteville Regional Office, Aquifer Protection Section
AFO Unit Central Files - 820395
Prestage Farms Inc
Aquifer Protection Section 1636 Mail Service Center
Intemet: www.newatMualitv.org Location: 2728 Capital Boulevard
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Raleigh, NC 27699-1630 Telephone:
Raleigh, NC 27604 Fax 1:
Fax 2:
Customer Service:
N'o.�Carolina
(q 1 g) Natur,4lf
[phone]
[phone]
[phone]

RECEIVED
FEB 1 1 2006
A- Farm Permit or DWQ Identification Number P, - 74 j DENA-FAYEiiEViLLEREGIONAL OFACE
B- Lagoon Identification
C. Person(s) taking Measurements - - }- -- Tom, , A r A ! /p, r,
D. Date of Measurements S - I? -
E. Methods/Devices Used for Measurement of_
a. Distance from the lagoon liquid surface to the top of the sludge layer:
b. Distance from the lagoon liquid surface to the bottom (soil) of lagoon:
c. Thickness of the sludge layer if making a direct measurement with "core sampler":
F. Lagoon Surface Area (using dimensions at inside top of bank): /, -7 (acres)
(Draw sketch of lagoon on a separate sheet and list dimensions, and calculate surface area.)
G. Estimate number of sampling points:
a. Less than 1.33 acre: Use 8 points
b. If more than 1.33 acre, 7 acres x 6 = 10 with maximum of 24.
(Using sketch and dimensions, develop a uniform "grid" that has number of intersection points that match
most closely with the estimated number of sampling points needed. Number the grid intersection points on
the lagoon grid to correspond with the data to be recorded for points of measurement.)
H. Conduct sludge survey and record data on "Sludge Survey Data Sheet".
1. At time of sludge survey, also measure the distance from the Maximum Liquid Level
to the Present Liquid Level (measure at the lagoon gage pole):
J. Determine distance from Maximum Liquid Level to Minimum Liquid Level:-z=•t'
(Determine from Plan or other lagoon records)
K. Calculate distance from present liquid surface level to Minimum Liquid
level: Item 3 - Item 1, assuming present liquid level is below Max. Liq, Level: 6
L. Record from sludge survey data sheet the distance from the present liquid surface level
to the lagoon bottom (average for all the measurement points),'to
M. Record from sludge survey data sheet the distance from the present liquid surface level
to the top of the sludge layer (average for all the measurement points): 5.
N. Record from sludge survey data sheet the average thickness of the sludge layer: ' 9
O. Calculate the thickness of the existing Liquid Treatment Zone (Item M - Item K): S 1
(Note: If Item 0 is less than 4 ft., a sludge removal and utilization plan may be required by
N. C. DWQ. See your specific permit or contact DWQ for more information.)
P. Proceed to Sludge Volume Worksheet if desire to calculate sludge volume for rectangular shaped
lagoon with uniform side slope.
-� , ,�, Date: ? - I I - 4 S
Completed by _ 1,,_r �,. ri ;
Print Name , Signature
White - Office Yellow - Producer

Sludge Survey Data Sheet
Completed by: —7Q n,p Z L4
Print Name
Lagoon Identification:
Date:
Signature
(A)
Grid
Point
No.
(B)
Distance from liquid surface
to to of sludge
(C)
Distance from liquid surface
to lagoon bottom soil
(C)-(B)
Thickness of sludge
la fer
Ft. & inches
Feet tenths
Ft. & inches
Feet tenths
Ft. & inches
Feet tenths
1
6 .C)
i
2
5.-7
I
3
S
f
4
��
J
5
L3
6
6
i
7
S�
I
8
u
(
I
I
i
9
Lj
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Average
K
*All Grid Points and corresponding sludge la er thickness must he shown on a sketch
attached to this Sludge Survey Data Sheet.
See Appendix 6 for conversion from inches to tenths of feet.
White - Office Yellow - Producer

r—
'I—
Lagoon Sludge Survey Form
A. Farm Permit or DWQ Identification Number
B. Lagoon Identification
C. Person(s) taking Measurements a +ll
D. Date of Measurements 5 — _ U
E. Methods/Devices Used for Measurement of:
a. Distance from the lagoon liquid surface to the top of the sludge layer:
QC,, f
b. Distance from the lagoon liquid surface to the bottom (soil) of lagoon:
L1�4 vpnr� ti _
c. Thickness of the sludge layer if making a direct measurement with "core sampler":
REC E EVE 6
FEB t i 2006
F. Lagoon Surface Area (using dimensions at inside top of bank): • 9 (acres)
(Draw sketch of lagoon on a separate sheet and list dimensions, and calculate surface area.)
G. Estimate number of sampling points:
a. Less than 1.33 acre: Use 8 points
b. If more than 1-33 acre, . 9 acres x 6 = with maximum of 24.
(Using sketch and dimensions, develop a uniform "grid" that has number of intersection points that match
most closely with the estimated number of sampling points needed- Number the grid intersection points on
the lagoon grid to correspond with the data to be recorded for points of measurement.)
H. Conduct sludge survey and record data on "Sludge Survey Data Sheet".
I. At time of sludge survey, also measure the distance from the Maximum Liquid Level
to the Present Liquid Level (measure at the lagoon gage pole):
!.
Determine distance from Maximum Liquid Level to Minimum Liquid Level:
(Determine from Plan or other lagoon records)
K.
Calculate distance from present liquid surface level to Minimum Liquid
level: Item J — item I, assuming present liquid level is below Max. Liq. Level
L.
Record from sludge survey data sheet the distance from the present liquid surface level
to the lagoon bottom (average for all the measurement points):
is 3
M.
Record from sludge survey data sheet the distance from the present liquid surface level
to the top of the sludge layer (average for all the measurement points):
!, 5
N.
Record from sludge survey data sheet the average thickness of the sludge layer:
? - P
O.
Calculate the thickness of the existing Liquid Treatment Zone (Item M — Item K):
C
(Note: If Item O is less than 4 8., a sludge removal and utilization plan may be required by
N. C. DWQ. See your specific permit or contact DWQ for more information.)
P.
Proceed to Sludge Volume Worksheet if desire to calculate sludge volume for rectangular
shaped
lagoon with uniform side slope.
Completed by L:,-; _ ` Date:
Print Name Signature

Lagoon Identification:
Sludge Survey Data Sheet
Completed by: _ ,. _ :a als o. % Date: _:' -1`7 - �t
Print Name Signature
r4
(A)
Grid
Point
No.
(B)
Distance from liquid surface
to to of sludge
(C)
Distance from liquid surface
to lagoon bottom soil
(C) - (g)
Thickness of sludge
la fer
Ft. & inches
Feet tenths
Ft. & inches
Feet tenths
Ft. & inches
Feet tenths
2
3
—S
4
f.o
5
r
6
7
h.
i
g
6.9
w!
-
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Average
*All Grid Points and corres ondin sludge laver thickness must be shown on a sketch
attached to this Sludge Survey Data Sheet.
See Appendix 6 for conversion from inches to tenths of feet.
White - Office Yellow - Producer

L
EIVEL)B 0 92006FMULf RE@0ML 0FRCE
45
Nc-=Sa395
..uwsty Sar— Year 200 -AT
Facility Name (as shown on Certificate of Coverage or Permit)
Operator in Charge for this Facility MOC4 Certification #-A
_
LandapiTcation of animal waste as allowed by the above permit occurred during the past calendar year
✓✓ YES NO. If NO, skip Part I and Part II and proceed to the certification. Also, if animal waste
was generated but not Iand applied, please attach an explanation on how the animal waste was handled.
Part I : Facility Information:
I . Total number of application Fields 2 or Pulls 0 (please check the appropriate box) in the Certified Animal
Waste Management Plan (CAWMP): 9 3 Total Useable Acres approved in the CAWMP
_ 1L .!I
2. Total number of Fields 1 f or Pulls ❑ (please check the appropriate box) on which land application
occurred during the year: 3 _ Total Acres on which waste was applied 96,2
Total pounds of Plant Available Nitrogen (PAN) applied during the year for all application sites:
")Lay - -
4. Total pounds of Plant Available Nitrogen (PAN) allowed to be land applied annually by the CAWMP and
the permit:
5. Estimated amount of total manure, litter and process wastewater sold or given to other persons and taken
off site during the year N/A tons ❑ or gallons ❑ (please check the appropriate box)
6. Annual average number of animals by type at this facility during the previous year:
Cn 2%
7. Largest and smallest number of animals by type at this facility at any one time during the previous year:
Largest
Smallest �7
(These numbers are for informational purposes only since the only permit limit on the number of animals
at the facility is the annual average n }
$. Facility's Integrator if applicable: T +��-
Part II: Facility Status:
IF THE ANSWER TO ANY STATEMENT BELOW IS "NO", PLEASE PROVIDE A WRITTEN
DESCRIPTION AS TO WHY THE FACILITY WAS NOT COMPLIANT, THE DATES OF ANY NON
COMPLIANCE, AND EXPLAIN CORRECTIVE ACTION TAKEN OR PROPOSED TO BE TAKEN TO
BRING THIS FACILITY BACK INTO COMPLIANCE.
1. Only animal waste generated at this facility was applied to the permitted sites during eYes ❑ No
the past calendar year_
AFACF 3-14-03

2. The facility was operated in such a way that there was no direct runoff of waste from
the facility (including the houses, lagoons/storage ponds and the application sites) during
N.
the past calendar year.
3_ There was no discharge of waste to surface water from this facility during the past
❑ Yes
calendar year.
4. There was no freeboard violation in any lagoons or storage ponds at this facility during
❑ Yes R-I�c
the past calendar year.
P
5. There was no PAN application to any fields or crops at this facility greater than the
❑ Yes Nc
levels specified in this facility's CAWMP during the past calendar year.
�/
❑
6. All land application equipment was calibrated at least once during the past calendar year_
❑ Yes Nc
7_ Sludge accumulation in all lagoons did not exceed the volume for which the lagoon
❑ Yes ETI�-(
was designed or reduce the lagoon's minimum treatment volume to less than the volume
for which the lagoon was designed.
❑
8. A copy of the Annual Sludge Survey Form for this facility is attached to this Certification.
R" e's Nc
9. Annual soils analysis were performed on each field receiving animal waste during the
E Yes ❑ Nc
past calendar year.
10. Soil pH was maintained as specified in the permit during the past calendar Year?
efes ❑ Nc
1 I. All required monitoring and reporting was performed in accordance with the facility's
Pl-es ❑ Nc
permit during the past calendar year.
eyes ❑
12_ All operations and maintenance requirements in the permit were complied with during
No
the past calendar year or, in the case of a deviation, prior authorization was received
from the Division of Water Quality.
.3. Crops as specified in the CAWMP were maintained during the past calendar year on all
Yes ❑ No
sites receiving animal waste and the crops grown were removed in accordance with
the facility's permit.
14. All buffer requirements as specified on the permit and the CAWMP for this facility were
'Yes ❑ No
maintained during each application of animal waste during the past calendar year.
"I certify under penalty of law that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of
my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
type or print)
Signature of Operator in Charge
(if different from Permittee)
J©o
Date
Date

ANIMAL FACILITY ANNUAL CERTIFICATION FORM
Certificate of Coverage or Permit Number &-�County Year 200_q
• Facility Name (as shown on Certificate of Coverage or Permit)I
Operator in Charge for this Facility �5�p- { � �5 Certification # R-SS9
Land alpplication of animal waste as allowed by the above permit occurred during the past calendar year
✓ YES NO. If NO, skip Part I and Part II and proceed to the certification. Also, if animal waste
was generated but not land applied, please attach an explanation on how the animal waste was handled.
Part I : Facility_ Information:
1. Total number of application Fields 0 or Pulls ❑ (please check the appropriate box) in the Certified Animal
Waste Management Plan (CAWMP): 7 Total Useable Acres approved in the CAWMP
125- 3 .
2. Total number of Fields L o Pulls ❑ (please check the appropriate box) on which land application
occurred during the year: 5Total Acres on which waste was applied lqj. cgy
3. Total pounds of Plant Available Nitrogen (PAN) applied during the year for all application sites:
9�?
4. Total pounds of Plant Available Nitrogen (PAN) allowed to be land applied annually by the CAWMP and
the permit: 'S 6.0 a.US
5. Estimated amount of total manure, Iitter and process wastewater sold or given to other persons and taken
• off site during the year N I k tons ❑ or gallons ❑ (please check the appropriate box)
6. Annual average number of animals by type at this facility during the previous year:
7. Largest and smallest number of animals by type at this facility at any one time during the previous year:
Largest y 49 7? _ _ -
Smallest _ Tl� _
(These numbers are for informational purposes only since the only permit limit on the number of animals
at the facility is the annual average numbers)
8_ Facility's Integrator if applicable: _ _ ryz a, --�
Part II: Facility Status:
IF THE ANSWER TO ANY STATEMENT BELOW IS "NO", PLEASE PROVIDE A WRITTEN
DESCRIPTION AS TO WHY THE FACILITY WAS NOT COMPLIANT, THE DATES OF ANY NON
COMPLIANCE, AND EXPLAIN CORRECTIVE ACTION TAKEN OR PROPOSED TO BE TAKEN TO
BRING THIS FACILITY BACK INTO COMPLIANCE.
1. Only animal waste generated at this facility was applied to the permitted sites during L�-Yes ❑ No
the past calendar year_
RECEIVED
AFACF 3-14-03 1 FEB 2 4 2005
QFRCE
EDERRY�nrtt� �F�

2.
The facility was operated in such a way that there was no direct runoff of waste from
2' es
❑ No
the facility (including the houses, lagoons/storage ponds and the application sites) during
the past calendar year.
There was no discharge of waste to surface water from this facility during the past
i�Yes
[]No
0
calendar year.
4.
There was no freeboard violation in any lagoons or storage ponds at this facility during
[�-Yes
[]No
the past calendar year.
5.
There was no PAN application to any fields or crops at this facility greater than the
�,
L?' Yes
❑ No
levels specified in this facility's CAWMP during the past calendar year.
All land application equipment was calibrated at least once during the past calendar year.,
Yes
YYes
El"
❑ No
7.
Sludge accumulation in all lagoons did not exceed the volume for which the lagoon
2 Yes
❑ No
was designed or reduce the lagoon's minimum treatment volume to less than the volume
for which the lagoon was designed.
8.
A copy of the Annual Sludge Survey Form for this facility is attached to this Certification.
C-Yes
❑ No
9.
Annual soils analysis were performed on each field receiving animal waste during the
❑ Yes
❑ No
past calendar year.
10.
Soil pH was maintained as specified in the permit during the past calendar Year?
Q,Ves
[]No
11. All required monitoring and reporting was performed in accordance with the facility's �es ❑ No
permit during the past calendar year. ��/
12. All operations and maintenance requirements in the permit were complied with during LK Yes ❑ No
the past calendar year or, in the case of a deviation, prior authorization was received
from the Division of Water Quality. ✓
3. Crops as specified in the CAWMP were maintained during the past calendar year on all Yes ❑ No
sites receiving animal waste and the crops grown were removed in accordance with
the facility's permit.
14. All buffer requirements as specified on the permit and the CAWMP for this facility were 1J Yes ❑ No
maintained during each application of animal waste during the past calendar year.
"I certify under penalty of law that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of
my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
JCok-', Mo-%i3
rnuttee Name and Title (type or print)
Si
Signature of Operator in Charge
• (if different from Permittee)
a� ILA ro
Date
Date
AFACF 3-14-03 2

F t
Lagoon Sludge Survey Form
A. Farm Permit or DWo Identification Number g7.-395
B. Lagoon Identification +p�-� U r1_pt Parlor 1� f + ? E�j�l��p
C. Person(s) taking Measurements \L, +�Qm _ FEBV 2 4 zoos
D. Date of Measurements - 0 q , F���i��R��fo
NAB QFACF
E. fvlethodslDevices Used for Measuement of:
a
a. Distance from the lagoon liquid surface to the top of the sludge layer:
'So rLa r--
b. Distance from the lagoon liquid surface to the bottom (soil) of lagoon:
--Poke Jut lonea.Ku".M10-Ar
c. Thickness of the sludge layer if making a direct measurement with "core sampler"
YJfl
F. Lagoon Surface Area (using dimensions at the inside top of bank): (acres)
(Draw sketch of lagoon on a separate sheet and list dimensions, and calculate surface area.)
G. Estimate number of sampling points
a. Less than 1.33 acres: Use 8 points
b. If more than 1.33 acres, 9 acres x 6 = Q _^ , with maximum of 24,
(using sketch and dimensions, develop a uniform "grid' that has number of intersection points that match
most closely with the estimated number of sampling points needed. Number the grid intersection points on
the lagoon grid to correspond with the data to be recprded for points of measurement.)
i
H. Conduct sludge survey and record data on "Sludge Survey Data Sheet".
I. At the time of sludge survey, also measure the distance from the Maximum Liquid Level
to the Present Liquid Level (measure at the lagoon gage pole): 11 41
J. Determine distance from Maximum Liquid limit to Minimum Liquid Level: 2,O
(Determine frorn Plan or other lagoon records)
K. Calculate distance from present liquid surface level to Minimum Liquid
Level: itemJ - Item 1, assuming present liquid level is below Max. Liq. Level:
, (o
L. Record from sludge survey data sheet the distance from the present liquid surface level
to the lagoon bottom (average for all the measuement points):
mil.
M. Record from the sludge survey data sheet the distance from the present liquid surface level
to the top the layer for
// 1
of sludge (average all the measurement points):
N. Record from the sludge survey data sheet the average thickness of the sludge layer:
S,
0. Calculate the thickness of the existing Liquid Treatment Zone (Item M - Item K):
S. S
(Note: If item O is less than 4 ft.. a sludge removal and utilization plan may be required by
N.C. DWo. See your specific permit or contact DWO for more information.) *a
P. Proceed to the sludge Volume Worksheet if desire to calculate sludge volume for rectangular shaped
lagoon with uniform side slope.
Completed by: r ZM,12Date:
Print Name 61 Signature

-------�7w1r
a
Sludge Survey Data Sheet
Completed By: r
Print Name
Lagoon Identification
•FA
�JI. / /i//� .S
■_
rartor Pik &r Ior
S.Z -- 39S
Date: 1 - 6 - o
Grid
Point
No.
Distance from• surface
to top of ■■
Distance from• ■ surface
to la■■r r• r(soil)
i
Thickness of sludge
layer
�
r
m
' All Grid Points and corresponding sludge laver thickness must be shown on a sketch
attached to this Sludge Survey Data Sheet.
Conversion Table From inches to Tenths of feet
Inches
Tenths of feet
Inches
Tenths of feet
1
0.1
7
0.6
2
0.2
8
0.7
3
0.2
9
0.7
4
0.3
10
0.8
5
0.4
11
0.9
6
0.5
12
1-0

e Lagoon Sludge Survey Form
. MOVED
A. Farm Permit or DWQ Identification Number P.2-395
B. Lagoon Identification Ip�-t-8r r ,I�&rio�_1
C. Person(s) taking Measurements `�, L
D- Date of Measurements I — %— 0
E. Nletheds/Devices Used for Measuement of:
a. Distance from the lagoon liquid surface to the top of the sludge layer:
470no r
b. Distance from the lagoon liquid surface to the bottom (soil) of lagoon:
-- r �I (JFB CAS u.��a n.L
FEB 2 4 2005
,� > 4yc�f I1E RECIONAL OFRCE
c Thickness of the sludge layer if making a direct measurement with "core sampler"
F. Lagoon Surface Area (using dimensions at the inside top of bank): 1. 1 (acres)
(Draw sketch of lagoon on a separate sheet and list dimensions, and calculate surface area.)
G. Estimate number of sampling points
a. Less than 1 -33 acres: Use 8 points
b. If more than 1.33 acres, I. I acres x 6 = to with maximum of 24.
(using sketch and dimensions, develop a uniform "grid" that has number of intersection points that match
most closely with the estimated number of sampling points needed. Number the grid intersection points on
the lagoon grid to correspond with the data to be recorded for points of measurement.)
H. Conduct sludge survey and record data on "Sludge Survey Data Sheet".
1. At the time of sludge survey, also measure the distance from the Maximum Liquid Level
to the Present Liquid Level (measure at the Iagcon gage pole): r.S
J. Determine distance from Maximum Liquid limit to Minimum Liquid Level: ,O
(Determine from Plan or other lagoon records)
K. Calculate distance frcm present liquid surface level to Minimum Liquid
Level: ItemJ - Item f, assuming present liquid level is below Max. Lid. Level: Is
L. Record from sludge survey data sheet the distance From the present liquid surface level pp
to the lagoon bottom (average for all the measuement points): 6. S
M. Record fmm the sludge survey data sheet the distance from the present liquid surface level
to the top of the sludge layer (average for all the measurement points): S.
N. Record from the sludge survey data sheet the average thickness of the sludge layer: 3.3
O. Calculate the thickness of the existing Liquid Treatment Zone (item M - Item K):
(Note: If item O is less than 4 ft.. a sludge removal and utilization plan may pe required by
N.C. DWQ_ See your specific permit or contact DWQ for more information.)''
P. Proceed to the sludge Volume Worksheet if desire to calculate sludge volume for rectangular shaped
laecon with uniform side slope.
Completed by: `,j ,, G yn 1) — Date:
Print Name Signature

Sludge Survey Data Sheet
Completed By I . L.(D, M L,
Print Name
La000n Identification
—WO ll.a_ y I _ 1i. .
S�gnature
kk4or Pr- &rlor -P2
82 -- ; 95
Date: - D
(A)
Grid
Point
No.
(B)
Distance from liquid surface
to top of sludge
(C)
Distance from liquid surface
to lagoon bottom (soil)
(D)
Thickness of sludge
layer
Ft. & inches
Feet (tenths)
Ft. & inches
Feet (tenths)
Ft. & inches
Feet (tenths)
1
. .?
Y.
2
S. g
_� . 4
3
s.
3.1
4
5.3
3.6
5
1
�.
3• i
2.
7
.�
8
.3
9
10
z
3.
11
12
13
14
15
16
17
18
19
20
21
22
23
2,1
Average
All Grid Points and corresponding sludge layer thickness must be shown on a sketch
attached to this Sludge Survey Data Sheet,
Conversion Table From Inches to Tenths of Feet
Inches
Tenths of feet
Inches
Tenths of feet
1
0.1
7
0.6
2
0.2
B
0.7
3
0.2
9
0.7
4
0.3
10
0.8
5
0.4
11
0.9
6
0.5
12
1.0

�•
- � I � � � - �
� I ..f 1 3 ' _ s.. i I _ I
4. ! J � s...'t I i - � � ( _, - .
i.
I
i I
I +
• � . . ' - �
..i i . ; .
r ; I I
1
- ; f , � � ` s I J 1
� I � j
.. �. J s i — ,
� ! - �
...
Ki
'
QLi

r
ANIMAL FACILITY A NNTTAL ICF.R'TIFICATION FORM
Certificate of Coverage or Permit Number County ^-� _ Year 200 3
Facility Name (as shown on Certificate of Coverage or Permit)c-"D r3
Operator in Charge for this Facility cEtk (y1CrWt'-3 Certification 4 E?&S?
Land a,gplication of animal waste as allowed by the above permit occurred during the past calendar year
� YES NO_ If NO, skip Part I and Part II and proceed to the certification. Also, if animal waste
was generated but not land applied, please attach an explanation on how the animal waste was handled.
Part I : Facility Information: �
1 _ Total number of application Fields ff or Pulls ❑ (please check the appropriate box) in the Certified Animal
Waste Management Plan (CAWMP): Total Useable Acres approved in the CAWMP
2. Total number of Fields ❑ or Pulls D (please check the appropriate box) on which land application
occurred during the year: c� Total Acres on which waste was applied . / 06.3� A Eg�5
3. Total pounds of Plant Available Nitrogen (PAN) applied during the year for all application sites:
fl aly
4. Total pounds of Plant Available Nitrogen (PAN) allowed to be land applied annually by the CAWMP and
the permit: CqO-, } Q$ 5 --
5. Estimated amount of total manure, Iitter and process wastewater sold or given to other persons and taken
off site during the year IV tons �! or gallons ❑ (please check the appropriate box)
6. Annual average number of animals by type at this facility during the previous year:
7. Largest and smallest number of animals by type at this facility at any one time during the previous year:
Largest Ll q a
Smallest 4 g
(These numbers are for informational purposes only since the only permit limit on the number of animals
at the facility is the annual average numbers) —
8. Facility's Integrator if applicable: - P"e_
Part II: Facility Status:
IF THE ANSWER TO ANY STATEMENT BELOW IS "NO", PLEASE PROVIDE A WRITTEN
DESCRIPTION AS TOWHY HY THE FACILITY WAS NOT COMPLIANT, THE DATES OF ANY NON
COMPLIANCE, AND EXPLAIN CORRECTIVE ACTION TAKEN OR PROPOSED TO_BE TAKEN TO
BRING THIS FACILITY BACK INTO COMPLIANCE.
1. Only animal waste generated at this facility was applied to the Cr Yes ❑ No
the past calendar year.
AFACF 3-14-03

2. The facility was operated in such a way that there was no direct runoff of waste from�Yes ❑ No
the facility (including the houses, lagoons/storage ponds and the application sites) during
the past calendar year.
3 . There was no discharge of waste to surface water from this facility during the past E� Ye s ❑ No
calendar year.
4. There was no freeboard violation in any lagoons or storage ponds at this facility during �es ❑ No
the past calendar year.
5. There was no PAN application to any fields or crops at this facility greater than the P Yes ❑ No
levels specified in this facility's CAVVMP during the past calendar year.
6. All land application equipment was calibrated at least once during the past calendar year_ Erlyes ❑ No
7. Sludge accumulation in all lagoons did not exceed the volume for which the lagoon -R-tes ❑ No
was designed or reduce the lagoon's minimum treatment volume to less than the volume
for which the lagoon was designed. 8. A copy of the Annual Sludge Survey Forst for this facility is attached to this Certification. [IR Yes <O
9. Annual soils analysis were performed on each field receiving animal waste during the C'�es ❑ No
past calendar year.
10. Soil pH was maintained as specified in the permit during the past calendar Year? Yes ❑ No
11. All required monitoring and reporting was performed in accordance with the facility's Yes ❑ No
permit during the past calendar year.
12. All operations and maintenance requirements in the permit were complied with during T Yes ❑ No
the past calendar year or, in the case of a deviation, prior authorization was received
from the Division of Water Quality.
13. Crops as specified in the CAWMP were maintained during the past calendar year on all 2rYes ❑ No
sites receiving animal waste and the crops grown were removed in accordance with
the facility's permit.
14. All buffer requirements as specified on the permit and the CAWi'viP for this facility were VI es ❑ No
maintained during each application of animal waste during the past calendar year.
"I certify under penalty of law that this document.and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the inforrnatim, the information submitted is, to the best of
my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
Permittee Name and Title (type or print)
ignature of Permittee
Signature of Operator in Charge
(if different from Permittee)
AFACF 3-14-03 2
�y y _
- Date
Date

V
Q5

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
A. Scott Matthis
Tators Pig Parlor
5009 Moseley Ave
Clinton NC 28328
Dear A. Scott Matthis:
•if
A&4 �•/
�- 1
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 30, 1999 RECEIVED
ED
JZ'11N 1 12000
FAYErTEMLLE
PEG. OFFICE
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 82-395
Sampson County
This letter is being sent to clarify the recordkeeping requirement for Plant Available Nitrogen (PAN)
application on fields that are part of your Certified Animal Waste Management Plan.
In order to show that the agronomic loading rates for the crops being grown are not being exceeded, you
must keep records of all sources of nitrogen that are being added to these sites. This would include nitrogen
from all types of animal waste as well as municipal and industrial sludges/residuals, and commercial fertilizers.
Beginning January 1, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. IRRI, IRR2, DRY1, DRY2, DRY3, SLURI, SLUR2,
SLD1, and SLD2) and maintained in the facility records for review. The Division of Water Quality (DWQ)
compliance inspectors and Division of Soil and Water operation reviewers will review all recordkeeping during
routine inspections. Facilities not documenting all sources of nitrogen application will be subject to an
appropriate enforcement action.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Ms. Sonya Avant of the
DWQ staff at [phone] ext. 571.
Sin cerel. Z/�
Kerr T. Stevens, Director
Division of Water Quality
cc: Fayetteville Regional Office
Sampson County Soil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

fflk
State of North Carolina
Department of Environment, Health and Natural Resources
Division of Water Quality
Non -Discharge Permit Application Form / Survey
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
General Permit - Liquid Animal Waste Operations
The following questions have been completed utilizing information on file with the
Division. Please review the information for completeness and make any corrections
which are appropriate. If a question has not been completed by the Division, please
complete as best as possible. Do not leave any question unanswered.
Application Date:g!!WQ;P
I. REQUIRED ITEMS CHECKLIST
Please indicate that you have included the following required items by signing your initials in the space provided next to each
item.
AnDlicants n'
1. One completed and signed original and one copy of the application for General Permit - Animal ��VL—
Waste Operations;
2. Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is disposed; _6V\
3. Two copies of the Certified Animal Waste Management Plan (CAWMP). If the facility does
not have a CAWMP, one must be completed prior to submittal of a general permit application
for animal waste operations. WA,
II. GENERAL INFORMATION:
1. Farm's name: Tators. Pig Earlor
2. Print Land Owner's name: A. Spott Matti
3. Land Owner's Mailing address: 5009 Moseley Ave
City: Clinton NC Zip: 28328
Telephone Number: q SAD
4. County where farm is located: Sampson _
5. Farm Location (Directions from nearest major highway. Please include SR numbers for state roads. Please include a copy
of a county road map with the location of the farm identified): 421 south to SR 1146. go alipmg. 2 mileso SR J 147 in
farm is 314 mile on left.
6. Print Farm Managers name (if different from Land Owner):
7. Lessee's /dn!es_na (if applicable; please circle which type is listed): Presta eg Prestage F s
82 - 395
FORM: AWO-G-E 2/26/97 Page I of 3

III. OPERATION INFORMATION:
1. Farm No.: 82-3 5
2. Operation Description: Swine o eratin
Feeder to Finish
4340 - Certified Design Capacity
Is the above information correct? des; E] no. If no, correct below using the design capacity of the facility
TvW of Swine No. of Animals ])WM ofof Poultry No. of Animals Typc of Cattle No. of Animals
0 Wean to Feeder 0 Layer 0 Dairy
0 Feeder to Finish 0 Non -Layer 0 Beef
0 Farrow to Wean (# sow) 0 Turkey
0 Farrow to Feeder (# sow)
0 Farrow to Finish (# sow)
Other Type of Livestock on the farm: F&I IV No. of Animals:
3. Acreage cleared and available for application: 24W1W ; Required Acreage (as listed in the CAWMP):.a5 % 6. 5
4. Number of Lagoons: 2 ; Total Capacity: SD Z 67 Cubic Feet (0)
Number of Storage Ponds: ; Total Capacity: Cubic Feet (ft3)
5. Is animal waste being applied on any field which has subsurface drains? YES or 6N (please circle one)
6. Are subsurface drains present in the vicinity of or under the lagoon? YES or (SD (please circle one)
IV. AP LI ANT'S CERTIFICATION:
I, n
I '' L ev 4 tt (Land Owner's name listed in question II.2), attest that
this application for 4o Far (Farm name listed in question 11.1)
has been reviewed by me and is accurate an complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application package
will be returnto me as incompl te.
Signature Date 49h 0
V . MANAGER'S CERTIFICATION: (complete only if different from the Land Owner)
1, (Managers name listed in question II.6), attest that this
application for (Farm name listed in question II.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application package
will be returned as incomplete.
Signature
Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: [phone]
FORM: AWO-G-E 2/26/97
Page 2 of 3

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Nutrient Management Plan
Producer. A. Scott Matthis(Tators Pig Parlor)
Address: 5009 Moseley Ave., Clinton NC 28328
Telephone #: [phone]
Facility #: 82-395
Farm Location: 6.5 miles east of Clinton on US 421, Rt on SR 1147. Facility entrance on rt about 2.5 mi
Type Operation: Feeder to Finish
Table 1: Waste Calculations`
Type production
animal units(AU) Lbs N/yr Gals wastelyr
wean to feeder
0.00 0.00
feeder to finish
4,340.00 9, .00 ,023,180.00
fanuw to wean
0.00
farrow to feeder
0.00 0.00 0.00
farrow to finish
0.00 0.00 0.00
Total N per year 9,982.00
Total gallons wastelyear 4,023,180.00
Acre incheslyear 148.16
Total N from sludge producedlyear
'Calculations based on animal units with waste applied by irrigation
Sludge N/yr
0.00
1,562.40
0.00
WA72(,
0,00
0.00
OOSE�o
T , 6 1997 N
NO, t)
1562.40
Several factors are important in implementing this plan to maximize the fertilizer value of the waste and to
ensure that the waste is applied in an environmentally safe manner. Factors included are:
1: Always apply wastes based on crop needs and the nutrient content of the waste.
2: Do not over apply nitrogen.
3: Do not apply wastes on saturated soils, when it is raining, or when the ground is frozen, either could
cause surface runoff.
4: Consider wind conditions to avoid drift and down wind odor problems.
5: Wastes can only be applied to actively growing crops or not more than 30 days prior to planting or to
forages breaking dormancy.
6: This plan uses nitrogen as the limiting nutrient.
7: This plan is based on wastes being applied using irrigation. if the application method is changed,
this plan will need to be revised because the nutrient content varies depending upon the application
method.
8: Waste samples are required to be taken and analyzed at least 60 days within the application date.
9: Soil samples are required to be taken and analyzed annually. These analyses are used to balance all
nutrients for optimum growth and to monitor metal levels in the soil, especially copper and zinc.
Page 1

r
TABLE 2: Application Agronomics
J -act
Field
jl Tyke
Croo
Lbs N/Acre Acres Lbs N/Field Month To Apply
6350
1
Au
RG
100 42.1
4210
Sept -April
6350
4
Au
MG
100 20.6
2060
Mar -Oct
6350
4
Au
RGG
100 20.6
2060
Sept -April
6350
5
Au
MG
100 23.7
2370
Mar -Oct
6350
5
Au
RGG
100 23.7
2370
Sept -April
Total Acres 86.4
Total N Utilized
1307
RG=Rye,
grazed; MG=Millet, grazed; RGG=Ryegrass, grazed
Table 3: Nitrogen Balance
Total N Used 13070
Total N Produced 9982
Surplus or Deficit -3088
1'-`'i`
G-I.
The nitrogen balance shown in table 3 should be equal to of less than 0 to fully utilize the nutrients
produced by the swine from this farm. To produce crops at the RYE's shown may require the use
of commercial fertilizer to balance fertilization rates in crop rotations. This farm is producing
9982 Ibs of nitrogen per year in the waste water and an additional 1562.4
Ibs of nitrogen accumulates annually as sludge. To land apply the liquid portion in an acceptable manner
requires the irrigation system to pump and spread 4023180 total gallons annually.
Field Soil Crop
1
Au
Rye
4
Au
Millet
4
Au
Ryegrass
5
Au
Millet
5
Au
Ryegrass
Table 4: Irrigation Application Rates
Application Rate
Application Rate
lr ch s/Hr
IrtcheVApplication
0.6
1.2
0.6
1.2
0.6
1.2
0.6
1.2
0.6
1.2
The irrigation application rate should not exceed the infiltration rate of the sail at the time of irrigation such
Page 2
0

r
that runoff or ponding occurs. The application amount should not exceed the available water holding
capacity of the soil at the time of irrigation nor should the plant available nitrogen applied exceed the
nitrogen needs of the crop.
Your facility is designed for 180 days of temporary storage and the temporary storage must be removed on
the average of once every 6 months. In no instance should the volume of waste being stored in your
structure be higher than the upper pumping marker except in the event of a 25 year, 24 hour storm.
If surface irrigation is the method of land application for this plan, it is the responsibility of the producer and
irrigation designer to ensure that an irrigation system is installed to properly irrigate the acres shown in
Table 2. Failure to apply the recommended rates and amounts of nitrogen shown in the tables make this
plan invalid.
Narrative of Operation:
Fields 1 and 5 are bordered by road ditches and care should be taken not to let swine effluent be pumped or
blown into these areas. Rye will be planted in field 1 for waste applications during September -April. The rye
will be grazed one year and grown for grain the next year. This sequence will then be repeated in the
following years. Tobacco will be grown in field 1 during the summer months and seine effluent will not be
used in the tobacco production. None of the props grown in the plan will be overseeded. Application
agronomics for fields 4 and 5 are as indicated in table 2.
Page 3

WASTE UTH17.ATION PLAN AGREEMENT
Nam_ g of Farm: Scott Matthis
I (we) understand and will follow and implement the specifications, operation and maintenance
procedures established in the approved animal waste utilization plan for the farm named above. I
(we) know any expansion to the existing design capacity of the waste treatment and storage
system or construction of new facilities will require a new certification to be submitted to the
North Carolina Division of Water Quality before the new animals are stocked I (we) also
understand there must be no discharge of animal waste from this system to surface waters of the
state from a storm event less severe than the 25-year, 24 hour storm. The approved plan will be
filed on -site at the farm office and at the office of the local Soil and Water Conservation District
and will be available for review by NCDWQ upon request_
Name of Facility Owner: Scott Matthis
Signature: Date: ) 7 1 Q
Name of Manager (If different from owner):
Signature:
Name of Person Preparing Plan
Affiliation:
Phone No.
Address (Agency):
Date:
Robert D Edwards
NCDA
919-523-2949
P O Box 801
Kinston NC 28502-0801
Signature: Date: % 7

Structure Evaluation Inspection
Facility Number: Il -- ? 9j Date: a4our Z1,91g
Time in: 1 , V Time out: / /D
Farm Name: Farm 911 address: )W.Z��,9>�[�iv,2cf(/,
Owner Name: SGdTT Phone 2,1t7. S90 - Z9114
Facility Contact:
Onsite Representative:
Certified Operator:
Integrator: S
JF
Cert. Number
Is storage capacity less than adequate? Yes No
If yes is waste level into the structural freeboard? Yes
Was non -compliant level reported to DWR
Structure: 1 2 3
Identifier:
Spillway?
Designed Freeboard (in.):
Observed Freeboard (in.): ji'r� Z�ln
No
POA received
4 5 6
Are there any immediate threats to the integrity of any of the structures
observed? Yes No
Do any structures lack adequate markers as required by the permit? Yes _ No
Does any part of the waste management system need repair Yes No
Condition of field's
Condition of receiving crop
Comments:

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