310152_INSPECTIONS_20171231

NORTH CAROLINA .�
Department of Environmental Qual

Type of Visit: XD Compliance Instow
on V Operation Review U Structure Evaluation U Technical Assistance
Reason for Visit: 0 Routine plaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: „lam /7_W !/S I Arrival Time: Departure Time: (p County: t1 n Region:
� Farm Name: O i,-IP-S 2— Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: \ r e 5j 9 I P lj Integrator:
Certified Operator:
Phone:
Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Design Current
Swine Capacity Pop.
Wean to Finish
Design Current
Wet Poultry Capacity Pop.
La er
Design Current
Cattle Capacity Pop.
Dairy Cow
Wean to Feeder
Non -Layer
Dairy Calf
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Design Current
Dr. Poul Ca aci to
Lavers
Dairy Heifer
Dry Cow
Non-Dairy
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
jPullets
Beef Brood Cow
Qther
Other
Turkeys
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operati ?
Discharge originated at: ❑ Structure Application Field ❑ Other:
Yes ❑ No ❑ NA ❑ NE
a. Was the conveyance man-made?
[] Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
Yes
❑ No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
52C00 L't /& /7S
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
Lid Yes
❑ No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
21<0
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412014 Continued

Y
Facili umber: jDate of Inspection:
Waste Collection & Treatment
4. lsstorage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes fo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
Identifier:
Spitlway?:
Designed Freeboard (in):
Observed Freeboard (in)
Structure 1 Structure
' 2 Structure 3 Structure 4
fro t3r4t1
2 nelfS Ll d-e 5
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., 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
Structure 5 Structure 6
[—]Yes No ❑ NA ❑ NE
❑ Yes [v�No 0 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 VNE
N
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ No ❑ NA
(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 ENE
maintenance or improvement?
Waste Application
10. Are ther any required buffers, setbacks, or compliance alternatives that need as ❑ No ❑ NA ❑ NE
maint ance or improvement?
11. Is ere evidence of incorrect land application? If yes, check the appropriate box below. Yes [:]No ❑ NA ❑ NE
Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes N
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes WNo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes Z/No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes E 1"o
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes ❑ No ❑ NA NE,
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA &1<E
the appropriate box,
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other: XI
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No ❑ NA N
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA E
Page 2 of 3 21412011 Continued

T
Facility. Number: -5 D jDate of Inspection: 2
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [:]No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ NA TE
❑ NA IE
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes ❑ No ❑ NAB ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [:]Yes ❑ No B-9A- ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
[:]Yes [:]No ❑ NA NE
❑ Yes [:]No
g1les; ❑ No
❑ NA E
❑ NA ❑ NE
❑ Yes ❑ No ❑ NA EKE E
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative? ❑ Yes EKo ❑ NA
34. Does the facility require a follow-up visit by the same agency? ❑ Yes [ No ❑ NA
Comments (refer to question ft Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
(k<Lk"J C -^- ltj4 a 'e (-i1,,. k rc6a�4eelSSrbj�dl'SG fr, A(f"t� h aa►.h si✓ta�-� c �n,r�
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Reviewer/Inspector Name:
Reviewer/Inspector Signature
Page 3 of 3
Phone: ` 0 77
Date: �Q 1 ,/
21412014

r
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 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: {�� Region:
Farm Name: 2= Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: T4-r— y 844' (L
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Integrator: %�'% /n
Certification Number:
Certification Number:
Longitude:
Design Current
Swine Capacity Pop.
Wean to Finish
W,et.P,oultry
La er
Non -La er
Dr. $quit .
Layers
Design
Capacity
Design
Capat
C**urrent
Pop.
Current
P,o ,
Design Current
Cattle Capacity Pop.
Dai Cow
Dai Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Non -Layers
Beef Feeder
Beef Brood Cow
Boars
Pullets
Turke s
Turkey Poults
Other
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify D WR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes ,❑/0'No ❑ NA ❑ NE
❑ Yes -n No
❑ Yes .Ef—No
❑ Yes ❑'No
❑ Yes ja No
❑ Yes ED-No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Page 1 of 3
21412015 Continued
r.

Facili Number: jDate of Ins ection: S
W,Aste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
P No-
- ❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
�`No
❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5
r Structure 6
Identifier: 1
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): -1k3
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
FZfNo
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
Z] No
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental
threat,
notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
ZNo
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
❑ No
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
d No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
[21 No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
[XNo
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge
into
Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved
Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
JEJ
[XNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
�Vo
❑ NA
❑ NE
acres determination?
TT
17. Does the facility lack adequate acreage for land application?
❑ Yes
CZNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[�fNo
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available?. If yes, check
❑ Yes
❑ No-
❑ NA
❑ NE
the appropriate box.
❑WUP - ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
Yes
&M No'
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections `Monthly and V Rainfall Inspections
❑ Sludge Survey
22. Did the facility fait to install and maintain a rain gauge?
❑ Yes
Z No
[DNA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
ff No
❑ NA
❑ NE
Page 2 of 3 21412014 Continued

[Facility Number; - j jDate of Inspection: Z2 j
24, J. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes .❑ No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑! No
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes El No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes []/No
Other Issues
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
`
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
0 No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
�] No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
ZfNo
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
0 No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ NA
❑ NE
,1❑ fNo
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
0 No
❑ NA
❑ NE
Comments (refer to question#): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
7//P//)_ 1'j-6 W /5 r r16 A
3 /y/1y ! �Z, 6 V �C' tSCIlQ TG (1711t, l C1,rk,-
,12ec&k rr
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rvv2op .S%2 ���
ReviewerAnspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
r `, Aoak-f 3 oad
6(%'Yr da'wxk
6d 06
Phoneai.
Date: (�
13Z3
15

Type of Visit: Compliance Inspection 0 Operation Review O Structure Evaluation Q Technical Assistance
Reason for Visit: QMoutine O Complaint O Follow-up 0 Referral 0 Emergency O Other O Denied Access
Date of Visit: / Arrival Time: Departure Time: County: [JCt �J//✓t Region:
Farm Name: Q` � � � Owner Email: �
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Phone:
Onsite Representative:{,f ,�jOt„�� Integrator:
� r
Certified Operator: Certification Number:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Desi niffuilurrent
Swine Capacity Pop.
Wean to Finish
Design Current
Wet Poultry Capacity Pop. Cattle
Layer DairyCow
Design Current
Capacity Pop.
Wean to Feeder
Non -La er
DairyEll Calf
Feeder to Finish
DairyHeifer
Farrow to Wean
Farrow to Feeder
MELMIMgn Current I Dry Cow
MU, I' Ga acity P,o , Non -Dal
Layers Beef Stocker
Farrow to Finish
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Turkeys
Turkey Poults
Other
Beef Brood Cow
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
❑ Yes o No ❑ NA ❑ NE
[] Yes ,E] No ❑ NA [] NE
❑ Yes ;314o ❑ NA ❑ NE
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes p No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ,yNo ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes jZ"No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3
21412014 Continued

Facility Number_ / - Date of inspection:
24. Did the facility fail'to calibrate waste application equipment as required by the permit?
❑Yes
No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
PYes
[—]No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑ Yes
No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
[�I'No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
%
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
/GjNo
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
_^No ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application) '.
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
/P
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
J2 No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
O No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
[:]Yes
[Z No ❑ NA ❑ NE
Comments (refer to question ft Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
Reviewer/Inspector Name: / Phone:
Reviewer/Inspector Signature: Date:
Page 3 of 3 21412014

Faeflity Number: - '- Date of Inspection: j
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ONo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structur 4 Structur 5 Structure 6
Identifier: 2' 3 Z 3 —
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 1 Z
5. Are there any immediate threats to the integrity of any of the struc es observed? ❑ Yes ]a No ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes p No 0 NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes 'P�No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes P 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 [DNA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes PrNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. E] Yes ;2-No ❑ NA FINE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ,�No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. is there a lack of properly operating waste application equipment?
R_eguired_Records _& Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Yes )Z No
❑ Yes JZ No
❑ Yes [ZNo
[:]Yes ZINo
❑ Yes �0 No
❑ Yes r] No
❑ Other:
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes [ONo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes �TNo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 6 No ❑ NA ❑ NE
Page 2 of 3 21412014 Continued

� �'}-IT'vision of Water Quality
Facility Number ] - O Division of Soll and Water Conservation
Other Agency
Type of Visit ._�) Compliance Inspection 0 Operation Review 0 Structure Evaluation
Reason for Visit routine 0 Complaint 0 Follow up 0 Referral 0 Emergency
Date of Visit: 1/0
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Arrival Time: ��� Departure Time: County:
Facility Contact: Title:
Onsite Representative: Eaf ( S�
Certified Operator:
Back-up Operator:
Location of Farm:
Owner Email:
Phone:
0 Technical Assistance
0 Other ❑ Denied Access
Region:
Phone No:
Integrator: /27
Operator Certification Number:
Back-up Certification Number:
Latitude: = c = 4 =, Longitude: = ° = t = u
Design Current
Design Current
Design Current
Swine Capacity Population
Wet Poultry Capacity Population
Cattle C*apacity Population
❑ Wean to Finish
❑ Layer
❑ Dairy Cow
❑ Wean to Feeder
❑Non -Layer
❑ Dairy Calf
❑ Feeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ Dry Cow
❑ Farrow to Feeder
ElNon-Dairy
❑ Farrow to Finish
❑ Layers
❑ Beef Stocker
❑ Gilts
❑ Non -Layers
❑Beef Feeder
❑ Boars
❑ Pullets
❑ Beef Brood Co
❑ Turkeys
Other
❑ Turkey Poults
❑ Other
❑ Other
Number of Structures:
Discharges & Stream Impacts /
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes VNo' ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
16 No
❑ NA
❑ NE
❑ Yes V(No ❑ NA ❑ NE
Page 1 of 3 12128104 Continued

Facility Number: Date of Inspection o
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes PfNo ❑ 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: Z �1
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 3�
5. Are there any immediate threats to the integrity of any of the structures observed? El Yes m No ❑ NA El NE
(iel large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes 1� No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ 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 6 No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > t0% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment?
❑ Yes
T No ❑ NA ❑ NE
No ❑ NA ❑ NE
No ❑ NA ❑ NE
[pNo El NA El NE
�No ❑ NA ❑ NE
Comments�(�eferto question`#). l xplatn auy YPS answers and/or anyerecomm`ew ations or any other comments
Use drawings of facility to better explain situations (use. addttional pages�ashnecessary) ,. ` ,<:
Reviewer/Inspector Name
,« Phone: �G "7 6
Reviewer/Inspector Signature:
Date:
Page 2 of 3 12128104 Continued

j Fafility Number: Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes VNo ❑ NA ❑ NE
20_ Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes JZNo ❑ NA ❑ NE
the appropriate box. ❑ WUp ❑ Checklists ❑ Design ❑ Maps ❑ Other
1. Does record keeping need improvement? If yes, check t ate box below. Yes ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboar Waste Anal ❑ 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?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
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
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes XNo ❑ NA ❑ NE
❑ Yes
[TNo
❑ NA
❑ NE
[:]Yes
PrNo
❑ NA
❑ NE
❑ Yes
ONo
❑ NA
❑ NE
❑ Yes
�fNo
❑ NA
❑ NE
❑ Yes
,f No
❑ NA
❑ NE
❑ Yes ONo ❑ NA ❑ NE
❑ Yes VNo ❑ NA ❑ NE
❑ Yes
WrNo
❑ NA
❑ NE
❑ Yes
2 No
❑ NA
❑ NE
❑ Yes
Vf No
❑ NA
❑ NE
❑ Yes
WrNo
❑ NA
❑ NE
Additional Comments and/or Drawings:
� �. ti �� s �gPWU�i� �,..Lcr� ram.-�,..�� •
f �° do/lc�
fr
Page 3 of 3 12128104

l
Type of Visit AO Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit .0R utine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: l7 _//rrival Time: ri Departure Time: County: Region:
4-1
Farm Name: Lam" Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: -� Title: yho
Phone No:
Onsite Representative: Integrator:
Certified Operator: Operator Certification Number:
Back-up Operator:
Location of Farm:
IILE]❑
Wean to Feeder
Feeder to Finish
Back-up Certification Number:
Latitude: c =] ' = « Longitude:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes , 2'No ❑ NA ❑'NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
.'No
❑ NA
❑ NE
❑ Yes
EI'No
❑ NA
❑ NE
12128104 Continued

t-4 ' ." ti
F Facility Number: Date of Inspection
77-7
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ,23 No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes VrNo ❑ NA ❑ NE
Stru ture I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: /
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes -in No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes VNo ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7_ Do any of the structures need maintenance or improvement? ❑ Yes QNo ❑ NA ❑ NE ,
S. 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
�J No
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10_ Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
12No
❑ 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 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes
,0No
❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes
)0No
❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
jZrNo
❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes
[ o
❑ NA ElNE
18. Is there a lack of properly operating waste application equipment? ❑ Yes
/L'J No
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
w
Reviewerllnspector Name !,? Phone:
ReviewerlInspector Signature: C-- Date: Q 7
12128104 Continued

s
' Facility Number: Date of Inspection
Required Records & Documents X 07
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ,KNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes P No ❑ NA ❑ NE
the appropirate box. ❑ WUP [] Checklists ❑ Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. 9Yes ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard prwasteAnalysis ❑ 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 Z 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
[3-No
❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
ONo
❑ NA
❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
eNo
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
,❑ No
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
EliJ Yes
,.❑'No
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
6No
❑ 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
V 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
EfNo
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
El No
❑ NA
❑ NE
Additional Comments and/or Drawings_
0 d' G� 8 G,i�-rt � �,.j/,f 7�✓ � c� �� j�czl � f� �
c26 O rl Alao-f-e 1:;�e s uTe 7�
J`J
12128104

Type of Visit compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit O�.Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: 9.
Farm Name:
Owner ]Name:
Mailing Address:
Phvsical Address:
Arrival'fime: I I Departure Time: County:
's d "-7 . S ^� Owner Email:
Phone:
Facility Contact: Title: Phone No:
Onsite Representative: _����'t ✓�� Integrator:
Certified Operator: Operator Certification I her:
Back-up Operator:
Location of Farm:
Swine
Back-up Certification Number:
Region:
Latitude: 0 e =1 0 Longitude: = ° = =
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ La Xer
❑ Non -La et
❑ Wean to Finish
❑ Wean to Feeder
Feeder to Finish
Q
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Dischart?es & 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
❑ DaiEX Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Da Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State" (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes ❑"No ❑ NA ❑ NE
[--]Yes []No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes AJ No ❑ NA ❑ NE
❑ Yes IL.1 No ❑ NA ❑ NE
12128104 Continued

Facility Number: — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes �E3'No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes -0 No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes _D�lo ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes J• No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes _CjNo ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes Jallo ❑ 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 j2No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes_,L�-hio ❑ NA ❑ NE
maintenance/improvement?
1 L Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes �o ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
[—]PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Windrow ❑ Evi)dence of/Wind Drifi ❑ Applica 'on Outside of Area
12. Crop type(s) yJr�/'i7/� �, � / . _ /�1 /��G 1 'q
ll,;-"
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
.Q No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
la'No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination`
❑ Yes
_Q NO
❑ NA
❑ NE
IT Does the facility lack adequate acreage for land application?
❑ Yes
R'No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
gNo
❑ NA
❑ NE
Reviewer/Inspector Name 1: ' � Phone:
Reviewer/Inspector Signature: Date: .7 y9'
12128104 Continued

i Micility Number: — Date of Inspection 0_
164e fired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ,�No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ET'No ❑ NA ❑ NE
the appropirate box.
❑ WUP El Checklists El Design [I Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. [:]Yes J; o ❑ 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 j'No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes ,E]"No
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes O—No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes �'IVo
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes �2No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes O -o
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes �o
ElNA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
/'N
ElYes,,21No
❑ 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 Z 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 ,KNo
❑ 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 'LI No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes No
❑ NA
❑ NE
Additional Comments and/or Drawings:
12128104

Type of Visit j2rCompliance inspection O Operation Review O Lagoon Evaluation
Reason for Visit outine O Complaint O Follow up O Emergency Notification O Other © Denied Access
Facility Number Date of Visit: Z / Time: %s
Not Operational O Bellow Threshold
J3`Permitted Certified © ConditionaAy Certified [3 Registered Date Last Opera or Above Threshold-
Farm Name: . QL�! �.� seL.. .. tt2.....LI�G 12r..: � County: ..._.......-},......... ........... I.........................
OwnerName: ........................................................................................................................... Phone No:.......................................................................................
Mailing Address: ....................................................
Facility Contact : .................................... ........................... ......... .... Title: Phone No-
Onsite Representative:.. L_e_j....IG..J. az, le..,a- .............. Integrator: / � ..
Certified Operator: ---................ _...................... -- -—............................... ............. ... Operator Certification Number:..........................................
Location of Farm:
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �• �� 0« Longitude �• �' �"
Destgn Current Deagn $ Curretat , - Design Current
Swiine _Ca acr; .:P'oLL nlabon w Poultry_._ .Ca cii �,Po` erlation. Cattle ryrv� ; $Ci Po Waaon . -s
❑ can to Feeder ' ❑Layer ❑Dairy
Feeder to Finish a ❑Non -Layer ❑Non -Dairy
Farrow to Wean -'
4 i
Farrow to Feeder x [] Other
Farrow to FinishDesignCapacaty
}
Gilts
L -
❑ Boars tTo#ai}SSLW
Disch es & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes
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) El 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 ,rio
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes .21<0
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway Q Yes AE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ............ /... -............ - ........ ........ ... .................. ................ ......... ....................... ...... ........ ................... .............................. _...
Freeboard (inches):
12112103 dFContinued

Facility Number: 3Date of Inspection
s ^�
Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, [I Yes �o
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑yes ❑-Ko
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes .2Ko
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes Prlqu
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes
elevation markings?
Waste Application
10. Are there any buffers that need maintenancelimprovement? ❑ Yes B-Ko
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes .0-Wo
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type rr /205
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes .E314o
14. a) Does the facility lack adequate acreage for land application? ❑ Yes eNo
b) Does the facility need a wettable acre determination? ❑ Yes ZT,50
c) This facility is pended for a wettable acre determination? [:]Yes 4R No
15. Does the receiving crop need improvement? ❑ Yes J:1do
16. Is there a lack of adequate waste application equipment? ❑ Yes PWO
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below [I Yes ]'&o
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes eNNo
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes .JIQo
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 _EJ-No
Air Quality representative immediately.
Field Cony ❑ Final Notes
.G�q -# / tZ
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: ] d

Facility Number:,? 15--Date of Inspection s '
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
O"No
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
E?-Ko
23. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
B-No
❑ 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?
❑ Yes
0'No
25. Did the facility fail to have a actively certified operator in charge?
❑ Yes
D.No
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
U-No
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
LRNo
28. Does facility require a follow-up visit by same agency?
❑ Yes
;214o
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
,B<o
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
alffes
❑ No
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
EI'No
32. Did the facility fail to install and maintain a rain gauge?
❑ Yes
4EM
33. Did the facility fail to conduct an annual sludge survey?
❑ Yes
.Z] No
34. Did the facility fail to calibrate waste application equipment?
❑ Yes
E No
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
❑ Yes
0<0
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After V Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
ddrtronal`Comiaii and/or Drawrtigs �- -- ..
/, �i
•
Y/*7
%��s�� c• a� Ito�-
.�'
� s
12112103

a
Type of Visit JSLCompliance inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit GLRoutine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facilitv Number Hate or Visit: Gz Time: 4ry►
1 10Not Operational 0 Below Threshold
Permitted ® Certified O CC_onditioon''ally Certified ©Reegistered Date Last Operated or Above Threshold:
Farm Name: n1�Jle5 f,XJItS Iiyin Fil-on lr County: !✓ D/ih
Owner Name: n Phone No:
]Mailing Address:
Facility Contact:
Onsite Representative: 42jzAe.`-
Certified Operator:
Location of Farm:
Title:
Phone No:
integrator: ` �t
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 1 « Longitude I a 4
= -Design -- Current Design - eCurrent Design- Current.'.
.Swine s `` Ca' naty-'.Po idjition' .'Poultry `--Cn acitv-sPo elation zCattle j
• Ca arity -Po6diation
❑ Wean to Feeder 10 Laver ❑ Dairy
®Feeder to Finish ❑Non -Laver I I ❑ Non -Dairy
❑ Farrow to Wean r,
Y
Farrow to Feeder r ❑Other
U Farrow to Finish =' - ` '" �` T6W DCSI'gn Ca'paCl, y
Gilts
_,�. _a. k "t"" - a •( ,g.,rq•.: _;
❑ Giltsy
❑Boars, ti Tota1.SSLW° s!
Subsurface Drains Present 11U Lagoon Area iLI SDrav Feld Area
ds I lid ra s s 37-.gi-I{U No Liquid Waste
Discharses & Stream Impacts
1. is any discharge observed from any part of the operation?
❑ Yes 10 No
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 ves, 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 E&No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ZINo
Waste Collection S Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes XNo
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 5
Identifier:
Freeboard (inches): U
05103101 Continued

1
Facility Number_ — % Date of Inspection Z3
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion. yes No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes 13 No
(If any of questions 4-6 was answered ves, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ® No
8. Does any part of the waste management system other than waste structures require maintenancelimprovement? ❑ Yes No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes [SNo
Waste Application
10. Are there any buffers that need maintenancelimprovement? ❑ Yes allo
11. is there evidence of over application? ❑l Excessive Ponnding ❑ PAN �?❑ Hvdraulic Overloaaddj 1 ❑ Yes ® No
12. Crop type _ l��TG-! UW4 L f�x3 J, 411 za�l l //�' xf lw . L'L�Z�*S _.. _
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑Yes No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes W No
b) Does the facility need a wettable acre determination? ❑ Yes ® No
c) This facility is pended for a wettable acre determination? ❑ Yes F No
15, Does the receiving crop need improvement? ❑ Yes R No
16. is there a lack of adequate waste application equipment? ❑ Yes ® No
Renuired Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes ®No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP, checklists, design, maps, etc.) ❑ Yes R No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ® Yes ❑ No
20, Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes No
22: Fail to notify regional DWQ of emergency situations as required by General Permit?
(iel discharge, freeboard problems, over application) ❑ Yes No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes P No
24, Does facility require a follow-up visit by same agency? ❑ Yes 5d No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes E&No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
■m

Faciiih, Number: 31 — /SZ Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below,
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structwe. and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes B-No
❑ Yes CR No
❑ Yes MNo
❑ Yes M No
❑ Yes t9 No
❑ Yes J&No
❑ Yes tSNo
O5103101

Type of Visit Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit /V Routine O Complaint. O Follow up O Emergency Notitication O Other ❑ Denied Access
Facility Number
Bate or Visit:
1$ z
13 Permitted 0 Certified M Conditionally Certified [3 Registered
Farm Name: t V 1z 54 Sc) n 5-4 Z
Owner Name: ................3 :�•+1 er W i.t� f ..... .......
Facility Contact:
Mailing Address: ..............................................
Onsite Representative:. Te S ►3dW r Q S
Certified Operator:
Location of Farm:
Title:
Time: ��
Not Operational O Below Threshold
Date Last Operated or Above Threshold: .........................
County:... ,,, v1,9 .1 f ✓►
.................................................................
PhoneNo:.....................................................................................
Phone No:
............................................................................................................
Integrator:... ..........v...n�.`.... ...............................................
Operator Certification Nu her: ..........................................
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • a « Longitude • 6 Du
Design. Current
WinEPv
... Capacity Pnntilafinn
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
Farrow to Finish
❑ Gilts
❑ Boars
Design . Current _]
Poultry ` : Ca „ cr Po ulation Cattle G
❑ Layer ❑ Dairy
❑ Non -Layer I Non -Dairy
❑ Other
Total Design` Capacity C
Total SSLW
Natrtber of Dons �— ❑ Subsurface Drains Present ❑ Lagoon Area I0 Spray Field Area
Moldih Ponds f 5ohd Traps ❑ No Liquid Waste Management System _ Y F
Disc___ , hares & Stream; Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gatimin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3- Structure 4 Structure 5
Identifier ! 2—
.............................................................................................................................................................
Freeboard (inches): 25 `T Z-
5l00
❑ Yes XNo
❑ Yes 10f4o
❑ Yes LE No
M1a
❑ Yes XNo
❑ Yes ,dNo
❑ Yes PNo
❑ Yes,,&No
Structure b
Continued on back

Facility Number: Date of Inspection O j
5. " Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10, Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type t3ae rnuo(r%1444, S. ,all Gort:•t lUq,
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Re aired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
.: �R-YiQ1�t�i4tis;ojr• d�fcien�i� w�r� ngfe�• dt�x�>tng �h�s:v�s�t; • Y'o� wi�i•ree�iye �ti .::.:
icoriespondence: about: this visit
14 (-QG: se---10 �� in r/.si�� WV_Agb(C runes d¢�e.rrWl;� ioh rWi-��
}� L-1)p4�k fa j'ncprt`iY� b¢rmtlo(cs r� svi�,e gtPG3S.0
UJe tivq• 4e- Alna(ySi3 Gr44ccl, &o dqy r cr
at
Q-t e
o+L,.z r --gar, no4ed facil r+y is L,. e
❑ Yes ONO
❑ Yes Z90
❑ Yes ONO
❑ Yes 'PKNo
❑ Yes PNo
❑ Yes ffNo
❑ Yes /O No
❑ Yes ,2fNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Yes ❑ No
❑ Yes �No
❑ Yes ZNo
❑ Yes j2rNo
XYes ❑ No
❑ Yes KNo
❑ Yes RrNo
❑ Yes MNo
❑ Yes ]2fNo
❑ Yes f] No
❑ Yes 0 No
ap r W ('4A. oh ey&445
.,
Reviewer/Inspector Name So1'1�WCt�Ilti3Y,.r` "�"�:w j
Reviewer/Inspector Signature: Date: q 1/11 0 1 S,pp

r
• r
Facility Number: Date of inspection--�—'
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes �No
29. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes'0 No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ZNo
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ONO
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes 9No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? 0 Yes ❑ No
Aoditional,.Comments an or' rawr = —
5100

1
� � , t i©n of titer Quahty t _
Dvtsion of Soil and WaterConseivatiad:
Type of Visit Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Date of Visit: — —{ Tirne: Printed on. 7/21/2000
Facility Number
FQ Not Operational 0 Below Threshold
Ofermitted 0 Certified 13 Conditionally Certified 13 Registered Date Last Operated or Above Threshold: ........................
'�' SG��— County:...-.`D....................�1
Farm Name: .... F.................................................
OwnerName: ................................................... ........................................................................ Phone No:
Facility Contact:.............................................................................. Title:.............. Phone No:
:'Mailing Address: ..................I.................................................................. ........... ................. ....... .....---.........................................................................................................
Onsite Representative:- Ua Integrator: „ ,
................................................................................................................
Certified Operator: ...... ........................ ... Operator Certification Number:.,,
Location of Farm:
I�
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �' �� Longitude
Design Current Design Current Design Current
Swine Cal!acity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer I I d ❑ Dairy
Feeder to Finish 3 ❑ Non -Layer I I❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagnan Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance nian-rnade?
b. If discharge is observed, did it reach Water of the State' (If yes, notify DWQ)
c. II dischar`e is observed. what is the estimated floe,' in gal/rain?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3- Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structurc I Structure 2 Structure 3 Structure •t Structure 5
Identifier: ........... ......................... .................................... ...................................
Freeboard (inches): 131
3 1
5100
❑ Yes gNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes PNo
❑ Yes PKNo
❑ Yes JN(No
Structure b
Continued on back

I' Faci ity Number: --3— a. Date of luspection Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion, El Yes ONO
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes )YNo
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ,KNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ,�No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes XNo
Waste A2plication
10. Are there any buffers that need maintenance/improvement? ❑ Yes N'No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes NNo
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc-)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20- Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewed] n spector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency'?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
0: �c b-yiofati6tis:or• deficiencies vt�ere : Yoi>f :wiil reeeiye Rio: #'urtHer
:•corresp6ideitce:A"fthisvisit....... .:•:•:•:.:•:-: .:':':- :-:-,
❑ Yes JXNo
❑ Yes N 'No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes XNo
❑ Yes MNo
Comments (refer to question #): Explain any YES answers and/or any recommendations or any, other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
❑ Yes ONO
❑ Yes KNo
❑ Yes gNo
❑ Yes gNo
❑ Yes tq-No
❑ Yes NKNo
❑ Yes �610
❑ Yes �<No
❑ Yes RNo
S�� G t•-- ��.-. +c+r GS,f t. !$"�.-ems 1, ►�� t-.r2_-�o�t.e3f � � 1 �i� 4i�1 � C�
Reviewer/Inspector Name
Reviewer/Inspector Signature:
`7(0 39S-3706 .
Date: I i —, - S CZ 5/00

.% F#eHity Number: — Date of Inspection [Tinted
on: 7/21 /2000
Odor issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge At/or below
Yes
❑ No
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
No
roads, building structure, and/or public property)
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
No
30.
Were any major maintenance problems with the ventilation fan(s) noted? (i_e. broken fan belts, missing or
broken fan blade(s), inoperable
Yes
No
or shutters, etc.)
❑
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
No
32.
Do the flush tanks lack a submerged fill pipe or a peimaneni/temporary cover?
❑ Yes
No
ttona < oniments and/orDrawings:
.&I
J
5100

Division of Soiland Water Conseivation =-Operation Review-.
B W. .
_ Division of Soil aitd Water Conservation ,;Compliance Inspection
A.
-Division of Water Quality = Compliance Inspection i
Other:Agency Operation Revtew
outine O Complaint O Follow-up of DWO inspection O Follow-up of DSWC review O Other
Facility Number 'a-
Date of Inspection M1 OMU
Time of Inspection 24 hr. (hh:mm)
iPermitted © Certified [3 Conditionally Certified 0 Registered 10 Not Operational Date Last Operated:
s p ....................
e .. ✓.�`4r� ............. ........................ County:..............-.. )....................................-...................
Farm Name: ..................... f
Owner Name: Phone No: tb" 61 ILI l
FacilityContact:.............................................................................. `Title:..............................
MailingAddress: .................................................................................................... ..
Onsite Representative: Vej....�.(1 ref .................
..........................................
Certified Operator:
Location of Farm:
Phone No.... ..................
.........................................�..........._......................... ..........................
Integrator:......... ......`.. -r................................................
Operator Certification Number: ..........................................
A.:
TE
Latitude
Design. -` . Current
Swine. Capacity Topulation
❑ Wean to Feeder
Feeder to Finish Ljc{
❑ Farrow,to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
F1 Boars
Longitude �• ��°
Design " Current `Design Current
PoultryCattle
Capacity Population Capaci#y 'Population
❑ Layer ❑ Dairy
❑ Non -Layer I I❑ Non -Dairy
❑ Other
Total Design Capacity ;:
Total SSLW
Number of Lagoons -.YJ ❑ Subsurface Drains Present ❑ Lagoon Area [I Spray Field Area
Holding Ponds'/ Solid Traps.` ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes VNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the convevance man-niade'? ❑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 gallmin?
d. Does discharge bypass ass a lagoon stem? If es, notif-v DW ) ❑ Yes ❑ No
g' }Pt it Y- ( yes, Q.
2. Is there evidence of past discharge from any part of the operation? ❑ Yes KNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes MNo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes U�No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure b
Identifier: j
Freeboard(inches): •---....... ............. ..............`............... ................. ................... ................................... ......................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes �KNo
seepage, etc.)
3/23/99 Continued on hack

Facility Number: 3 Date of, 111spection
0. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan'?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement'?
8. Does any part of the waste management system other than waste structures require maintenancehmprovemcnt'?
9. Do any stuctures lack adequate. gauged markers with required maximum and minimum liquid level
elevation markings'?
Waste Application
10. Are there any buffers that need maintenance/improvement'?
11, Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
i
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination'?
c) This facility is pended for a wettable acre determination'?
15. Does the receiving crop need improvement'?
16. Is there a lack of adequate waste application equipment'?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available'?
(ie/ WUP, checklists, design, maps. etc.)
19. Does record keeping need. improvement? (ie/ irrigation, freeboard. waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(iel discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site'representative'?
24_ Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
0: �'Qd •viol'attoris o'r• deficiencies •mere noted• dirrlrig tthis;visit' • Y:oit Will •receive Rio; fuether.
: 6 resoondeRce. about this .visit .. ...... .......... ' .... :..:: ' .... .. .
❑ Yes t�(No-
❑ Yes C<No
❑ Yes D?rNo
❑ Yes 9No
❑ Yes VNo
❑ Yes C'No
❑ Yes Vgj No
❑ Yes XrNo
❑ Yes ❑ No
KYes ❑ No
[:]Yes bR(No
❑ Yes [ kN0
❑ Yes M No
❑ Yes MNo
;Yes ❑ No
❑ Yes [SeNo
❑ Yes MVo
❑ Yes NVO
❑ Yes No
❑ Yes �fNo
1KYes *Not
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments. .
Use drawings of facility to better explain situations. (use additional pages as necessary): .
�� �� �•��, �� ��� � �-� � ill ��. S � � �4�
IT
P
3/23/99

Facllity Number: —
Dati Eit' hispeetion 1,e2 re
• Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
Yes
[:]No
liquid level of lagoon or storage pond with no agitation?
27,
Are there any dead animals not disposed of properly within 24 hours'!
❑ Yes
79No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
q No
roads, building structure, and/or public property)
It
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
JNrNo
34.
Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes
1�No
31,
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
�'I�T0
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes
X11 No
3/23/99

Facility Number Date of Inspection
Tithe of Inspection ® 24 hr. (hh:mm)
Permitted 0 Certified p Conditionally Certified p Registered 113 Not Operahona Date Last Operated:
Farm Fame: R(iw.les.,&.Sous.Farm.]tic.Farm2......................................................... County: Duplin WiRO
Owner Name: Stan— ...................................... Bawles.............................
Facility Contact: ...............................................................................Title:
Mailing Address: 60I.Curtis. Rd.............................................................
Onsite Itepresentative:...........................................................
Certified Operator:Stanvil..D.............................. Howles.H[......
Location of Farm:
.................... Phone No: 2.9a-1654.(aff"ice)...................................................
....................................... Phone No: .......................................
....................... 1N.arsm.. NC.......................................................... 2819.8 ..............
........ I........... Integrator: Mimphy..Family.Farms...........................
.................... Operator Certification Number: 13,1.71..................
Latitude ®• ©6 ®61 Longitude ©• ©° =11
esign ` Current `' esign -urrent Design - urrent'�
Swine Capacity, Population Poultry, Capacity= Population Eattle Gapacrty _Population
❑ Wean to Feeder
® Feeder to this
❑ arrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Nuiiiberof.Lagoons - ® u sur ace rains resent ❑ agoon rea in pray re rea
HoldinOonds kSolid Traps = ❑ No Liquid Waste Management System = -
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the convevance man-made? ❑Yes p 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 ves, notify DWQ) p Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? []Yes []No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes []No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway []Yes ❑ No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identi tier:...............#1...............................#.2....._...............
................. ............. ........................ ............ .................................... ....................................
Frechoard (inches): 1.8....
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
3/23/94 seepage, etc.)
❑ Yes ❑ No
Continued on back

Facility Number: 31-152 Date of Inspection
b. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? p Yes ❑ No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
[:]Yes
❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
p Yes
[]No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement?
[]Yes
❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No'
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
❑ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22- Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
❑ No
23. Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
❑ Yes
❑ No
24. Does facility require a follow-up visit.by same agency?
❑ Yes
❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
No' iotations: or defic'iencires.were.nuted :during. this .visit. • Yov will :receive na further.:.: :
1. :•_cor 6066dekl About(this:visit:-::::::-:-:-:.:-::•:•::-::.:......................... ........
urricane
ent
dike check- no problems detected.
did lose one hog house. Dug two pits in adjacent field to burn and bury hog house debris. No animals were lost.
Reviewer/Inspector Name 3pean Hunitele
Reviewer/Inspector Signature. Date:

Lagoon Dike Inspection Report
Name of Farm/Facility 3 1 - ' S Z
Location of Farm/Facility
Owner's Name, Address
and Telephone Number
Date of Inspection
ia 9 C?&> t- 5
Structural Height, Feet
Lagoon Surface Area, Acres
Z)
Upstream Slope,xH: IV
Embankment Sliding?
01
(Check One, Describe if Yes)
Seepage?
(Check One, Describe if Yes)
Erosion?
(Check One, Describe if Yes)
Condition of
Vegetative Cover
(Grass, Trees)
Did Dike Overtop?
c(-2-7 — Names of Inspectors )I: ---
Freeboard, Feet
A40%J_1x TTop Width, Feet
Downstream Slope, xH:IV
Yes No
11�
Yes V No- -
Yes Leff"'No
Yes L-1 fNo
Follow -Up Inspection Needed? Yes
Engineering Study Needed? Yes
Is Dam Jurisdictional to the Dam Safety Law of 1967?
Other Comments
If Yes, Depth of Overtopping, Feet
Yes �o

❑ Division of Soil and Water Conservation ❑ Other Agency g
Division of Water Quality
10 Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Date of Inspection i �$
Facility Number 3 15L Time of Inspection 24 hr. (hh•mm)
0 Registered U Certified ©ppApplied for Permit M Permitted [3 Not Operational Date Last Operated:
Farm Name: ............ .......Aa...... .5r°}�5...�n..... ;t�..Z-................. County . ........ 41k ............................................................
Owner Name: ............................5hk............................... I................. .. Phone No:
......................................................................................................
FacilityContact: .............................................................................. Title:............
Mailing Address; ..... (AD 1 ...... CAtr-k5...... Qi�...................................................
Onsite Representative:...............�..1�:�5�...lr................................................
CertifiedOperator,..................................................................................................
Location of Farm:
.................................... Phone No:...........................---.----...-----......--
......................................... ..4'......
Integrator: ........ MV ) ..........................................................
Operator Certification Number, .........................................
............. }i, .... .... ...[.3I.......•...r..o...................................................... r
�t....!:.%; s......rur. .t
... ................. ....._.................................... . ......
Latitude 0=1=1
1
Longitude =• 0& G4
Design Current Design Current x Design urrent
5ne Capacttyal?opulaaon Poultry Capacity Population Cattle Capacity Population
Weanto Feeder
.a:-YN
; ❑Layer [] Dairy
eeder to Finish
FF
❑ Non -Layer ❑ Non Dairy
arrow to Wean
. , -: m . ;:: r
❑Farrow to Feeder
a
❑ Other - r
x Total Des9ikn CapaCltv4,1
❑ Farrow to Finish
V
❑Gilts
a otal SSLw
❑ $oars
_
_ ."'T
Number of L goaas
i Holduig Ponds ,
F
❑ Subsurface Drains Present
❑ Lagoon Area
I0 Spray Field Area
.
�' r�;
❑ No Liquid Waste Management System
;
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes N No
2. Is any discharge observed from any part of the operation? ❑ Yes 1�1 No
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 Surface Water? (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 5 No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes lM No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes No
maintenance/improvement?
5. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes No
7/25/97

, K-effity Number: 3 — ,
Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
No
Structures (LaMow oldie Ponds Flush Pits etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes
No
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier: 2-
... i..............................................................................................................................................................................................
Freeboard(ft): ............LS ................................ 7............................................................................................................................................................
......
10. Is seepage observed from any of the structures?
❑ Yes
® No
11. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
® No
12. Do any of the structures need maintenance/improvement?
® Yes
❑ No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes
Ej No
Waste Application
14.^ Is there physical evidence of over application?
❑ Yes
® No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
I5. Crop type .................................---......................
�.ek�Vsl1Lllt .................... ...... Y.CxtiY).......................).V.kA�lr ...............................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
® Yes
❑ No
17. Does the facility have a lack of adequate acreage for land application?
❑ Yes
® No
18. Does the receiving crop need improvement?
Yes
❑ No
19. Is there a lack of available waste application equipment?
❑ Yes
® No
20. Does facility require a follow-up visit by same agency?
Yes
P# No
21. Did Reviewer/inspector fail to discuss review inspection with on -site representative?
❑ Yes
® No
22. Does record keeping need improvement?
® Yes
❑ No
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
® No
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
(O No
25. Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
50 No
0 No.violationsoc deflciencies.were noted -during fhis.visit. You:Will receive no ftirther
0_0& 00hdehbe about this; visit..
12 - gars &"r s o . tar, *-Z zskavt i b. T""C){-6i-. eve~ o r- 006 d jUt j'c ��
c-; t tt) * Vuee-W
I'l` Ccor.�nV� f.4crrk 1 ka I m?V ` e- Lintn'J'P +.f 1
Z�• Ja� Y�tCA�CC� SYCiV� �� �i bV �� i �Jl�� USi� 1�--L G�rrcG}' GLGrtarB �Y Q,Uc�-- 1 V�� rJ�c.�
Cw�w10�-� n� 60,4C"%C'f ,3
7/25/97
Reviewer/Inspector Name
�: f
z �r
a
Reviewer/Inspector Signature:
Date:

0 Division of Soil and Water Conservation ❑ Other Agency
Er
Division of Water Quality
. ..........
141Routine -OCum ptaint 0 Follow-up of MVQ inspection 017ollow-uptift)SWCreviviv 00ther
Date of Inspection I HL�Iq7
Facility Number
Time of Inspection I t S;� 24 hr. (hh-nun)
0 Registered IR Certified E3 Applied for Permit 0 Permitted 113 Not (:)Ze=rational Date Last Operated: ..........................
Farm Name: t, d5......._ .�: ....... County:..... . D.Voo ...............................................................
OwnerName: ....... 56t ........... LtLi� ... ........................................................................ Phone No: bj�� ... .........................................
Facility Contact: ........................................ Title: .......... ..................................... Phone No: ..............
Mailing Address:.......4g2 ...... C.U)ai-'.AA'k .....................fjay��t.j. e,
............................................... .... r .... ............. ................................ .......
Onsite Representative: :rfrs- ..... L� ................................................................... Integrator:............ . ................................................. ......
Certified Operator: .................................................. ...... ....................................................... Operator Certification Number,.........................................
Location of Farm:
Latitude Longitude 44
6V%
General
I. Are there any buffers that need maintenance/improvement? 0 Yes 0 No
2. Is any discharge observed from any part of the operation?
Discharge originated at: El Lagoon 0 Spray Field 0 Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (if yes. notify DWQ)
c, If discharge is observed, what is the estimated flow in gaVmin?
d. Does discharge bypass a lagoon system'! (If yes. notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/iniprovement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
I
0 Yes 0 No
[] Yes 0 No
El Yes 0 No
El Yes El No
❑ Yes ❑ No
❑ Yes ❑ No
El Yes ❑ No
El Yes D No
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
0 Yes 0 No
Continued ots back

. F$cility Number: -ll
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes ❑ No
Structures (Lagoons,11olding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? � Yes El No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
r ._...... ...I...................................................................... I.......................
Freeboard(ft):.............. .................................... ... ................................ ........ ... ......................... .................................... ....................................
10. Is seepage observed from any of the structures? ❑ Yes ❑ No
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes ❑ No
12. Do any of the structures need maintenancelimprovement? ❑ Yes ❑ No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
U. Do any of the structures lack adequate minimum or maximum liquid level markers'?
❑ Yes
❑ No
Waste Application
14- Is there physical evidence of over application?
❑ Yes
❑ No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type......................................................................................................................................•---......---.................................................---.--..................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
❑ No
17. Does the facility have a lack of adequate acreage for land application?
❑ Yes
❑ No
18. Does the receiving crop need improvement?
❑ Yes
❑ No
19. Is there a lack of available waste application equipment?
❑ Yes
❑ No
20. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
❑ No
22. Does record keeping need improvement?
❑ Yes
❑ No
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
❑ No
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
25. Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
❑ No
]- No.violations•or. deficiencies we're- noted- during this:visit.- You:will receive rto further
eoeresporidence about this.visit:
as. (use additional p"a9
1!6llow ,n&j �'roh• lea! tlaa�er of Soil f gait canserva41`6n.
°I. 1_oya,. 1XaS l$'' 0`E 44varj. 1J4rerur Oas l�� � sr.A{i gyuin J firvu--Q ins t(i��
OA4 tp a t.10.Stt in►Yt�[piP follw" C4ril � Oh , r✓ 00A S�Jla
Car,-Y 61 -7.
7/25/97
Reviewer/Inspector Name*
U.
Reviewer/Inspector Signature:
L�i� �„�
Date:
if/41-7

5
❑Division of Soil and Water Conservation [I Other Agency y ``
Division of Water Quality.
:
Q Routine O Com faint Follow-u of Dot' ins ection O Follow-up of DSWC review O Other
Date of Inspection 0 13 7
Facility Number
Time of Inspection 1 24 hr. (hh:mm)
E3 Registered © Certified © Applied for Permit 11 Permitted 113 Not O cratianal Date Last Operated:
Farm Nance: .......&.-1-la 5 .... `E ! )- Ar d- County ...... g.O ......... .....
OwnerName: ............ ISLY.).........nn�I........l(�.�`............................................................... Phone No: ..! KG.4i......L4..-.'f%Tr...................................
Facility Contact: .......rre S.......L�L&................................... Title:......r.................................. Phone No:... .........
Mailing Address: ........ j....0.3_Lt.,�ti.S...... ft......
r..�ct&Q.� .... N.L.......................................Z;$.3.
Onsite Representative: .....76S....s. ....................... Integrator: .......... N� J.k�......................................................
Certified Operator :.........
:5. to LA.....................D............&411.L.S......................... Operator Certification Number, .........................................
Location of Farm:
C
C
Latitude "10 4 « Longitude 4 "
Wean to Feeder [_] Layer ❑ D
Feeder to Finish '7 4 ', ❑Non -Layer ❑ N
Farrow to Wean Y
Farrow to Feeder ❑ Other
Farrow to Finish k* Total Design Cal
Gilts
Boars ',« ., .: �..:.,::..,_ r.Total;5..
❑ Subsurface Drains Present 110 Lagoon Area J❑ Spray Field Area
❑ No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes [M No
2. Is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Surface Water? (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
3. Is there evidence of past discharge from any part of the operation? Yes ❑ No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes ❑ No
5. Does any part of the waste management system (other than lagoons holding ponds) require ❑ Yes ❑ No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ❑ No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes ❑ No
7/25/97 Continued on back

r
�Kcility Number: 'j (— ��
1,
8. Are there lagoons or storage ponds on site which need to be property closed?
„Structures (Lagoons,Holding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure.? Structure 3 Structure 4
❑ Yes ❑ No
❑ Yes ❑ No
Structure 5 Structure 6
Identifier: ...................................
Freeboard(ft):...........................................................................
tO. Is seepage observed from any of the structures? Yes ❑ No
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes ❑ No
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type...............................................................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
0 No.violatio'nsor deficieitcie's' were noted-duritig his:visit. Nodes -ill receive ni of ltiriher
: corresOfidence: aliout this.visit:::.:
%Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
{��Oon • 'iSGt�c�S 0k SJ4G,. S
i n • See e: C M, O vv3 v ,-%ei -( tt - j i t,t (rws 6e t, rcrn avr� a vt ti c, i is r•
� roc�rrz ss . `
Cyk rS S` l� OV d � 6aelL�� j`, W i 4 doI ter] IV%e_t �ed. pd"f � WcS'K o�T � C
to e, p VM lej i NO f ciao n
7/25/97
Reviewer/Inspector Name f ,`'.rir_v -F �A sl`ISPIr
Reviewer/InspectorSignature: ,� —I,, Abf� Date: 16.43197

Eltate of North Carolina
Department of Environment, •
Health and Natural Resources
r Wilmington Regional Office i��If
Division of Water Quality
NCDENR
James B. Hunt, Jr., Governor
Or
Jonathan B. Howes, Secretary NORTH AN N DEPARTMENT
ENVIRONMENT AND NATURAL RESOURCES
A. Preston Howard, Jr., P.E., Director
•-71-- IS2-
November 6, 1997
Mr. James Brown
869 Browntown Road
Magnolia, NC 28453
Please find attached a copy of the information regarding the animal operation which you requested. I
would remind you that this information is sensitive and we ask that you exercise all caution to make sure
that the provided information is not used in a way that could adversely affect the progress of the
Division's animal waste management program.
If you have any further questions, please feel free to contact me at [phone].
Sincerely,
David R. Holsinger
Environmental Engineer
ATTACHMENT:
S:IW QSIDAV EHIDUPLIN131-152#2. LET
127 Cardinal Drive Extension, Wilmington, N.C. 28405-3845 • Telephone [phone] • Fax [phone]
An Equal Opportunity Affirmative Action Employer

..;; .�y .,. �. : i w-Htk•;r.�'i3s.,..;FSL,.•2<�^ ., *. --,�v+.+v'.,"'a �"" _ "- --�£�i�Yr.•+�.a ---- -- ^w. .r- � � � —i
z DSWC Animal Feedlot Operation Review M
al
`V G
® DWQ Animal Feedlot Operation Site Inspection
Routine GConielaint O Follow-up of MVQ inspection O Follow-up of DSWC review O Other
Date of Inspection -
Facility Number � f S
Time of Inspection 24 hr. (hh:mm)
l7 Registered [3 Certified U Applied for Permit 0 Permitted IQ Not O erational Date Last Operated:....
Farm Name: .. .6 ......... 4r4� l.�L .-. County:... ...... I .............. I.......
I �..} ..............
Owner Name:.... p ............................ .jZ.S 1. .. .. . Phone No: ..........................................
Facility Contact: .... .1hI---�c- ......��it `L. ......... Title: „ 64 y4(7�� . .............. Phone No:..,................................................
llailing Address: .......LD,u.................. i U+...r.f�........F-........................................ ....
.2...!`........................................... .Z..g....
rjrDi)nsttu Representativc:....�..�-� 0��C S Integrator : ............ .
Certified Operator;....; [-............. .....`.... ... �...p.u-! ....................... Operator Certification 'umber:....--.j- 1 1
I. Ovation of Farm:
I&
.............................................................................. ..
Latitude ' 1 1 Longitude • < ,
Design Current
Swine Capacity Population
❑ Wean to Feeder
Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ GIIts
❑ Boars
Design Current Design Current' •::_
Poultry Capacity Population Cattle Capacity, Population
❑ Layer I I ❑ Dairy
❑ Non -Layer ❑Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons I Holding Ponds ubsurface Drains Present Lagoon Area Spray Field Area
❑ No Liquid WasteManagement System
General
I. Are there any buffers that need maintenance/improvement? ❑ Yes 91 No
2. Is any discharge observed from any part of the operation'? J21 Yes ❑ No
Discharge originated at: Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? 1.Yes ❑ No
b. If discharge is observed, did it reach Surface Water" k1i' yes. notify 17WQ) � Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min? 2.5 6?�kk
d. Dries discharge bypass- a lagoon system? (If yes, notify DWQ) El Yes M No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes 9No
4. Were there any adverse impacts to the waters of the State other than from a discharge? 0Yes gNo
5. Does any part of the waste management system (other than lagoonslholding ponds) require ❑ Yes •Ej No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes No
7. Did the facility fail to have a certified operator in responsible -charge" ❑ Yes No
7/25/97 Continued on back

`,°`*is�A��t=�:`,�:?MF+�::�3%rlYstiTiG�`ih:`.z'ci�3t'+,'±;i,A-;rxf-:s?fl�i"'-R+':frw-t%r='...a.r.wn•�-•rr�'ti-"+"`.��ii:�''-:�:6..rt{�%:'V3Y�t���r}`t"'��"�pTA�`:''�h?'si�/+"3S�Zi'�!""�,'r+w,,,a.r
{
Facility Number: 3
$. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes � No
Structures (Lagoons.11olding Ponds Flush Pits etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes JO No
Structure 1 Structure 2 Structure 3 Structure -f Structure 5 Structure 6
Identifier: '! (�C.3.
Or "'Ae,tc-
Freeboard (ft):1.r. ...........f.....................3................... ................................,........................................... ............................ ........ I ...
...........................
10. Is seepage observed from any of the structures? ElYes Zr No
i I. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WNW, or runoff entering waters of the State, notify DWQ)
15. Crop type....................................................
............. SrG�'.........................................................
16, Do the receiving crops differ with those designated in the Animal Waste Management Plan (AW;IMP)?
IT Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19, Is there.a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did ReviewerAnspector fail to discuss review/inspection with on -site representative?
22_ Does record keeping need improvement'?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
0 No.violatiohs' or deficiencies were' no- ted'du' ring this'visit..You.wi11 receive no f6rtlier
correspondence about this;visit::
z&Yes ❑ No .
;Yes ❑ No
❑ Yes 91 No
❑ Yes Z No
❑ Yes ff No
❑ Yes X] No
❑ Yes A.No
❑ Yes gNo
0-Yes ❑ No
❑ Yes No
❑ Yes 99:No
❑ Yes )�Q_No
❑ Yes ¢2.No
❑ Yes allo

.'��;?`.Cy=.lp`L'T�4:�7.:'P�>_./��`�'::•+�'�''''�,'-+ii4'-'.'�i:�`�"''�y"�J�r-.��r�,`�'�"+�`s�hK,�.'�',K'�nd`''�F�.+4•'.�w:.'x.% t ".�y^.C'.'fi�+evilrj.J,'.`4;�.aw ���.�-•.`r..trr t'�:�(�;,-.�r,2,,,.LYy:,FyF..:.✓.:fi��:.a"P�;-rz:,�ti_�,,._.rc-v,r•-'
❑ Division of Soil and Water Conservation 0 Other Agency
® Division of Water Quality
0 Routine 0 Coni IainE Foltow.0 of [M ins ection 0 Follow-u of.DSWC review 0 Other
Date of Inspection F io 13M-7
Facility Number {
Time of Inspection 24 hr. (hh:mm)
13 Registered © Certified © Applied for Permit ® Permitted JQ Not O erational Date Last Operated:
Farm Name." ... ..................... .....r.. ^....... County: ...... D!!Pk! ....................................................,�p.Owner Name:........... a.X`.................. 'R0 .Ltd.............................. .... Phone No:.. tit.l. ......L4.ln.46.1.1...................................
Facility Contact: ..... L.e.5...... f.^..wl(.S................................... Title: EY!Gt1f.!n?Pr.......................I.......... Phone No:... �tt�, ..Z 3.:.?�.G. �.........
MailingAddress: ........ A.0 ........CV.. ......................................................... .......... ��.Y.Stag*..... `�..................................... .... 2,35.q1 ....
Onsite Representative.......... i t .........i3NaLsl ...........................g c ......................................
} ................................. Integrator: ............ ......�!f'ai]:.�.._.............
Certified Operator........... ..................... ............ t,.,j .5......................... Operator Certification Number .........................................
Lbeation of Farm:
.......................................................................................................................................................................................................................................................................... .
Latitude Longitude �• �° ���
Destgn CuirrenE
7 Design Current DeatgnCurrent
Swute, Ca actt P tilatton Poult Capacity Populatioq Cattle Capaetty Population
❑ Wean to Feeder ❑Layer ❑yDairy
El Feeder to Finish 17344 on Layer ❑ Non -Dairy A
❑ Farrow to Wean I
❑ Oth
c
❑Farrow to Feeder er „-
❑ Farrow to Finish TOtal DeSlgn CapaClt+k€
❑ Gilts
41 � c
To 1kJ
r
r
❑ Boars _ .
h
-P,.-. «u
.� _.�, �. 5..
Number off Lag / Ho1[hrig PondSQ ❑ Subsurface Drains Present ❑ Lagoon Area
10 Spray Field Area
f� h No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gaUmin?
d, Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenancelimprovement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
❑ Yes
® No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
M Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
Continued
on back

�:M _ .¢U.. M3'{�w`kiti«'+fn+ ..'�7"� eF a��,'a:;vxY•'7�e?CY+�c��r;7T�rli+f?f::'xt�ca�:�vstY^kl�+.",,�s'i��f`�'z^i`1'SL�,"' � .,d,K"..�';is
i
Facility, Number: '3
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes ❑ No
Structures fLagoons.tiolding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes ❑ No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 0
Identifier:
Freeboard (ft): ........................
10. is seepage observed from any of the structures? K Yes ❑ No
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes ❑ No
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type...................................................................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
:3 Noviolations.or defkiencies.were-noted during this:visit. You.will receive it6 further.
correspondence about this:visit:-:
E Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
................................
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
3. i c:r S
rie,­
war ei i(A colt . tx�
d,>r-kacc,L of "-Jc Cn, ovC*%ti,i �e 4{ Lc
( its �A'arN •
`Ji�CI�aY�c.dcFCYs
0
�tM SiL.
[v,�,, hear r-cvrlUvc�
VN^OVISS.
(2. F�'lG�tyS
I
S��oui� hC '6a it.�,IJ t It
4 i {
[.�fnv cv jv%ceA. NI-W WGT`4_ a� +C
6�
56ju
be~ pvmpej (V.c11 tk4o
J0.�Xn .
7/25/97
ReviXX
ewer/Inspector Nametin
,n5,
s�
Reviewer/Inspector Signature: �. q Date: /0/)3 %g'7

❑ Division of Soil and Water Conservation [3 Other Agency
Division of Water Quality
10 Routine Q Complaint O.Follow-up of DWQ inspection O Follow-up of DSWC review O Other J
Date of Inspection IbA-Z:'r
Facility Number ?.
Time of Inspection �� 24 hr. (hh:mm)
© Registered © Certified © Applied for Permit 0 Permitted JE3 Not O erationat Date Last Operated: ...
Farm Name:.......' :::.!. ..... .. _;,:. c F ,. , ,•, 1. ' "................... County:...... t.i.��C..................................................................
:.........:...........................................................
r. r
Ommer Name: `>", ''• :, ; : Phone No:.. { ..° ..........w G . {. ...`.:....................................
................................................................................................ l
Facility Contact: ..... ....i.f......... ?r:: !..................................... Title:......;`(A, a �:................................... PhoneN©:...` `r, �..?.�..:.`�G...............
MailingAddress:........ ( ti............ �.z�_y:..........`:............................................................ .........r::. i.:.i: ^ t:£::.................................... ....' .:................
Onsite Representative:.......:.) ice.;.,s, <- Integrator: ....................................
.............. ..... ................................................... �..................
Certified Operator......... .?.r......!........................ j I...........'.f.. ......................... Operator Certification Number, .........................................
Location of Farm:
Latitude 0 6 46 Longitude ' 46
_
Swrne...y
aDestgnCurrent
CapacstyPopulatatPQultry�..
9W, GnrrentDestg�Cmr�reut ?.
Capacty Populat_ivn CattleCaacitp Popttlatian
❑ Wean to Feeder
❑Layer ❑Dairy
Feeder to Finish
734
❑Non -Layer v ❑Non Dairy
❑ Farrow to Wean
Ss; .< r_,r.::~ "�1mg M �;
;.
Other x ,
a a r �_ tl
'
� � Toltal Design,Capactty
€,
El Farrow to Feeder:
❑ Farrow to Finish:,
❑ Gilts
Boars
iota! SSL
Nu b r b flonsQf=Holdu�g'PflndS ❑ Subsurface Drains Present 1] Lagoon Area ❑Spray Fzeld Area
cf ...... ._. .. ...---- -_ ......... ... .. ...... .. -
❑ No Liquid Waste Management System
_.: 3 =
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: [3 Lagoon [I Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system`? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
b. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
❑ Yes
No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
Q Yes
❑ No
❑ Yes
❑ No
0 Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
Continued on back

V .. I
acility, Number: — f
8. Are there lagoons or storage ponds on site which need to be property closed?
Structures (Lagoons.Holding Ponds. Flush Pits, etca
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2
Identifier:
Freeboard(ft):...............................................................
10. is seepage observed from any of the structures?
Structure 3 Structure 4
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Annlication
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
❑ Yes ❑ No
❑ Yes ❑ No
Structure 5 Structure 6
..........................................................
[D Yes ❑ No
❑ Yes ❑ No
3-Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
15. Crop type.....................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes ❑ No
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Faeilitie§Qrtly
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
0- No.viQlations-ar deficiencies were-hkei d during this:visit:- Yo64'ill recei've•ho' ,further, :
;•:��orrespbndence:abouffhis:visit:•:•:-:�::•: �•:• •:•.-.:..-..-:-;-;-:_ :-:�:•:•::•:::
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
�--•ac�x���� � ..,;s..�`-.�"."'�r �^.:a•: x'4W.._ -a'�-� » '---s - x �^.'�s.v�sst�xaas.�eaeic� �,[�m,an
chor anyrecommendations oraanyents
Use drawings ttfacrhty to better°explaita s►ttrattosuseaddrtrnal pages as;itiecessary�
F AFC. �ad 4 w e,
.... ...
{ ( j
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Lo
i!Wid !' ! t_ Jj if k'1" t pcj ! V-OL �jl cyF-'-fir, r`, e
1
7/25/97
Reviewer/Inspector NameINE M. :
Reviewer/Inspector Signature:— Date: 9

❑ DSWC Animal Feedlot Operation Review
V1 DWQ Animal Feedlot Operation Site Inspection
IO Routine 0 Complaint O Follow-up of DWO inspection O Follow --up of DSWC review O Other -
Date of Inspection
Facility Number
Time «f Inspection � 24 hr. (hh:mm)
© Registered 13
Certified U Applied for Permit © Permitted 0 Not U erational Date Last Operated: _•
Farm Name: ......?.V.A....... .�.--1.� - County:... ..s............................................
Owner Name:.... ................................... j�}.�.!,.J. �., ........................ Phone.No: ......
Facility Contact: Iv-tk-cl ...... Title: d4n!: .. Phone No: ...................................................
Mailing Address:....... u
....... t'i ... .............. ....................................... ....(.�I• ...........................................
OnsiteRepresentative:...----1�4L( i O-c>�C5 Integrator:�U�[r
......- .. ................................ ......................
Certified Operator .:.:�, %-...........�..�.-- -. ...�........................ Operator Certification umber,-........ ...,�..��.
Location of Farm:
_.....................................� t
Latitude Longitude
swine
Design Current
Capacity Population
❑ we to Feeder
Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity. Topuiation
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity :
Total SSLW
Number of Lagoons / Holding Ponds 0 'ubsurface Drains Present 110a Lagoon Area Spray Field Area
❑ No Liquid Waste Management System
General
I- Are there any buffers that need maintenance/improvement? ❑ Yes 0 No
2. Is any discharge observed from any part of the operation'? Yes ❑ No
Discharge originated at: '9,Lagoon ❑ Spray Field ❑ Other
a. if discharge is observed. was the conveyance man-made? °.Yes ❑ No
b. If dischar-c is observed.,did it reach Surface Water" (If yeti, notify DWQ)
Yes
❑ No
c. If discharge is observed, what is the estimated flow in ,ablinin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes
`I No
3. Is there evidence of past discharge from any part of the operation?
❑ Yes
'ZNo
4. Were there any adverse impacts to the waters of the State other than from a discharge'?
0Yes
JZNo
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
':R3 No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
EfNo
7. Did the facility fail to have a certified operator in responsible charge?
El Yes
O No
7125/97 Continued on back

i
Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lap-oons,ifolding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I
Identifier: ...................
Freeboard (ft): ........ �.. ..........
Structure 2 Structure 3
............ .. ........I.......
.P...�.................. .............................
10. Is seepage observed from any of the structures'?
Structure 4 Structure 5
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement`?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste .Application
14. Is there physical evidence of over application'?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type .........^7................................................ 4- ..�.... ....................... ....... ................ I..............
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
IT Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
0 No violations or deficiencies were note-d-during this, visit.- Nou.will receive no ftirt}ier
: : � correspondence ab"out this'visit:: � : � : • � � . � .. :: .: : _ . : , . , . ,
❑ Yes � No
❑ Yes ;0 No
Structure 6
❑ Yes Zr No
49.-Yes ❑ No
jo Yes ❑ No
❑ Yes 20 No
❑ Yes 4No
❑ Yes Af No
❑ Yes A] No
❑ Yes yXLNo
❑ Yes KNo
MYes ❑ No
❑ Yes No
❑ Yes O-No
❑ Yes JQ_No
❑ Yes 4.No
Cl Yes J9.No
'&r"ents (refer to question #} ,;,Explain any,,YES answers and/or any recotiimenclattons or any other comments
U drawiiigs of facility to`betterexplain situations (use additional piiges as+ccessary)
Tl AA)
IAJM
/ice,
G,t(�55 d��,eT� Liru� 3�,%iru� �-r�� �,Ly A.✓� ivT� u/�T��2..
S4,ty0l95 7A(G��'
f�5 l0 s�li✓ !i L� `�pp '� l (�+ U s..J145�� ��
AA .+t a7 /� /� i l� tS�� � �o:,v/. Imo` ►�i�u%��5 "`'' �
7/25/97
m
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:

OPERATIONS BRANCH - WO Fax:[phone] Jan 16 '97 8:23 X P.01/01

N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
COMPLAINT/EMERGENCY REPORT FORM
WILMINGTON REGIONAL OFFICE
Received by: -Mite/ ime:
�?TgPnry: cc plaint: K Cotmty:
Report Mxce vied Ftnm: stn.Jii 3 �50/V/ _
Agency: . f GCr ���, t, Phase No. 73 3 3 3 oo
CcWlafuant: A n3 n A.)
Address: tU�/�- Phone No. JJIA
c atplaint or Incident: ,Aye 1n._ ZC i Gl,,.f�..ti1ti UTA.54C ,A-b M,4k wSGI
Time and Nate Occurred: ' 2-1 P-i
Location of Area Affected: '5dPO 12wJE5 � 42G52 1337
Surface Waters Involved: Groundwater Involved: Other:
Other Agencies/Sections Notified:
Investigation Details:
e r.Lr9Crtarrn� rJa.�s 2r1� 5� d� .
.('�
Investigator: Nate: �& '
EPA Region !V {4D4}347-M2 Per icider 733-3556 Emergency Management 733-3867 Wildlife Resources 733-7291
Solid and Hazardous Waste 733-2178 Marine Alsheries 726-7021 Water Supply Branch 733 2321 U.S. Coast Guard MSO 343-a81
127 Cardinal Drive Extension, Wilmington, N.C. 2MS-3845 0 Telephone [phone] • Fax [phone]
An Equal opportunity Affirmative Action Employer

0-
7�tvirochem;
Environmental Chemists, Inc.
® MAILING ADDRESS: TELEPHONE: SHIPPING ADDRESS:
P.O. Box 1037 [phone] (Office) 6602 Windmill Way
Wrightsville Beach, [phone] (Lab) Wilmington,
CONSULTING North Carolina 28480 [phone] (Fax) North Carolina 28405
CHEMISTS NCDEHNR: DW CERTIFICATE #94, DLS CERTIFICATE #37729
Date Sampled:
Sampled By:
Report To:
Copy To:
NCDEHNR - DWQ Certificate No. 9,R 2 C 21 d OCT 2 I t99�
Customer:
10/11/97
David Holsinger
Rick Shiver
David Holsinger
REPORT OF ANALYSIS
NCDEHNR-DWQ
127 N. Cardinal Drive Ext.
Wilmington, NC 28405
Date of Report:
Purchase Order #:
Report Number:
October 17, 1997
7-2942
PARAMETER
Sample ID
1 F& N
2 F& N
3 F& N
Lab ID
7908
7909
7910
Fecal Coliform, colonies/100ml
23,000
15,455
100,000
Nitrate + Nitrite Nitrogen, NO3 + NOz -N mg/L
0.21
7.29
0.14
Ammonia Nitrogen, NH3-N, mg/L
511
116
483
Total K,jeldahl Nitrogen, TKN mg/L
521
207
605
Total Phosphorus, P m
88.5
53.2
74.4
Reviewed b O�w and approved for release to the client.

I
virochem
773
N C2—
�gmnle Tlvne! Influent- Vfnnent- WA
ENVIRONMENTAL CHEMISTS, INC
Sample Collection and Chain of Custody
Cnil_ nthar-
6602 Windmill Way
Wilmington, NC 28405
Phone: [phone]
FAX: [phone]
SAMPLE
IDENTIFICATION
COLLECTION
BOTTLE
ID
LAB
ID
PRESERVATION
ANALYSIS REQUESTED
DATE
21ME
NONE
O
HNO
NaOH
TRIO
OTHER
�a�lzs ,�3Tv
Cori
G*c--
�R s7�
��: �v
,J
D
✓
,4g _ 3
/ 1; 31
Alo
IS: 00
E-
lob
-e—
1 � � �d � `tJ
Z : cry
�
�/
Maximum Holding Time Between Collection and Analysis: BOD 48 Sours, Coliform in Wastewater G Hours,
Coliform in Drinking Water 30 Hours,
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1
2
Received alerC ed to 4°C: Yes
Delivered By: 1 -
Comments:
No Accepted: ✓ Rejected:
Received By: ' ��/, _ Dates/ Time:
3
h

4n DSWG Anima! Feedic
R
FactlityNumber, Date=afInspecton Time of lnspec
N _ x. �:lfse24r�tme
Farm Status: et reri ❑ Routin e',g Complaint ❑ Follow-u
Farm Name:..-_p..?v- ��.e?..._..7r .... —_................ ...... County:
Owner Name: _ Phone No: Zf —I lv
Mailing Address: WttO� ..��?.%......g.,j> _ .. _ ��A� _...._ 2W39
�- _�
Onsite representative; Integrator: v�.�.
Certified Operator Name:
Location of Farm:
Latitude �•�`Q" Longitude
❑ Not O eraiianal Date Last Operated:
Type of Operation and Design Capacity
Ais
x. .
Swi.cze �K..Nrt6eumberNuttbeYltry�; '
Wean to Feeder La er Dairy
E-Feeder to Finish 54� Non -Laver Beef
I WE was_+'
Farrow to Finish Other Type of Livestock:x
iV :�: ram ' ' .n. -N
Nittnbei• afCagaons�/ HoldingPantfs= 2 Subsurface Drains Present
-, � �- � �� • �'`� � � �" ❑ lagoon Area ❑Spray Field Area
General
1. Are there any buffers that need maintenanceCmprovement? J2Yes ONo
2. Is any discharge observed from any part of the operation? ❑ Yes No
a. If discharge is observed, was the conveyance man-made? ❑ Yes EO No
b. If discharge is observed, did it reach Surface Water? (if yes, notify DWQ) ❑ Yes 91 No
c. If discharge is observed, what is the estimated flow in gallmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ® No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes R1No
4. Was there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes No
5. Does any part of the waste management system (other than lagoonsiholding ponds) require ❑ Yes No
maintenance/improvement?
Continued on back

6. Is facility not in compliance with any applicable setback criteria? ❑ Yes © No
f( 7. Did the facility fail to have a certified operator in responsible charge (if inspection after 1/1/97)? WYes -J&No
B. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes P9 No
Structures (Lagoons and/or Holding Ponds
9. Is structural freeboard less than adequate?
Freeboard (ft): Lagoon 1 Lagoon 2 Lagoon 3
CV Yes El No
Lagoon 4
10. Is seepage observed from any of the structures? ❑ Yes 53No
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes UZ No
12. Do any of the structures need maintenancerimprovement? ❑ Yes [3 No
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adquate markers to identify start and stop pumping levels? ❑ Yes XNo
Waste Armlication
14,
Is there physical evidence of over application?
❑ Yes
® Na -
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
Crop type .- L-4i-- . Caa i cam_.
16.
Do the active crops differ with those designated in the Animal Waste Management Plan?_
El Yes
[WIND
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
JO No
18.
Does the cover crop need improvement?
❑ Yes
0 No
19.
Is there a lack of available irrigation equipment?
❑ Yes
® No
For
Certified Facilities Only
20.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
® No
21.
Does the facility fail to comply with the Animal Waste Management Plan in any way?
❑ Yes
0� No
22.
Does record keeping need improvement?
❑ Yes
[R No
23.
Does facility require a follow-up visit by same agency?
❑ Yes
® No
24.
Did Reviewer/Inspector fail to discuss review/inspection with owner or operator in charge?
❑ Yes
No
;:.• ,�er�y3 �; � �-N.i'k: yc" --, �� fi -� we�,�
++r K ,:�t x„' '�' `�'�i�'a"Z a �"°" z` '� -:
[ ,� � �`� P Y�,
s,xe ti, xa r e3z3Yi at K v reR is 4 er x t c
^4�x,., �r, #�„ "F__,� w .� \,"' .'�'� r.Aa,+'€.--- . tea,.r5^•,.:sz.. `�'.':. rY
Rey�ewerflnspector Namea�A K4 R `yam ik
� a� '�"': �� �. �`S: -ax - F � � � -•� +ter a. �x a a
Revewer/inspector Srgnaturey......
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 11/14/96

N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
COMPLAINT/EMERGENCY REPORT FORM
WILMINGTON REGIONAL OFFICE
Received by: 1 1,1-L� t'TG7 S , Il%Wf Date/Time: �o� •�i-
ftergency: Caopla.i.nt: 7C Conmty:
Report Rece
ive
d
ryPxm: {M q V V/VL r�4 MIA �Z uT S
Agency: Phase No.
Catnplaiman t .- _ f'o, a L
Address:
Phone No.
Complaint or Incident: 0- +�7U 1.5 UGt.AG. -,ie 64: ,A" "t.a C�
_L�o as t T ,rZJ>M _ _ S'Tw a� t.�1(r: S �AiL v�
C- Z%�-
Time and Date Occurred:_ 9--e- Gfi1 •r _
Location of Area Affected: 'L] 0 Q— C-1z e-Ey _ _.
Surface Waters Involved: X Groundwater Involved: Other:
Other Agencies/Sections Notified:A)P-CS
Investigation Details:_V�rLc�, ���-v t-� �iQOv+•� S
��Sf-G ���c�-�.r� � �j.fLr�l� G�.�.crzS �_�,4�Ztc.t., ��.��C�C'• .._
G
Investigator: % Date: A�
EPA Region IV (404)3474M2 Peslieides 733-35S6 Emergency Management 733-3867 WWe Rerourea 733-7291
SaGd and Hazardous Waste 733-2178 Marine Fist heries 726-7021 Water Supply Branch 733-2321 U.S. Cowl Guard MSO 3434MI
127 Cardinal Drive Extension, Wilmington. N.C. 28405-3845 • Telephone [phone] & Fax [phone]
An Equal Opportunity Affirmative Action Employer

Faciliry Number:
Division of Environmental Management
Animal Feedlot Operations Site Visitation Record
Date: /O - Z 3 -9 L
Time: 3 %Ov
General Information:
M6
Farm Name: `5--7-AA) dk_�Ijr5 ' 50-7 .-- County: _D ✓ r° l Vyti
Owner Name: Phone No:_ -- 9(- O $ 1z
On Site Representative: �'� �I j s_ —Integrator: M sr
Mailing Address: (co-1
SSS 39 K
Physical Address/Location:.5J2. t 3 7 �g �j ,.� Al 0, 5e- I' Y 7 -
Latitude: I 1 Longitude: I 1
Operation Description: (based on design characteristics)
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Cattle No. of Animals
a Sow ❑ Layer ❑ Dairy
Q Nursery ❑ Non -Layer 0 Beef
X'Feeder 3 G -7 Z, Et:) - .
OtherType of Livestock Number of AnimaLs:
Number of Lagoons: (include in the Drawings and Observations the freeboard of each lagoon)
Facility Inspection:
Lagoon �[ z
Is lagoon(s) freeboard less than 1-foot + 25 year 24 hour storm storage?: YesA No
Is seepage observed from the lagoon?: Yes a No 91
Is erosion observed?:
Yes 0
No ZI
Is any discharge observed?
Yes ❑
No
0 Man-made Q Not Man-made
f
Cover Crop
Does the facility need more acreage far spraying?:
YesA
No ❑
Does the cover crop need improvement?:
Yes a
NoX
( list the crops which need improvement)
Crop type: , Acreage:
Setback Criteria
Is a dwelling located within 200 feet of waste application?
Yes a
No 0
Is a well located within 100 feet of waste application?
Yes ❑
NoM
Is animal waste stockpiled within 100 feet of USGS Blue Line Stream?
Yes ❑
No Q9
Is animal waste land applied or spray irrigated within 25 feet of Blue Line Stream?
Yes O
NoX
A01-- January 17,1996

Maintenance
Does the facility maintenance need improvement? Yes ❑ No FR
Is there evidence of past discharge from any part of the operation? Yes,R No%
Does record keeping need improvement? Yes d No-O
Did the facility fail to have a copy of the Animal Waste Management Plan on site? Yes ❑ Noa
Explain any Yes answers: c-c. I&II&OW 4c7rn
3-1 1+
/ A - ✓4"« 1 _/ ,v+ LS ��'Z�7irz9.,
Signaam:���
cc: Facility Assessment Unit
Drawings or Observations:
It
Date: e6Q - 2 -3 J
Use Attachments if Needed
AOi — January 17,1996

— •.
N-
Faciliry Number:I
Division of Environmental Management
'i Animal Feedlot Operations Site Visitation Record
Date: -q 4
Time: 1 Z ��
General Information:
Farm Name: +7o<yle_`j Q :5 a-i �_ _ County:. DU
Owner Name: iq-'0 137'0.1. 4 S ;� _ ` Phone_ No: 273 A q (a
On Site Representative:'�►ke_ +'�.'gk�yF'�5 "'`' Integrator:
Mailing Address: T is
bt,1A R_5 aid)
Physical Address/Location: 1~ 1 3 7 1 ti a .it A),Prr-h )� s& dS7
Latitude: I I Longitude: I I
Operation Description: (based on design characteristics)
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Carrie No. of Animals
❑ Sow ❑ Layer ❑ Dairy
a Nursery a Non -Layer ❑ Beef
iftFeeder ?, G-1
OtherType of Livestock Number of Animals:
• ....w...a vs a.wsvvu.�. %w.......,. — __ — - — -b. — -- ,a..v.....aav uwuvuau vi �u,.0 ..5VUa 1
Facility Inspection:
Lagoon
Is lagoons) freeboard less than 1 foot + 25 year 24 hour storm storage?:
Is seepage observed from the lagoon?:
Is erosion observed?:
Is any discharge observed?
❑ Man-made ❑ 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:_ (-ice j _ _ 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 animal waste land applied or spray irrigated within 25 feet of Blue Line Stream?
AO[ -- January 17,1996
Yes ❑
No 0
Yes ❑
No 3
Yes &
No ❑
Yes ❑
No 91
Yes 2� No ❑
Yes ❑ No R1
Yes ❑ No W
Yes ❑
NO' a
Yes ❑
NoA
Yes ❑
No Of

-e,
Maintenance
Does the facility maintenance need improvement? Yes ❑ No 14
Is there evidence of past discharge from; any part of the operation? Yes ❑ No 0
Does record keeping new provement?to- Yes ❑ No
Did the facility fail to have a copy of the Animal Waste Management Plan on site? Yes ❑ No @
Explain any .Yes answers: •' r-"�- •�, 5 �T s '`�.,.
T
Signature: Date:_ z '-{ • g _
cc. Facility Assessment Unit Use Attachments if Needed
Drawings or Observations:
AOI — January 17,1996

N. C. DIVISION OF ENVIRONMENTAL MANAGEMENT
COMPLAINTIEMERGENCYREPORT FORM
WILKINGTON REGIONAL OFFICE Date/Time:, 21-;
Emergency: Complaint: County:
Report Received From: /�; 'r--_--
Agency: S C_ Phone No.
Complainant:
Address,;- _ 'Y•Y-
Complaint or Incident:
i
Time and Date Occurred : 9 a 9 — p(:(
Location of Area Affected:�",0-
Surface Waters Involved: Groundwater Involved:
Other Agencies/Sections Notified:��5
OtherDetails: A2p :]�f S r fj�. S �e"A-a n� a
Investigator:
Date:
EPA Region IV [phone] Pesticides 733-3556
Emergency Management 733-3867 Wildlife Resources 733-7291
Solid and Hazardous Waste 733-2178 Marine Fisheries 726-7021
Water Supply Branch 733-2321 U.S. Coast Guard MSO 343-4881
127 Cardinal Drive Extension, Wilmington, N.C. 29405-3845 • Telephone [phone]W • Fax [phone]
An Equal opportunity Affirmtive Action Employer

Site Requires Immediate Attentio
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATI NS SITE VISITATION RECORD �- 2
DATE: �1 , 1995 - [ Z
Time:
Farm Name/Owner: '50kllei ee
Mailing Address:
County: _r� N - - - -
Integrator st-e 1" Phone:
On Site Representative:' �- __ ' Phone:
Physical Address/Location: SA 19
Type of Operation: Swine. t/ Poultry Cattle
Design Capacity: / -q-o u Number of Animals on Site:
DEM Certification Number: ACE DEM Certification Number: ACNEW f
Latitude: _° �� 3Y Longitude: � ° _�' Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately,I Foot + 7 inches) e6r No Actual Freeboard: ---)- Ft. D Inches
+� Was any seepage observed from the lagoon(s)? Yes orGwas anv erosion observedZfDbr No .
Is adequate land available for spray?�' r No Is the cover crop adequate? Yes or No
Crop(s) being utilized: ,y�Cf
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? Yes or No-
100 Feet from Wells? Yes or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or No
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or No
Is animal waste discharged into. waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or No If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure,' land applied-,
spray irrigated on specific acreage with cover crop)? Yes or No
Additional Comments: jtt4 ty�t� _ u 0 : nA-2 P\A?�4
_ o
Inspector ame
S ig6hue
C
cc: Facility Assessment Unit
Use Attachments if Needed.

Site Requires Immediate Attention: ,
Facility No..J-.SZ
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: .11995
Time: j
Farm Name/Owner: �r nJ;;�kW,
Mailing Address:
County: - FAQ +-N - - - - - -
Integrator: 1�1l1 �, L - Phone: 0 �-3d7 ? 11
On Site Representative: - n� Phone:
Physical Address/Location: "S9 j q5 ' - �! i­m, G _Ez�r� Al-j! �� {
Type of Operation: Swine Poultry Cattle
Design Capacity: 3 Number of Animals on Site' (g,7 a
DEM Certification Number: ACE DEM Certification Number: ACNEW
r
Latitude: 3 'r �' Longitude:' _ S Elevation: Feet
Circle Yes or No
Does .the Animal Waste Lagoon have sufficient freeboard of I Foot + 25 year 24 hour storm event,,
(approximately 1 Foot + 7 inches) Yes or No Actual Freeboard't. __0 �4nches
. Was any seepage observed from the lagoon(s)? Yes or No Was any erosion observed? ce-00 No
Is adequate land available for spray? Ve) or No Is the cover crop adequate? 'e� or No
Crop(s) being utilized: COS � 9A6mJ6.
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? e or No
100 Feet from Wells? e6ior No
Is the animal waste stockpiled within 10O Feet of USGS Blue Line Stream? Yes or No
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or No
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes oC If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Yes or No
Additional Comments: A; (b -4-%,i7 V
Inspector Name
Signa
cc: Facility Assessment Unit Use Attachments if Needed.

Site Requires Immediate Attention:
' Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: 1_7 , 1995
Time: 1 `/l S_
Farm. Name/Owner: "�._ d
Mailing Address:
County: y
Integrator: rlyt,G�� - - - Phone:
On Site Representative:.— 4 Ita- _ _ Phone:
Physical Addi•ess/Location: R /I F<Y AK7
�'J1 rn N
v
Type of Operation: Swine ✓ Poultry 'Cattle
Design Capacity: x-12 `�'� - Number of Animals on Site: 3 L, 7 40" _ r
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: 3 _° S 3 ' 3 Longitude: 1 _1 Yz--) Elevation: Feet
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) es r No Actual Freeboard: -2 Ft_ �2 Inches
Was any seepage observed from the iagoon(s)? Yes ore 7Was any erosion observed? Yes o To
Is adequate land available for spray? 62or No Is the cover crop adequate? Y s o No
Crop(s) being utilized:
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? �e's or No
100 Feet from Wells? �or No
Is the animal waste stockpiled within ,100 Feet of USGS Blue Line Stream? Yes or No
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or No
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man --made devices? Yes or I If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Yes or No
Additional Comments: A- njL-S f A,,,P
Inspector Name Signat
cc: Facility Assessment Unit Use Attachments if Needed.

•
�'r
Site Requires Immediate Attention:
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERAP9NS SITE VISITATION RECORD
DATE: �` , 1995
STime: ; p«,
Farm Name/Owner:
Mailing Address:
County:
Integrator.
On Site Representative:
Physical Address/Location:
1rZ
Type of Operation: Swine. I-"" Poultry Cattle
Design Capacity: Number of Animals on Site: (. f7. :L,
DEM Certification Number: ACE_ DEM Certification Number: ACNEW
Latitude: 7 Q Longitude: Elevation: Feet
Circle (9'eA or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) Ces or No, Actual Freeboard: -(:2-- Ft- Inches
Was any seepage observed from the lagoon(s)? Yes or V@o Was any erosion observed? Yes oreo
Is adequate land available for spra ? e or No Is the cover crop adequate? es r No
Crop(s) being utilized: a -
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? Igor No
100 Feet from Wells? es r No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or(o
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes ora
Is animal waste discharged into waters of the state by man -trade ditch, flushing system, or other
similar man-made devices?. Yes or No If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with,cover crop)? Ves r No
Additional Comments: --
=�e- Sl <-_:
Inspector Name —�
cc: Facility Assessment Unit
Signature
Use Attachments if Needed.
d

•
•
Site Requires Immediate Attention:
Facility No. Z ! — ► 1'
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: 4 '� , 1995
Time: t
Farm Name/Owner: S �4
Mailing
County:
Integratc
On Site ]
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: 71—° ss' Elevation: Feet
Circle es or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) er No Actual Freeboard: ,_? —Ft. Inches
Was any seepage observed from the lagoon(s)? Yes org Was any erosion observed? Yes or DO
Is adequate land available for sprae y? e or No Is the cover crop adequate? or No
Crop(s) being utilized: --
Does the facility meet SCS minimum setback criteria? 200 Feet frorn Dwellings? �e or No
100 Feet from Wells? es r No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes ore
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or �I
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes orQ 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)? es r No
Additional Comments:
Inspector Nam
Signature
cc: Facility Assessment Unit
Use Attachments if Needed_