310363_INSPECTIONS_20171231

2 V
NUH I H UAHULINA
Department of Environmental Qual

b
Type of Visit: ®'Compliance Inspection V Operation Review 1;,.) StructurZergency
luation C? Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral (d0 Other 0 Denied Access
Date of Visit: o Arrival Time: !fin 9 Departure Time: County: Region:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: Integrator:
Certified Operator:
Back-up Operator:
Location of Farm: Latitude:
Certification Number:
Certification Number:
Longitude:
Design Current
Swine Capacity Pop.
Wean to Finish
Design C+urrent
Wet Poultry Capacity Pop.
La er
C►attle
Dairy Cow
Design Current
Capacity Pop.
Wean to Feeder
Non -Layer
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Design Current
D , P,oult . Ca acit P,o
Layers
Dry Cow
Non -Dairy
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turke s
Turkey Poults
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 DW R)
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<0 ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
0 NE
❑ Yes F[:]
NA ❑ NE
❑ Yes❑ NA ❑ NE
❑ Yes NA ❑ NE
Page I of 3 21412015 Continued

Facili Number: - Date of Inspection: CJ
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? 0Yes
a. If yes, is waste level into the structural freeboard? ,EJI"Y-es
Structure I Structure 2
Identifier: 'F(on { dQ r
Spiliway?:
Designed Freeboard (in):
Observed Freeboard (in):
[:]No ❑ NA ❑ NE
❑ No ❑ NA ❑ NE
Structure 3 Structure 4 Structure 5 Structure 6
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 dNo ❑ NA ❑ NE
❑ Yes ]]No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? ,E:rYes ❑ No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 'No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes gj'No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers; setbacks, or compliance alternatives that need ❑ Yes ❑ No ❑ NA O NE
maintenance or improvement?
11. Is there 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 ❑ No ❑ NA to NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ No ❑ NA KN
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No ❑ NA rNE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes ❑ No ❑ NA NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes ❑ No ❑ NA F0 NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes [] No ❑ NA
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check [:]Yes ❑ No ❑ NA NE
the appropriate box.
❑ WUP ❑ Checklists [:]Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No ❑ NA EJ�NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA eEfNE
Page 2 of 3 21412015 Continued

Facili Number: - Date of Inspection: Z
24. Did the facility fail to calibrate waste application equipment as required by the permit. ❑ Yes ❑ No ❑ NA A:YNE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No ❑ NA gl"NE
the appropriate box(es) below.
❑ failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑ No ❑ NA NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No P-KA ❑ 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:
- 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA PNE
❑ Yes ;3'No 0 NA ❑ NE
❑ Yes)2]"No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA �NE
[:]Yes ONo ❑ NA ❑ NE
❑ Yes E o ❑ NA ❑ NE
[—]Yes VNo ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommennauons or any other comments._
Use drawings of facility twbetter, explain situations'(useradditio'nal pages as necessary)
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7 uokS<-S 1ezft{.D. (Case b/:
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Reviewer/Inspector Name: ,/" i' VO a-
Reviewer/Inspector Signature:
Page 3 of 3
Phone: T V 7�{o%��
Date:
1412015

` ~ Facil ty Number 4
C
-
Division of Water Resources
- !o3 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: Vompliance.liispection' =0 Operation Review 0 Structure Evaluation 0 Technieal°Assistance
Reason fo"r Visit: Routine O Complaint 0 Follow-up 0 Referral O Emergency 0 Other Denied Access
-Date of Visit: o i -Arrival Tiine: [004 Departure Time: F 10 3lI7 County: Region:'
Farm Name: Owner Email:
`., Owner Name: Phone:
Mailing Address:''
,.
'Physical Address:
,J-
Facility Contact: Title: Phone:
Onsite,Representative: ' ' Integrator:
t Certified Operator: Certification Number:
Back-up "Operator:
0 Location of Farm: Latitude:
Swine
Certification Number:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
La er
Non -Layer
Wean to Finish
Wean to Feeder
Feeder to Finish .
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Design Current
Dry Poultry Capacity Pon.
Layers
Non -Layers
Pullets
Turkeys
,Turkey Poults
Other
Longitude:
Design Current
Cattle Capacity Pop.
Daia Cow
Dairy Calf
Dairy Heifer:s_°
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
` - 'Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? [:]Yes ❑i N" o ❑ NA ❑ NE
.Discharge originated at: ❑'Structure ❑ Application Field ❑ Other:
w a. Was.the conveyance man-made? ❑Yes ❑ No ❑ NA ❑ NE,.
9 • b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes .❑ No ❑ NA' ❑ NE
c: What is the estiinated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes E3_1,1o•. ❑ NA ❑' NE
?; 2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ❑.N ' [] NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes . ❑ No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facili ' . umber: - 3 } Date 'of Inspection: _ (�
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? Yes ❑ No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ,[] Yes [] No ❑ NA ❑ NE . F,
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 3
Identifier:c.
Spillway? -
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes ❑/ No ❑ NA ❑ NE
[:]Yes 1_J No ❑ NA ❑ NE
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
❑ No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
I
/❑ 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
1❑ 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 or improvement?
I
11. Is there evidence of incorrect land application? if yes, check the appropriate box below.
[:]Yes
[:]No
❑ NA ,E-]/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
t 2. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ No
❑ NA
6NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ No
❑ NA
t NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑ No
❑ NA
E] NE
acres determination?
17. Does facility lack for land
Yes
No
NA
the adequate acreage application?
❑
❑
❑
ONE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ NA
© NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes'
❑ No
❑ NA
Q NE'
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes-
❑ No
❑ NA
f
n NE
the appropriate box.
❑ WUP_ ❑ Checklists ❑ Design ❑ Maps 0 Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes [] No ❑ NA [E] 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 Q NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA !❑ NE
Page 2 of 3 21412015 Continued
• ,. J..L 7A _ :it ..� .x:%e. �'.<:_ ..�... _ 3' _. y 'fi ( t •. ....+ _

r
Facili 5umber: Date of Inspection: Z //c1
/ &
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes ❑ No
❑ NA
/C] NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes ❑ No
❑ NA
Q NE
the appropriate box(es) below. ,
i
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
❑ Yes ❑ No
❑ NA`❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes ❑ No
❑`NA
❑ NE
Other Issues"
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes- ❑ No
[:],NA
.[DINE
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 ONo
❑ 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
-t9 - disc " h fee b d bl 1' t' )
f
perms . (i.e., arge, oar proems, over-app Ica ion
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes []No
❑ NA
Q NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
• 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes �Io
❑ NA
❑ NE
• 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes ,❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes dNo
❑ NA
❑ NE
omments_(re er to question ). Explain any YE apswers,-andlor,any additional recommendations 0 any other cprnm'ents
Use drawin s of facili to better explain. situations use additional a es as nece
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r
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Reviewer/Inspector Name: �f C I4 �. G Phone: ( 7J OW Y
Reviewer/Inspector Signature: Date: Z/f 116
Page 3 of 3 21412015
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I.I.-l- .. 11..1...,...­­. .. 1 ��'
-Division of Water.Quality
0 Division of,Soil and:Water.Coosetvation=.
Other�Agency
Facitity.,NumbeT
E
Type of Visit compliance Inspection O Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit Routine o Complaint 0 Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County:
Farm Name: Owner Email:
Ilwnor N-Amp- Phan P'
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Phone No:
Integrator: /12,
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: = o = A 0dt Longitude: = o = 6 =
is
:.
`- Design Current
Design _
Current : E Design Citrr4ent
SWine,, ,apacEty Population
` Wet'Poultry Capacity
Population lat�lon
❑ Wean to Finish
10 Layer
❑ Dairy Cow
Wean to Feeder
;, ❑ Non -Layer I
❑ Dairy Calf
Feeder to Finish"
qx
x DairyHeifer
Farrow to Wean
Dr v Poultry 4r,
„ ❑ Dry Cow
❑ Farrow to Feeder
"
r ❑ Non -Dairy
❑ Farrow to Finish
❑ Layers
.
El Beef Stocker
El Gilts
❑Non -La Non -Layers
" ❑ Beef Feeder
❑ Boars
❑ Pullets
Brood Cow
El r
x
a; Other w..
❑ Turke s
k
;, ❑ TurkeyPouets
, ❑ Other
f �> ❑ 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 ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
.❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
Page I of 3 12128104 Continued

Fpcility Number: 3 — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑Yes ❑ No ❑ NA El NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ❑ No ❑ NA ❑ NE
(ic/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes ❑ No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ 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 Amlication
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ No ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
❑ No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to -question #);, Explain any YES answers and/or any, recommendations or any.other comments �;
awingflffaciexplain sitn`ations (use -additional RagesUse drto-beter-as.necessary)
t 1 `rrt Y m d- r-e CUK'el a 6o% jam,
Reviewer/Inspector Name Phone:
Reviewer/Inspector Signature: Date:
Page 2 of 3 I2128104 Continued

Type of Visit: ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: _QVoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: L 6 P21 v Arrival Time: p eparture Time: County:
Farm Name: 2f'a Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: 0 G>�
Certified Operator:
Back-up Operator:
Location of Farm:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Latitude: Longitude:
Region:/Qp
Design
Swine Capacity
Wean to Finish
Current
Pop.
I I
III
Wet Poultry
ILayer
INon-Layer
Design
Capacity
I
I
C*urrent
Pop.
Design Current
C+attle Capacity Pop.
Dairy Cow
Dai Calf
Dai Heifer
Wean to Feeder
Feeder to Finish i
Farrow to Wean
Farrow to Feeder
Farrow to Finish
D . P,oultr.
Layers
Design
Ca aci
Current
P,o ,
Dry Cow
Non-Dairy
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turkeys
Turkey Poults
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 J21No ❑ NA ❑ NE
❑ Yes ZI No ❑ NA ❑ NE
❑ Yes ,fNo ❑ NA ❑ NE
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes -EJ"No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ,�No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes, �No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412014 Continued

Facility Number: 171- Date of Inspection:
24. D1d 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 to provide documentation of an actively certified operator in charge? ❑ Yes 01 No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes C2fNo
❑ NA ❑ NE
❑NA ❑NE
❑NA ❑NE
[] NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes EfNo
❑ 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 ZNo
❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
34. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes TNo
❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
T
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes PNo
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes KNo
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes Z o
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes WNo
❑ NA ❑ NE
Comments (refer to question # ): Explain any YES answers and/or any additional recommendations oraany other comments.": 77771
Use drawings of facility to better explain situations (use. additional pages as necessary).
C7 n 17ij 51-5 A?
May jV6ruP11-\-3 Cccs (71,13 w��� ��L J
y r �s d-
-7 9e, Z_
Reviewer/Inspector Name:
Reviewer/Inspector Signature: ,
Page 3 of 3
Phone: L 7 1-v
Date: ,3r1
4/20I

Reason for Visit: Routine O Complaint O Follow-up O Referral O Emergency O Other Q Denied Access
Date of Visit: / Arrival Time: Departure Time: County:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Title:
Phone:
Integrator:
Certification N tuber:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Region: Ll-*
Desigu Current
Design Current
Design C•urreut
Swine Capacity Pop.
Wet Poultry
Capacity Pop.
Cattle Capacity Pop:
Wean to Finish I
I Layer
I
Dairy Cow
Wean to Feeder I
JNon-Layer
I
El
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design Current
Cow
Farrow to Feeder
D . P■oulh,
Ca aci P,o
Non -Dairy
Farrow to Finish
Lavers
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turke Poults
Other
Other
Dischar¢es 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?
❑ Yes ❑ No DNA ❑ NE
❑ 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)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
[:]Yes
❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
❑ No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
❑ No
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412014 Continued

Facili Number: - ,� Date of Inspection: Q /
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes Z No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes grNo ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
T
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): _ Z�
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes Z 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 PNo ❑ 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 Z No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes [2�No 0 NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
[:]Yes PNo
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes 21 No
0 NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes Z No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > l0% 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 12]No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes ,0 No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes ,] No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes 0 No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes jo No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes �' o
❑ 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 '0 No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes 0 No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? [-]Yes [ZO'No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑NA ❑NE
Page 2 of 3 21412014 Continued

Facility Number: - Date of Inspection. /b
24. Did the facility fail to calibrate waste application equipment as required by the permit. ❑ Yes )Z No
25.Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes P3 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 to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes
2`No
❑ NA
❑ NE
❑ Yes
Ef No
❑ NA
❑ NE
❑ Yes
JCTNo
❑ NA
❑ NE
❑ Yes 0 No ❑ NA ❑ NE
❑ Yes ,d No ❑ NA ❑ NE
(—]Yes [ANo ❑ NA ❑ NE
❑ Yes No
❑ Yes No
❑ Yes [;a'No
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
Reviewer/Inspector Signature: _ Date:
Page 3 of 3 /4 14

Date of Visit: Arrival Time: Q parture Time: County: t(/�� Region:[
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop.
Wean to Finish [Layer
Cattle
ow
Design Current
Capacity Pop.
Wean to Feeder
Non -La er
Dairy alf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Desigjnj
D , P,ouItr, Ca aci
La ers
w
rNon-Da'
ocker
Gilts
Non -La ers
eeder
Boars
Pullets
rood Cow
Other
Other
Turke s
Turkey Poults
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 DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes 'PkNo ❑ NA ❑ NE
❑ Yes ZNo
❑ Yes No
❑ Yes V.
No
[:]Yes. No
❑ Yes VNo
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ONE
❑ NA 0 NE
❑ NA ❑ NE
Page I of 3 21412011 Continued

•Fa�tltty Numbers `� � -
)vision of Water"Ouality _
)i$ision of.Soil andWater Conservation '"' "'� �`
IType of Visit .oO Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit 2r9butine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit:
Farm Name:
Owner Name: _
Mailing Address:
Physical Address:
Time: i Q &parture Time: County:
Owner Email:
Facility Contact: Title:
Onsite Representative: C
Certified Operator:
Back-up Operator:
Location of Farm:
Phone:
Phone No:
Integrator•
Operator Certification Number: -L SQ
Back-up Certification Number:
Latitude: = 0 0 ' = Longitude: = c = 6 [� «
� ..`
Design .� Current Design 'Current , esign � "Cu<rent
C
Swine apacit�q` Population Wet Poultry Capacity _PopulationCattle CapacttyPopulatta
❑ Wean to Finish
❑ Layer
;
❑ Wean to Feeder
❑ Non -Layer
❑ Feeder to Finish
_u
❑ Farrow to Wean
}
Dry Poultry
1„ Farrow to Feeder
❑ Farrow to Finish
. ❑ Gilts
❑ Boars
;Other
❑ Other
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ DEY Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
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 ',O No ❑ NA ❑ NE
❑ Yes ZNo ❑ NA ❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes ICJ No ❑ NA ❑ NE
❑ Yes rNo
El NA El NE
El Yes ❑ NA ❑ NE
Page I of 3 12128104 Continued

Facility Number: - Date of Inspection: 4Z
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No
y ,A
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:
6 Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes ❑ No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes P?No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE `
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes JZ 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 [7rNo ❑ NA ❑ NE
- • If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes (��+io ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application) 7
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes F No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond - ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes to No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes 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):
• �cf� c�.� d�--�ul� s � �l %�t��f �i�� � �c�
Reviewer/Inspector Name: "0l I^
Reviewerllnspector Signature:
Page 3 of 3
Phone: ' 7Y
Date: L
21412 11

Type of Visit: Compliance Inspection O Operation Review Q Structure Evaluation O Technical Assistance
Reason for Visit: ORoutine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: eparture Time: County: Region:
Farm Name: �z ot� l Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Integrator:-��
Certification Number:
Certification Number:
Longitude:
Swine
Design Current
Capacity Pop.
Design C►urrent
Wet Poultry Capacity Pop.
Cattle
Design
Capacity
Current
Pop.
Wean to Finish
R-N.-on-Layer
Dairy Cow
Wean to Feeder
ELayer
DairyCalf
Feeder to Finish
DairyHeifer
Farrow to Wean
Design Current
D Cow
Farrow to Feeder
Farrow to Finish
De. P,ouIt C_a aci P,o ,
Layers
Non -Dairy
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Bee€ Brood Cow
Other
Other
Turkeys
Turkey Poults
Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ YesFZTNo
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
[]No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
[]Yes
❑ No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
J:ElNo
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
, No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
,No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Facility Number: f3l - Date of Inspection: y /
Waste Collection & Treatment
,.4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Structure II Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): c� _
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
[ZrNo ❑ NA ❑ NE
❑.No ❑ NA ❑ NE
Structure 6
❑ Yes ONo ❑ NA ❑ NE
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 DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes ,e'No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes 71-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 ,.Ej"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 or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes 21"No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or l0 lbs. ❑ Total Phosphorus 0 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 [2 No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes 2 No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes �2 No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes Wo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes ❑"No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes O'No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes L3'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. [A Yes ❑ No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
VRainfall ❑ Stocking ❑ Crap Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes j2]'No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes F:�No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑NA ❑NE
❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Faci!t Number: - Date of inspection: ZZ&
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
'25: Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(cs) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes 9No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [:]Yes eNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freehoard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes �allo ❑ NA ❑ NE
❑ Yes f!�No ❑ NA ❑ NE
❑ Yes ,,E:fNo ❑ NA ❑ NE
❑ Yes/j:� No ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE
❑ Yes ��No
❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
Reviewer/Inspector Signature: Date: Z
Page 3 of 3 21112011

31Wt
Facility Number (p
Q�Division of Water Quality
Division of Soil and Water Conservation
Q Other Agency
Type of Visit 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: /17 Arrival Time: �' Departure Time: rf.� ounty: Region: i.. ce=O
��Farm Name: � `T/ Owner Email:
Owner Name: _ 4V ZAAG-%z F Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: _ _Z do�
Certified Operator:
Phone No:
integrator:4n&
Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm:
Latitude: = o = = Longitude: = o = A =
=x Design Current' Design Current Design Current.. "?
Swine Capacity Population " Wet"Poultry.:= Capacity Population'' ' Cattle Capacity 'Population
Wean to Finish ❑ Layer
Wean to Feeder I I I 'I❑ Non -Laver
Feeder to Finish 1 ��/"4(9 OODW-
Farrow to Wean Dry Poultry
" Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other`
❑ La ers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Dairy Cow
❑ Dairy_Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cowl
Number of Structures
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page 1 of 3
❑ Yes No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes No ❑ NA El NE
❑ Yes No ❑ NA ❑ NE
12128104 Continued

W'111�
Facility Number: N —,3(oDate of Inspection I !dam
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes '110 No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Struc e l Structur 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?: 49 NO
Designed Freeboard (in): ��� !
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes &No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes A
No El NA [I 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? VYes ❑ No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes 0 No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes �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?
1 i . Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes 9'No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving croppMi er from those designated in the CAWMP?
❑ Yes CdNo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes ((([� No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes XNo
❑ NA
❑ NE
Comments (refer to question ft Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary): .
T I �,PQZn�PyP/� A-r vAS> 7 1 2— AV G pGGE+Q,
R�z►/•�c. !,{J�-sue - ;�>��t Gc1,�-s Gf �rz..l� Q�� � ��tcv
0r ` ��s
Reviewer/Inspector Name Phone: D
Reviewer/Inspector Signature: Date: O
Page 2 of 3 12128104 Continued

. �:
.L
Facility Number: ,3 / —36 Date of Inspection /D
Re wired Records & Documents
19. Did the facility fail to have 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 El Checklists El Design El Maps El Other
❑ Yes ONo ❑ NA ❑ NE
❑ Yes 9No ❑ NA ❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below. Yes ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis P
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
❑ NA
❑ NE
❑ Yes
,�,(No
No
❑ NA
❑ NE
❑ Yes
I No
El
ElNE
El Yes
❑ No
❑ NA
❑ NE
❑ Yes
XNo.
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
VNo
❑ NA
❑ NE
❑ Yes
11No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
VYes
,Io
❑ NA
❑ NE
Additional Comments and/or Drawings: '
/vf�q ST,QircTcr,[FfG 60 420 L vfL iV,o �5�p PmP L611.4L
�s(T,
z z� ,5,s� �N s�F�7za,� R-4— poa r �4 6LC7-z_�47'y a _&��
�������� �
0
Page 3 of 3 12128104

of Visit (Compliance Inspection O Operation Review O lagoon Evaluation
Reason for Visit 91 Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: Tune: ,
Not Operational O Below Threshold
E3 Permitted 0 Certified 0 Conditionally Certified 0 Registered Date -Last Op or A ve Threshold:
Farm Nance: County: �k
Owner Name: _ , _ 'Phone No:
Mailing Address:
Facility Contact: ___ __ __.... _ _/_ Title:..___ ...... _ _ __ �Phone No:
Onsite Representative:__ __f ... , _._.,. Integrator:
/
. L r r
Certified Operator: Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • d " Longitude • C «
Disc�es 8 Stream s
1. Is any discharge observed from any part of the operation? ❑ Yes 101rio
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/rain?
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 QIgo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State outer than from a discharge? ❑ Yes 2'40
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes' wo
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: _ ___ I-"- __ . _ _ . _ . _ _ . .. -
Freeboard (inches): _ 3_
12/I2103 Continued

Facility Number: 3 — ,3 Date of Inspection
5. Are thtre any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, j] Yes ,"No
• seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑yes �,Aio
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 maintenancelimprovement? ❑ Yes 0-go
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes 'To
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes j2NO
elevation markings?
Waste Application
10. Are there any buffers that need maintenancer=provement? ❑ Yes ONO
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes 2<0
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
1^.. Crop type l f}i^I'% [k i! low U..K. c
13. Do the receiving crops differ with thdse designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes /ETNo
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ONO
b) Does the facility need a wettable acre determination? [:]Yes .Iio
c) This facility is pended for a wettable acre determination? ❑ Yes B'No
15. Does the receiving crop need improvement? ❑ Yes TeKo
16. Is there a lack of adequate waste application equipment? ❑ Yes FWo
Odor Issues
IT Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below ❑ yes ❑No
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes BNo
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes Z N' o
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 ,ETNo
Air Quality representative immediately.
Comments {ref'erto�q�one�)'�F.xplar�n sett' YES ans _ors and/oraay` � artyy�ot�erem�- �,� � - S
Uscdrawm�s,otit�► i+o better expl�wn �ttsations. (tue'add�on�# pages � necessa �' ❑ Wield Copy ❑ Finai Notes � �.
c.1 VicA�e_,
T
$�IF
�.
ReviewerffiMmctor Name , [
Reviewerllnspector Signature: �, Date: ell Z

Facility Number. 3/ —3
Date of Inspection 7 G
Rettu red Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
22_ Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
23. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
25. Did the facility fail to have a actively certified operator in charge?
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
27. Did Reviewer/lnspector fail to discuss review/inspection with on -site representative?
28. Does facility require a follow-up visit by same agency?
29. Were any additional problems noted which cause noncompliance of the Certified AVRO ?
NIMES Permitted Facilities
30. Is the facility covered under a NPDF.S Permit? (If no, skip questions 31-35)
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
32. Did the facility fail to install and maintain a rain gauge?
33. Did the facility fail to conduct an annual sludge survey?
34. Did the facility fail to calibrate waste application equipment?
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
❑ Yes ,erNo
❑ Yes go
❑ Yes J'No
❑ Yes CYSo
[--]Yes FeWo
❑ Yes ,ff�o
❑ Yes .O-Ro
❑ Yes Rrfio
❑ Yes ig-N-0
OYes ❑ No
❑ Yes ❑'No
❑ Yes G?No
❑ Yes ❑ No
❑ Yes �fo
❑ Yes ja<
12112103

lh�
Michael F. Easley, Governor
0 A rir9pG
O Nii� Y
March 11, 2002
Linda B. Wells
7163 S. NC 41
Wallace, NC 28466
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Subject: Inspection Forms
Jimmy & Linda Wells Farm # 1 &2
Facility Numbers: 31-363
Duplin County
Dear Ms. Wells:
Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
On February 20, 22, and 26, 2002, I performed inspections of your animal operation and the animal waste
management system serving this operation. Please find enclosed copies of the inspection reports for the
referenced inspections. If you have any questions concerning these matters, please do not hesitate to
contact me at 910-395-3900 ext. 203.
Sincerely,
4�� 7i-',�
Stonewall Mathis
Environmental Engineer I
enclosures
cc: DWQ Non -Discharge Compliance/Enforcement Unit
V� xgts`�
Wilmington Regional Office
127 Cardinal Drive Extension Phone: [phone]
Wilmington, NC 28405-3945 Fax: [phone]

R
WaterQu_att� y:
"T" "- w �, n ODrvtsion ofSo�l and Water Conservation -
rr14..r
1
--
Type of Visit O Compliance Inspection p Operation Review O Lagoon Evaluation
Reason for Visit © Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 31 3ti3 Date or Visit: Z/20/2002 Time: 9:30
0 Not Operational 0 Below Threshold
® Permitted 0 Certified 0 Conditionally Certified © Registered Date Last Operated or Above Threshold
Farm Name: Jiuxmy.. County: D.uulia------- -------- -....................
Owner Name: l�iutha�..---------------'e�----------------------------- Phone No: 4J��8 5�74------ - ----- ----- --=------
MailingAddress: 216.3-S .N.C.41..__,..........-•_..-.•-••••-•----._.......................................................... 2.8.46.6..............
Facility Contact: ..... -_ .... ...._-.Title: Phone No:
Certified Operator:LiRll;t.13........ _........-..WellS ............................... Operator Certification Number: I&S.4 .............................
Location of Farm:
West of Wallace. On South side of Hwy 4I approx. 5 miles West of Wallace. i
® Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 34 • 44 38 Longitude 1 78 F 04 ° 45 "
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ® Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify D WQ) ❑ 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? 0 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
Identifier28? 5._..__--....__•-----281 •- - -- -- -- -- -- ---------------- ----._._... _- -- -- -- -- -- - - - -- -- -- -- -- -- -- --..
Freeboard (inches): 23 17

.
r
L-unziqu
va
rcility Number: 3I-363 ,Date.of.Inspection 2/20/2002
-.—
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
N No
seepage, etc.)
6. Arc there structures on -site which are not properly_addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
Yes
®No
. immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
® No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
N No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
N No
Waste Application.
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
❑ No
12. Crop type Corn Oats Fescue (Graze)
13. Do`the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
N Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
N No
b) Does the facility need a wettable acre determination?
❑ Yes
N No
c) This facility is pended for a wettable acre determination?
❑ Yes
N No
15. Does the receiving crop,need improvement?
® Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
N No
_Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
N No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
N No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
N Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
N No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
N No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
N Yes
❑ No
23. Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
❑ Yes
N No
24. Dobs 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 N No
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
❑ Field Copy ❑ Final Notes
I. There is a leaking air vent at hydrant 9 adjacent to a ditch. Needs to be repaired/replaced.
and 11. Animal waste has discharged into a ditch. It appears that the waste ran off of the sprayfield. Water quality samples and
pictures were taken.
4. The 2826 lagoon level is in violation; it has a 19.5 inch requirement. Also it appears that the 2825 lagoon level has been in violation
in the recent past; this lagoon has a 21.6 inch requirement and it appears that level has been such that there was 15 inches of freeboard.
Pictures were taken of lagoon markers.
I3. The waste utilization plan calls for oats to be planted but there is currently wheat planted; crops in the field are to be in agreement
ith the waste plan.
ReviewerAnspector Name
Reviewer/Inspector Signature:
Date: 3 II 62

ti
051903 o/
Facility Number: 31-363 Date of Inspection 2ii0RD02
Continued
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, El Yes ❑ No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the Iiquid surface of the lagoon? ❑ Yes ❑ No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ®No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑ No
32. Do the flush tanks lack a submerged fill pipe or a permanent/tempbrary cover?
❑ Yes ❑ No
15. Need to seed an area with fescue in the small fescue field.
19. Be sure to use a waste analysis dated within 60 days of application events to calculate the nitrogen applied on the IRR-2 forms.
Representatives have analysis dated sufficiently but have failed to use the proper analysis on the IRR-2's to calculate PAN applied.
Note: The irrigation design for this facility shows 38+ acres, while -the most recent plan shows 43+ acres. Apparently the amount o
land under irrigation has been refigured.
There was no notification of noncompliant lagoon level.

7. Design: Current Design:` -Current
ul- -Ca aci - Po elation Cattle Ca acity Po ulation
Layer I I I[_—] Dairy
Type of Visit O Compliance Inspection Q Operation Review 0 Lagoon Evaluation [
IReason for Visit O Routine O Complaint Q Follow up O Emergency Notification Q Other ❑ Denied Access
Facility Number 31 363 Date of Visit: 2n2n002 Time: 1Z:00
O Not Operational O Below Threshold
® Permitted ® Certified E3 Conditionally Certified E3 Registered Date Last Operated or Above 'Threshold_ _ __
Farm ]Name: Jimmy..& Lin da.W...eM.FarmA1 &."...-...._..-....... County: I?u.P1iu.M--------------------------------- WIRO.......
Owner Name: Z.jvd;ljG ­­--------- -�'F'efi-�-------------------------- Phone No: 4�Qz855Z75------------------ ----- - --
MailingAddress: T16 . .N.41... ...... ............. ......:........................... ..... _-- ... W.0 .................................................. 2.8.4.6.6..............
Facility Contact:....._. ...____......__....'_....___...._....._...._Title. Phone No:
OnsiteRepresentative: �,jnda.�Y�iL�-------: _--------------------------- Integrator: Ddui[ptLY_EajDi1X��x�ns------------------.
Certified Operator: I. nd"...W—..._..—m— �Y��1�Operator Certification Number: 1MR4..... ........... ...........
Location of Farm:
West of Wallace. On South side of Hwy 41 approx. S miles West of Wallace.
® Swine ❑ Poultry ❑ Cattle ❑ horse Latitude 34 44 38 u Longitude 78 fl4 45 4
- -- De_srgn'Curren
;Swine Ca acr Po ulati
❑ Wean to Feeder
® Feeder to Finish 3648
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
Gilts
❑ Boars
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ 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/nun?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
❑ Yes ❑ No
❑ 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
Identifier: ___..�.z82�.__._ ___ _282fz_, _... �.�..___ _._ _ __�_.�..
Freeboard (inches): 22.5 16.5
nrin�in� '
�__._._.. -s

UJ/UJ/Uf
Facility Number: 31-363
Date of Inspection 1 2/22/2002
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
�untrnueu
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
Cl Yes
❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CA WMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ VAR, 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/mspection with on-siterepresentative?
24. Does facility require a follow-up visit by same agency?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No =
[3 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Field Copy ❑ Final Notes
its inspection was conducted as a followup to the 2R0/02 inspection.
The 2826 lagoon level is in violation.
ate: Ms. Wells said that they had pumped out the ditch that waste had discharged into and she showed me around and described what .
id been done to clean the waste out of the ditch.
z�
Reviewer/Ins ector Name - `
p .- __ a111VIsCRIS On
Reviewer/Inspector Signature: Date: 3 W/ Z.

Type of Visit © Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up 0 Emergency Notification O Other El Denied Access
Facility Number 31 363 Bate of Visit: 2/26/2002 Time: 14:00
Q Not O erationaI Q Below Threshold
® Permitted ® Certified - 0 Conditionally Certified ❑ Registered Date Last Operated or Above Threshold: - __ __ __ -_ __ _.
Farm Name: County: DAPhl.................................... y4IRO-__._--
Owner Name: l:.iptla _----.--- -- Vlells_------------------------ Phone No: 9JQ 5 5275------------- ----- - - - --
MailingAddress:..7.16 .5. IY .41......._ ..........._- ..................................... ....... .WAIIAMV...NC........................................................... 2.8.4.66 ..............
Facility Contact: _._.....-......_... ._. .... ..Title: -. ...__............ Phone No
OnsiteRepresentative: DcaV_W_cJJS_---------_-- _-----_----_------- Integrator:Mutpj�X�a�i1X� [LS_._--------:---_-.
Certified Operator: )jmjda_B..__................-.__ 3Ytells..� Operator Certification Number:181 4.--... -_--
Location of Farm:
West of Wallace. On South side of Hwy 41 approx. 5 miles West of Wallace. �
® Swine ❑ Poultry ❑ Cattle [I Horse Latitude 34 • i 44 r 38 Longitude 78 • 04 45 4
Current -
Population :.
_= ❑ Wean to Feeder ❑Layer ❑Dairy
® Feeder to Finish 3648u ❑ Non -Layer ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder = Other
-
❑ Farrow to Finish - Total Dest n Ca aci 3,648
[]Gilts-- P
❑Boars - E Total SSLW _ 492,480
Number af.Lagoons"= 2 R % ❑ Subsurface Drains Present ❑ Lagoon Area ❑Spray Field Area
Holdtn Ponds /d Waste Management System _
Dischar-aes & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ❑ 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 I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches): 16.5

Facility Number: 31-363
Date of Inspection 1 2/26/2002
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/unprovement?
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
I
�urrrrrrueu
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement?
16, Is there a lack of adequate waste application equipment?
Required Records & Documents
IT Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(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?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes - ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ®No
❑ Yes ❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Field Copy ❑ Final Notes
ection conducted as a followup.
i showed me around and described what had been done since my last visit in the way of cleaning the waste out of the ditch. Water
ity samples and pictures were taken for purposes of determining effects on water quality from this facility relative to the neighborin
ity 31-425 which had recent discharges.
Reviewer/Inspector Name !�f
Reviewer/Inspector Signature:
Ddte: -Z 1 10 Z.

Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification Q Other ❑ Denied Access
Facility Number 31 363 Date of Visit: 2/22/2002 Time: 12:00
Q Not Operational Q Below Threshold
® Permitted ® Certified [3 Conditionally Certified © Registered Date Last Operated or Above Threshold . __ _. _..... _.
Farm Name: Jx4aegX.a& Uuda.�4'elac.F.arm#.1&2 ........................................ County: AvRliu.................................... yYJRQ......
Owner Name: �id��---------------- .t'�'eUs----- - _.-------------------- Phone No: QJQZ$5 ��7§-----------------------------
Mailing Address:.7.163.&N.C.41............................. ........... W..AL118C.C..NC........................................................... za.46.6 ..............
Facility Contact: ..........................................................Title:....................................... Phone No
Onsite Representative: Latvds_]�Y�]15---------------------------------------- Integrator:
Certified Operator: Lialda A . ............................... Wells .......................................... Operator Certification Number: JAIJ[4................. ........ ............
Location of Farm:
Nest of Wallace. On South side of Hwy 41 approx. 5 miles West of Wallace. A
® Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 34 ' 44 f 38 u Longitude 78 • 114 f 4566
Swine --
crent
elation
❑ Wean to Feeder
® Feeder to Finish
3648
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Fetish
❑ Gilts
❑ Boars
- Current == Design
"Population Cattle Canacit
Non-
_- ❑ Other -
Total Design C
Current
ovulation
3,648
492,480
Number of°Lagoons 2 m ❑ Subsurface Drains Present ❑ Lagoon Area ❑Spray Field Area
............ .
Holding Ponds:l Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is observed, was the conveyance man-made? ❑ Yes ❑ 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 gaUmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ® Yes ❑ No
Structure 1 . Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:---------�25-------------------28--------------------------------------------------------------------------_---_--.....--....................
Freeboard (inches): 22.5 16.5

u31v31ol Uontmueu
acil .k Number: 31-363 Date of Inspection 2/22/2002
5. Are there any immediate'threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
T, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management PIan 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 A WMP?
❑ Yes []No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (refer to quests #f) E play oyYES swers`and/or anyecommendat�ons or aoy other comments W
Use drawings of� fac�ity to�betteregplain s�tuations�{use addrt�onal pages as nesaryj �F�eld Copy ❑Final Notes �
w _
This inspection was conducted as a followup to the 2/20/02 inspection.
The 2826 lagoon level is in violation.,
Note: Ms. Wells said that they had pumped out the ditch that waste had discharged into and she showed me around and described what
had been done to clean the waste out of the ditch.
T
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: 3 /l pZ

(Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation J
Reason for Visit O Routine O Complaint O Follow up Q Emergency Notification O Other ❑ Denied Access I
Facility Number
Date of Visit: 2/26n002 Time: 14:00
31 363
Q Not Operational O Below Threshold
® Permitted ® Certified 0 Conditionally Certified [3 Registered Date Last Operated or Above Threshold_ _ __ __ __ __ ___.
Farm Name: Jimmy.,&.Linda.We11s.F.armA1&2........................................ County: RuRlia.........------------......--.-----. )'W13{?-------
Owner Name: �ipt1A�.---------------- WeUs------------------------------ Phone No: -
MailingAddress:.7.163. .N.�1.........................................................................................W.aliam..N.C................------........................---.......... 2.8.46.6 ..............
FacilityContact: ........................................................... Title: ............................................... Phone No: ......................................
Onsite Representative: ley}'ls----------------------------------------- Integrator: M�lipY�arn1�Y�_------------------.
Certified Operator: Liuuda..R................................. W0115.................................................. Operator Certification Number: HIM ............................
IJVI.���V ll Vl 1
1.
Nest of Wallace. On South side of Hwy 41 approx. 5 miles West of Wallace. 4
® Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 34 • 44 4 38 u Longitude 78 ' 04 45 4
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ 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 gaUmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2, is there evidence of past discharge from any part of the operation? ❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ® Yes ❑ No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: --------- 2,82h.......... ........................... .......................... -•--..........--•.................._....------......---------------•-----------_
Freeboard (inches): 16.5
ne mein• �._....... _.r

Type of Visit Q Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit 0 Routine O Complaint O Fallow up 0 Emergency Notification O Other ❑ Denied Access
Facility Number 3l 363 Date of Visit: 2/20/2002 Time: 9:30
O Not Operational 0 Below Threshold
® Permitted ® Certified © Conditionally Certified [3 Registered Date Last Operated or Above Threshold: ..- -- -- -- --
Farm Name: Jimmy.j&.Lindn.W..eM.F.arm#1&2........................................ County: Dx viol......--•--._...-•--•--•--•--•--.... WJRO......
Owner Name: lriasla�,.---------------.E''eUs�-------------------------- -- Phone No: 9�Q-�$52I5-- - --- - -------- - --- -
MailingAddress:.71161S.B.C.4l........................................................................................ WAllacc..Ac ........................................................... Z8.46.0 ..............
FacilityContact: .. Title: ........................... Phone No:............................................................................................... ....................
OnsiteRepresentative: 0.3'4'1�i15,1.iA�a13'.cUs. ---_-.--_--._-_---_---_- Integrator: jftcphyjFalpijyXmj S.------ -----------•
Certified Operator: Lip[Lida.B--............................... Wells .................................................. Operator Certification Number: 13JR4.............................
Location of Farm:
Nest of Wallace. On South side of Hwy 41 approx. 5 miles West of Wallace. +
® Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 34 • 44 38 Longitude 78 • 04 45
Swine'
[]We
an to Feeder
® Feeder to Finish
3648
❑:Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Current --
-.. es1911: Current..
Po"elation Cattle Ca' aCit Po elation
= 1-1 Dairy
r ❑ Other
_ Total Design Capacity 3,648
- - Tbt
_al SSLW 492,48Q
Number°of Lagoons 2� =' ❑ Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
Holding Pondi/ Solid -Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ® Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge froin 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 I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:---------282.5.--------- ----------28M--------------------.---------_--.................. ......... .... ....................... ...........................
Freeboard (inches): 23 t7

uunrinueu
Facility Number: 31-363 Date of Inspection 2I2012002
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
N No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
El 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 maintenancelimprovement?
❑ Yes
N No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
N No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
N No
Waste Application
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
❑ No
12. Crop type Corn Oats Fescue (Graze)
13. DAhe receiving crops differ with those designated in the Certified Animal Waste Management Plan (CA WMP)?
N Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
N No
b) Does the facility need a wettable acre determination?
❑ Yes
N No
c) This facility is pended for a wettable acre determination?
❑ Yes
N No
15. Does the receiving crop need improvement?
N Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
N No
Required Recor_ds_& Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
N No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
N No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
N Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
N No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
N No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
N Yes
❑ No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
N 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
N No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (refemnyEanswersand/onyustiona_er commentsrto prmn
T,
Use°�drawi gs "of fhe ity to letter Explain ,S tuatio sn (us atld,tio,eal pages --.as ❑ Field Copy ❑ Final Notes
x
�. =,.
1. There is a leaking air vent at hydrant 9 adjacent to a ditch. Needs to be repaired/replaced.
and 11. Animal waste has discharged into a ditch. It appears that the waste ran off of the sprayfield. Water quality samples and
pictures were taken.
4. The 2826 lagoon level is in violation; it has a 19.5 inch requirement. Also it appears that the 2825 lagoon level has been in violation
in the recent past; this lagoon has a 21.6 inch requirement and it appears that level has been such that there was 15 inches of freeboard.
Pictures were taken of lagoon markers.
13. The waste utilization plan calls for oats to be planted but there is currently wheat planted; crops in the field arc to be in agreement
ith the waste plan.
Reviewer/Inspector Name Stonewall 1ViathLs
Reviewer/Inspector Signature: - Date: 3 I 1 O2..

" 05/04101 Continued
Facility Number: 31-363 Date of Inspection 2/20/2002
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
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ®No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑ No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
- A"dditiona :. , O-mn eats and or .rawings -�.
15. Need to seed an area with fescue in the small fescue field. ;
19. Be sure to use a waste analysis dated within 60 days of application events to calculate the nitrogen applied on the IRR-2 forms.
Representatives have analysis dated sufficiently but have failed to use the proper analysis on the IRR-2's to calculate PAN applied.
Note: The irrigation design for this facility shows 38+ acres, while the most recent plan shows 43+ acres. Apparently the amount of
land under irrigation has been refigured.
2. There was no notification of noncompliant lagoon level.
4

vts�on of Water uahty
Q Division of S©I and Water Conservation
7 �.
a ` t, Q Other Agency
.> a � w
i
s
Type of Visit FCompliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit §&outine O Complaint O Follow up O Emergency Notification O Other
Facility Number j Date of visit: I
Permitted 6Certifed j3 Conditionally Certified Q Registered
Farm Name: .....S1 y.y1........• ........YY. ... .............
Tian e:
❑ Denied Access
Printed on: 7/21/2000
10 Not Operational Q Below Threshold 1
Date Last Operated or
Above Threshold: .......
County:.............1\v\..'.�............... .. �._.•...--
Owner Name: .............,.✓— Y�?•.�C.L• 5 Phone No:
............... ......... y............................................_.
Facility Contact: ...............ITV-..�L.S..............Title:.............. Phone No:
Mailing Address:
Onsite Representative:.........
,t
,,,,..,,, W 1 `�-.
......I .............. --•-
Integrator: ..... .,,.y "'o
Certified Operator...- .'
Y
-G-.-•----•-.....
`,,1 `
a v�.........Y".e L` 5
Operator Certification Numb r.
Location of Farm:
f
q
04wine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 4 ;4i Longitude • 4 "
Design Current
Swine Canacitv Ponulation
❑ Wean to Feeder
eederto Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer I I ❑ Dairy
❑ Non -Layer I I JE1 Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lag-»n .Area 10 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 RNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes ❑ No
b. If discharge k observed. did it reach Water of the State" (If yes, notify DWQ)
El Yes ❑ No
c. 11 discharge is observed. what is the estimated flow in galhiiin?
I/w
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 -,qNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
❑ Yes I�INo
`
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
❑ Yes JqEo
Structure I Structure 2 Structure ; Structure 4 Structure 5
Structure 6
Identifier. ............. A ! -
Freeboard (inches):
5100
Continued on back

F,acility'Vumber: j —31v 3 Date of ]inspection p y D Printed on 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ,. l�o ,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes 0-No
(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 Iack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11 rc thi-re Pvitie Ire of over annlirntinn`1 ❑ Excessive Pondinh ❑ PAN ❑ Hydraulic Overload
12. Crop type
R1
13. Do the receiving crops differ with those designated in the Certified 4nimal 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 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?
yigla.ititis;or defciees were itbted di>ring this:visit: Yoi>f :will reeeiye Rio Further ..
• rori-esp&idenke. about. this visit-'- :::::... ..........::::::.:::::::: :
❑ Yes 29No
❑ Yes 94S-
❑ Yes W_4
❑ Yes C13,Y4o
❑ Yes Q(No
❑ Yes $d No
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes '2.No
❑ Yes RNo
❑ Yes �No
❑ Yes gN0
❑ Yes lt�o
❑ Yes sWo
❑ Yes b—CAio
❑ Yes M�No
❑ Yes T*'No
❑ Yes 'No
❑ Yes �f No
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):
�ZW a/V
J - r
�s a /h L�ulx � & Ge,
Reviewer/Inspector Name e r d/JiA
Reviewer/Inspector Signature: Date:

acilitiy Number: 3(�l Date of Inspection �L (� Printed 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 0No
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, ❑ Yesr
0
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 11 '
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 1y No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes - Wo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? Ayes ❑ No
Additional -omments:an or Drawings:
I"— 6�2�
510

E3 Division of Soil and Water Conservation- oOperation Review
ti Division of Soil and Wafer Conservation -:Compliance Inspection
Division of Water Quality fiance Ins eetion r
Qu t]'p E
13
:Other Agency' Operation Review =
Y
10 Routine Q Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review Q Other
Facility Number Date of Inspection !1 Z ac
Time of Inspection ] S 24 hr. (hh:mm)
[] Permitted © Certified [] Conditionally Certified Q Registered JE3 Not O erational Date Last Operated:
Farm Name: �.,1 r►1 -�j vL Q� �s -tiv,�s�L �' � . County:... P Wa j!!!11......................................................
11 II yy
.....................1.....-....f '........... V!.................-..................-.................. .
L;nNeh Wells, Owner Name: ......................................... . Phone No:................---.......
FacilityContact:.............................................................................. Title:......................
MailingAddress: ....................................................................................................................
Onsite Representative: „L � �+ L.,1 el. f
.... Phone No:......:......
Into rator vi 4 Fe ^ +� tis
Certified Operator: ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
Latitude Longitude �• �� ��
--Swine;;
Design Current.
CaDaeitV Population
❑ Wean to Feeder
Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts,
❑ Boars
Number of Lagoons - g
❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Feld Area
Holding'Poiids / Solid Traps ❑ No Liquid Waste Management System
W_� .:.: W ... ..
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a- If discharge is observed, was the conveyance man-made? ❑ Yes ® No
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
❑ Yes IN No
V1rA
d. Dues discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes 19 No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes P� 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 i Structure 2 Structure 3 Structure 4 Structure S Structure 6
Identifier: —1 -2—
Freeboard(inches):(inches): ........2'.v.........................4..f............................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, [] Yes JE No
seepage, etc.)
3/23/99 Continued on back

Facility Number: Date of Inspection 11 Z
&_Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
❑ Yes
tK 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?
29 Yes
❑ No
8.
Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
C9 No
9.
Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
J9 No
Waste LXpplication
10.
Are there any buffers that need maintenance/improvement?
❑ Yes
Z No
11.
Is there evidence of over application? Excessive PPonding ❑ PAN
Yes
❑ No
12.
n
Crap type Sa y beGn'Sf�t �"� 11 eje ae �G✓GZ ze,l
13.
T
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
§9 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?
D4 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
JgNo
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
10 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
9No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
jj No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
IM No
23,
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
,9 No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
21 No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
"_FZI No
NbM61aftgtas:or dtficieac;les were poled• during �bis'visit:-1':oit will-reeeiiW fW further. • : -
correspondeirce.abOU this visit_ ... .. ... .
Comments (refer to question ##):.Explain any YES.dMw- ers and/or any rekonimendations-or any._otlter comments.
Use drawingsof facili to better explain situations ' - ' . __ - ty p _.(use additidnat�pages as necessary)-
7. Rare, erzo(ezt Areci.S OffN 1ctgOOn Z should h,,,Ve Pro%ge,•- �1 CiSS
"ver es4a,b)AeA. J .J
rl. Qcs*e aIY-e4rs 4o &e- fo-tded '�r� F�swt:� �'.�ld a-�- 41 , e&ltt off' Irc�f�K�
10. 7 fit; s rMA, 6e d ve fa hlv�e; Gn vte Flo YG{ rVrn , -t � -��—�
13. F; eta Ig i.� V;e i0t o-e 5Q cc, v%t em iP1 . la r D�
G a dl a b /wh IO n a 4s
_';CIA �F and ��'�1d 616 �t✓Q gave /9.� .ss %Yl 4kem. Pge4 or lce W 4
;s vtvt g Cplgv4ed w�+►, :rawbec►,s. Alnke c- are 41v% wg14e F'", a�
�v ct � C v s in -Or; e lct qed 4 i1 c S-4 m V.
F
viewer/Inspector Name viewer/Inspector Signature: ,b ' Date: �l 2�
3/23/99

Facility Number:,? ! �j3 Date of Inspection ? Z
ador'Issues
26. Does the discharge pipe from the confinement building to the storage pond or Lagoon fail to discharge at/or below R 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 KNo
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes �9 No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes] No
32. Do the flush tanks lack a submerged fill pipe or a perrnanent/temporary cover? Yes ❑ No
,Additional.Coniments an or rawmgs: v
15. �„!a� �. �o re»-.Qve Weeds �`�rm �2s�tie ���ld• (�Jo�� �a
�s�abl�s • a �o06fyas1 cever o+� W-14ev-"r ;P e( sOUetCJ
4 Gasp t 4f bgy00h d'CJ 7)' troy 1-v7eDs, Z or nd Ke¢y LLJ1�
I
1q. Gel a rjew wt-54& .l-iai sts, tAjr� o►ie 44cd ;,n ma f 17gr(
6 4 AxIr bc,o aawe 9aa� 6D da 7f a(4��
G�t�� oh anal s►s.
r
13e ssvre 4o
4ra l kow
yfkex-r4i'm
w►Mowsr&r c rol!r-
6keck oN,
ac.A:, ,
AAd4,a tj1 -off ?, c 4,'o, wt,,4ew. 4,r lescLte.
3123/99

Longitude 0 6 46
Design
ry Capacity I
0 Division of Soil and Water Conservation ❑ Other Agency
® Division of Water Quality
IQ Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Date of Inspection )a
Facility Number 3 a
Time of Inspection 24 hr. (hh:mm)
Megistered IRCertified © Applied for Permit 0 Permitted 113 Not O erational` Date Last Operated:
Farm Name:.... ..,Ji,:? ov..+.....Y...1r kStt °-......6jj i�.5....... kG C ....� '4 ........ county:......i 1 e iz...............................................................
Owner Name: ....... .wdk3............................................. Phone No: �`�l ..>.. :....��..
Facility Contact: Title: . .................t . Phone No:
Mailing Address:.......... .L(.3........Sr,u�.....NCr...tlrslaj....4.(........................... .............i � 1.G�s~C...i..1 ....................... ..Z. f�r.�.....
Onsite Representative : .............. ifAM0a........oali.S.................................................. Integrator: ........
A"1....----.................................................
Certified Operatorz................................................................................ .. Operator Certification Number,.................
Location of Farm:
Latitude 0' = < 0 «
Design Cut
Stine Capacity Popr
❑ Wean to Feeder
Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
:._u ❑ Boars
'EEL
lion
Cattle - -
❑ Dairy
❑ Non -Dairy
Total
General
1.
Are there any buffers that need maintenance/improvement?
❑ Yes
[ANo
• 2.
Is any discharge observed from any part of the operation?
❑ Yes
q No
Discharge originated. at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
P9 No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
❑ Yes
51No
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
E43 No
3.
Is there evidence of past discharge from any part of the operation?
❑ Yes
[NNo
4.
Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
ONo
5.
Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
No
maintenance/improvement?
b.
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
O No
7/25/97

Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes JR No
Structures (LagoonsJlolding Ponds. Flush Pits, etch
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3 Structure 4
Identifier: 1 Z
........................................................................................................
Freeboard(ft):........Z:.+................... ............. 7-.................. ................................... ..............................
10. Is seepage observed from any of the structures?
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)
❑ Yes
14 No
Structure 5 Structure 6
...................................•............ I.......................
❑ Yes
0 No
❑ Yes
No
Q9 Yes
❑ No
13. Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes No
Waste Application
14. Is there physical evidence of over application? ❑ Yes No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop C...c.r.a ......... bliV4 .............................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes allo
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 reviewfinspection 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?
13• No.violations•or' defidencies.wer`notid-during'this:visit.- You.4ill re'cei�e-'no,ftirtlier
correspynde�ce about this:visit::
❑ Yes No
❑ Yes 1 No
❑ Yes No
❑ Yes No
❑ Yes No
Yes ❑ No
❑ Yes [n No
❑ Yes OlNo
❑ Yes P No
!Z• Qp,,� c -c s �r.
d<<4 wall
0 Rag r z
s ��� 6e e�l� cc�•
Zz. Undo- wGsk
�- so; sa,m G.s 5 ��� fie.
try �rvi— �cr�� . � cor o� �
t. "r , r
e '�
e,�e val PQfrrri�'
�%�o��� ire r ��or
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: 1 �rfrcl�l l ) _ Date:

of
I ' Facility Number 31 363 I
13 Registered ® Certified [3 Applied for Permit © Permitted
Uow-up of DSWC review Q Other
Date of Inspection 1 1/21/98
Time of Inspection 1415 124 hr. (hh:mm)
Not Operational I Date Last Operated:
Farm Name: diu�oulay.&. iuda.W��iS. a►r E��i2................... ...... ___._.........�.. County: D.Up lL............................----................VtMo .........
OwnerName:A1tan.J...........WPjIs............................................................ Phone No: 41.0::225 52.7.6.......................................---.................
Facility Contact: diul7lMy..i�lr4;li5........................... ... Title: QyjMex ......... .................... Phone No:
Mailing Address: 7JL6,j.S,..NC.4J....................................................................................... AaJlACR.Ac.......................................................... N4.66 ..............
Onsite Representative:,1jrauU.W.glls.................. .. integrator: 5jhyFAm0XFarms...................
Certified Operator: AllAfl j.................................. 1'['E<115i................... ......... ............. Operator Certification Number:1732 .............................
Location of Farm:
Latitude 34 a 44 G 38 Longitude 78 • Q4 45 u
Number of Lagoons 1 Holding'Ponds.1 2 ' ❑Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
❑ No Liquid Waste Management System s: -
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes ❑ 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 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 ❑ 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

Facility Number: 31-363
S.' Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes ❑ No
Structures fjagoons,Holding 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 6
Identifier: .............M.ae ............. ............. 1.224............. .................................... ................................... ............ I...................... ............1....1.................
Freeboard(ft): ..............1.5.......................... 1...1Z.............. ........... ........................ .................................... .................................... ....................................
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 ❑ 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?
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?
No'violations: or deficient des.were .noted ,during- this .visit.: You.will receive no further. :
correspondence about this:visit.
done as a follow up for freeboard. Will send Notice of Referral to DWQ-WiRO due to lack of adequate storage.
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
7/25/97
Reviewer/Inspector Name John M Fktzgeraid Yr-h;' p ' �' Wit,
Reviewer/Inspector Signature: Date:
Farility NnmhPr: Zl —'T6'i 1 Tlotn nF T-anortinn 1 1111109

ey.R.'C-�;
-ODSWCAM Review' NO
M
peranowna e Inspection DWQAntma
[G Routine -0 Complaint 0 Follow-up of DWQ inspection 0 Follow-ug of DSWC review 0 Other
Facility Number Date of Inspection -1 Time of Inspection 110 124 hr. (hb:mm)
Farm Status, 10 Registered 0 Applied for Permit
El Certified [I Permitted
Total Time (in fraction of hours
(ex:1.25 for I hr 15 min)) Spent on Review
or Inspection (includes travel and Drocessine)
0 Not Operational Date Last Operated:
Farm Name: AA 1-C).
.... WL.�U_f County:
Land Owner Name: 4xk-n__z .. . .... Phone No:
Facility Conctact: .... . .... . ... . .... —... Title: .......... Phone No- . .......
Mailing Address: . ......
Onsite Representative: Integrator: -- - ----
Certified Operator• . ...... . ..... ............................... .. . ..... . .............. . ....... ..... Operator Certification Number: -11-25a3 . ........ . ..... . ...
Location of Farm:
Latitude Longitude
Type of Operation and Design Capacity
a
Design
mM
esign Current
Swrne TPLM&CatlepCavaIPu 1ry RD*76 ion-tanacivPo` DU ado rE�
❑
Wean to Feeder �La er
Feeder to Finish U ENon-La
-- try
0 Farrow to Wean
V"
F WN '0'
'Vesign%Ualya
7
Farrow to Feeder' Total �:a& Cl-
10 Farrow to Finish
'A
D Other
a - V7V
177" -7
. .........
Subsurface Drains Present
Area 311F
10 Lagoon ArH [I Spray Field Are
......... . . . . . . . . . . . . ......
Genera)
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: 0 Lagoon D Spray field [I Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Waters? (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 pan 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
4/30/97 maintenance/improvement?
L1 Yes KNo
[I Yes [8 No
0 Yes
19 No
[]Yes
allo
0Yes
H No
C] Yes
9 No
El Yes
N No
0 Yes
allo
Continued
on back

Facility Number: -24.......
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?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures a,agoons and/or Holding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft): Structure 1 Structure 2 Structure 3
10. Is seepage observed from any of the structures?
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 Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
❑ Yes E9 No
® Yes ❑ No
❑ Yes ® No
Structure 5 Structure 6
15. Crop type .._....... ..il_a..5 c .................................. _..... ..... _ ......
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 Iack 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?
For Cerolled Facilities
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
❑ Yes ® No
® Yes ❑ No
N Yes ❑ No
0 Yes ❑ No
❑ Yes RNo
[--]Yes 91 No
❑ Yes ® No
® Yes ❑ No
❑ Yes g( No
[:]Yes ® No
❑ Yes El No
❑ Yes ® No
❑ Yes ® No
❑ Yes JR No
Use drawings of facility to better, "'lain:. sytuations. use additional pages as neessary)
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iv4at�I " \i41 J r�.t-c bad J
Reviewer/Inspector Name . '"' _ v :: F= w
Reviewer/Inspector Signature: pJ Date: 31 R,
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

® Routine O Complaint O Follow-up of Dw2 inspection O Follow-ue of DSWC review O Other
Facility Number
Date of Inspection 3 I
3
Time of Inspection 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: ® Registered ❑ Applied for Permit (ex:1.25 for 1 hr 15 min)) Spent on Review
❑ Certified ❑ Permitted or Inspection includes travel and rocessin
❑ Not Operational Date Last Operated:
Farm Name: ' .n+.^ AL.,,L. .. �i� S_ ter. ors ...L...._ County:
Land Owner Name: .$..1 ►k .... ....phi 4r .W...................................... Phone No: ... C.11.4.d. ....Z x.. ....._...... _.
Facility Conctact:... .._.. _ Phone No:....................�........... Title: ...__........................................._.r.....
Mailing Address:.--ai.6Z... S.�_..N .y...... ._..... ....... _._..... ...... ....�1.A.0A.-4R. N..�r...._ ...._. ..�.....��`�.�!�...
Onsite Representative: & Integrator:
Certified Operator:.. ��!y, ..� } 5 Operator Certification Number: ..j.g1;.Z3......_.... . .
Location of Farm:
Latitude E• �6 ®u Longitude ®' Lam` ©64
Type of Operation and Design Capacity
1 X
DesignCurrent Design Current Design�Curcent
Swine Capad . Po ulation Poultry x Ca aci Po ulat�an .{` t~attie Ca aei Po ` ulation Y
❑ Wean to Feeder F ❑ ❑ Dairy
Feeder to Finish ❑ Non La er a ❑Nan Da
Farrow o We' k 4 y
Fa w t an
{ Farrow to Feeder Tt)ta1 DesigA Capacity
ID Farrow to Finish b
❑ Other
Total SLW� t
'.:,^v`•;M,'+°M"E,:'a ,xt \'9nt=.e.saoa i+l9'!t .s[d#icN,uF�F ""'a`t-,tea l'-' 'k' x'Y`�' e'r
go
Number of Lagoon / Ho[dmg Poinds ❑Subsurface Drains Present
a
F /
� 63t. � - •Fmx.f i � �s].G - � r x
.:' vim,
5;57
s � F r - ❑Lagoon Area _ a ❑Spray Field Area
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 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/bolding ponds) require
4/30/97 maintenance/improvement?
❑ Yes J@ No
❑ Yes El No
❑ Yes ® No
❑ Yes 1" No
❑ Yes
® No
❑ Yes
® No
❑ Yes
No
❑ Yes
® No
Continued on back

Facility Number ..,�....«. —..
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?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons and/or Holding Pond1
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft): Structure I Structure 2 Structure 3
10. Is seepage observed from any of the structures?
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?
❑ Yes No
❑ Yes No
❑ Yes IN No
❑ Yes JR No
Structure 5 Structure 6
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?
For!Cerdfied Faeffities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
❑ Yes j&No
❑ Yes ® No
&Yes ❑ No
❑ Yes ®, No
❑ Yes E[No
Yes ❑ No
❑ Yes IR No
® Yes ❑ No
❑ Yes No
❑ Yes ® No
❑ Yes [9 No
❑ Yes ® No
❑ Yes & No
0 Yes ❑ No
Cor ntsfrefer to question #' Expla}n'any YES answers and/or any recommendatiotis'or any other comments`
h
Usc;irawings,of facility to better explain situations. (use additional pages as necessary} h
t, t o
L
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t r 0.S ,
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: 7
cc: Division of Water Ouality. Water Oualitv Section. Facility Assessm nt Unit 4/30/97
fM tc+,rl
V-" ' K

Site Requires Immediate Attention:
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT �~
ANIMAL FEEDLOT OPERATIO S SITE VISITATION RECORD 31 ~ J 3Z
DATE: , 1995 -
Time: <�J
Farm Name/Owner:
Mailing Address: 7Z6 3 A2A14,71f A�C S�I_eG
County:
• Integrator Phone: 7So
On Site Representative: ' s Phone:
Physical Address/i,ocation: ` 6v Q C
Type of Operation: Swine Poultry Cattle
Design Capacity: 16 0Va.Number of Animals on Site:
DEM Certifica 'on Number: ACE DEM Certification Number: ACNEW
Latitude:'' " Longitude: Elevation: Feet
Circle Yes or No
Does'the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 yeaf 24 hour storm event
(approximately 1 Foot + 7 inches) G or No Actual Freeboard: [�/, t. Inches
Was any seepage observed from the la oon(s)? Yes or No Was any erosion observed? Yes or No
Is adequate land available for spray. es r o I the co er crop adequate? ®e or No
Crop(s) being utilized: e Y'
Does the facility meet SCS minimum setback criteria? 200 Feet from Di4elling es r No '
100 Feet from Wells? a or o
Is the animal. waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes o 0
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes orQ
Is -animal waste discharged into waters ot4e state by man-made ditch, flushing system, or other
similar man-made devices? Yes or o If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specif acre g with cover crop)? Yes or No _
Additional Comments: A z 19 © 41
cc: Facility Assessment Unit
Use Attachments if Needed.

REGISTP�TTCN FORM :'OR ANIMAL FEEDLOT CPER_AT10�5 MAR
Department of Environment, Health and Natural ResdtrceerEy► %
Division of Environmental Management
Water Quality Section
if the animal waste management system for p "�I'� 71�n
g Y Your feedlot o e_a =s
designed to serve more than or equal to 100 head of cattle, 75
horses, 250 swine, 1,000 sheep, or 30,'000 birds that are served by
a liquid waste system, then this form must be filled out'and mailed
by December 31, 1993 pursuant to 15A NCAC 2H.0217(c) in order to be
deemed permitted by DEM. Please print clearly.
Farm Name:
Mailing Ad
C
Owner(s) N
Manager(s)
Lessee Narf
Farm Location (Be aF specific as possible: road names, d'rec ion,
milepost, eta.)
Latitude/Longitude if known:_
Design capacity of animal waste management ..system (Number and type
of confined animal(s))
Average animal population on the farm .(Number 'and type of animal (s)
raised) : / 2 dd 1rw-"f-
Year Production Began:/q ASCS Tract'No.: ii q17 _
Type of Waste M agement Syste� Used:_VT
Acres Available for Land Application of Waste:::`4s
Owner (s) Signature (s) :
31- 53 9L

0,
0-
•
Site Requires Immediate Attention:
Facility No..
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIQN SITE VISITATION RECORD
DATE: , 1995
Time: -
Farm Name/Owner:
Mailing Address: -
County:
Integrator.
On Site Representat
Physical Address/D
Type of Operation: Swine Poultry Cattle
Design Capacity: _ „o� _ Number of Animals on Site:
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude:_ Longitude:. Elevation: Feet
Circle Yes or No
Does"the Animal Waste Lagoon ha fficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches es r No Ac al Freeboard: Ft. Inches
Was any seepage observed from oon(s)? Yes o Was any erosion observed? Yes olio /
Is adequate land available for pray? a or No Is the ver crop adequate? �or No
Crop(s) being utilized: G ,,L -e L4o
Does the facility meet SCS minimum setback criteria? 200 Feet frm Dwellings es r No
100 Feet from Wells? a or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or.01�')
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes 06
Is animal waste discharged into waters o e state by'man-made ditch, flushing system, or other
similar man-made devices? Yes or o If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific creage with covey cn )? Yes r No
Additional Comments:
J �
:2 4 A_t,f / ( � ,f /
cc: Facility Assessment Unit Use Attachments if Needed.
,6
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