310518_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Quai

G
U
ultyNumkier
Type of Visit P400mpliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit a Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: �1 Departure Time: County: /t Region:
Farm Name: �lrl —S%bl E3 Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative: Integrator: '
Certified Operator: Operator Certification Number:
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude: = e m i 066 Longitude: 0 ° 0 I = 11
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
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 E No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes eNo ❑ NA ❑ NE
❑ Yes 'l o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Page 1 of 3 12128104 Continued

Facifl Number: Date of Inspection: 7
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ZNo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes 6 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 0 No [DNA ❑ NE
(i.e., large trees, severe erosiori, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
�3 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
WT No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
C3-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
PNo
❑ NA
❑ NE
maintenance or improvement?
Waste Application
M. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
n No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
PDNo
❑ 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
IffNo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
"'ZNo
2 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
No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
7No
❑ 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
❑ 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 ZI No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [ZrNo
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facility Number: - Date of Inspection:
.24. Didthefacility fail to calibrate waste application equipment as required by the permit? ❑ Yes 9fNo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ;allo ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail 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 Feno ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes Callo ❑ 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 4EI No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the [] Yes ZNo ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
[] Yes
P 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
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
E2No
❑ NA
❑ NE
Comments (refer to question ##): Explain any YES answers and/or any additional recommendations or an 'other comments:
Use drawings of facility to better explain situations (use additional pages as necessary).
•gas neW
e-,reccw-cza 1ffc1kJ0_aa0e-
Reviewer/Inspector Name:
Reviewer/Inspector Signature: G
Page 3 of 3
its
a- fr.&r►ms • wt ` I
Phone: 7F-c � 7KL-
Date: S_—l7
21,42011

Type of Visit 0 Compliance Inspection
Reason for Visit 0 Routine 0 Complaint
Date of Visit: 0 " I/U Arrival Time:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
0 Operation Review 0 Structure Evaluation 0 Technical Assistance
0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
t
QQ�eparture Time: County: Region: /Z//�dff
Facility Contact: Title:
Onsite Representative:�%,, - e_
Certified Operator:
Back-up Operator:
Location of Farm:
is
Swine Capacity Pop
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
FarrowEl to Finish
❑ Gilts
❑ Boars
b" � I.At red p�
❑ Other
Owner Email:
Phone:
Phone No:
Integrator1�
Operator Certification Number:
Back-up Certification Number:
Latitude: = e ❑ I [= [I Longitude: = e =' = N
;` ° a. ;Design: 1 1 CurreIT,nt
ion'' ,WetFPoultry Capacity -Population' Z
JLJ Non -Layer 1 1
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turke s
❑ 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 C
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 .I No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
PNo
❑ NA
❑ NE
❑ Yes
ONo
❑ NA
❑ NE
Page 1 of 3 12128104 Continued

Facility Number: — S Date of Inspection
Wiiste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Struct re 1 Structure 2 Structure 3 Structure 4
Identifier.
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes ZNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes ;�bNo ❑ NA ❑ NE
❑ Yes PNo ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes No
❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes 5 '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 [,_�iVo
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes [,__JNo
❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes ;2 No
❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes.4�Tvo
❑ 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 , r-No El NA El NE
17. Does the facility lack adequate acreage for land application? El Yes LI No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes �No ❑ NA ❑ NE
_ is
aKn{ y re:c� o�mm-e.. n'dio� th�e�r, Q�Umientst ika �,
s(refetoqucstCommentEonEaplain any YES °,an� swer,-s and/orns -?
Use'drawin s- of facilit essar }
to better ex lam:situations. use'additional a' es' as�nec i
g Y P ( P g Y)�
a
<
Z
�✓rll c%�! Old-
Reviewer/Inspector Namerd,si,�'Rs
Phone:
d•
ReviewerlInspector Signature:
Date:
Page 2 of 3 12h8/04 ` Continued

..r
Facility Number: Date of Inspection
Required 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 ❑ Checklists ❑ Design El Maps El Other
❑ Yes ZNo ❑ NA ❑ NE
❑ Yes ;2"No ❑ NA ❑ NE
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes ONo
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1"
Rain Inspections ❑
Weather
Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes ,2PNo
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes El No
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes ONo
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes �2rNo
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes �?No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes 2 No
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes EfNo ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes PINo
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes fi!rNo
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
3 I. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes J214o
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Ycs XNo
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes VNo
❑ NA
❑ NE
A' ddit oval C� o nments andlar D„r�awings:
as/o
e /e
C 77
l2/28/04

'division of Water Quality
Facility Number O Division of Soil and Water Conservation
0 Other Agency
Type of Visit Compliance inspection Q Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for VisitA5"Routine O Complaint O Follow up O Referral O Emergency Q Other ❑ Denied Access
. Date of Visit: J G Arrival Time: �? Departure Time: County: G �-. Region: j
/r7 -1 ,T— .
Farm Name: kIr� e:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: %l r
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Boars
Other
❑ Other
Owner Email:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: = o = d Longitude: 0 o = , 0 „
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
_ _ ❑ Layer
^ II JLJ Non -La er
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey 1'ouks
❑ Other
Discharges &Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑Structure El Application Field ❑Other
a. Was the conveyance man-made?
Design Current I
Cattle Capacity Population
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifer
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocke►
❑
Beef Feeder
❑
Beef Brood Cow
Number of Structures: 71
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 7No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
❑ NA
El NE
❑ Yes
7No
❑ NA
❑ NE
I2/28/04 Continued

Facility Number: 3 a$Z
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure l Structure 2 Structure 3 Structure 4
Identifier:
❑ Yes 0 No
❑ Yes ❑ No
Structure 5
Spillway?:
Designed Freeboard (in): I
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
(iel large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes
through a waste management or closure plan?
[3 NA El NE
❑ NA ❑ NE
Structure 6
❑No ❑ NA ❑ NE
y o El NA El NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ZNo ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ YesEJ"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 ❑ Ycs'/, No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes R No ❑ NA ❑ NE
maintenance/improvement? /
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes �filo ❑ 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
El NA
El NE
15. Does the receiving crop and/or land application site need improvement?
El Yes
:7No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[:] Yes
N
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
7Nc�)
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No
❑ NA
❑ NE
Page 2 of 3 12128104 Continued

41 Facility Number: s' , Date of inspection ' C�
Required 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 appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps El Other
❑ Yes
VNo
❑ NA
❑ NE
❑ Yes
IQ No
❑ NA
❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes PKO
❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ Weather Code
22. Did the facility fail to install,and maintain a rain gauge? ❑ Yes O'No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
No
❑ NA
❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
P`No
❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
P, o
ElNA
ElNE
26, Did the facility fail to have an actively certified operator in charge?
ElYes
L Nc
❑ NA
❑ NE
27, Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
��No
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes �No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes ZNo ❑ NA ❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes J21'No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by ❑ Yes )Z(No ❑ NA ❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes No ElNA ElNE
33. Does facility require a follow-up visit by same agency? ElIo Yes ❑ NA ❑ NE
Additional Comments and/or Drawings:
11
jf 7
12128104

�'j
Facility Number
•0"Division of Water Quality
0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit d Compliance Inspection O Operation Review O Structure Evaluation 0 Technical Assistance
Reason for Visit—GrRoutine O Complaint 0 Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County: / h. Region:}
Farm Name:
Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative: Integrator: rn
Certified Operator: Operator Certification Number:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Back-up Certification Number:
Latitude: 00 ❑ I Longitude: ❑ o ❑ ' 0 11
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
I. J❑ Laver
E1 Non -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Pollets
❑ Other
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifei
❑ 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?
❑ Yes V:�No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
Lallo
❑ Yes
12'No
❑ NA
❑ NE
❑ Yes
E No
❑ NA
❑ NE
12128104 Continued

Facility Number: - — Date of Inspection 6
Required Records & Documents
19.
Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes
O N
❑ NA
❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? if yes, check
❑ Yes
j2No
❑ NA
❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps [I Other
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
❑"No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑'Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual
Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1"
Rain Inspections ❑
Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
1'No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
,fNo
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
�allo
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
,F No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
J3 No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
[�*o
❑ NA
,❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
JZ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
[P No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
ZFNo
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
O'No
/PNo
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
❑ NA
❑ NE
Additional Commentsand/or Drawings:
W/ f / v
0?70 a.7
'7 /3/�rG l ` U
o r
12128104

Fagility Number: & — $7Date of Inspection 6
Waste Collection & Treatment
4. Is storage capacity (structural plus stonri storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
❑ Yes 04o ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
2
Observed Freeboard (in): 3
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
P-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
O 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
/�No
[I NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? El
El El 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
O'No
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
PNo
❑ 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 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes 0 No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes ZNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[] yes No
ElNA
[INE
17. Does the facility lack adequate acreage for land application?
❑ Yes K
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes �No
❑ 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):
A,
Reviewer/inspector Name M v Phone: M2
Reviewer/Inspector Signature: Date: 6 Q
12128104 Continued

.Division of Water Quality
Ekility Number Q Division of Soil and Water Conservation
-- — - - O Other.Agency
Type of Visit G(�ompliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit ,Routine O Complaint 0 Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: V Arrival Time: / Departure Time: County: a Region:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Phone:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative:
Certified Operator: _
Back-up Operator:
Location of Farm:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: = o = 4 = Longitude: = ° = 1 = 4i
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity. Population
❑ Wean to Finish ❑ La er
❑ Wean to Feeder ❑ Non -La er
JE Feeder to Finish CXJ
Other <,
❑ Other
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
❑ Dairy Cow
❑ Daia Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
1
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?
Page 1 of 3
■
❑ Yes E3 No ❑ NA ❑ NE
[I Yes
El No
El NA
❑NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
ZNo
❑ Yes
-El'No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
12128104 Continued

Facility Number: Date of Inspection O
Wastelollection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2
Identifier: 1'
Spillway?: !�
Designed Freeboard (in):
Observed Freeboard (in):
Structure 3 Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes ENo ❑ NA ❑ NE
[]Yes ff No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes 12 No ❑ NA ❑ NE
❑ Yes ❑-No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7, Do any of the structures need maintenance or improvement? ❑ Yes El No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes ,❑Tlo ❑ 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 ,ETNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes El —No ❑ NA ❑ NE
maintenance/improvement?
11, Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes eNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
[:]Yes
J-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 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
9 No
❑ 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): .
Reviewer/Inspector Name �/ I Phone:
Reviewer/Inspector Signature: Date: .3 ! O
Page 2 of 3 12128104 Continued

Facility Number: — Date of Inspection 3
'-Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes 0 No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes [�No ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design [I Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. jo Yes &No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking .0 Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
,ETNo
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
ETNo
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
B-No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
qNo
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
O-No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT") certification?
❑ Yes
ETNo
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
Z No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑"No
❑ NA
[I NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
E]rNo
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
['No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
E5No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
[ZNo
❑ NA
❑ NE
Comments and/or Drawings:
Page 3 of 3 12128104

Type of Visit Q'fompliance inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit�outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: '� O G Arrival Time: ,�QQ Departure Time: County: Region:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: f/<
Z 14
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
LJ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
Phone:
Phone No.
Integrator:ir
Operator Certification Number:
Back-up Certification Number:
Latitude: 0 c =' = Longitude: = ° =' =
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
i ❑ Layer
_ -1 ❑ Non -La et
Dry Poultry
❑ Layers
❑ 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'?
Design Current
Cattle Capacity Population
❑
Dairy Cow
❑
Dairy Calf
❑
DaiEy Heifei
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocket
❑
Beef Feeder
❑
Beef Brood Cow
Number of Structures: _;
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes 2lo ❑ NA ❑ NE
❑ Yes ❑ No
❑ NA
❑ NE
❑ Yes ❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes ❑ No
❑ Yes E�`No
❑ NA
❑ NE
❑ Yes ; No ❑ NA ❑ NE
12128104 Continued

Facility Number:3 — Date of Inspection /D
,'3 ..
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes 0No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
Identifier:
Spillway?: e
Designed Freeboard (in):
Observed Freeboard (in): 33
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes 010 ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
�
El Yes 23 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 ;3No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes ZNo ❑ 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 �o ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ,KNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drill ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes ,D'Ko
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes lRlgo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination. ❑ Yes- ,EEfNo
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes .2vo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes Q No
❑ NA
❑ NE
ph t/n{iUG e
SPra'y
C YS c/
Reviewer/Inspector Name" 9 �Y r°-`ih�¥�k"} ,3 Phone: ��� 360
Reviewer/Inspector Signature: Date:
12128104 Continued

Facility Number: Date of Inspection U
Re uired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes,,'�No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes J}'lffo ❑ NA ❑ NE
the appropirate box. ❑ Wup ❑ Checklists ❑ Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 20NO ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
allo
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
O'No
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NA
Q-NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ No
❑ NA
,J:�'NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
2 No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
❑ NA
2-NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
07,lo
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
01qo
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
UNo
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑-Ko
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
�No
❑ NA
❑ NE
12128104

Type of Visit si/"Compliance Inspection 0 Operation Review 0 lagoon Evaluation
Reason for Visit R"Routine 0 Complaint 0 Follow up 0 Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit:
Permitted OCertified © Conditionally Certified [3 Registered
Farm Name: ..... ,?..,��2�G1 r/lrl�l... C.:.-YI!2.......................................
Time: i ram• J
Date Last Operated or Above Threshold: .........................
County:.fh��.r?!11......................................................
OwnerName: ........................................................................................................................... Phone No:.......................................................................................
MailingAddress: ..................................................................................................................... ..................................................................................... ..........................
Facility Contact: .............................................................................. Title......................................... Phone No:
...........................................................................
Onsite Representative: z/'�... ...................................................... Integrator.....l.,l,l�lC..............................................
Certified Operator: ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 4 " Longitude ' 6 94
Discharges & Strearn 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 ,014o
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes �- o
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ;3'&o
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ........... f .................:.........................................._............................-.._........ .....�...........................................................
Freeboard (inches): y
121.12103 Continued

Facility Number:3/ —7/ Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes OIL
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes 2-90
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes J8M
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes 01Ro
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes of tvo
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes JEM
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes 'E�o
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ,'No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes IET*Vo
b) Does the facility need a wettable acre determination? ❑ Yes ANo
c) This facility is pended for a wettable acre determination? • ❑ Yes O No
15. Does the receiving crop need improvement? ❑ Yes rNo
16. Is there a lack of adequate waste application equipment? ❑ Yes 19-No
Odor 1%sues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below []Yes 211Ro
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ENo
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes P<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 [3.No
Air Quality representative immediately.
y
Reviewer/Inspector Name;
ReviewerAnspector Signature:
Field CODV ❑ Final Notes
Date:

Facility Number:3 j —,57j9 Date of Inspection
,,Rec wired Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes �Ergo
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes'ZrNo
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes _42<o
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ,,0'i`1'o
25.
Did the facility fail to have a actively certified operator in charge?
❑ Yes,,�No
26.
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes ,ET&o
(ie/ discharge, freeboard problems, over application)
27.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes eNo
28.
Does facility require a follow-up visit by same agency?
❑ Yes Z No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes P.No
NPDES Permitted Facilities
30.
Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
001'es ❑ No
31.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes ,2'14o
32.
Did the facility fail to install and maintain;a rain gauge?
❑ Yes ZNO _ ,I
33.
Did the facility fail to conduct an annual sludge survey?
El Yes JRN �Lz
34.
Did the facility fail to calibrate waste application equipment?
❑ Yes ;91No
35.
Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
❑ Yes JO&o
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After V Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
3
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
33) ?1eaSe .51uC)�c� 6 stArV� 4-
me c'a it
rc 7G yi7(4 sFlo, 3,5-0 0 0 4,j la ­ro/)
12112103

0
s' , i
W ®"blvislon of W.ater,QWd1ty
Q Divlsioa Soil Waeer Conserve
le
�
4 `
of nd
8 one.
� • r5
s
OEOther. Agency r
N
,w
�.;
r S L t
Type of Visit 0-Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit 2<Routine O Complaint Q Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number nate ol,visit: �_ 't ime: .�
Not Operational g Below Threshold
0 Permitted 0 Certified [3 Conditionally. Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: �ti%�i.4 �Ji_�t✓r[ County: .f/!.c/J.fy'!
Owner Name: Phone No:
Mailing Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Location of Farm:
Title:
Phone No:
Integrator: /IZ�✓1��✓r _
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0' 0. 0 K Longitude
DesignDesign Curretit 1)estgn Cu
rrent
.Swine- . Caacity Pa ulCa ac aton Poultry Cs ac'lty Po uliitton; Cattle hy ""Po utgtion,
❑ Wean to Feeder l., ❑ La er ❑Dairy
® Feeder to Finish 10 Non -Layer , Dairy
❑ Farrow to Wean 41.
❑ Farrow to Feeder ❑ Other
❑ Farrowe s
to Finish �' Total°Design�Capaetty
❑ Gilts
❑ Boars�ToW;SS1.W.',
Number of,Lagoons Subsurface Drains Present ❑ Lagoon Area ❑ S rev Feld Area �
Holdin `€`Ponds'/ Salad Traps
B _ p I ❑ No Liquid Waste Management System
Discharges & SA- ream impacts �,,N�
1. is any discharge observed from any part of the operation? ❑ Yes I� o
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 fNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes RNo
Waste Ile tin & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes Z No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches): �g
05103101 Continued

Facility Number: — )7� g Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need 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 AR,glication
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of
over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overlo d
12. Crop hype .�Ji'�/i1Le�.C. ere-i"2C
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(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?
❑ Yes '2VO
❑ Yes -2-No
❑ Yes ONO
❑ Yes ❑NO
❑ Yes 2-NO
❑ Yes E'No
❑ Yes ONO
❑ Yes Bfio
❑ Yes ETNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ON
❑ Yes E*No
❑ Yes -0No
❑ Yes ENo
❑ Yes 2rNo
❑ Yes BNo
❑ Yes allo
❑ Yes E7No
❑ Yes ZrNo
❑ Yes r�No
ElU Yes No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
n3 €j. i a E _ _ _... ...... !
Comments (refer to;question #) EExpllain apy ,YES aosw ers and/ortany r ►mmendations sir,any other
-' 3 N 3E
g ! .E 4 ! ,..:E -ii; - i '-(E s i! S9 4-.. E }3 3 f i. ei-j3 ) }€ @; @& i (E) €! •..Odra:-.b$isa.wdE%b.�EN'.rk1�.1..�3�E�i�i�di8k�€�ta£?i3.a�LR€:�35i N..l�....s, a[a.��.>8
Use drawtags of facility,to better ex 'lain settaatians; fuse addihanal pagesEas netesseryj ! '? �, Field Conv ❑ Final Notes
�, �
��
qe .3 � E 3 �+� � . ,"`.�.,, hP � . C�.. �.1i x.i f �1 � a t s f �3 £a<< ��_',€ F 3r„ �k. ¢, .§� :�� � If ��..._.:,..sw-.....-....._.ar.r-......�..-..».r�:+w.-rn...m..w...u«i.✓ � � 1 i.:: ��
�..' '� �!s �!:'� �` EE.. �i � € E > }" ..Ei � .€_.
rz-
Reviewerlinspector Name ,.
Reviewer/Inspector Signature: Date:
05103101 Continued

`J Facility Dumber: / Date of Inspeeiion
Odor Issues
26, Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes -ffNo
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes -'E5'No
28. Is there anv evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt. ❑ Yes E5 Flo
roads, building structure, and/or public property)
24. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes Lg'Qo
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 -ffNo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ET -No
32, Do the flush tanks lack a submerged fill pipe or a permanentitemporary cover? ❑ Yes 4E�'No
Additional Comments and/or ,Drawings r..
O5103101

Facility Number Date of Visit: Z7 6Z Time: /D4�
10 Not O rational 0 Below Threshold
13 Permitted 13 Certified [3 Conditionally Certified 0 Registered Date Last Operated o Above Threshold:
Farm Name: 4411tu✓ County: l
Owner Name: _ _____✓ __ Phone No:
Mailing Address:
Facility Contact: Title: Phone No:
Onsite Representative: _OIV-Ae Integrator: Ay4t/
Certified Operator:
Location of Farm:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 6 64 Longitude 0' 04
Design
Current Design Current
Design Current
Swine Capacity
Population Poultry Capacity Population, Cattle
capacity Po ulation
❑ Wean to Feeder
aiFeeder
La er FECINon-Dairy
P10
to Finish
Non -Layer
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
°b Total Design Capacity
❑ Gilts
❑ BoarsTotal
SSLW
- ... ....... .
Number or Lagoons t, ;.,
❑ Subsurface Drains Present ❑ Lagoon Area S ra Field Area
Holding: Ponds / So11d Traps
�" ., `' ❑ No Liquid Waste Management System
Discharges & 5trepm Im_ t
1. Is any discharge observed from any part of the operation? ❑ Yes �0 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 2.No
Waste Collection & Treatment �''�,
4. Is storage capacity (freeboard plus storm storage) less than adequate? El Spillway El Yes & IVo
Structure I Structure 2 Structure 3 Stricture 4 Structure 5 Structure 6
Identifier:
Freeboard (inches):
05103101 Continued

Facility Number: J/ — Tle Date of Inspection z7 DL
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 stuetures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes 9 No
❑ Yes 2; No
❑ Yes CE9 No
❑ Yes [4 No
❑ Yes 21- o
Waste Anglicatipn
10. Are there any buffers that need maintenance/improvement? ❑ Yes M--, No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes BNo
12. Crop type / e42,4111
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 MI No
c) This facility is pended for a wettable acre determination? ❑ Yes 25No
15.
Does the receiving crop need improvement?
❑ Yes
Q No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
[9) No
Required
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
�&No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
MNo
19.
Does record keeping need improvement? (ic/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
[allo
20.
is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
W-No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
®No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes ® No
23, Did Reviewed]nspector fail to discuss review/inspection with on -site representative? ❑ Yes No
24. Does facility require a follow-up visit by same agency? ❑ Yes RNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes L'No
let No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (refer to question #) a Eaolain any�YES answers and/or any'recommendations or any°other comments.
Use drawings of facility to better,explain situations (use additional pages4as necessary) ❑ Field Copy ❑ Final Notes '
j�irnt d- P Co✓ ��'C i`n �aol� .� a�de�
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: '
05103101 v - Continued

Facility Number: Date of Inspection I Z,277,5 Z 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
P,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
99 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.) ti
❑ Yes
M No
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
19No
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes
O No
Additional ominents and/orDrawings:
J
5/00

Agency
Type of Visit , 0 Compliance Inspection O Operation Review O Lagoon Evaluation I
Reason for Visit .i)§ Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 3 + st Date of Visit:
Permitted U Certified Q Conditionally Certified 13Registered
Farm Name: �a ^� i s ...Fa ......r.' ...................... .................................................
...............
Owner Name: S va�C r
�............................. a..'....... �..................................................
Facility Contact: .................................................
MailingAddress: ............................................................
Onsite Representative:+��V i�
Certified Operator:
Location of Farm:
2 4 0 i Time: f& 2
—371
Q Not Operational Below Threshold
Date Last Operated or Above Threshold: .........................
County:......... V� I.^ ..........................................................
PhoneNo:.......................................................................................
Title: ................................................................ Phone No:................... ................................
lntegrator:..�jye , e1!;
.�....�(..rM.......................I...............................
....................................... Operator Certification Number:..........................................
A
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 4 " Longitude • 6 44
Design Current
•wine L'a act Yo ulanon
❑ Wean to Feeder
Feeder to Finish 3
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
Boars
'Design Current Design' ". CarrebUl:.
Poultry Capacity Population Cattle Capacity, Po elation",
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
?
❑ Other
T661 Design :Capaci#y
i
Total SSLW
Number of Lagoons JEI Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any, discharge observed from any part of the operation? ❑ Yes J$ 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 IN No
c. If discharge is observed. what is the estimated flow in gal/min? �ct
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes ONO
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ;0 No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 14 No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes IN No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ................ l.................. .................................... ................................... .................................... .................................... ....................... .............
Freeboard (inches): 3
5100 Continued on back

Facilit Number: 3f —Q8 Date of Inspection I O) Printed on; 7/21/2000
5. Are there any immediate threats to the integrity or any of the structures observed? (ie/ trees, severe erosion, ❑ yes XNo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ;9 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 lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
1. Is there evidence of over application? ❑ Excgssiy�,Pond ing ❑ PAN ❑ Hydraulic Overload
12. Crop type Qe a vvi lJ 6(P, T i�j A
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Rec uired 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?
0; fo yiolafic}ris'or d�Ccie'ncies r►�ere pafet3 di #t ing ibis;visit' 'Y;oit Will reef i Rio #'urther
corres ot<icieiace: about. Ls:visit • - • -
[:3 Yes g] No
❑ Yes 5d No
❑ Yes 0 No
❑ Yes No
❑ Yes ® No
❑ Yes R No
❑ Yes No
❑ Yes No
❑ Yes 03 No
❑ Yes ® No
❑ Yes JA No
❑ Yes &No
❑ Yes 9 No
❑ Yes gNo
❑ Yes KNo
❑ Yes Z No
❑ Yes 'J No
❑ Yes X No
[--]Yes A No
❑ Yes 0 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):
'Is. Sa' l crE a w4 c"1 �J v:�� -e te Qi-tft4Cd
Gii"Ai+1 �j ho+ dOIA"V6 l Sr i �jrtlivl Cara t ti'1�El�S4o iPlet E' sm'& om;t X,
OVL rkIl [n 4a wo s4c vf:frt rd., Phi^ w+4 4c axap ,n 0�'
ort L rAcr e.
Keeofds 4-f'q,c1'1;47 'mv'e well kerl,
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date:
5/00

FacP�fy Number: Date of Inspection Printed on: 1/9/2001
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes gNo
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 )ffNo
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 J4No
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 j 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 C9 No
,Additional,omments an or ra n
A,
T
5/00

j I . -� �. •� sT �Y ! ,y �.. r R 1' J.i �"r{'"�• E
®-,D�VIS10Ii of Water Qtlgilty,; ,�' I�, t 44. .:w I ��.ry I:I 'pA f�I C51'"s,,r.��17''Sj,.
t 4
Q•Dtvtsionlof Soil and Water Conservatton [
QOtheri•'Agency,•
I � r .'� t � n •• h A ... F
,'x., I r_, h � �I q � 3, h� t€'iP '�.eJ�EI �!>�Cf��j� i:..��J 4.� f "t`I• ., .IdJ_ e. ':�'. ,-'=•. _. 'I. _ ., . i .:'.�I + ��� .. .t4n..e'n �.,?•
r.
Type of Visit .0 Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit D Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Date of Visit: % D"o Time: Printed un: 7/21/2000
Facility Number 11
0 Not Operational 0 Below Threshold
0 Permitted 0 Certified 0 Conditionally Certified 0%Ryegiistered . Date Last Operated or Above Threshold: .............�
Farm Name: .......4.0&44r��.....4....... xorl. ..... /Mc........ County:....'J�....%I1�1.............................1/VlfS.
Owner Name: ..... ly?.Jl�'V........... %->lL.. Phone No:....z..^... ..�....................
/� %...................................... .......
Facility Contact: ......L!V...X,,4....... &V. ks.........I,itle:.......04 ................ Phone No:...................................................
Mailing Address: ........ ..s- . L ... P.......... .. ...
Onsitc Relaresentative:........:�..t"ffk4.........✓.%.sIntegrator:!%1-.n.%�......................................
................
Certified Operator :..... t� %.. UL :. ................... ............................. Operator Certification Number: ..... I T.................
Location of Farm:
o,l Si De g03 AY"61e, Al
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ®• ®� S� Longitude ®' ®° ®"
Design Current
Design Current
Design Current
Swine Capacity Population
Poultry
Capacity Population Cattle
Capacity Population
❑ Wean to Feeder
❑ Layer
❑ Dairy
—fgFeeder
to Finish
❑Non -Layer
❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Other-
0 Farrow to Finish
Total Design Capacity
❑ Gilts
Total SSLW
❑ Boars
Number of Lagoons ❑ Subsurface Drains Present 110 Lagoon Area Io Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impactti
I. Is any discharge observed from any part of the operation? ❑ Yes W No
Discharge originated at: ❑ Lagoon El Spray Field El Other
n. If discharge is observed, was the conveyance man-made'? El Yes ❑ No
h. if discharge is observed. did it reach Water of the State:! (If yes, notify DWQ) El Yes ❑ No
c. If dischar-c is observed. what is the estimated flow in gal/min:'
d. Dees 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 KNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes yP No
Waste Collection & 'Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes 02 No
5ir'nclurc 1 Structure 2 Structure 3 Structure 4 Structurc 5 Structure 6
Identifier: ............. ............. ..................... .............. .....
Freeboard (inches):
5100 Continued on back

Facility Number: 31 — ! Date of Inspection ! Dd Printed on: 7/21/2000
Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes 4 No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes XNo
(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? ❑ Excess've Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type Id R 11 O L-m /4, S r),nt-a- 6t f-/!/ QtlM 1w_ P-z>
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14, a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did 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?
❑ Yes Ig No
❑ Yes 0 No
❑ Yes IV No
❑ Yes )W No
❑ Yes 01 No
❑ Yes Z No
❑ Yes' JU No
❑ Yes jo No
❑ Yes � No
❑ Yes DrNo
❑ Yes V No
❑ Yes fia No
❑ Yes j71 No
Ki
❑ Yes 9) No
❑ Yes J'No
❑ Yes � No
❑ Yes 2fNo
❑ Yes JffNo
[:]Yes 9No
❑ Yes A� No
��Q•yigla�igr�s off• d�ficiencies •rr�re toted• d>Gtrfng �hi}s:v�sit} • Y:o� wig! •�ee�iye �o fut�thgr; •' • • .�
• c0rrespondence. about
.x; . .. .. recommend'comments.!a a
Ca�nranents refer tn`. uest�on'# Explain YES answers and/or an attons or any other
Usefdravnngs O kaC)I1ty,atA better explain situations. (use addtttanal pages as necessaryij �9 ;3t €.to zPa 9 • r 3
r !
r
{
f
Reviewer/Inspector Name /T/f / ,Q.
Reviewer/Inspector Signature: Date: slao

Facility Number: 32 Date of inspection 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 Wor hplow ❑ Yes 4No'
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 0 No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes allo
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 0 No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes MNo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ANo
rtiona Comments:and/or Drawings: E�
5/00

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality -
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Square D Farms Inc
Regina Davis Farm
5451 Daleys Chapel Road
Seven Springs NC 28578
Dear Square D Farms Inc:
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 30, 1999
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 31-518
Duplin County
This letter is being sent to clarify the recordkeeping requirement for Plant Available Nitrogen (PAN)
application on fields that are part of your Certified Animal Waste Management Plan.
In order to show that the agronomic loading rates for the crops being grown are not being exceeded, you
must keep records of all sources of nitrogen that are being added to these sites. This would include nitrogen
from all types of animal waste as well as municipal and industrial sludges/residuals, and commercial fertilizers.
Beginning January 1, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. 1RR1, IRR2, DRY1, DRY2, DRY3, SLUR1, SLUR2,
SLD1, and SLD2) and maintained in the facility records for review. The Division of Water Quality (DWQ)
compliance inspectors and Division of Soil and Water operation reviewers will review all iecordkeeping during
routine inspections. Facilities not documenting all sources of nitrogen application will be subject to an
appropriate enforcement action.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Ms. Sonya Avant of the
DWQ staff at [phone] ext. 571.
Sincere
a x
Kerr T. Stevens, Director
Division of Water Quality
cc: Wilmington Regional Office
Duplin County Soil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699.1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

ta'! Division of Soil and Water Conservatron tOperati > `
r 0 ... on Review a t,
aa` ©!Divtsion of Soil and Water Conservation Compl>tance Inspeet�on
i - i t E r S 1 'E I i r F
Division of Water Quality Compliance InspeevOn
K E i I4 t-. rl ° , tip€y t°k° �i k 1. i 1 r�,r.. y; i 4 y e
? ! _` Other Agency Ope`rahot► Review} } ,y
• __ - _ .. _ .,ea. �., r . r 1„ .a E.. E.;...,,... ,...,,k,� ,_' rk„ . .1 i_ i., i...,.,u
jok Routine O Cum laint Q Follow-up of DWQ ins ection Q Follow-up of DSWC review Q Other
Facility Number Date of Inspection q
Time of Inspection 14 hr. (hh:mm)
Permitted [3 Certified ❑ Conditionally Certified ❑ Registered Not Operational I Date Last Operated:
4
FarmName: D ...................................... Countv:...........�p. F,..�1................,.....................................
"�J"
OwnerName .................................................................................................... Phone No:.......................................................................................
FacilityContact:.............................................................................. Title:................................................................ Phone No:...................................................
MailingAddress: ..............I..,`...................................�....._.................,............................................................................... ............................ ..........................
ft��
N
Onsite Representative:.....-V ......►1'� �... t........ Integrator:..... ............................................
Certified Operator:....Wo'.. \., ....... ............................................ Operator Certification Number:..`..x�j.................
cat' n of F r
Ul�-
.............. : vhr..... .. ......_n.. .. .........................................+!......................,!`'t...T..............
�,...V.........` 03..�., ....r.... i.......................................................................................................................................................................... .
Latitude �' �� �`�•` Longitude
d E' Design Current Design Ctrrent Design Current
SwiPnoutry t o'�uaticoon
❑ Wean to Feeder ❑ Layer ❑ Dairy
Feeder to Finish ' ❑ Non -Layer ' ❑Non -Dairy
l I
❑ Farrow to Wean
t
❑ Farrow to Feeder ❑ Other I I-
❑ Farrow to Finish ••Total Design Capacity
❑ Gilts.
❑Boars +' ,Total SSLW
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes P<No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'? ❑ Yes ❑ No
h. 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 N No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?, ❑ Yes gNo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes 4 No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure b
Identifier:
Freeboard(inches). ..........q ................................................................................................................................................. I.......... ...................................
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion, Cl Yes XNo
seepage, e(c.)
3/23/99 Continued on back

+, Facility Number: al — Date of Inspection
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
12. Crop type
13, Do the receiving crops differ wi h those designated in the Certified Animal Waste Management Plan (CAWMP)?
14, a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?.
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17, Fait/ 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?
.. i'Vo v�ola00ils ;or. deficiencies were notch• d> -Chig •this'visit.... ou will) •reeeiye 00 fuftitee • .
�•�•corres� oridence:about:thisvisit:�•�'-��• •-•��-•� �•�•� ��• � �-�-��'�•
❑ Yes % No
❑ Yes 9No
❑ Yes XNo
❑ Yes XNo
❑ Yes ONo
❑ Yes k No
❑ Yes 9No
❑ Yes 0 No
❑ Yes JO No
❑ Yes 4 No
❑ Yes gNo
❑ Yes CYNo
❑ Yes �No
❑ Yes V No
❑ Yes No
❑ Yes ZNo
❑ Yes (3"'No
❑ Yes 0 No
❑ Yes IM No
❑ Yes No
❑ Yes No
comments tree er:.tomuesuon o� ,:;�xprprn;any�fx� a answers anutor any: recommenuauons or.,any,.otner,commenrs:, P'iVU " ; ,j,, "�a
Use drawings of faciht to Better explain situations use additional
.��<. p �.i..-, "1"V i
A.
Z_
Reviewer/Inspector Name a .' '.`,
Reviewer/Inspector Signature: Date:
3123199

acility Number: — �j Date of Inspection
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes
KNo
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
4 No
28,
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
;KNo
roads, building structure, and/or public property)
29.
is the land application spray system intake nut 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
fan blade(s), inoperable
��,((
or broken shutters, etc.)
El Yes
No
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
1xNo
32.
Do the flush tanks lack a submerged fill pipe or a permanent temporary cover?
❑ Yes
XNo
Additionat,Comments and/or Drawingg
3/23/99

Revised April 20, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number 31 Operation is flagged for a wettable
Farm Name: ! acre determination due to failure of
On -Site Representative: �1, `�o.w. v� eligibility items) Ft F2 F3 F4
Inspector/Reviewer's Name: �� Zar"'
peration not required to secure WA
determination at this time based on
Date of site visit: so �� S `�`1 exemption QT E2 E3 E4
Date of most recent WUP: ')-',3 Operation pended for wettable acre
determination based on P1 P2 P3
Annual farm PAN deficit: pounds
Irrigation System(s) - circle #J�D hard -hose traveler; 2. center -pivot system; 3. linear -move system;
4. stationary sprinkler system w/permanent pipe; 5. stationary sprinkler system w/portable pipe;
6. stationary gun system w/permanent pipe; 7. stationary gun system w/portable pipe
PART I. WA Determination Exemptions (Eligibility failure, Part 11, overrides Part I exemption.)
✓ E1 Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I or PE.
E2 Adequate D, and D203 irrigation operating parameter sheets, including map
depicting wettable acres, is complete and signed by an I or PE.
E3 Adequate D, irrigation operating parameter sheet, including map depicting
wettable acres, is complete and signed by a WUP.
E4 ' 75%' ale exemption as verified in Part Ill. (NOTE:75 % exemption cannot be
applied to farms_ that fail the eligibility checklist in Part IL Complete eligibility
checklist, Part I1- F1 F2 F3, before completing computational table in Part 111).
PART 11. 75% Role .Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required because_operation fails one of the .eligibility -
requirements listed below:
_ F1 Lack of acreage:-.WhichTesultedin-over-mpplicationmfwastewater-(PAN) on:spray.
field(s) accord ing-io#arm'sIasttwo -years mf:irrigabon-xecord s:
F2 Unclear, -illegible, -or lack of information/map.
F3 Obvious -field -limitations -(numerous:ditches ;daiiure1o:deductTequired....
buff'erlsetback-acreage;-or25%.oftotal:acreageddentified:in-CAWMP.-includes
small, irregulady-shaped.fields=fields:less#han-5acresfor,travelers-or.lessthan
2 acres for -stationary -sprinklers).
F4 WA determination required because CAWMP credits field(s)'s acreage in excess
of 75% of the respective field's total acreage as noted in table in Part 111.

Revised Aprii 20, 1999
Facility Number _-
Part III. Field by Field Determination of 75% Exemption Rule for WA Determination
TRACT FIELD TYPE OF TOTAL CAWMP FIELD COMMENTS
NUMBER NUMBER'S IRRIGATION ACRES ACRES %
SYSTEM
{ I
I 1 1 I I
I I
1 I I
{ I .
F]ELD NUMHERI - hydrant, pull, zone, or.polnt numbers may be used in place offeld numbers depending on CAWMP
and type of irrigation -system. - If pulls, etc. cross more thanone field, inspector/reviewer will have to combine fields to
calculate 75% field by field determination for exemption, -otherwise operation will be subject to WA determination.
FIELD NUMBER • must be clearly delineated on map.'_ ' ..
COMMENTS' - back-up fields with CAWMP acreage-exceeding'.75% of its total -acres and having Teceived less than 50%
of its annual PAN as documented in the farm'spreviousfirvo years' (1997 & 1998) of irrig ati on Tecords,-cannot serve -as -the
sole b as is for requ i rin g a WA Determination.hack-upfields-must -be-noted in the -comment -section and must be accessible
by irrigation system.
Part IV. Pending WA Determinations -
P1 Plan-.lacks-fo11owing -information
P2 Plan revision may-.satisfy-75% rule based on adequate overall PAN deficit -and by
adjusting all field. -acreage -to below 75% use rate
P3 Other (ielin process of installing new irrigation system):

t ;` ❑ Division of Soil and Water Conservation 0 Other Agency ,
�] Division of Water Quality ;
� ,. . �� .. •�;�. � � .. ':<: .. •�`:,.. tea` � "`,�, �
Routine 0 Complaint 0 Follow-up of DNVQ inspection 0 Follow-up of DSWC review 0 Other
Facility Number Date of Inspection 6112, q
.S
Time of Inspection 0' 24 hr. (hh:mm)
© Registered $0 Cerf ed [% Applied for Permit ❑ Permitted 13 Not O eratinnal Date Last Operated:
Farm Name; .......... ............. ... rfv ......................... County: .......
r utk........................... ........... ........... .1, .........
Owner Name.• l I
tA.I.,.1.l.I.fr.�m......Gr................. ::.............................. Phone No:....�`kl. q�.�.�e.�..' `I..�f �.............................
Facility Contact:...................................................... . Title: . Phone No:
MailingAddress: ...... 5s............. ...... .............1.r....................... .............�... .4c....... ��Luer,. ,...r..l C-........ "Z,.157t......
Onsite Representative: ............ WtUatx,..........P..!.............................................. Integratrsr:.......J'!!Y�
................
. �J...............................................Y ....... Ys¢
Certified Operator:............................................................................................................... Operator Certification Number .........................................
Location of Farm:
..... ... ... `..... t..m.-Ui....... .. .......................... .
.. ..................................... ......
Latitude • ' 0" Longitude ' 6 0 fL
'eneral
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. 1f discharge is observed, did it reach Surface Water? (If yeas, notify DWQ)
e. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25197
❑ Yes ® No
❑ Yes M No
❑ Yes 1�5 No
❑ Yes VPNo
❑ Yes ® No
❑ Yes No
❑ Yes ® No
❑ Yes ® No
❑ Yes (P No
❑ Yes 1�1 No
Continued on back

Facility dumber: 3 1 — ,S �% t
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures Structures (La coons 11olding Ponds, Pits etcjFlush Pits, etch
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3
Identifier:
Freebnard (ft): .......,.Z.-S .................. I................
10. Is seepage observed from any of the structures?
❑ Yes W No
❑ Yes P No
Structure 4 Structure 5 Structure 6
11. is erosion, or any other threats to the integrity of any of the structures observed'?
❑ Yes R1 No
❑ Yes [g No
12.
Do any of the structures need maintenance/improvement?
n,Yes
❑ No
(1f 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
M:No
Waste Application
14.
Is there physical evidence of over application'?
❑ Yes
�DNo
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
�" � 1 R
Crop type ..........lf]``.Y:mU&I................................5%� ik� .....f l Y\ ...............
16,
Do the receiving crops differ with those designated in theAnimalWaste Management Plan (AWMP)?
❑ Yes
[TNo
17.
r
Does the facility have a lack of adequate acreage for land application?
❑ Yes
No
18.
Does the receiving crop need improvement?
Yes
❑ No
19.
Is there a lack of available waste application equipment'?
❑ Yes
N No
20.
Does facility require a follow-up visit by same agency?
❑ Yes
No
21.
Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
❑ Yes
[ No
22.
r
Does record keeping need improvement?
❑ Yes
rZNo
For Certified or Permilled Facilities Oniv
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
[7No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
[$ No
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
UNo
0 No. violations or deficiencies were -noted -during this: visit.- You.will receive no further
correspondence about this. visit.,
Contunents'(refer to.question #): ,Explain any' YES answers and/or any. recom nenidaiions or any other con metat
[3sCA Awini bf.facilityto,better'explain'situation5. (tile additional pales as necessary)
jZ
&-v-c- a. c&!- Okweeii
aW,-\viay-
pf c�JQs ns it� Shov�t} 1o,e. t`C.i1trfxkd.
i4•
%nC+nUe
C'r'�or�
Ta- �m��ov�
�rirv�G.. .
Mr.
pj"J�5 �.s
rv.+
vvxkrArt7UnU
.IOJfc,\
f
C,y� 1ico-k1o"
acc w--� V� �
t ry,'q
a2Sl+c�� •
7/25/97
r

0 Routine C Complaint Q Follow-up of DWQ inspection Q Follow-up of DSWC review 0 Other
Date of Inspection 9
Facility Number
Time of inspection 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: ® Registered ❑ Applied for Permit (ex:1.25 for I hr 15 min)) Spent on Review
❑ Certified ❑ Permitted or Inspection includes travel andprocessing)
❑ Not Operational Date Last Operated:..............................................................................................................................................
FarmName:......f........ ^................ County:.D.vt'.A..1.y...................................... ..t. i.�SW
Land Owner Nance: ...... �?.�.�lf.�r....� r....................................... Phone
FacilityConctact:................................................................._..........k.... Title:................................................ Phone No:.........................................................
Mailing Address•..SW,s.) . J. A.A. ...5......�. . !....�r1.... .d.e......................, .. .. .t.t:nn...., .� i.x�q.S.r...!�.L .........
Onsite Representative:.... .... I(.. ...................... Integrator:..�!1�1x-t..INimber:
....................................................
CertifiedOperator: ................................................................................................................ Operator Certification......!..7 1.............. ..
Location of Farm:
Qss......�.cti.S. �......S.1 .c...,p ..... .....V r......s� . .�s.K A.K �..�n^.a..... .. !^ ` �...!~ .. +n A..Y...t1n .....R. ...l.,ti �. .. ... �i
..... .rr. � . t.!?..Y�.......[ltit s.........%1 5....3...1.............................................................................................................................................. ...............
Latitude Longitude ©• ®' �'
Type of Operation and Design Capacity
Gmeral
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 gal/min? _ rJ I A
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 RNo
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?
4/30/97 Continued on back

Facility Number: .Z.1......—.S..1.2...
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 certifted operator in responsible charge?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures Magoons and/or Holding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft): Structure I Structure 2 Structure 3 Structure 4
............... ............................ ....... ......... -.......... ........................
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)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes
R No
❑ Yes
El No
❑ Yes
® No
❑ Yes
No
Structure 5 Structure 6
❑ Yes
®No
® Yes
❑ No
® Yes
❑ No
❑ Yes
® No
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 differwiththose sip aced in the Animal Waste Management Plan AWMP ?
g P &m g { )
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 Certitled Facilities 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 ® No
❑ Yes ®, No
❑ Yes 1Z No
R Yes ❑ No
❑ Yes ® No
ELYes [--]No
❑ Yes &INo
❑ Yes JK No
❑ Yes ® No
❑ Yes 0 No
,
Comments (refer to question #) Explainany YES .answers`and/or any recomm:endations or any other comments
Use diawm s of.facility't lietiter°ezt)lainaifi�atioris:`(use:additiorial pages as ne'cessarv}. ry=. -: R At.
j } 2 . � ro 5 i o ,�. c,r $ p+n 0 V °`� c d � yJ a t S 1...a il 1.�. �, p rg a.Qn•
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�S�.auld
Vj ,X •
v1 0 — �6-s
ReviewerlInspector Name s ' ., �OW
..
Reviewer/Inspector Signature: Date:
cc: Division of Water Qualitv, Water Quality Section. Facility Assessment Vnit 4110/97

•
•
Site Requires Immediate Attention:,
Facility No. _3_L-.Li S
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: `- , 1995 _
Time:'
j
Farm Name/Owner:/0 %l/t.
Mailing Address:
County:
Integrator: 1z,,,_,ehy _ _ Phone:
On Site Representative: 11i���� /'� Phone:
Physical Address/Location:
Type of Operation: Swine ' Poultry Cattle
Design Capacity:
Number of Animals on Site: ��N
DEM Certification Number: ACE /\1 d DEM Certification Number: ACNEW
Latitude:,° 66 ' ,5 " Longitude: 1-) 9 ° 97 ' `�/ " Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) 'e or No Actual Freeboard:.�L_Ft. Inches
Was any seepage observed from the lagoon(s)? Yes or�'i Was any erosion observed? Yes or To
Is adequate land available for spray? Ye or No Is the cover crop adequate? 'e or No /
Crop(s) being utilized: 1 �r� 1�/��.� � � � � -
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? G or No
100 Feet from Wells? �Qr No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes ore
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or
Is animal waste discharged into waters of the state by man-made ditch, flushing system; or other
similar man-made devices? Yes or�. If Yes, Please Explain.
Does the facility maintain adequate waste,-rnanagement records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Yes ore
Additional Comments:,
Inspector Name V Signature
cc: Facility Assessment Unit • , Use Attachments if Needed. _
.i - r i•
t ', , .

r
LAGOON CLOSURE NOTES
i
1. NO SPECIAL WATER QUALITY TESTING OR EFFLUENT TESTING WILL BE
REQUIRED,
2. ALL EXISTING PIPES DISCHARGING WASTE INTO THE LAGOON SHALL BE
REMOVED AS SHOWN ON THE DRAWING.
3. ALL EFFLUENT AND SLUDGE SHALL BE PUMPED FROM THE LAGOON AND
SHALL BE LAND APPLIED TO CROPS AT AGRONOMIC RATES BASED ON
REALISTIC YIELD EXPECTATION FOR NITROGEN ACCORDING TO THE
APPROVED WASTE UTILIZATION PLAN FOR THE OPERATION. THE
EFFLUENT AND SLUDGE SHALL BE ANALYZED FOR NITROGEN CONTENT
PRIOR TO APPLICATION.
4. ALL SLUDGE THAT REMAINS ON THE LAGOON BOTTOM AND SIDE SLOPES
AFTER PUMPING SHALL BE REMOVED USING AN EXCAVATOR OR SIMILAR
EQUIPMENT AND SHALL BE LAND APPLIED AS DESCRIBED ABOVE.
SATISFACTORY REMOVAL OF THE SLUDGE SHALL BE DETERMINED BY
VISUAL INSPECTION.
5. ANY FOREIGN MATERIAL OTHER THAN WASTE FOUND IN THE LAGOON SHALL
BE PROPERLY DISPOSED OF IN A PERMITTED LANDFILL FACILITY. SUCH
MATERIAL CANNOT BE BURIED ON THE FARM AS THIS PRACTICE
CONSTITUTES THE OPERATION OF A UNPERMITTED LANDFILL.'
6. THE LAGOON SHALL BE CLOSED BY A COMBINATION OF FILLING AND
BREACHING THE DIKE ACROSS THE REAR OF THE LAGOON AS SHOWN. ALL
SLOPES SHALL BE GRADED AND LEFT IN A MOWABLE CONDITION,
7. ANY ELECTRICAL SERVICES OR DEVICES SUCH AS RECYCLE PUMPS, ETC.
AROUND THE LAGOON WHICH WILL NO LONGER BE NEEDED SHALL BE
DISCONNECTED AT THE POWER SOURCE AND REMOVED.
8. EXISTING IRRIGATION HEADER CONNECTIONS AT THE LAGOON SHALL BE
REMOVED.
'd. ALL. UltiI URRED AREAS SHALL BE FERTILIZED, SEEDED AND MULCHED IN
ACCORDANCE WITH THE SEEDING SCHEDULE BEFORE THE LAGOON CLOSURE
CAN BE CERTIFIED.
I 1
SEEDING NOTES:
BENCH MARK
1- ALL DISTURBED AREAS SHALL BE SEEDED, FERTILIZED AND MULCHED AS CONC FEED „5
SOON AS POSSIBLE AFTER FINAL- GRADING IS COMPLETED. THIS ELEV = 11$,I
INCLUDES INSIDE SLOPES OF THE LAGOON.
2. PREPARE DISTURBED AREAS FOR SEEDING BY GRADING IN ALA_ SURFACE
WATER DIVERSIONS AND SHAPING TO FINAL GRADES SHOWN ON PLAN-
3. APPLY LIME AND FERTILIZER THEN DISK TO PREPARE A 3 TO 4 INCH
SMOOTH SEEDBED. APPLY SEED AND FIRM SEEDBED WITH A
CULTIPACKER OR SIMILAR EQUIPMENT. APPLY MULCH AND SECURE WITH p
A MULCH ANCHORING TOOL OR NETTING.
SOIL AMENDMENTS:
1500 LEIS OF 10-10-10 FERTILIZER (1000 LBS ACRE)
3 TONS OF DOLOMITIC LIME (2 TONS/ACRE
150 BALES OF SMALL GRAIN STRAW (100 BALES/ACRE)
SEEDING SCHEDULE:
winter
90 LBS Of FESCUE (60 LBS/ACRE) — SEPT 1 TO NOV 30
60 LBS OF RYE GRASS (40 LBS/ACRE) — DEC 1 TO MAR 30
45 LBS OF RYE GRAIN (30 LBS/ACRE) nurse crap for fescue
15 LBS OF UNHULLED COMMON BERMUDA GRASS (10 LBS/ACRE,)
— JAN 1 TO MAR 30
summer
90 LBS OF PENSACOLA BAHIA GRASS (60 LBS/ACRE)—MAR 15 TO J'UNE 15
12 LBS OF HULLED COMMON BERMUDA GRASS (8 LBS/ACRE)--APR 1 — JULY 31
TOTAL AREA TO BE SEEDED AND MULCHED = 1.5 ACRES (APPROX)
MvIliRPHY
WA
m INC.
P. O. BOX 759 ROSE
PHONE (910) 289 - 2111 NORTH CAROLINA 28458.`
WILLIAM DAMS ,
NEW LAGOON FOR
-- THE LAGOON DIKES SHALL BE PUSHED INTO THE LAGOON TO
THE EXTENT THAT THE FILL MATERIAL WILL BRIDGE OVER ANY
WET OR UNSTABLE CONDITIONS IN THE BOTTOM TO PROVIDE
FIRM BEARING CONDITIONS FOR MOWING EQUIPMENT. ONCE
THIS LEVEL IS REACHED THE REMAINING DIKE SHALL BE
BREACHED AS SHOWN. SIDE SLOPES ON THE DIKES AND IN
THE BREACHED SECTION SHALL BE GRADED DOWN TO A
'r✓ MAXIMUM SLOPE OF 3:1.
----30' WIDE BREACH
SIDE SLOPES SHALL
BE CUT BACK AT 3:1
CON OL PACT #12
REBA'
N 86 7. 7823 —
E �060.3431 _ _ - --- -
ELEV 113.74 --- - i
_x.
X,'7I RED11 `P.UMT-
TO BE REMOVED
6�0
U
W
z
CD

lu
PUMP STATION NOTES
1. THE PRECAST CONCRETE PUMP TANK SHALL BE DESIGNED AND
CONSTRUCTED IN ACCORDANCE WITH THE REQUIREMENTS SET
FORTH IN THE "LAWS AND RULES FOR SEWAGE TREATMENT AND
DISPOSAL SYSTEMS' NCDEHNR -- DIVISION OF ENVIRONMENTAL
HEALTH, ON -SITE WASTEWATER SECTION - SECTION 1954.
2. PUMP TANK SHALL BE FABRICATED WITH AN OPEN TOP.
A BAR GRATE TOP WILL BE FABRICATED FOR A COVER.
3. THE EXCAVATION FOR THE PUMP TANK SHALL BE LEVEL AND
UNIFORM TO ENSURE FULL BOTTOM BEARING ON THE SOIL.
BOTTOM GRADE SHALL HE VERIFIED PRIOR TO SETTING THE
TANK.
4. THE JOINT BETWEEN THE TWO TANK HALVES SHALL BE SEALED
WITH I" BUTYL RUBBER SEALANT ROPE. AFTER SETTING THE
TANK, THE MATING JOINT AND ALL PIPE PENETRATIONS SHALL
BE FILLED AND SEALED USING HYDRAULIC CEMENT INSIDE AND OUT.
5. A "FLOAT TREE" SHALL BE PROVIDE IN THE PUMP TANK FOR
MOUNTING FLOAT SWITCHES. THE FLOAT TREE SHALL BE A 2"
PVC PIPE SET IN A 5 GALLON BUCKET OF CEMENT, OR SIMILAR
DEVICE THAT CAN BE EASILY REMOVED FROM THE TANK WITHOUT
DISTURBING THE PUMPS OR VICE VERSA.
6. THE FORCE MAIN FROM THE PUMP STATION TO THE LAGOON SHALL
BE 4" SCHEDULE 40 OR SDR 26 PVC PIPE. SCHEDULE 40 PIPE
SHALL HAVE SOLVENT CEMENT WELDED JOINTS, SDR 26 PIPE SHALL
HAVE GASKETED JOINTS, THE FORCE MAIN SHALL BE INSTALLED
AT A MINIMUM BURY DEPTH OF 3 FEET.
7. THE PUMP DISCHARGE PIPING SHALL BE 4" SCHEDULE 40 PVC PIPE
WITH SOLVENT CEMENT WELDED JOINTS. THE DISCHARGE PIPING
SHALL BE INSTALLED AS CLOSE TO THE OUTSIDE OF THE TANK
WALL AS POSSIBLE TO MAKE PIPE LESS SUSCEPTIBLE TO DAMAGE.
8. THE ENGINEER WILL ASSIST IN SETTING THE FLOAT SWITCH LEVELS
niopikit% Tur r-thim mcore-no-w_ -n-jr C-vc-TT-j, I too ic,-r , Mr ^^tomo r,,rr-m
AND INSPECTED PRIOR TO FARM CERTIFICATION.
9. LIFT OUT HAND WINCH AND FRAME ARE RECOMMENDED FOR THE
GROWER'S CONVENIENCE, AND IS NOT A REQUIRED PART OF THE
PUMP STATION CONSTRUCTION.
1*0 BUTYL RUBBER SEA
IN JOINT WITH 6" BAND
NONSHRINK GROUT
FLEX. RUBBER BOOT PIPE Si
INVERT IN INCOMING
8" PVC DISCHARGE PIPE
PUMP AND CONTROLS DATA_
PUMPS:
MYERS MODEL V4WHV NON -CLOG SUBMERSIBLE WASTEWATER
PUMP (VERTICAL DISCHARGE)
4" DISCHARGE, 3" SPHERICAL SOLIDS HANDLING CAPACITY
3 HP, 1750 RPM, 60 Hz, 230 VOLT. SINGLE PHASE
7- IMPELLER
CONTROL PANEL:
MYERS CAT# CWHV4-30-21SW (OR EQUAL) SIMPLEX CONTROL PANEL
3 HP, 230 VOLT, SINGLE PHASE
NEMA 4X FIBERGLASS ENCLOSURE, SEPARATE PUMP CIRCUIT,
H-O-A SWITCH. BELL & LIGHT ALARMS WITH
SILENCE SWITCH, ELAPSED TIME METER, ALARM TEST SWITCH,
PUMP RUN LIGHT, SEAL LEAK LIGHT
FLOAT SWITCHES:
(3) MYERS PM15NO FLOAT SWITCHES, POLYPROPYLENE ENCASED
18-2 SJOW/A34 X 41 STRAND CABLE
di
INSET -A
FLQ/,T- CONTROL CORDS
TOP OF PUMP TANK = 2'
ABOVE LOW END OF PAD SUBGRAI)'E
4000 GALLON PUMP TANK
4 A
EX. RUBBER BOOT PIPE SLEEVE
NOTCH
-­4
QfrONZ IMPRINT AM TANK:mq�.lwl -- -
WITH DATE OF MANUFACTURE.
PLAN VIEW
- WINCH FRAME - MADE FROM STEEL PiFE
STATIONARY FRAME MAY BE MADE FRCM TREATED 4X4'S
11 w F%Fld%.I%lm%a%j I
AI r.Tru f,rr lM4ZJ:-T- A TWIC� QW17rT - - -
PUMP CHAMBER
NOT TO SCALE
SIZES BASED ON 250 P.S.I.
0 6000 P.S.F. SOIL PRESSURE
CROSS SECTION VIEW
UNDISTURBED
EARTH (TYP)
PLAN BENDS PLAN T E E S
K41N
7— i
L
4" PLASTIC GATE
OR BALI, VALVE NOTE. DIMENSIONS GIVEN ARE GUMEUNE", THAT 1v,00' in, A41N Fop10
REUUIRF CHANGES DOE TO FIELD CONDITIONS ANL' :AIALL=EP
4" PVC THREADED UNION VERIFY ALL DIMENSIONS WITH EN0NEER AT )A' MN FCYR 1:1' PlPt
4" PLASTIC SWING LIFT -OUT HAND TIME OF �X(,AVATJCIN, AND i^RGER. SECT10N X--X P I AN & I L.E.VA 9, ON
CHECK VALVE u
BENDS & 1FCS p'.q.'s
H ''J ST BLOCK DETAIL
R
S FEEL BAR GRATE PANELS - 2' PVC PIPE
r -7 711 rT - I I I I F I I -L- T3 rye
-
HIGH WATER ALARM
LEAD PUMP ON
— T Ac 11.1
f PUMP OFF
�;EALED MERCURY FLOAT
S`4MTCHES (TYP)
FLOAT, TREE — 5 GALLON7
BUCKET OATH CONU4FTE FILL
J :DUMP TANK
C -R
11 MURPHY
- FA
RMS
()N F (910) 289 -- .2111
P C BOX' 759 HILL,
NoRTH, 58
PIPE SLEEVE F,)R SWIVEL OPERATION
--PUMP POWER CORD
CONC SASE
4" F� JCE MAIN
TO 1- -,"OON
A 36" �-'l fRY DEP I F-I
3\16" DIA, VENT HOLE
DRILLED IN DISCHARGE PIPING
4" PUMP DISCHARGE PIPING
SOLIDS HANOI ING PUMP
(FREE STANDIN(%)
SF-F PUMP DAI!,
PUMPING SYSTEM r-0&4 ''ONt"W
NOT TO SCALE
WILLIAM D�1 V1.`>-III
-NEW LAGOON CERTIFICATION
4
SIZE
90
SEND
45'
BEND
22W*
BEND
TEES
PLUGS
.
.
A
-
f
A
B
A 7
8
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A
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-
4'
6
8-
6'
6
6
65"
6
8-
8"
14-
6"
8'
10"
6"
8
3
8'
8"
8"
10'
15'
8'
12"
'12-
8-
10-
5-
9-
9-
12"
12'
20
10'
16-1
14-
10*
12"
1 G"
10*
11"
14"
14"
1 25:
12"
19"
It',"
12*
14"
8'
11"
14
16"
16"
30"
14*'
2 'i'
18"
14'
16"
10*
12"
16"
18"
18'
34
16"
26"
20'
1 16"
18"
11"
13'
18"
20-
20-
5&'
18"
32-
26'
120"
23-1
1 4
16"
23*
25*
22"
48"
20"
30'
27
21 *
24"
15-
16-
24-
26'
265-
50-
24'
36'
-7
32
2.5"
76"
18-
18*
29"
29*
29*
rffi
3 0-
57
4-0"
31"
32"
22"
23"
36*
360
36-
'72
28"
1
FLEXIBLE RUBBER
BOOT PIPfl SLEEVI
8"0 PVC PIPE
f LOAT Cf­iNTROL CORDS
FLOAT TREE HFT-OU T CHAIN
PUMP POWER CORD---4" PUMP DiSCHAPGF PIPING
­`
fir
BEARING 3AR DIRE(i)(2 THREADED UNION---_--_-- I -4- FCPRC"E
77
AiNLESS STT-EL STRAP 3 A_R C.�,,T—,
3 PUMPING, S Y TEM C OMP O EN TS
U NOT TO I(D-CALE
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TREWHINC,
3 FERTILIZER . LIME, AND SEED ,BALL. HE APPLIED Hf:f-(,IPF
MATTING I`- WISlIkI,LCD. 51ELONC AND 50t1 AMENDMV41'.
51141 OF APPLIED Al ? TIMES 'WHEDUCEF RATES IN iIlF,
SPILI WA'i SCCTIW
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r— It a r— r� L rs I I 1 1, A 4 1
4 Li L K b t- IN U T I L L VV A T
3: LINER DIKE CROSS SECTION 5 STAFF GAUGE.
2 N.T.S. Z N.T.S.
INC.
N
4.
.........
N.T.S.
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PEC-MM[NDATIOWS SHALL MAVLJFAl. IPER'� C BE F00,0M U
FO
R ;-AP DISTANCES. ANCHOR 4.PACINk, AND NUMBER, ANC;
TREWHINC,
3 FERTILIZER . LIME, AND SEED ,BALL. HE APPLIED Hf:f-(,IPF
MATTING I`- WISlIkI,LCD. 51ELONC AND 50t1 AMENDMV41'.
51141 OF APPLIED Al ? TIMES 'WHEDUCEF RATES IN iIlF,
SPILI WA'i SCCTIW
6j T',V[ Tr 'UAT
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EA_ -
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SECTION
�#y�����llll � I �I�-49
r— It a r— r� L rs I I 1 1, A 4 1
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3: LINER DIKE CROSS SECTION 5 STAFF GAUGE.
2 N.T.S. Z N.T.S.
INC.
N
4.
.........
N.T.S.
f11111[ flJ i ki I r. v I:' 11,L1
8/16/96
REVISE DETAILS FOR FAte! EXPANSION
%
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HAf:�4tl 1,6;
SCOUR PROTECTION DEVICES_______
N.T.S.

GtNERAL NOTES-
1. ELEVATIONS SHOWN ON THIS PLAN ARE BASED ON AN ASSUMED BENCH-
MARK ELEVATION AND DO NOT REPRESENT MEAN SEA LF'VEL DATUM.
1. ELEVATIONS ON THIS PLAN ARE BASED ON A NCGS BENCHMARK AND
REPRESENT MEAN SEA LEVEL DATUM.
2, ANY HEAVY VEGETATION AND/OR ROOT MAT SHALL BE STRIPPED FROM
PAD AND LAGOON AREAS PRIOR TO PLACING FILL. ROOTS IN EXCESS
OF 2 INCHES IN DIAMETER WILL NOT BE ALLOWED IN FILL SECTIONS.
ANY STUMPS ENCOUNTERED IN LAGOON SIDE SLOPES OR BOTTOM MUST BE
REMOVED.
3. THE SOILS INVESTIGATION DONE BY MURPHY FARMS INDICATES NON --
SUITABLE MATERIAL IN THE PROPOSED LAGOON AREA AND CLAY LINING
WILL BE REQUIRED. THE BOTTOM AND SIDE SLOPES OF THE LAGOON
SHALL BE UNDERCUT FOR A 1.5' THICK LINER. THE LINER MATERIAL
SHALL BE COMPACTED 'TO 95% OF THE STANDARD PROCTOR MAXIMUM DRY
DENSITY. THE MURPHY FARMS ENGINEERING DEPT. DUST APPROVE
LINER MATERIAL PRIOR TO PLACEMENT. SEE LINER DETAIL ON SHEET 2.
4 THE LAGOON IS BEING PLACED IN A VOET AREA WITH THE WATER TABLE
BEING WITHIN THE EXCAVATED DEPTH_ IT IS IMPERATIVE THAT THE
CONTRACTOR INSTALL DRAINAGE MEASURES AT THE START OF THE
PROJECT AND MAINTAIN IT UNTIL ALL GRADING IS COMPLETED.
I
EARTHWORK CALCULATION DATA
ME FHOD USED: 5' GRID
SEEDING NOTES:
5.
THE GROWER IS STRONGLY ADVISED TO CHARGE THE LAGOON WITH WATER
1. ALL DISTURBED AREAS SHALL BE SEEDED, FERTILIZED AND MULCHED AS
TO THE ONE --HALF OF THE TREATMENT ZONE DEPTH AS SOON AS THE
SOON AS POSSIBLE AFTER FINAL GRADING IS COMPLETED. THIS
LINER IS COMPLETE. THIS IS IMPORTANT TO GUARD AGAINST
INCLUDES INSIDE SLOPES OF THE LAGOON.
SLOUGHING OF THE LINER MATERIAL AND TO REDUCE START-UP ODORS,
2. PREPARE DISTURBED AREAS FOR SEEDING BY GRADING IN ALL SURFACE
6,
ALL FILL MATERIAL PLACED ON THE BUILDING PAD AND LAGOON DIKE
WATER DIVERSIONS AND SHAPING TO FINAL GRADES SHOWN ON PLAN.
SHALL BE COMPACTED TO 95% OF THE STANDARD PROCTOR MAXIMUM DRY
DENSITY. IT IS RECOMMENDED THAT COMPACTION BE DONE WITH A
3. AMPLY LIME AND FERTILIZER THEN DISK TO PREPARE A 3 TO 4 INCH
SHEEPSFOOT ROLLER.
:SMOOTH SEEDBED. APPLY SEED AND FIRM SEEDBED WITH A
CULTIPACKER OR SIMILAR EQUIPMENT. APPLY MULCH AND SECURE WITH
7.
BUILDING PAD ELEVATIONS SHOWN ON THIS PLAN REPRESENT BLDG.
A MULCH ANCHORING TOOL OR NETTING.
SLAB SUBGRADE. SEE" 'PAD CROSS SECTIONS FOR GRADE REFERENCE
POINT.
SOIL �NMENDMENTS_
8.
BUILDING PAD AND LAGOON DIKE SIDE SLOPES ARE 3:1 UNLESS
OTHERWISE NOTED ON PLAN.
4500 LBS OF 10-10-10 FERTILIZER (1000 LBS/ACRE)
9 TONS OF DOLOMITIC LIME (2 TONS/ACRE)
9.
THE LAGOON DIKE AND SIDE SLOPES MUST BE FERTILIZED, SEEDED AND
450 BALES OF SMALL GRAIN STRAW (100 BALES/ACRE)
MULCHED DOWN TO THE LAGOON BOTTOM, OR TO THE WATER LEVEL IF
CHARGED, BEFORE THE LAGOON CONSTRUCTION CAN BE CERTIFIED.
SEEDING SCHEDULE:
10.
THE CONCRETE BLOCK SPLASH PADS OR OTHER APPROVED SCOUR
winter
PROTECTION DEVICES SHALL. BE INSTALLED AT THE DISCHARGE PIPES
270 LBS OF FESCUE (60 LBS/ACRE) - SEPT 1 TO NOV 30
BEFORE LAGOON CONSTRUCTION CAN BE CERTIFIED.
180 LBS OF RYE GRASS (40 LBS/ACRE) - DEC 1 TO MAR 30
135 LSS OF RYE GRAIN (30 LBS/ACRE) - nurse crap for fescue
11.
ANY WATER SUPPLY WELLS PLACED ON THE SITE MUS-f BE A MINIMUM OF
45 LBS OF UNHULLED COMMON BERMUDA GRASS (10 LBS/ACRE)
100' FROM THE CLOSEST POINT OF THE LAGOON.
-- JAN 1 TO MAR 30
12.
THE STAFF GUUGE SHALL. BE FABRICATED AS SHOWN ON SHEET 2 AND
sum► oir
WILL BE INSTALLED BY MURPHY FARMS BEFORE LAGOON CONSTRUCTION
270 LIDS OF PENSACOLA BAHIA GRASS (60 LBS/ACRE)-MAR 15 TO JUNE 15
IS CERTIFIED.
36 LBS OF HULLED COMMON BERMUDA GRASS (8 LBS/ACRE)-APR 1 -- JULY 31
IOTA; AREA TO BE SEEDED AND MULCHED - 4.5 ACRES (APPROX)
TOTAL EXCAVATION
15,639
CY
EXCAVATED CLAY 0 CY
PAD AND DIKE FILL_
13,49 7
CY
REQ'D FOR LINER 7,-552 CY
NET
2,142
CY
f CLAY BORROW _7.352 CY
SUITABLE FOR LINER
0
cly __1
-
WASTE
2,142'
CY
FILL VrJLUML3 NAVE BEEN ACC 1l��T�L D T 20% i-AN[ I I.A .A r
VOLUMFS BY 15 ?e r ()R -�HPINK(-,F nt F TO ` 1MPA(' 1!()N
.. TOTAL EXCAVATION
LlNER.
NOTE: 14 EXCESS EXCAVATED MATERIAL t
TO, F'LATAN OUTSIDE DIKE. SLOPES TO THE
FIMSH'ED DIKE HEIGHT DOES NOT EXCEED 1
f �,Fr�lr� i ,11 m ;, r )r APPROX 600 LF--6" PERFORATED PLASTIC DRAIN
TILF WITH FIt TFR SOCK T11 I- ;HAI I RI; R(IN AT
0.30% MIN SLOPE ACROSS LOW END OF PAD AND
r A MIN BURY DEPTH OF 3.5' FROM NORTHWEST
LAGOON CORNER TO WOODS.
F--
0
z
U
t`
Lid
z
CD
CONTROL PNT *12
REBAR
N = 5867.7823
E = 4060.343'
. _ irvt_ EI_EV = 113 7
r'd ;
G N -
EXISTING WOODSLINE
PROPOSED CLEARING LIMITS
14
- EXISTING CONTOUR
-_- 50
FINISHED CONTOUR
8" PVC DISCHARGE PIPE
4" PVC FORCE MAIN
CLEANOUT
Co
MINIMUM BUILDING / LAGOON
SETBACK LINE
■-
- SWALE / DIVERSION
i1-U1
4' X 8' CONC. BLOCK
SPLASH PAD
1'
■
STAFF GAUGE
{DTP i
SOIL TEST PIT
LAGOON, OFFSET
STAKEOUT POINTS
EXISTING IRRIGATION
RISERS
124.10 #-
�c FINISHED GRADE ELEV_
• s J l_I �_1r4 f
p„1
Irw _F i f, �'EF 123.95 8" TILE INV -y 1 '- .. tip, s ----- THRUST BLOCK``p
i %`
" Co",
T
fHEADER VEfT
.HAkrE PIPE (TYP)
�
SEE CL0'SURE FLAN
SHEET 4
- 100-00,
MURPHY
FARMS
PUMP CONTROL F'AhIFL--- - -REMOVE EXIST DISCH,
BENCH' MARK 100 LV-8" t :C DISCH. PIPE 0 .50X MIN- CO 4 PIPE BEYOND TIE-IN
Fo :-cONC FEED PAD , t (TYP)
E-LEV = 118.17
€' 8* COMBINAPC)~N FTC;
t S' HEADER CONNECTION (TYP)
LF-4" SCH 40
IAAIN
_ c�3�
E ,
'� .�, 2 E = 4214, 652
0.LLt'i ? t 55
PRECAST 1
- r �►JMP Ct-�APvti=sE� �
I*,�GOCiN ELL VATI ON QM, TAI ti+ - 'i J 1.
109.20
TOP OF DIKE EL. =- 1,"10.1 C I HOT TOM SiUBGPD. = 1 oe.2a
EMERG. SPILLWAY El_. = 1:_t3-80
START PUMP EI_. - 127.9{
STOP PUMP EL. '12b-.90
FINISHED BOTTO�J EL. = 1 180
NOTE: THE LAG700N DIKE `!-MALL
BE RAISED TO ELEV 132..4�
ADJACENT TO BLDG PAD k" SHOWN.
NOTE:
THE NEW LAGOON IS BEING r'LACEG; IN AN EXISTING SPRAY FIELD
WITH SPRINKLER RISERS. THE GROWER SHALL PROVIDE ASSISTANCE
IN LOCATING ALL IRRIGATION MAINS AND [ATERALS. ALL. IRRIGATION
114U - "Ii."" -- - I`__ ___ _ - pia' OFFSET' (TYPI PIPING SHALL BE REMOVED A MINIMUM OF `5 FEET BEYOND OUTSIDE
_ TOr_ OF DIKE,)1/VI_R:
- ` GRAPFUC SCA.L WILLIAM E. DAVIS III
- - CONTROL IsNT #258
REeAR `■I--�-- - - -�-- ,r ALBERTSGN, NC 28508
N 5485.0743
1- 3479.0957 ( TN (919) 569-971
120.42 1 inch fr --- - -
�.,..
jj# r f T "ZK 8/16/96 REDESIGN LAGOON FOR EXPANSION i�F 2448 FINISHERS
INC. 1 f A..
AAG-100-11 J,
- - i�� a e�eee�■ e
J 41 ,