310593_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Qual

Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: { ( Arrival Time:4 Departure Time: O County:
Farm Name: 3FGt (rr. Owner Email:
Owner Name: (,.r;q �� � ; C�Gr� pa Phone: rj C-) �'-y S ZL( 2-
Mailing Address:
Physical Address:
Facility Contact:
Title: Phone:
Onsite Representative: Integrator:
Certified Operator:
Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Region:
If
Design C*arrant Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop.
Wean to Finish Layer
Design
Cattle Capacity
DairyCow
DairyCalf
DairyHeifer
D Cow
Current
Pop.
Wean to Feeder
Non -La er
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Design Current
ltr. Ca aci P.o
Non -Dairy
Beef Stocker
Beef Feeder
Gilts
ers
Boars
fiLavers
Beef Brood CowQthePoults
Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Page I of 3
❑ Yes 50 No ❑ NA ❑ NE
❑ Yes ❑ No NA ❑ NE
0 Yes ❑ No � NA ❑ NE
❑ Yes ❑ No
❑ Yes No
[:]Yes No
[�NA ❑NE
❑NA ❑NE
❑ NA ❑ NE
21412015 Continued

Facili *Number: - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ® No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No dNA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): q
Observed Freeboard (in): a 10
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA 0 NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
. waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes `t No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes ED No
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures
require ❑ Yes � No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes P No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes n No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground
❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift
❑ Application Outside of Approved Area
12. Crop Type(s):
13. SoiI Type(s): I `
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Re uired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ Yes En No
[:]Yes [A No
❑ Yes fR No
❑ Yes 0 No
❑ Yes K] No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑ NA [] NE
❑ NA ❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes M No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking [:]Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes [A No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 0 No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑NA ❑NE
❑NA ❑NE
Page 2 of 3 21412015 Continued

Facility.Number: 3 1 - I'VC, _ I IDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
D Yes
q No
0 NA NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
�] No
DNA ONE
the appropriate box(es) below.
Failure to complete annual sludge survey D 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
[P No
❑ NA NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Yes
jf No
�] NA [] NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
Ej Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
Yes 0 No E3 NA [% NE
El Yes q No ❑ NA ❑ NE
D Yes �]; No ❑ NA ONE
❑ Yes D No D NA D NE
❑ Yes
50 No
0 NA
D NE
❑ Yes
E0 No
0 NA
❑ NE
❑ Yes
Q] No
NA
0 NE
Comments (refer to. question'#)::Explain any YES answers and/or. any additional recommendations or any other comments. ' a
Use'drawings of facility 'Wbetter'explain�situations (use addifioual pages:as43ecessary)
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
(0��3 ��? � o.b$
Vj�
1y13 )1(.)
it 4
Phone: 9 b-fiOV f
Date: l
2 /20l

4
LType of Visit: Q ComplpjLnee Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: W Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
YYYYYYYYY�YYYYYYYYY�1- �I��I�IYYYYY�IYYYY�Y
Date of Visit: 9 (v Arrival Time: Departure Time: County: Region:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: / 1 Title:
Onsite Representative: D� r 9 k1 - S_ 'r'r c k1 4*j �_
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Phone:
Integrator:
Certification Number: 1 f Za��
Certification Number:
Longitude:
Swine
Wean to Finish
Design Current
C►apacity Pop.
Wet Poultry
Layer
Design
C►►specify
C*urrent
Pop.
Design Current
C►attle Capacity Pop.
Dairy Cow
We n to Feeder
Non -La er
I
Dairy Calf
Dai Heifer
eeder to Finish
l i 90
Farrow to Wean
Farrow to Feeder
Dr. l;oult ,
Design
C►_a aci
Current
P,o
Da Cow
Non-Dai
Farrow to Finish
ILavers
Beef Stocker
Gilts
Non -Layers
113eef Feeder
I Beef Brood Cow
Boars
Pullets
Other
Other
Turke s
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
❑ No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
<
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
FNo
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facility Number: `3 - Date of inspection: 4
4(j
Waste CiaIlection & Treatment
4. Is. storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes []"No LJ 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?:
Designed Freeboard (in):
Observed Freeboard (in): 3 Z
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No 0 NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? . ❑ Yes �No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes Oo ❑ 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 Awlication
10. Are there any required buffers, setbacks, or compliance alternatives that need [:]Yes No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. [—]Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground [] Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
0 No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
�rNy'o
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
r No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
ff'No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
F�f 'N.
❑ NA
❑ NE
R_ eguired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes allo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑Stocking ❑Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections ❑Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes VNo
�❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facili Number: -3 -3 Date of inspection: 7
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ o ❑ NA ❑ NE
25rIs the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes
No
❑ NA
❑ NE
❑ Yes
❑ No
❑' -A
❑ NE
❑ Yes ❑'lam ❑ NA ❑ NE
❑ Yes LTNo ❑ NA ❑ NE
[:)Yes [2'No ❑ NA ❑ NE
❑ Yes � ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ONo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes �E] NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes ❑ No ❑ NA ❑ NE
Comments (refer to,question, ft Explain any YES answers and/or any additional recommendations or any other.comments.
Use drawings of facility to better explain situations (use.additional'pages°as necessary).
r5krr�. r� p r c{s t arm, Pe-' C
ti<< a 7 T c h r
Reviewer/Inspector Name: G l o ` Phone: O �1
Reviewer/Inspector Signature: �� .----� Date: 1 r
Page 3 of 3 2/4/201

� � -Division of Water Resources
Facility Number - S `� Division of Soil and Water Conservation
Q Other Agency
Type of Visit: om l' ce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:. Arrival Time: Departure Time: 3 �County: Region:
Farm Name:
Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator:
Certification Number: 7 1ZC,,- 3A
Certification Number:
Longitude:
Design Cnrrent
Design
Current
Design Current
Swine
C**specify Pop.
Wet Poult
A =acity Pop.
Wean to Finish
Layer
Dairy Cow
can to Feeder
Non -La er
I
ai Calf
Feeder to Finish
I I -ra
airy Heifer
Farrow to Wean
I Dry Cow
Farrow to Feeder
D . P,outt .
Ca tacit
P,o
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Q#her
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (if yes, notify D W R)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (if yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes L,21 ❑ NA ❑ NE
❑ Yes
D No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
D NE
❑ Yes r�E
❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes No NA ❑ NE
Page l of 3 21412015 Continued

lFacifity, Number: - Date of inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Structure I Structure 2 Structure 3
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
No ❑ NA ❑ NE
❑ No ❑ NA ❑ NE
Structure 4 Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ETNo ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes ONo ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes In -No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes <o ❑ 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 EYNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑4o ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes [ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
�o
❑ 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
❑ Yes
Q'lqo--
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
0 Yes
ffNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No
❑ NA
❑ NE
Required Records & Documents
l9. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes ErNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check [] Yes l No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements []Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes Ej_No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facili Number: 1 _ 7 Date of Inspection:
24, Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
No ❑ NA
❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
[2-1 oo ❑ 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 toss assessments (PLAT) certification?
❑ Yes
B❑
❑ No ❑i'NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
34. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes [] No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA [] NE
[:]Yes 0 No ❑ NA ❑ NE
❑ Yes
❑ Yes
❑ Yes
ff-N,o[—] NA [] NE
Q No NA ❑ NE
No ❑ NA ❑ NE
Reviewer/Inspector Signature: Date: lG
Page 3 of 3 21412015

4
Type of Visit: m Co pliance Inspection U Operation Review U Structure Evaluation U Technical Assistance
Reason for Visit: outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: >)LPLZAI Region:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Phone:
Onsite Representative: V.! ST (ZT(' �,(� J, j {} Integrator:
Certified Operator: Certification Number: 972 (? J
Back-up Operator:
Location of Farm:
Certification Number:
Latitude: Longitude:
Design Current
Swine Capacity Pop.
Wean to Finish
Design Current
Wet Poultry C►apacity Pop.
ILayer
Cattle
Dairy Cow
Design C►urrent
Capacity Pop.
Wean to Feeder
I
iNon-Layer I
Dairy Calf
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Design Current
Dr P■oulh: Ca aci P.o .
Layers
Dairy Heifer
Cow
Non -Dairy
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turkeys
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes o ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)? _
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes ❑ ❑ NA ❑ NE
❑ Yes VNo
NA ❑ NE
❑ Yes ❑ NA ❑ NE
Page I of 3
21412014 Continued

' Facility -Number: - Date of inspection: 11 Lb I
+ Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Structure 1 Structure 2
Identifier:
1-A ��'
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
3 .7
Structure 3 Structure 4 Structure 5
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
�o ❑ NA ❑ NE
❑ No ❑ NA ❑ NE
Structure 6
❑ Yes Cj No ❑ NA ❑ NE
❑ Yes ZNo ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmenta breat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes E.VNo ❑ 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 0 No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes WNo ❑ 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?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility it to have all components of the CAWMP readily available? If yes, check
the appropriate ox.
❑ Yes o ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes [] N
[:]Yes No
❑ Yes [ No
Yyes k
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
No
❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections ❑
Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
2 XNo
❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ NA ❑ NE
Page 2 of 3 21412011 Continued

• Facility Number: - Ds ection: I,
`1 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes �(No
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? [—]Yes ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes rNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
[:]Yes
o ❑ NA ❑ NE
and report mortality rates that were higher than normal?
/No
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
ICJ ❑ 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
[ f o ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
/No
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
21 ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
BNo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
rNo'❑ NA ❑ NE
Comments (refer to question #):Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).,
Zo �: oP1��9 fiL ode w� r1� c o�lN H2. c l r��C
5 Cpjq C,6 fy r owq
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
DAqate: l 1Q
21412 l4

,1
ivision of Wafer Quality
Facility Number ©- ® Division of Soil and Water Conservation
© Other Agency
Type of Visit: ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: qfRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
A
Date of Visit: Arrival Time: ; nU Departure Time: County: U46Region:MAN
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Phone:
Title: Phone:
Onsite Representative: Integrator: Q
Certified Operator:A!an �O1
p d,r+(\ Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Design Current Design
Swine Capacity Pop. Wet Poultry Capacity
Wean to Finish La er
Current
Pop.
Design Current
Cattle Capacity Pop.
Dai Cow
Wean to Feeder
Non -La er
Dai Galf
Feeder to Finish
fl
Dai Heifer
Farrow to Wean
Farrow to Feeder
Design
D . P,oult . Ca aci
C*urrent
P,o ,
D Cow
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other Ill
Turke s
Turkey Poults
10ther
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
XNo
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
❑ No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
. ❑ Yes
2TNo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
�ff No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Facility Number: - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: LL
gNo ❑ NA ❑ NE
❑No DNA ONE
Structure 6
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes �no ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a [] Yes 71 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 LZO"No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes KNo ❑ 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 7No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes XNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes �TNo ❑ 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?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes VNo
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
[] Yes
No
❑ NA
�] NE
❑ Yes
�No
❑ NA
❑ NE
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes WfNo
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes F1 No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [�;t'hTo
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412011 Continued

f �
Facility Number: - Date of Inspection.
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes RTNo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes KNo ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes � No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes 1KNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes P ^No
❑ Yes KNO
❑NA ❑NE
❑ NA ❑ NE
❑ Yes ;ff No ❑ NA ❑ NE
❑ Yes 6No ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes KNo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes 7 No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes 0 No ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawines of facility to better explain situations (use additional pages as necessary).
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Date:
21412011

type of visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
iteason for Visit: 36 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I I j liq TJM Arrival Time: ® Departure Time: County: Region:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: t�W 61�n 'S IR4 CIC-L IS
Certified Operator:I�LA31GIiT A. S—j z, UccA N _t\_
Back-up Operator:
Location of Farm:
Latitude:
Owner Email:
Phone:
Phone:
Integ�rator
Certification Number:
Certification Number:
Longitude:
Design Current
Swine Capacity Pop.
Wean to Finish
Wet Poultry
Design Current
Capacity Pop.
Cattle
Da' Cow
Design
Capacity
Current
Pop.
La er
Wean to Feeder
Non -La er
Da' Calf
Feeder to Finish
D , P.oul
Layers
Design Current
Ca aci $o ,
DairyHeifer
D Cow
Non-Dai
Beef Stocker
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turke s
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes )kNo [DNA ❑ NE
❑ Yes ❑ No
[:]Yes [:]No
❑ Yes ❑ No
❑ Yes No
❑ Yes No
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Page 1 of 3 21412011 Continued

Facili Number: 1331 jDate of Inspection: f
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No [] NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 66W
Spillway?:
Designed Freeboard (in): -1 15
Observed Freeboard (in): 17 0�
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a [—]Yes ❑ NA ❑NE
waste management or closure plan?�LNo
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
T Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
S. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement? 9q
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.
❑ PAN ❑ PAN > 10% or l0 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window D. Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):�-L.+��
13. Soil Type(s): �(n js Y-Ac ll/V
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [m No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes TT��'' No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes kNo ❑ 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
bq No
❑ NA
❑ NE
Reouired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No
0 NA
❑ NE
the appropriate box.
Q WUP ❑ Checklists ❑o Design Q Maps ❑ Lease Agreements
❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
Q Waste Application ❑ Weekly Freeboard El Waste Analysis [] Soil Analysis ❑haste Srsfers [•] Weather Code
Q Rainfall ❑ Stocking Q Crop Yield Q 120 Minute Inspections Q Monthly and 1" Rainfall Inspections Q Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Eaci! i Number: jDate of Inspection: '
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
No
❑ NA
❑ NE
❑ Yes
❑ No
NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
� No
❑ NA
❑ NE
❑ Yes]
No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes No
❑ Yes No
❑ Yes No
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
Comments (refer to question ft Explain any YES answers and/or any additional recommendations or any other`commients.
Use drawings of facility to better explain situations, (use additional pages as necessary):
CAS
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
Date:
21412011

Date of Visit: jj Arrival Time: Departure Time: © County: ��[�{.jJI� Region:
t Name: Dl�} G 14-T S7 R a SIC LA/y Owner Email:
Own Name: �i Q�a� l i 1tAQ���Q� �f�� Phone:
Mailing Address: � gj LA_)) LLA(Cn J�6 U__)) LL_ IgCCI,!,
Physical Address:
Facility Contact:
Title:
Onsite Representative:
�1 W-T-
5i2tcs-L4nD
Certified Operator: �St,
%a4T X
. S-rgL)cxL4/VD
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator:
obi I
Certification Number:
Certification Number:
Longitude:
Swine
Wean to Finish
Design
Capacity
C*urgent
Pop.
Wet Poultry
La er
Design
Capacity
C>urrent
Pop.
Design Current
Cattle Capacity Pop.
Da Cow
Wean to Feeder
Non -La er
Da Calf
Feeder to Finish
Q
DairyHeifer
Farrow to Wean
Farrow to Feeder
D . l;oul
Design
Ca aci
Current
P,o
D Cow
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
rH
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turke s
Turke Poults
Other
Discharges and Stream Impacts XNo
1. Is any discharge observed from any part of the operation? ❑Yes ❑ NA ❑ NE
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)?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes [—]No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA [3 NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Facili Number: - Date of Ins ection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: LAAZOC�N
Spillway?:
Designed Freeboard (in): . Q
Observed Freeboard (in): Ll N
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
EYes 0 No ❑ NA ❑ NE
❑ Yes KNo ❑ 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 structures lack adequate markers as required by the permit?
❑ Yes No
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures
require ❑ Yes No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
[] Yes No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 4No
❑ 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):y E2 JC'�
13. Soil Type(s): �QIRJ S K A LM/ A
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
{ No
7[
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No
❑ NA
❑ NE
the appropriate box.
Q WUP ❑Checklists [] Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
Q Waste Application Q Weekly Freeboard ❑ Waste Analysis 0 Soil Analysis ❑ Yaste Tr s ers 0 Weather Code
❑ Rainfall ❑ Stocking 0 Crop Yield ❑ 120 Minute Inspections 0 Monthly and V Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Faci 'Number: - !S9 771 jDateof Inspection:
24. Did thg facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Imhe facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes �{j No ❑ NA ❑ NE
tie 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
�A No NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
❑ No NA
❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
[] Yes
No ❑ NA
❑ NE
and report mortality rates that were higher than normal?
777 CCC
29, At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
No ❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
No ❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
�[
f AI 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 No ❑ NA ❑ NE
Comments (refer to question ft Explain any YES answers and/or any additional recommendations or any other comments ==11.4t
Use drawings of facility to better explain situations (use additional pages as necessary). ; ,
-
w
U'_-3.A.
&I31r,
C111gzjII
CG .--S
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
66 p5 Phone:
` Date: ! { 1
21412011

Type of Visit Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit ARoutine 0 Complaint 0 Fallow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date or Visit: Arrival Time: ® Departure Time: County: un Region:
Farm Name: QQ- M(-k RA Q �7ARm Owner Email:
Owner Name: �W1G 141 A �7 ��CLA�v� LA--)Ph�one: 1j0-0Q?5 y-S(7]
Mailing Address: 12 1 `tip: 1(-L pau LA--)� 1 LL� / uf, C, O LJ�9 -6w3o
Physical Address:
Facility Contact: �- - ` Title:
Onsite Representative: r ,W iwl S"i(z4o(- .A 14 ts
Certified Operator: A. S-FvixcgN-�
Back-up Operator:
Phone No:
Integrator:
L)Olo 99 a93G
Operator Certification Number.
Back-up Certification Number:
Location of Farm: Latitude: = o = =11 Longitude: = o ❑ , = «
Design Current Design Current
Design Current
Swine
bapacity Population Wet Poultry @apacity population
❑ La er
Cattle Capacity Population
❑ Wean to Finish
❑Dai Cow
❑ Wean to Feeder
Layer
❑Dairy Calf
Feeder to Finish l l
❑ Dairy Heifer
❑ Farrow to Wean Dry Poultry
❑ Dry Cow
❑ Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish ❑ La ers
❑ Beef Stocker
❑ Gilts ❑Non -La ers
El Beef Feeder
❑ Pullets
❑ Boars
❑Beef Brood Co
❑ Turkeys
Other ❑ Turkey Poults
❑ Other ❑ Other
Number of Structures:
Discharges & Stream Impacts
Is any discharge observed from any part of the operation? ❑ Yes 10 No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
❑ No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
Wo
❑ NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
XN o
❑ NA
[INE
other than from a discharge?
Page I of 3
12128104
Continued

•- Facility Number: — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes NNo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
Identifier: LA600X1
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): L
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes �'No ❑ NA ❑ NE
8. Do any of the stuctures tack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
❑ Yes No ❑ NA ❑ NE
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes �No
❑ NA [INE
ElExcessive Ponding ElHydraulic Overload ❑ Frozen Ground ElHeavy 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 ❑ vidence of Wind Drift ElApplication Outside of Area
12. Crop type(s)�� SGCN
13.
Soil type(s) \VpYy S 1(_A LM 1 A
14.
Do the receiving crops differ from those designated in the CAWMP?
❑ Yes]
No
❑ NA
❑ NE
15.
Does the receiving crop and/or land application site need improvement?
❑ Yes
No
❑ NA
❑ NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
[] No
❑ NA
❑ NE
17.
Does the facility lack adequate acreage for land application?
❑ Yes
No
❑ NA
❑ NE
18.
Is there a lack of properly operating waste application equipment?
❑ Yes
WNo
❑ NA
❑ NE
.Comments (refer to question #): Explain anyYES answers and/or any'recommendations or any other comments
:Use drawingsof facility "tobetter explain situations. (use additional pages as necessary)
Reviewer/Inspector Name m 1 Phone:
Reviewer/Inspector Signature: Date: 6
Page 2 of 3 12128104 Continued

Facility Number: ] — Date of Inspection 1 A
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 No ❑ NA ❑ NE
the appropriate box.
0 WUP El Checklists 0 Design El Maps ❑Other
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes �d No
❑ NA
❑ NE
El Waste Application ❑ Weekly freeboard ❑ Waste Analysis [] Soil Analysis ❑
V/aste Transfers ❑ A,Aual Certification
El Rainfall ❑ Stocking El Crop Yield El 120 Minute Inspections 0 Monthly and 1"
Rain Inspections G
Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes JXNo
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes No
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes No
❑ 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 ❑ 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 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 ANo
❑ 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 9 No
❑ NA
ElNE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes ONo
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes MNo
❑ NA
❑ NE
Additional Comments and/or Drawings:
bc)lj'T G-a'Qc C '/O 5 Lc flG G 5 (&ZO e •
��fv/it7 a .3a
Page 3 of 3 12128104

Type of Visit aC mpliance Inspection O Operation Review O Structure Evaluation O Technical Assistance I
Reason for Visit Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: (j t Arrival Time: Departure Time: County: UA/ Region:
Farm Name: fY)w2(zA 2 m Owner Email: `- n r�
Owner Name: R Phones: _)- pd 5 -1�J� `7 J _
Mailing Address: q 1�-i UEPj WOLLAGE %ale, p' !g44wQ LO) L 1
Physical Address:
Facility Contact: Title:
Onsite Representative: wt 607' S-1"Cr-l-A
Certified Operator: ► —Nw I QH7 A • S I wcr-cIy
Back-up Operator:
Location of Farm:
Phone No:
Integrator:
Operator Certification Number: 9, 9
Back-up Certification Number:
Latitude: 0 0 ' Longitude: 00[= l
Design Current
Design Current
Design Current
Swine Capacity Population
Wet Poultry Capacity Population
Cattle Capacity Population
❑ Wean to Finish
❑ Layer
❑ Dairy Cow
❑ Wean to Feeder
❑ Non -Layer
El Dairy Calf
Feeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ D Cow
❑ Farrow to Feeder
ElNon-Dairy
❑ Farrow to Finish
El La ers
El Stocker
El Gilts
❑ Non-Laylletsers
ElBeef Feeder
El
El Boars
❑Puets
❑ Beef Brood Co
❑ Turkeys
Qther
❑ Other
❑ Turkey Pou Its
❑Other
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes 0No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
LXI No
❑ NA
❑ NE'
12128104 Continued

Facility Number: i —SQ
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes N No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: , Lqc_ ]C
Spillway?:
Designed Freeboard (in): q-
Observed Freeboard (in): Lig
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance/improvement?
11.
Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes
� No El NA
[I NE
❑ Excessive Ponding El Hydraulic Overload El Frozen Ground El 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) K g (in 1 tj
14.
Do the receiving crops differ from those designated in the CAWMP? ❑ Yes
KNo ❑ NA
❑ NE
15.
Does the receiving crop and/or land application site need improvement? ❑ Yes
No ❑ NA
❑ NE
16,
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes
No ❑ NA
❑ NE
l7.
Does the facility lack adequate acreage for land application? ❑ Yes
No ❑ NA
❑ NE
18.
Is there a lack of properly operating waste application equipment? ❑ Yes
No ❑ NA
❑ NE
Comments"(re&r io question # Y.- Eiplain any YES answers and/or any iecommendations or 4ny other comments
Use drawings of facility to better explain situations: (use additional pages as necessary): �-� "'
_ e ,
Reviewer/Inspector Name 8,4009 hV6 S tZ Phone: 0_ & -
Reviewer/Inspector Signature: Date: Q
12128104 Continued

.1-
Facility—Number: 3 ) - 593 Date of Inspection l
_Required 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 No ❑ NA ❑ NE
the appropriate box. 0 El Checklists 0 Designs ❑ Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes XNo El NA ❑ NE
El Waste Application 0 Weekly Freeboard El Waste Analysis 0 SoiI Analysis El Taste Transfers El #ual Certification
0 Rainfall ❑ Stocking 0 Crop Yield El 120 Minute Inspections 0 Monthly and V Rain Inspections 0 Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
No
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
No
❑ 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
❑ No
V 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 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 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 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 ❑ NA ❑ NE
12128104

ILI
Facility Number
dDivision of Water Quality
0 Division of Soil and Water Conservation
Q Other Agency
Type of Visitpliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit WRoutine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: j 9 % Arrival Time: 3 o Departure Time: County: bt)P L-Ti, Region:
Farm Name: Owner Email:
Owner Name: _
Mailing Address:
Physical Address:
Facility Contact:
Phone:
Title: Phone No:
Onsite Representative: MASQ(L P40L!1_1� Integrator:
Certified Operator -
Back -up Operator:
Location of Farm:
Operator Certification Number:
Back-up Certification Number:
Latitude: = o = I = 11 Longitude: [= c = 6 =
Design Current Design Current' Desrgnz `Current
Swine Capacity Population - Wet Poultry.,Capacity:,Population Cattle Capacity Population
❑ Wean to Finish
❑ Wean to Feeder
I
® Feeder to Finish
$7?
135
a ❑ Farrow to Wean
❑ Farrow to Feeder
: ❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
❑ Layer
❑ Non -Layer
❑ Dairy Cow
❑ Dairy Calf
❑ Dai Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
—
❑ Turkey Poults
❑ Other
-
-
4
-Y L
NumbeV:of Structures.;
DischarEes & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
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 I of 3
❑ Yes 940 ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑NA
❑NE
❑Yes
El No
❑ Yes
� No
❑ NA
❑ Ni
❑ Yes EJ4 ❑ NA ❑ NE
12128104 Continued

Facility Number: --�
Date of Inspection ►►
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier: 0 b06/j
Spillway?:
Designed Freeboard (in): f eJ
Observed Freeboard (in): 2�Sr
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 2/No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes VNo ❑ NA ❑ NE
❑ Yes R(No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmentalWeat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑Yes �E��/No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes RrNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes E No ❑ NA ❑ NE
maintenance/improvement?
IL Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes E No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) 6( 4) 5 C__0
0
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
L-d No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
VfYes
❑ 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
LYNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
(;�No
❑ NA
❑ NE
Comments (refer to: question #}: Explain any YES..answers.and/or any recommendations or`any other_ comments
Use drawings of facility. to.better explain situations. (use additional pages as necessary):
aw�cn_ 14#►r3 146POAT AlT-AtIt `eC A2 , So,0 U,J)D 15 rt., or L rAANAGC
rs �✓nPa.nf� , i.i a qYi vt ►1 GS T o f -t- fl b v,,l ALL Y E,a ri- ,Tu .g i hnR./U ? N �.
a rN U- 4 H A O ar P-•-1 sa hJ 1'61t' - f �-
(-c►2v_T&C' MkNTS Nocpooc . CoNIAcr ZN EG/�A1`0 �2 f}U'"S,i_oc SO(J�(�6
STsT Ck /a(�n,s uJ drt. Aew-4. MEN j' SE ttiV rC6 S, lLoa.J Vf TU Lb
Reviewer/InspectorName JoAd Phone: [[Q1o�711_I�
Reviewer/Inspector Signature: Date: I 0&
Pace 2 of 3 12128104 Continued

L+ ~•� r S
1. L
Facility Number: — Date of Inspection it
Reauired Records &_Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to havvecomponents of the CAWMP readily available? If yes, check
the appropriate box. WUp [] Checklists ❑ Desi gn ❑ Mans
p El Other
0 Yes ❑ No ❑ NA ❑ NE
1 Yes ❑ No ❑ NA ❑ NE
21.
rovement? If yes, check the appropriate box below.
Does record keeping neeZeekly
Yes
❑ No
❑ NA
❑ NE
El Waste Application Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Annual Certification
WRainfall EfStocking E3 Crop Yield ❑ 120 Minute Inspections emonthly and V
Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
N❑
NA
El NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes❑
7No
NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
LE,Kes
❑ No
El NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
L✓J Yes
❑ No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
ONo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
Ld 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
O 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
�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
El Yes
[2 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 13 No ❑ NA ❑ NE
33. Does facility require a follow-up visit by same agency? a Yes ❑ No ❑ NA ❑ NE
Additional Comments and/or Drawings:
Page 3 of 3 12128104

Type of Visit 0 Co 71
Hance 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: I p a1 0 Arrival Time: D Departure Time: County: Region:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: M>�SJdz tMJ(L�A`�
Certified Operator:
Back-up Operator:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: = c = 6 = Longitude: = ° = 6 =
11
Design
Current
Design Current
Design Current
Swine Capacity
Population
Wet Poury Capacity Population
Cattle �y Capaci`tyPopula#ion
❑ an to Finish
iry Cow
❑ can to Feeder
iry Calf
® Feeder to Finish
/0
Dairy Heifer
❑ Farrow to Wean
Dry Poultry)
El Dry Cow
❑ Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish
❑ Layers
❑ Beef Stocker
❑ Gilts
❑ Non -Layers
❑ Beef Feeder
❑ Boars
El Pullets
❑ Beef Brood Cowl
❑ Turkeys
Other
❑ Turkey Poults
❑ Other
Number of StructuresEl
❑ 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?
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 M No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ N
El NA
[-INE
El Yes
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
12128104 Continued

utility Number: 3 ) — sq3 Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: CA&-o-c' "I-)
Spillway?:
Designed Freeboard (in): Get
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
CJ 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
ZNo ❑ 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
�o ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes
2 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 El Yes
��/
L/J No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑Yes
CJ Na ❑ 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 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) QEnLnr-U Y-?A ( 0)
13. Soil type(s) C5
14, Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
eNo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
ZNo
ElNA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination%❑
Yes
Q No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
ZN
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
VN
❑ NA
❑ NE
,z.) oPoArc- CR-ow Y.ZCup Foaw. moST pU ITrJS�EGT a AMr-- 2F�YN�A
14AO Copy 04 WUf AT SSK , C)Vjjm Hps MOVED 00) lafl'Y f"W"
`_)pc ,/�;vs SPA L'T�o�•
Reviewer/Inspector Name you ri Phone: �'L/b 7q(,- c2to
Reviewer/Inspector Signature: Date: / 6 2K7
12128104 Continued

-Facility Number: —�� Date of Inspection t) o
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 appropiate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
❑ Yes [3 No ❑ NA ❑ NE
❑ Yes 24o ❑ NA ❑ NE
2 1.
Does record keeping need improvement? If yes, check the appropriate box below.
Yes
❑ No
❑ NA
❑ NE
❑ Waste Application ❑ Weekl Freeboard ❑ Waste Analysis ❑ Soil Analysis ElWaste Transfers
[IAnnual Certification
❑ Rainfall ElStocking &Crop Yield El120 Minute Inspections Lr Monthly and I"
Rain Inspections ❑
Weather
Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
[3,(No
El NA
El NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
ElE Yes
No
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
L7 NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
El No
ENA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
ON o.
[�] NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
/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
E? o
❑ 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
,,��,, //
12'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
O No
❑ NA
[:1 NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/]nspector fail to discuss review/inspection with an on -site representative?
❑ Yes
U o ❑ NA
El NE
33. Does facility require a follow-up visit by same agency?
El(,�'No Yes
❑ NA
❑ NE
Adciitionat-c'.O nments and/or Drawings:,
12128104

Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up Review
Notification O Other ❑ Denied Access
Facility Number
Date of Visit: S o Tune: 3 3 0
3 i -5
O Not OpemfionW O Below Threshold
0 Permitted [3 Certified © Conditionally Certified 13 Registered Date -Last Operated or Above Threshold:
Farm Name: .. _ ._ a M g3,fa A. e ru Ln. _ County:
Owner Name:
Mailing Address:
Facility Contact:
_. — ' Phone No:
Title: _ ..._.,... Phone No:
Onsite Representative: "NAI- `� . Integrator.
Certified Operator.
Location of Farm:
_._ Operator Certification Number...... _
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' u Longitude e 4 �u
Dew Current
z Desega Current - arrant
Swine ' "oa
;Tr f�
tdeon.
_ = 'Po
riP00
:Po tiani.
Wean to Feeder
Layer
Dairy
Feeder to Finish I,Sqdb b
rK Non -Layer I
I Non -Dairy =
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
{ r
r :Total SSLw'
Num)bter o Lis
Discharges & Stream acts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ZOther /
a. If discharge is observed, was the conveyance man-made? ❑ Yes 2rNo
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? /O lM 5 4 �^^
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 E3/No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 5
Identifier -
Freeboard. (inches): w
12112103 Continued

Facility Number: 31 — 593 Date of Inspection T o
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes ❑ No
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 rnaintenancefimprovement? ❑ Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑Yes ❑ No
elevation markings?
Waste A heation
10. Are there any buffers that need maintenancerunprovement? ❑ Yes ❑ No
1 I _ Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes ❑ No
❑ 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 ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement? ❑ Yes ❑ No
16m is there a lack of adequate waste application equipment? ❑ Yes ❑ No
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ❑ No
19. 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)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional ❑ Yes ❑ No
Air Quality representative immediately.
-
Use drswmgs bfafsc�tyato�bctter ��srmafro�s. (uaddx6maa! pages �ry� Field Copy ❑ Final Notes
Wr+TER fEEn t..lr-ke =.o taoc- M-US6 z fe®1 43'' 9E6a LArAC apace- ANo WA
s4d
Oh>ro SLATS ArJ9 y,SAL—K WA `e -114 L>J 593A-L l S67 6U 1- Cif- f n-bA%T" , � Oo dff Ztdt.,
iZA,'j �1T6 f�C LA lr 7 c� . (-
(ZyN3 PA2Au.i-- L. T(s sit AYE .it-rc-fl. QZyr— (--5 CzoSJ FAT85 o¢C eR Wf KT Q oao
Zq_(e ee,TP 4-a a-+v AT �fA N1 14-7'a q jk ✓D 5pM I q-7 f °
(4rT►E6L 01PC TA`C CU&-tsuU, BLOCk-Co F�S4EL0 t-X cQA
q 3, Av, ,. -Ljgloq, Dws(%Nfi OALU D �al3s��1 SEA S s�R�z��
Q-e -r,� 6 O `i H mac ZO�00 GCS L t6 � ' M fct, m f s6k j
DWG �a�zsz.%v� ►�c7�M 1�$�Dy P#)D A;SkE9 fo (Zf-M6V(,
GPM hj obo (5-Au',) l b PIWO W
3 l� � 5`��T6 foTAL R6iVabliAU 0�
pe�' . N�+� *-�`' u� s�,J -W
Reviewer/Inspector Namle
ReviewerAkwpector Signature: Date: 1219 16A
lL/1L1VJ Lor" fgm

Facility Number; —.ter Date of Inspection
ftuired Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
❑ No
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
Oel WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
23. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
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?
(ie/ discharge, freeboard problems, over application)
❑ Yes
❑ No
27. Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
❑ Yes
❑ No
28. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
❑ Yes
❑ No
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
32. Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
33. Did the facility fail to conduct an annual sludge survey?
❑ Yes
❑ No
34. Did the facility fail to calibrate waste application equipment?
❑ Yes
❑ No
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below_
❑ Yes
❑ No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
12112103

Type of Visit CAS Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine - O Complaint Q Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date or visit: io u Tune: 230
Q Not Operational O Belo w Threshold
Permitted E�CertiSed [3 Conditionally Certified D Registered Date Last Operated or Above Threshold:
Farm Name: - ( 6. (" u f - t A y ua C- rR -!v- _______ County:..,....._ Dy Pulr-� __ ....�
Owner Name:
Phone No:
NUding Address:
Facility Contact: --- _ _ _ ._...._. _..... Title:..___._WPhone No:
Onsite Representative: MAI- MUft 12 A� . Integrator:
Certified Operator. _ __-------_-------- Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • I is Longitude • '
CnTent
S�t1e _ PO hon
Farrow to Wean
Farrow to Feeder
Diwlamo $ Impacts1. Is any discharge observed from any part of the operation?
Discharge originated at: [I Lagoon ❑ Spray Feld [I Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2_ Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Id f er 1
❑ Yes [3/No
❑ Yes ❑ No
❑ Yes ❑ No
zoEl Yes
❑ Yes El No
El Yes ['J
[
❑ Yes M-No
Structure 5
Freeboard (incites): 2
12/12103 Continued

Facility Number: 3.J —ff3 Date of Inspection a 2t
.5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
['No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
❑ Yes
�No
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
&R<0
8. Does any part of the waste management system other than waste structures require maintenancerimprovement?
❑ Yes
�<
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquidlevel
❑ Yes
Zo
elevation markings?
Waste Application
10. Are there any buffers that need maintenanceJimprovement?
❑ Yes
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ yes
�Nt
❑ Excessive Ponding ❑ PAN ❑ Hydraulic ❑ Frozen Ground ❑ Copper and/or Zinc
lOverload
12. Crop Lyre gEQ_Jti►lk l;� 1 ,Sr,=,0 _
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
Urf o
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
l.dnro
b) Does the facility need a wettable acre determination?
❑ Yes
Idq
c) This facility is pended for a wettable acre determination?
❑ Yes
15. Does the receiving crop need improvement? ❑ Yes 01 i�o
16. Is there a lack of adequate waste application equipment? ❑ Yes 01<0
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ yes Biro
liquid level of lagoon or storage pond with no agitation? -1-11
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ❑ No i
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes
roads, building structure, and/or public property) ;-N-o
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional ❑ Yes
Air Quality representative immediately.
P�x.� 5mca.—. �.= .'94
3.Comments (referto oa #} x�gy�Y1�fi aaess and/or ar other c�m�ent�.
�.q" aaye -
Use +drams o� 1aciT#y to l explarn adcitttDasl pages as ;3')• Field Copy�Mal Notes `
P,et~ a -T° 2 M oe atx) 6 C NA I` Fk-z rq Fr zn,
U-0-T-ICIG4t& a C CvVt &AG-(_- AND Pap= Oiecp t> g,.. r4-Vfl dZ� APPL1
.21.)
Pen-rn.il
9:u) wup NE��S Ya �tE rt r_6,rc�S,
- t --�
Reviewer/fi spector Name
w _s_ _ I .
Reviewer/Inspector Signature: Date:
12112103 Continued

)Facility Nnmber: 3 — 5` 3
Date of Inspection I
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
23. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
25. Did the facility fail to have a actively certified operator in charge?
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
28. Does facility require a follow-up visit by same agency?
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
32. Did the facility fail to install and maintain a rain gauge?
33. Did the facility fail to conduct an annual sludge survey?
34. Did the facility fail to calibrate waste application equipment?
35_ Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below_
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After V Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
Yes ❑ No
0 Yes ❑ No
❑ Yes l� o
❑ Yes 31v0
❑ Yes Q4
❑ Yes No
❑ Yes
C'N
❑ Yes�Lni
Yes
We
0'iu��
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
12112103

t
Type of Visit JO Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit f4 Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
[late of Visit: E91Time:
Facility Number
QN00perational QBelow1hreshold
fifiermitted O Certified O Conditionally Certified ©Registered Date Last Operated or Above Threshold:
Farm Name: County: �L��Lz/►/
Owner Name: _ „_OQ U�'i Phone No:
Mailing Address:
Facility Contact: /Title: /J Phone No:
Onsite Representative: 4&04 �� - _ - - Integrator-l1i,4=1 ZS
Certified Operator: Operator Certification Number:
Location of Farm:
0 Swine ❑ Poultry ❑ Cattle , ❑ Horse Latitude ' �• r " Longitude '
�Currenr � -
Other
-Holding=lPot�itls
Discharges & Stream Imoacts
l . Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
Area 1LJ Sprav Field Area J
❑ Yes No
❑ Yes ❑ No
❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches): 20
05103101
❑ Yes
❑ No
❑ Yes
No
❑ Yes
No
❑ Yes
VNo
Structure 6
Continued

r
Facility Number: — Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed?-(ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need 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 applicati? ❑ Ei&�Axcess e Ponding 0 PAN Hydraulic Overloa
12. Crop type M o J $lr1
13. Do the receiving crops differ with those des gn ted 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 Regis &_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 No
❑ Yes No
❑ Yes No
❑ Yes (� No
❑ Yes No
❑ Yes VNo
❑ Yes �fNo
❑ Yes No
❑ Yes No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes V.
❑ Yes YNo
❑ Yes JNo
❑ Yes
Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
�dNo
❑ No
�No
ONo
�No
�No
�No
�No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comtnents'(refer to;quesfraa) ,Expiate any YES answers audlor,any'recotaatttendatEons ar say.,other comments.
Usedrawrags of facility to lietber explain sttvattous (etse additional pages as necessary) IM Field Copv ❑ Final Notes
_
6r Sk r
moo,+ Speo4%f IAEr1ll�lJz1>l4'
NaAI 6G�Zrnuo6
Reviewer/Inspector Name "
Reviewer/Inspector Signature: Date:
O5103101 t Continued

4.-1
Facility Number: Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ElYes XNo
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes L.Q No
roads, building structure, and/or public property) //
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes �] No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or /
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes /�j No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes xNo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes /❑ No
Additional Uomments and/or Drawings:
/t/�,�p l� gE ���uGa92 �,�/ ��--kz,�l� l�i4StE ✓��mP�
e,V,, � �
�` J �
22
05103101

Facility Number 3 l S 3 Date of visit: � Time: I 10 357
Not Operational QB,IowThesh,ld
[3 Permitted E3 Certified ©Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: I 1 a ' er M Vfr R Ho rqf e^ County: :Q W %,,
Owner Name: m ct + d ry r r Phone No:
Mailing Address:
Facility Contact:
Title:
Onsite Representative: m Urta..j 14o wAf of Hots ot,
Certified Operator:
Location of Farm:
Phone fNo:
Integrator: t4lry 1 r S
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' K Longitude ' '
Design Current
Swine Ca achy P,o uEation
❑ Wean to Feeder
❑ Feeder to Finish
Design Current
Poultry Ca achy P,o ulation Cattle
❑ Layer ❑Dai
❑ Non -Layer ❑ Non -Dairy
Design Current
Ca aci P,o ulation
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Other
Total Design Capacity
Total SSLW
❑ Farrow to Finish
❑ Gilts
El Boars
Number of Lagoons
Bolding Ponds 1 SoGd Traps
❑ Subsurface Drains Present ❑ Lagoon Area ❑ S ra Field Area
JE1 No Liquid Waste Management System
Discharges & Stream• Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lap-oon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & ]'reatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
❑ Yes [:]No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Structure 6
Identifier:
Freeboard (inches):
05103101 Continued

Facility Number: 3 1 —SO13
Date of Inspection 'L
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 maintenancelimprovement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
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?
(iel discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
)eyes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes [:]No
❑ Yes [:]No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes [--]No
❑ Yes �No
❑ Yes ❑ No
❑ Yes ❑ No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments {refer to.gti stioo €t I Espla any Y1 5 savers and/orr ny r ommendahon r any other comments'.. .:
Use drawEngs of:f tlity er ex' I" s'tuations..(use addittiii al pages as necessary) .
{ ❑ Field Copy ❑Final Notes
.._
ITJ, i.S iy,Sre r--1)e+-% tjAs der1e 4e. 4b Ser%le MDG(,.Ai Ceti--:Orts wh;d l ve Lee'.
..made 4o 41no s7s4een 4o Aou,r sprIrLkleric 4,-o.�.
a lYir� was-�c w,4k,',i 200 lee4 off' res Ae► 4et ►ze4 Owned 6`�
r .1't'I 0 r-"4 Orl e s p k le,. was re1 o r_44 e d cmA A -h4n 1 D F' f cs cr
rVi44e,
hozz]e dig Gh�� Jces Were „i
A lse, a new waS added ;wt-ime4her otee, Or- tw reh..
Reviewer/Inspector Name 64-_,
Reviewer/Inspector Signature: Date: /D
05103101
M,qy Ia12,00ZContinued

Facility Number: 3 ] -;5q3 Date of Inspection O
dor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of property within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Additional CdFnmehMandlor. Drawings:"; 1
�. So►^^c off' 4�e e ;str-.Y c,re j eqr 4kle tri e!a1S -Th[se
r1"sers read ad be level 4c e�svre 4kQ4 Ae4 mAke- VrtiAo-r-.
apol; e;1 1'C'Y1s. 1
05103101

fw'
(Type of Visit © Compliance Inspection O Operation Review O Lagoon Evaluation I
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 31 gg3 Date of Visit: 9/19/2401 Time: 13:48 Printed on: 9/20/2001
Not Operational O Below Threshold
® Permitted ® Certified © Conditionally Certified 0 Registered Date Last Operated or Above Threshold: ...
Farm Name: N.[ttiox.Xvxray.HQgXerm..................................................... County: J)WjU ------------------------------------ WIFO--•
Owner Name: kNaiQr_------------------ MurrAu--------------------------- Phone No: Q�Q-�$5=5X23------------------- --- - -
Mailing Address:1Q.!!<;ixei.Qfl................................................................................... WAI>A~cse...N.C........................................................... $6(..............
Facility Contact: ...........................................................Title: Phone No
Onsite Representative: 1.VlliuMurrAX------------------------------------- Integrator:�aTrAll')�4DsIQ�.---------------------•
Certified Operator:MUpir..................................... MurrA y............................................ Operator Certification Number: t87.77..............................
Location of Farm:
East of Wallace. On North side of SR 1940, 1.5 miles Southwest of SR 1941. +
® Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 34 • 43 07 u Longitude 77 • 57 , 38
Design Current Design Current_ Design Curren-
Swine Ca actt -=Pa ulatton :Poultry _- Capacity Population Cattle Capacity Population
❑ Wean to Feeder
® Feeder to Finish
1154
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
LUOther
Total Design Capacity
Total.SSLW.
Number of Lagoons __ i ® 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?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gallmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
❑ Yes ❑ No
❑ Yes []No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: a ............. ••----.......................... ............... _........ _............................. ...........................
Freeboard (inches): 28

t.ununueu
Facility Number: 31-593 Date of inspection 9/19/2001 Printed on: 9/20/2001
M
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
❑ No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
❑Yes
El No
any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement?
M Yes
❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
❑ No
16. is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit 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
❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
❑ No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
M No
24. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
In No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Corniments (refer to question'#} lExp:answers
l: ii any aa ndlor ny recommendat►ons or any other comments
:Use drawings of facility to better explain situations (use additional pages as necessary)
❑ Feld Copy ❑Final Notes
10. It appears that at least one of the sprinklers will spray closer than 200 feet to a dwelling not owned by Mr. Murray if it is operated as
it appears to be designed. A followup needs to be done to verify distances and assist with making any necessary adjustments to spray
operation, waste utilization plan, record keeping, etc.
16. Continual maintenance or permanent stabilization of sprinklers is needed to prevent them from leaning. Permanent stabilization is
recommended.
19. Record keeping is improved since my last visit.
Reviewerllnspector Name StSt Maths q
all
Reviewer/inspector Signature: Date: Z� B

r r�+�v .•A : t777 lc -r~I r�yvts�rtrttn t f [' � t NO. td1Z P. Z/Z
.P .�
is aI
i aendment to Include S&WCC Chronic Rainfall Practices and Standards through Xarrh 31, ?,t34Q
f
1. If this facility can comply with its existing permit and CAWMP it must do so.
r l' " _' - 2. Temporary Addition ofNew 5prayf olds ) (Check appropriate boxe.) -
I . ; ..
A, acres of cropland. List crop types used:
~'0 B. aces of h=dwood woodland aQ 100 lbs PAN I ace added.
acres of pine woodland added @ 60 lbs PAN / acm added.
3. Summer P=mni3l Crass (Check appropriate box.)
6 A. Application window attended for acres of perennial grass uanl first kMb g frost
ka An additional 50 lbs of PAN applied to rl ,S aa-z of perennial grass prior to killing frost.
'. 4. PAN Application Ina -3cd for Small Grams $ Wuuer Crasses to be ha rv--tCd. (Check approprLuc b=)
P 4'1 anplic2tiesi intreasc3 up to 20O lbs per acne for aces of small grai s or wins gmsa to be Isrwacd.
; . PAST application increased up to 150 lbs per acre for 1. 4 acres of oversecded summer perazial iuclud-4 is 3. B.
.. a. Wrier Analysis (Cheek appropriate bm)
0 A. prior to December 1II, 1999 the calculation of PAN will be bas—ed on a 35% reduction of the last malysis taken
prior to the first 25 year 24 hour storm event (Cmreat %-z a analysis must be used after Dec.I' .)
Ems. Use current waste analysis to decerminc PAK
6. Required - Maximum Nitrogen utilization Measures for Small Grains and Winter Crasses.
A. Use of higher seeding rates,
B. Timely harvest of forage to increase yield, and
C. Irrigating during periods of warmer weather.
7. 12ealuired - Irrigatien Mamabcmeat Tec`nzriques to Reduce R=off and Pondmg Pot=r6I
A- A+ialcing frequent, light irrigation appiicarieas, and
B. Not =' -*9 ' ';immediately bcfare prz4aed iainfall.
8. Th-- own= I menage`- is regufr: 3 to manage the movcm= of animals to and from the fact y to M in;rn i euvkot=aztal
impa ; nstae compliance with the faci-liVs permit and, amended CAWMP, and avoid discharge to sta;.= wat.^'U
9. Au:hsszaiion to use he additional practices included in tits maetdrnem expires if a &cility discbar^s to s rL= waters.
Any dischar_e is a violation and may result in an =forc-mmt action.
10. The owner, / open —tor is required to keep r=ords of all was..: applications.
11. This rev; --ion must include a snap or skach of new land application areas.
Ser : tl 3
Facility Name
•� ' " tll�;c� It'tti�•-r I �,�-.n.;, !� lea � c,ct.�� L. o -
Fz6liry Owner / pia zgc Name (PRINU Technical Sp*alist Name (P1LLNM
. .t 1 11r}�t. � !•lli�� �.:i,n.,tfx���:.:.ci.C�•_�,�
1 ' r Faciiliry Owner/ Mzmag_: 5ignarure U TechniBnpeciaBst Sign=--
` ; bate t 1 1 L `Oti �i Date !
This document must be filed at the SWCD office and be attached to the facMti4jCAWMP
' and be available for inspection at the facility.
:: (*�Nrur'tempo: a-y sp aytields =us7, me"- applicable buffer and setbwl, r:quireneats Waste tout not be aaoiied to glands.

a 9 1 s DIYISIWI of Ater w t�
V: ' Q Division'Of Sag and' Water Conservation r F
F;S.O.Va A.. S :!X 3... C.,hr.� P:&"'1' ''� Y '� `
-
Type of Visit jeCompliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine OComplaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number I S- Date of Visit: 0 Time: / dp
7 Not Operational Q Below Threshold
Permitted [3 Certified [3 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: ......... ....
FarmName: .............. R . °'....... - r ^ ........©. rG �..... County:.........v� �.... ................. -----......................................� ._.....
yyyy��
OwnerName: ............... .r^..4.R.r... .'..'.1.Y if.....`......................................................... Phone No: ................................................ ..........................
_»..
FacilityContact: ..................... :........................................................ Title:................................... ............... Phone No:
Mailing Address:
Onsite Representative: _a emu . ... I � rr}} ._.. Integrator:
J-----�
Certified Operator: ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
a
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �' 0° ��� Longitude �• �� �«
Design Current Desi ' grt Current Desigrif-- CtiEr`rent
Somme Capacity Po ultin Poultry- do. Cattle Ca ci Po elation:
❑Wean to Feeder ❑Layer ❑Dairy
❑ Feeder to Finish 10 Non -Layer I[] Non -Dairy
❑ Farrow to Wean
Farrow to Feeder ❑ Other
❑ Farrow to Finish
TotalDesign Capacity
Gilts
❑ Boars Total.SSLW
_ 'Number of Lagoons Subsurface Drains Present ❑ Lagoon Area ❑Spray Field Area
.Holding Ponds I Solid Traps 10 No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in gaUmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3
Identifier: I ................... .................................... ........... ............. .....
Freeboard (inches): 32
5/00
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑•No
❑ Spillway ❑ Yes ❑ No
Structure 4 Structure 5 Structure G
Continued on back

Facility Number: 31 —S 3 Date of Inspection 1117 fitO
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ❑ No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement? ❑ Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ❑ No
9. Do any stuctures Iack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ❑ No
11, Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ❑ No
12. Crop type -
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement? ❑ Yes ❑ No
16. Is there a lack of adequate waste application equipment? Yes ❑ No
ReQuired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes ❑ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes ❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) Yes ❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ❑ No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ❑ No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes ❑ No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes '�,ffNo
24. Does facility require a follow-up visit by same agency? ❑ Yes [:]No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
T Y10A(i4t4s:ol- defejenob' -*"re pate$ ilia ih th�SA it; • Yo>� w�� �eeeiye 40 �u>�ther
caries tierce: abouti this visit`
Coenls (refer -.to question #) :ExplWa any YF.S ansiivers`andlar a>ty_recominendations orany oilier comments.s-.
xi
Use-dra�nugs.o€faeihtyto better explaimsituahons. (use addrlional pages
a
T eanduc4c,!A 4h:s 111srec4;0V) ',"l CesTar)Se_ 4,9 OL, Ga."Arl";4f 411':(_� A,
17og was4e W S _rpraited cO 4� e ��f�^, . dl d yre j 4a k e f /ie Co+„l I���I
G.111 ) 6 6V+ � ws 44v,-sed q� f q rje; /Thor wars ce.,,,
t"xtl�e Was, com;"� ovl �� -fie v3ei5�1 bar'f l��d. Wl ►'I?v,ra
5ror'a r n q ham( 'D (.,u �i ed •Fa - et Ace-4 4, --'l e on -� e -/'i eld e (z' J } 44 e ✓je,'S b o,-'
eqr i;-taJJo(��. S �ns�ve c-Eeri -F�,e P�.,y,e-fe .- P�' �,e �( re J,A 'red E;etd a'Aa(
�aLt+nGi rlo ev,ce a-C wA-f4e Cr has:-')4jTp le-f4-ke sofa ;eld,
Reviewer/Inspector Name pnet.l�-Lt; :s _ # -
Reviewer/Inspector Signature: Y Date: ��/ % f 5100

Facility Number: 31 —5713 Date of Inspection I O
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ❑ No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ❑ No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ❑ No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ❑ No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑ No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? 0 Yes ❑ No
Comments an or;;wings::.- -
//Additional,
1 !
1b . Need 40 �;x .���+ nki2r'S �124� G;ee leQn #A ; S-4c, '+!.[ 1JP
��.� and -��lce 'y1��5Ur�5 �O frev¢v)4 ��- ,,,� "o,,,, lren-i,
1. �1'lcinrt0� �h�S ���fTf ✓. l�v�ray �%!'it'['S do,,,l
_t�
a�W11ePI —Tro�i^ dC6V5 AV)d71've�� Tken*. - D �/' ojnd S6--�
%Q-t Shs,naAq�
V52S P52 Dd4 ��P i/��R I-eeq . 1-
e Gurre►t.`[ O eld yIOT@S 1p11e be-r7 M;spkteeel W are soAewhe✓-e r�l
hem G�ause. Ake, 46e �rree6ard Irco,-4f hgV2 170- beel vPdafed-s;.►ce
,qPr)l 2ov- Need -o beep al/ r'eGords t1rdg4ed Qpl. q Gor�;nt,or�S
1 ����Q�e bA5 s Rnd A� all reco,45 ;,7 a secure �aca��a� an�
t-)Aye Ae-i readily Q uq/*/a6/e .
5/00

T
of Visit JO Compliance Inspection O Operation Review O Lagoon Evaluation
(Reason for Visit �& Aoutine O Complaint. O Follow up O Emergency Notification O Other ❑ Denied Access I
■ ■■■WWII -- WgWI -_ __..
Date of Visit: 2[ t7 Time:
Facility Number 3
Q Not Operational 0 Below Threshold
13 Permitted 13 Certified 0 Conditionally Certified [3 Registered Date Last Operated or Above Threshold: ..-_-... ... _....
Farm Name: ........a.•a.f ..v�......Lt�...G1.� �^.........................
County: ..41�!''S......................... .......
..-
OwnerName..............MC6e.r......1*/ --ref .........................._.................... Phone No:.................................................................................. U.. .I.. ..
FacilityContact: .......................................................................--...... Title: ....................................................... Phone No:
MailingAddress:..............................................................................
Representative: l`,1Aj d. ..lj.11 ✓rrlr!1. ''! !��2111�j.. ,✓..r Gf lIntegrator:... -' t ' 1+ �S
Ons�te Repr ! !................................................ ............
Certified Operator: ................................................... .............................. . ............................. Operator Certification Number:............................. . .
Location of Farm:
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �* �� ��� Longitude �• ����
Swtae e Design, Current Design Cut•renf Design Cnrresttt
r : ,Poultry Cattle
Ca aci Po ulationCa Po ulatoa
Wean to Feeder ❑Layer ❑ Dairy
Feeder to Finish I SLJ 10 Non -Layer I I Q Non -Dairy
❑ Farrow to Wean
Farrow to Feeder ❑ Other 3
0 Farrow to Finish TOW Desi& Ca 8ci
❑ Gilts P tY.Y
❑Boars 'Total SSLW:
_.
Number of Lagoons ❑Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holdrg Ponds,/5otid Traps . :. ❑ No Liquid Waste Management System _.-
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes A No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ONO
b. If discharge is observed. did it reach Water of the State? (If yes, notify DWQ) ❑ Yes zp,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 ONO
2. Is there evidence of past discharge from any part of the operation? ❑ Yes 10 No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ZINo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes _;2'No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ............... I .................. .................................... ................................... ................................ .
Freeboard (inches): 2.
5100 Continued on back

Facility Number: 3 1— Date of Inspection f71 Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, [:]Yes ONO
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes � No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes eNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes -ffNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ONO
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes _0'No
11. Is there evidence of over application? ❑ Excessive Pondingpll�AN ❑ Hydraulic Overload &Yes ❑ No
12. Crop type Re, P Lit VA c- l 7 "�
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 RfNo
b) Does the facility need a wettable acre determination? ❑ Yes P?No
c) This facility is pended for a wettable acre determination? ❑ Yes J?fNo
15. Does the receiving crop need improvement? 1,0Tes ❑ No
16. Is there a lack of adequate waste application equipment? ❑ Yes ffNo
Reeauired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes _ONO
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 A!fNo
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) Yes ❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes&No
21 _ Did the facility fail to have a actively certified operator in charge? ❑ YesNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes -No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes _ 2No
24. Does facility require a follow-up visit by same agency? ❑ Yes j'No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes JzNo
N' violaiiot s :or def cieucies were noted du�:irig #his'visit; - Y;oit will i eceiye lid fufther
,correspondence. about. this visit. ' • • .
Comments (refer to question.#)-- _ Explain any YES answers and/or any recommendations or.anyother cornuients.' - U
Use drawings of facility to better explain situations. (use additional pages as necessary):
l �r-t e ✓ e- wa-c So w e a v�� ✓�o,'o�[,` cct� i o'-, Of ►? 1 ,roc, d r� opt 4 he -110 00 - A.
tom. Wor'[. 1A ~r no�6efwe✓da ve5�Te� 1oh a►�lp be�ke eS4Gb1t'SA
be-'wtvdg ;►� some �1reGs o� �� ���lG ,
1q. 1<eejo -r-reebeo-cl recofds u,eeokl y, Vse 44e peoloe'' her1'nv11'".;V*j
Nlewr-h ee oh 44e �/—F-,ez— 7,'s• Ose a wasl c CIng1 s;S dw� W.-fhI'n
C:Od� s or n liCq-��'a,'1 ev&4s an Ac �/W- Z 15
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: V S/pp

Facility Number: 3 Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below ❑ YesVrNo
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes YNo
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ;2'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 PrRo
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 _;2rNo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
tto omments an or: rawtngs:
A6I
5/00

t
State of North Carolina
Department of Environment
and Natural Resources
Division of water Quality.
.lames B. Hunt. Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
September 15, 2000
Mr. Major Murray
Major Murray Hog Farm
399 River Road
Wallace. NC 28466
pro
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Inspection Report
Major Murray Ho- Farm
Facility Number: 31-593
Duplin County
Dear Mr. Murray-:
Please find enclosed a copy of the inspection report for the inspection performed on
9/24/99 at your facility. If you have any questions concerning this matter, please do not hesitate
to contact me at 910-395-3900 ext. 203.
Sincerely,
y-Y✓I
1
Stonewall Mathis
Environmental Engineer
enclosure
cc: Vl i'lmin�_tora V e
127 North Cardinal Dr.. Wilmington, North Carolina► 2840; Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50 recycled/JO% post -consumer paper

`'t
Facility Number t Date of Inspection
Time of Inspection 24 hr. (hh:mm)
Permitted E Certified Q Conditionally Certified p Registered 113 Not Operational Date Last Operated:
Farm Name: Majar..Murray.HDg Farm........................................................................ County: Duplin WIRO
Owner Name: Major ...................................... Mmrr2y ...................................................... Phone No: 285-.6193........................................................ ............
Facility Contact:........................................................... ....Title: .... Phone No:
Mailing Address: 399.Rixer.Rd..........................................................................................Wa[I.ace...N.C........................................................... 2846fx..............
Onsite Representative: Uajor.Alm xaA�........................................................................... Integrator:,Carxtlll's.F.ottds..jtxc............................................
Certified Operator:Dl.ajorE................................ Murray............................................. Operator Certification Number: 10.7.?....................... .....
Location of Farm:
Latitude i —j• L� 1 Longitude , • 5 ®
-Design 'Current
-Swine Capacity 'Population
10 can to ree er
IV, Feeoer to Finisn
74
r,] Farrow to Wean
Furrow to eed Fer
Farrow to Finish_
10 Gilts
z7 —Boars
'Design urrent Design _ Current
Poultry. Capacity Population. °`:Cattle . _ =Capacity Population
LaverILi airy
Q on- aver p Non -Dairy
© Cher
Total DesignfCapacity. 1,154
Tot I,S :L ,v 155,790
-Numberaf Lagoons Subsurface rains resent Ip Lagoon Are a ® pray se Area
:Holding Ponds / Solid:Traps' '= G No Liquid Waste Management system ^
1)iccharveS cE- itream imnacYc
1. is any discharge observed from any part of the operation? p Yes p No
Discharge originated at: L! Lagoon ❑ Spray Field [3 Other
a. If discharge is observed, was the conveyance man-made? p Yes 13 No
b. If discharge is observed, did it reach Water of the State? (if ves, notify DWQ) Ci Yes 12 No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notif} DWQ) p Yes p No
2. Is there evidence of past discharge from any part of the operation? Yes Q No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? E] Yes 13 No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway p Yes DNo
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure b
Identifier: I
Freeboard(inches): ...4?..................... ..................... ........ .................................... .................................. I ..... I .............. I ......... .............. I.........................
5. Are there any immediate threats to the inteQrit-,, of any of the structures observed? (ie/ trees, severe erosion, 0 Yes Gs No
seepage, etc.)
3/2319° Continued on huci:

Facility Number: 31_593 Date of inspection —TUM —1
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes 13 No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? p Yes 13 No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? p Yes p No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? 13Yes 13 NO
Waste Application
10. Are there any buffers that need maintenance/improvement? p Yes p No
11. Is there evidence of over application? ❑ Excessive Ponding p PAN p Yes p No
12. Crop type Coastal Bermuda (Hay)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? p Yes p No
14.
a) Does the facility lack adequate acreage for land application?
13Yes
13No
b) Does the facility need a wettable acre determination?
p Yes
p No
c) This facility is pended for a wettable acre determination?
p Yes
❑ No
15.
Does the receiving crop need improvement?
p Yes
❑ No
16.
Is there a lack of adequate waste application equipment?
13 Yes
p No
Required
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
p Yes
p 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.)
p Yes
❑ No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
p Yes
p No
20.
is facility not in compliance with any applicable setback criteria in effect at the time of design?
p Yes
❑ No
21.
Did the facility fail to have a actively certified operator in charge?
p Yes
p No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
p Yes
p No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
p Yes
❑ No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
p No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
p Yes
p No
Y - Xn :viotations•or, ddaficien'cres:were'eo"te' A'rin-i this visit. • Y"au•-will -receive' no, further. • _- : -
• �eor�espo>adeuce aboiri #his:v�sit:. ...::::::..:..::..:.::.:..:. .
eft ♦� ..r } -s,y �— �i
Reviewer/Inspector Name
Reviewer/Inspector Signatu

? rinteo on sd.U200i
act tty umber: 31_593 Date of Inspection 17
Odor Issues
26,
Does the discharge pipe from the confinement building to the storage pond or ia`oon fail to discharge at/or below
© Yes
ter, No
liquid level of lagoon or storage pond with no agitation?
27,
Are there any dead animals not disposed of properly within 24 hours?
p Yes
a No
28.
is there any evidence of wind drift during land application? (i.e, residue on neighboring vegetation.. asphalt.
ci Yes
m 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?
p Yes
r„2 No
30.
Were anti' 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
C� No
M.
Do the animals feed storaae bins fail to have appropriate cover?
p Yes
p No
32, Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? p Yes [3 No
A.
_ � s?� r�r'�4 �c •z-- •s-+• �*�rr �i � - •-r.-�t ,�+wr`t....�.:F.��.,a^c „rt`�`'rr.-.W1' ..,.c�,c.,•fi -^-+ i � -.
r
_ �, _ 7-. x ors,. � � ��wv.�`�'^ �.14w,'i. r'_ � �•s-_ .L••, r �� Y rr�. �, v� 'j- m� = -
EFQ
..
..- _ �''' �,• � <'- e- � ,y„ a'y`T-:n �,� '^."yam ;�k �`Y ?��'�yn �.,' ..,.-i..,
k 'Y.' Y �—' �C.y- - a__"J-a * ✓ .. - jig 1- .1 H ,'3

Routine Q Com taint Q Follow-up of DWQ inspection Q Follow-up of DSWC review Q Other
Facility Number Date of Inspection a
Time of Inspection 2- - d'd 124 hr. (hh:mm)
dPermitted © Cejrtiified [3 Conditionally Certified 0 Registered Not O erational Date Last Operated:
FarmName: .......ff% ...........:..................................... ............ .................. County:............. �llG L.�.f .............. ............
OwnerName:.��....1...._.f......✓...:G.................................................. Phone No:................................................
Facility Contact: L1(. ..... ��. 2YL .... ........................ Title Phone No
Mailing Address: J
Onsite Representative:
Certified Operator:... .......
Location of Farm: `J
......................... I ................................... ................................................................................ ..........................
........................ Integrator•
Operator Certification Number:
Latitude �' �� ��� Longitude
Current - Design Current ` Desrgn Current
Swine Ca aci Population Poultry Cap;city;Population Cattle Caaci= Po ulation "
ty::
❑ Wean to Feeder ❑ Layer ❑ Dairy
E Feeder to Finish JE1 Non -Layer I I ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total -Design CapR ty.-,
❑ Gilts
❑ Boars ::Total"SSLW
-Number of Lagoons 1 ❑ Subsurface Drains Present ❑ Lagoon Area. ID Spray Field Area
,Holding.Ponds/Solid Traps ❑ No Liquid Waste Management System
DischarZes & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 15No
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 RNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes RNo
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches): .........3........................................................
................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes '[!� No
seepage, etc.) �^
3123/99 Continued on back

FacilifyNumber: 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 aonlicatiott? ❑ Excessive Ponding ❑ PAN
❑ Yes
[�(No
❑ Yes
VNo
❑ Yes
P(No
❑ Yes
Z No
El Yes
MNo
❑ Yes
M No
12. Crop type
13. Do the receiving crops differ w t hose 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? (iel irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(iel discharge, freeboard problems, over application)
23. Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
viblatigris.... .. u... v.� .. nQtec1 during oh s;visit: Yoi� will receive Rio further:: ;
corres o de>izce.ab' ith' visit:
Comments (refer to_question #)`� Explain�any YES, answers and/or any`recoin,mendattons or.any otlier comme
Use drawings of fa cihty.to'bette_r. expWii situations (use;additional pages as�iiecessary)
(0 �jjghi±.r. hj� +'et?oroi'S • ^ (S n.va— rs P ��
?eD
.6�-
❑ Yes 9No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes KNo
❑ Yes ZNo
❑ Yes kNo
❑ Yes allo
WYes ❑ No
❑ Yes CgNo
❑ Yes JRVo
❑ Yes Lcj.No
❑ Yes ONo
❑ Yes PO
❑ Yes DNo
lg 1 �C� — �a�.r>� Iievt Is :0,0-4- .
S Y Sel-,pC- � � ��t✓J � o,.f sb .�
apt
Reviewer/Inspector Name r - r
Reviewer/Inspector Signature: Date: Gr ��
5A . d �,

IT acilify Number: (— 5 Date of I uspection
OdMi Issuex
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
R�o
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
L(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
jNo
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
KNo
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
PN' o
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
Yes
❑ No
NdditionaUComments an or° rawings::
J;CA>1 �s *11 et) n red awed R/4- -P-V-
�fvtaf � r�-rti
T

Facility Number Date of Inspection
Time of Inspection 24 hr. (hh:mm)
Permitted M Certified p Conditionally Certified p Registered 10 Not perattona Date Last Operated:
Farm Name: Majnr..Murray.Hng.Farm....................................................................... County: Duplin WI;RO
OwnerDame: Majnr...................................... Murray ...................................................... Phone No: 28..6193...................................................................
Facility Contact: ...............................................................................Title:............................................................... Phone No:....................................................
MailingAddress: 399.River.Rd......................................................................................... Wallacr..Ac ........................................................... Z8466 ..............
Onsite Representative: Major.Marny.......................................................................... Integrator:Cax.oll'aE.oads Inc............................................
Certified Operator:Major.E................................ Murimy ............................................. Operator Certification Number: 187.7.7.............................
Location of Farm:
AL
kaxm�.is..am.maxtl�.sxd�..o�R.X�4Q...1,S.tilcs.ssau�tlt��st.a..1Q4�.............................................................................................................................. ..
Latitude ®. ®� ®�� Longitude ©• ©� ®��
Design Current - � esign Current Design urrent-
Swine Capacity Population �1'oulto _- `Capacity Population � Cattle = Capacity Population��
❑ Wean to Feeder
® Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Number of:Lagoons IM Subsurface Drains Present jr3 Lagoon Area In Spray ie .-ca
;Holdriag-Ponds /-Solid-Traps, ❑ o Liquidrite Management ys em ,-
0 -� _
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 p No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes p 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 p No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure G
Identifier:
....................................
Freeboard(inches): ............... 4Z...............................................................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
3/23/99 seepage, etc.) Continued on back

Facility Number: 31_593 Date of Inspection 9/2
6., `Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
❑ Yes
❑ No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
p No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
p Yes
❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
p No
11- Is there evidence of over application? p Excessive Ponding ❑ PAN
❑ Yes
❑ No
12. Crop type Coastal Bermuda (Hay)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
ONO
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
p No
Reuuired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
❑ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) 1
❑ Yes
❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22_ Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
p Yes
❑ No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
13 Yes
❑ No
24. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
p Yes
❑ No
a : Xo'viotations:or.' :deficien6es.were.>3bted _during: this visit. ; Vot' wiil :i a'Cerve' na farther.::::
.. cor�es�"deke: abouf #his:visit:::::::::::::::: ::::..:.....::: ..
Cominentse(refer ta_:quesHon #) Explaip any YES answers and/or arty recorntnendations oi'any other c©inments
Use diaw�ngs of facilrty�to better expiarn situations (use additional pages as necessary)
Hurricane Floyd Assessment Inspection
-Coastal Bermuda field needs weed management and efforts should be made to establish a better stand of coastal.
►1
Reviewer/Inspector Name
onewall Mathis Patrick Fussell m
f - -
_ _. ._
Reviewer/Inspector Signature: Date: 3 /l' lJDD N

Site Requires Immediate Attention:
' Facility No. �l - �1� 3
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: , 1995
Time: c `a3 5'
Farm Na
Mailing
County:
Integrator. 011 Phone: �°l l q, SIC)
3
On Site Representative: _ a -Pl?- _ Phone: __0 i 5 y 1
Physical Address/Location: d ! 4 0
Type of Operation: Swine Poultry Cattle .
Design Capacity: 1 Ky + L'`��� , S Number of Animals on Site:
DEM Certification Number: ACE . DEM .Certification Number: ACNEW
Latitude: Ll1- " Longitude: Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately I Foot + 7 inches) Gr No Actual Freeboard: __3_Ft_y Inches
. Was any seepage observed from the la n(s or Na Was any erosion observed? Yes or No
Is adequate land available for spra . Yes or No Is the cover crop adequate? (E�rNo
Crop(s) being utilized: r
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? Yes or No
100 Feet from Wells? Yes or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or No
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or No
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or No If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Yes or No
Additional Comments: ( - i ti��cr ll� -- �[�,.,_ �., . _ �u u� � �. (-e JZ c
J
i �50
Inspector Name Signature
cc: Facility Assessment Unit Use Attachments if Needed.

M
[] DSWC Animal Feedlot Operation Review t `
a M
.M DWQ Animal Feedlot Operation Site Inspection
10 Routine O Complaint O Follow-un of D«'O inspection O Follow-un of DS1i'C review O Other I
Facility Number
© Registered 1P Certified © Applied for Permit © Permitted
Date of Inspection
Time of Inspection L q .00 124 hr. (hh:mm)
Not Operational I Date Last Operated: ..........................
Farm Nartt� �4f..- .. .......................
�........ idol .,�„t...........��.•................................... c:o�nt�:........ �.�a................................
Owner Name: � �Phone No: C9= ..............
Facility Contact: ..... Mir ....... As1........ ........... Title :.......0+( 6� ............... ... Phone No: Na) ,A .4-Ma.........
Nfailing Address: ........1.�........7�-1`.!!tilr....A�ci.:............................... ..... ............................. ........C�!q,.l.Gkc.L:... ?.................................... Gil..----
ir.....
Onsite Representative:....- pL----..1�! +..� I!V....... Integrator: ....... CpY.IC�R.�1.1.........................................................
Certified Operators ............. M.I,..itr............... ......./�!N/.. Operator Certification Number.........1.1...............................
Location of Farm: .....
!lU... r-. Tura..... �:f'.....�.n ..... I.I............... 1�trn ..... nxL.......5 ............. ......... ...... ... ... ..
9 1:....T�,rn...r`...,a-r`.-..:'SR.14�10�...��,rn►...-.t.- ........ 3? {•�.....� t.... .i..........................................
Latitude • 0: Longitude • ` 0
Design Current Design Current Design.. Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity, Population
❑ Wean to Feeder ❑ Layer ❑ Dairy
Feeder to Finish 1 ❑ Non -Layer I JE1 Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW '.
Number of Lagoons / Holding Ponds © Subsurface Drains Present ❑Lagoon AreaSpray Field Area
❑ No Liquid Waste Management System
General
I. Are there any buffers that need maintenance/improvement? ❑ Yes JONo
2. Is any discharge observed from any part of the operation? ❑ Yes P1 No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance. man-made? ❑ Yes ® No
b. If discharge is obsetti-ed.. did it reach Surface Water? (If yes. notify DWQ) ❑ Yes (4No
c. If discharae is observed, what is the estimated flow in "al/min? 4
d. Doesdischarge bypass a lagoon system?(If yes, notify DWQ) ❑ Yes 0 No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes [V No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes ;I No
5. Does any part of the waste management system (other than lagoons/holding ponds) require Yes ❑ No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes VNo
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes MNo
7/25/97 Continued on back

1 11
rFacility Number: 3 S-q 3
8.'416e there lagoons or storage ponds on site which need to be property closed? El Yes 10 No
Structures (La goons.11olding_Ponds , Flush. Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? El Yes. [A No
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier:
Freeboa.rd (fit): ............. ...................... ..................... I .............. ......... I ..................... ....................... ............ ....................................
....................................
10. Is seepage observed from any of the structures"
❑ Yes
DO No
11. Is erosion, or any other threats to the integrity of any of the structures. observed')
0 Yes
ER No
12. Do any of the structures need maintenance/improvement?
aYes
0 No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
El Yes
Eff No
Waste Application
14- Is there physical evidence of over application"
XYes
INNo
(If in excess of WMP, or runoff entering waters of the State. notify DWQ)
15. Crop type ..............................................................................
............. ................................................................................ .........
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
KNo
17. Does.the facility have a lack of adequate acreage for land application?
❑ Yes
§6 No
18- Does the receiving crop need improvement?
;&Yes
El No
19. Is there a lack of available waste application equipment?
El Yes
PC No
20. Does facility require a follow-up visit by same agency?
Yes
KNo
21. Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
0 Yes
N No
22. Does record keeping need improvement?
t,
JAYes
0 No
For Certified or Permitted Facilities Only
23. Does the facility fait to have a copy of the Animal Waste Management Plan readily available?
Z7
C1 Yes
9 No
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
[I Yes
FA No
25. Were any additional problems noted which cause noncompliance of the Permit!
0 Yes
JS No
1p-No'vio'lations6i.,dericie'nc'ie's.were ,noted- during this'visit.- Yo'u',will receive-n'o- further'"
correspondence about this'visit'.,. ........
qrriiments (refer joquestion #).' Eiplaiwany'YES answers and/or a�hy ir&o dafibns;6:r�j.� oifi&�6 G"men S
.... .... ..
-i3s drawl'9s orlacillitVt6 better explain situations. (use addition9
a pp es�as.necessary):%
.,,,­n .,
Low wrws 11- 5?;�TJK si"Ott(a 6e- 1�,ullyqtj O."d NUOW.
" clay Airchd- &Vt "�Wl 4tatA
,11jj kA
U­ 5yow, On Oukr Jt� kAtA S61d 6t,
be, rtww. -
P4. Pond ,I %�K low Onas 0� Add.
is. &V_* S60(s 6 4kroven, sprih
2-z- 00 9VAI P of "I records 156VIJ be
r;Or -� 4W Lvn NAvir,
UONW "o h - 6 *% �jw_ LyNN
'Z- Z Form. V S u( 5a*'AjVt avoyies 404 k
Wy ip
6n,t%h s6u1be Iw, 7/25/97
Reviewer/Inspector Name'
h
Reviewer/Inspector Signature:— Date: Is 7- LU

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A, Preston Howard, Jr., P.E., Director
April 3, 1997
Major Murray
Major Murray Hog Farm
399 River Rd
Wallace NC 28466
IDEHNR
SUBJECT: Notice of Violation
Designation of Operator in Charge
Major Murray Hog Farm
Facility NumbeXS-f' 3]
Duplin County
Dear Mr. Murray:
You were notified by letter dated November 12, 1996, that you were required to designate a
certified animal waste management system operator as Operator in Charge for the subject facility by
January 1, 1997. Enclosed with that letter was an Operator in Charge Designation Form for your
facility. Our records indicate that this completed Form has not yet been returned to our office.
For your convenience we are sending you another Operator in Charge Designation Form for your
facility. Please return this completed Form to this office as soon as possible but in no case later
than April 25, 1997. This office maintains a list of certified operators in your area if you need
assistance in locating a certified operator.
Please note that failure to designate an Operator in Charge of your animal waste management
system, is a violation of N.C.G.S. 90A-47.2 and you will be assessed a civil penalty unless an
appropriately certified operator is designated. PIease be advised that nothing in this letter should be
taken as absolving you of the responsibility and liability for any past or future violations for your
failure to designate an appropriate Operator in Charge by January 1, 1997.
If you have questions concerning this matter, please contact our Technical Assistance and
Certification Group at [phone].
Sincerely,
WAt
�
for Steve W. Tedder, Chief
Water Quality Section
bb/awdeslet 1
cc: Wilmington Regional Office
Facility i=ile
Enclosure -�
P.O. Box 29535, 1 FAX 91o_7z1-9496
Raleigh, North Carolina 27626-0535 �� An Equal Opportunity/Affrmative A
T cncn r--,ployor
Telephone [phone]% recycles/ 10% post -consumer paper

State of North Carolina
-- - Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
November 13, 1996
Major Murray
Major Murray Hog Far
399 River Rd
Wallace NC 28466
SUBJECT: Operator In Charge Designation
Facility: Major Murray Hog Far
Facility ID#: ill•,
Duplin County
Dear Mr. Murray:
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study
Commission on Agricultural Waste, enacted by the 1996 North Carolina General Assembly,
requires a certified operator for each animal waste management system that serves 250 or more
swine by January 1, 1997. The owner of each animal waste management system must submit a
designation form to the Technical Assistance and Certification Group which designates an
Operator in Charge and is countersigned by the certified operator. The enclosed form must be
submitted by January 1, 1997 for all facilities -in operation as of that date. Failure to designate a
certified operator for your animal waste management system is a violation of 15A NCAC 2H
.0224 and may result in the assessment of a civil penalty.
If you have questions concerning operator training or examinations for certification, please
contact your local North Carolina Cooperative Extension Service agent or our office.
Examinations have been offered on an on -going basis in many counties throughout the state for
the past several months and will continue to be offered through December 31, 1996.
Thank you for your cooperation. If you have any questions concerning this requirement please
call Beth Buffington or Barry Huneycutt of our staff at 91gn33-0026.
Sincerely,
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
Enclosure
cc: Wilmington Regional Office
Water Quality Files
P.O. Box 27687, 's
Raleigh, North Carolina 27611-7687 �� An Equal Opportunity/Affirmative Action Employer
Voice 919-715-4100 - 5046 recycled/100% post -consumer paper

Vr,
Site Requires immediate Attention:
1 Facility No. 31 - !j ?
DIVISION OF EWI RONIMEN : AL NLA1 AGEMENT
a LPL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: %- M 1995
Time: z' /S
Fain Name/Owner: m A
f—
M Ui?Rp
Mailing Address: _ ` 'K R
«,✓4
fi'D L✓ A t 4 w -E-
County:
Integrator: L
Phone: _?- 3 - 343
On Site Representative: YAJ
-IizC
Ll s
Phone:
Physical Address/Location:
S
19 qO Pffl9=0k.
- m; tp 5'/,�T a _�7
C
,,7%4
5
Type of Operation: Swine
✓
Poultry
Cattle
Desic-ti Capacity: (o Z-a
Number o
Animals on Sit?:
DEN�1 Ce:-L-dcadon Number:
ACE
DEM C=`1cadon NumbP_r: ACNEW
Latirude: �3' 3
Longitude:
7' y s" Elevation: Fee:
Circle Yes o- No
Does the Animal Waste Lagoon have sufficient f-I e­.boa:-Li of 1 Foot _ 25 year 24 hour storm event
(arproxirn?=_ely I Foot _ 7 inches) or Na "_dual Fr_ -board: 2 Ft_ Inches
Was any seepaca observed from the lagoon(s)? Yes o,(a Was any erosion observed? (J!e:�)or No
Is adeoua=_e land available for sprayl or No Is u e cover croo adequate? Yes or No
Crop(s) being utilized:
Does the facility meet SCS minimum setback c ilieria? 200 Feet from Dwellings. r No
100 Feet from Wells? Yes or No
Is the animal waste stockpiled within 100 Feet ofUSGS Blue Line Suer? Yes orb
Is animal waste land applied or spray irrigated within 25 Fee: of a USGS INIap Blue Line? Yes
Is anim11 waste discharged into waters of the state by t^an-made ditch, flushing system, or other
similar Sian -made devices? or No' If Yes, Please Explain. Qver-(/o c) fe-&­ N°
c Sior++, cn-v4e.- dc7cft.
Does the facility maintain adequate waste management records (volumes of manure, land applied;
spray L---rigated on specific acreage with cover crop j?�.or No
Additional Comments:5
' j—fr l e__� _CD vi, CZ/ / ,/ A20 .�c `Thiov
cc: FaciHiv Assessment Unit ;����� C��y �3 s..�ttaci�rt�e its if Needzd.
1/4