310737_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Qual

Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit 0• Routine O Complaint O Follow up O Emergency Notification O Other p Denied Access
Facility Number 31 737 Date of Visit: 317J21}02 Time: 13:00
Q Not Operational Q Below Threshold
® Permitted ® Certified 0 Conditionally Certified © Registered Date Last Operated or Above Threshold: _ __ __ __ _
Farm Name: .hvgy.0 riuklry. Farm.............................................................. County: Apia ......... -......... .---------------- WJXQ......
Owner Name: .IQ&Y_------------------._ �riDkiEy- ----- ----------------- Phone No: - - --------------------------------- --
Mailing Address: ]PSG. 11 111................................. ................ Qj IAAnpirI-Ac....................------... - MU ..............
Facility Contact: ........................................................... Title: Phone No
Onsite Representative:Srkcojnjnwt&.-------------------------------------- Integrator: �]iCDtIX FaAu�Y F�x�riS. .----------------•
Certified Operator: ..................................... ............ .............................................................. Operator Certification Number:.........................................
Location of Farm:
North of Chinquapin. On West side of SR 1964 approx. I mile North of Hwy 50/41.
® Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 34 • 50 31 " Longitude 77 • 50 16
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 gaurnin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection & Treatment
4. is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes []No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: --- .Big_.----_.-_.
Freeboard (inches): 31

UNW/ul
aelirpNumber: 3I-737
Date of Inspection 3/7/2002
S. Are there any immediate threats to the integrity of any of the structures observed? (ict trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are.not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
c.unrrnuea
❑ Yes N No
❑ Yes ❑ No
❑ Yes N No
❑ Yes ❑ No
❑ Yes N No
❑ Yes N No
❑ Yes ❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CA WMP)?
❑ Yes
❑ No
' 14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ 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 ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes N No
❑ Yes [:]No
❑ Yes ❑ No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Cand/oranyrecoonendaonsEmcommentsaa
_
Use drawings"of facility to better ex'p'lain+situations (use additional pages as pecessary}� Field Copy ❑Final Notes
I spoke';with Mr. Brinkley at his office on°March 5, 2002 and made him aware that I would visit the facility. He indicated that was fine.
e small lagoon has apparently been closed via my conversation with Mr. Brinkley. Mr. Brinkley also said that he understood that the
remaining lagoon should be closed by the"end of March 2002; the waste is to be spread on 550 acres of land in the nearby area says Mr.
Brinkley. Mr. Brinkley said that he has not irrigated in a year, therefore I did not view any records, but looked around the facility. Mr.
Brinkley said that he had planted wheat a couple of times on his land which waste had been spread on but he had not gotten a crop of
heat up yet.
LM
Reviewer/Inspector Name gtohewalLMathis':=Ga1e;Stenberg -
Reviewer/Inspector Signature: Date:

r• s
Divisiop of Water'Qnality-
Q Division of Soil and -Water Conservation
0 Other Agency:: -
Type of Visit jaCompliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit B Routine O Complaint O Follow up Q Emergency Notification O Other [I Denied Access
L_ Facility Number 3 % Date of Visit
Permitted © Certified © Conditionally Certified © Registered
Farm Name: ���.......'!......'.....~''.'r`..........................................
o e
Owner Name: .g "611]
9 ..........................................................
Facility Contact:
Mailing Address:
Title:
Onsite Representative: ... .....*.tih..�`�.............
Certified Operator: .........................
Location of Farm:
0=Time: I I,?OG I Printed on: 10/26/2000
Not Onerational O Below Threshold
Date Last Operated or Above Threshold: .........................
County:... ..i1 ... !.....................................
,,,,,, Phone No:
Phone No: ..................................
............................................................................................................ ... ........ I..............
Integrator:.. M me f c r.S ......
....................... Operator Certification Number:..........................................
Swine ❑ Poultry ❑ Cattle ❑ Horse , Latitude • �� ��' Longitude '
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer ❑ Dairy
19 Feeder to Finish $ 7 Z Q ❑ Non -Layer I I[] Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons Z1 ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps I ❑ No Liquid Waste Management System
Disc�harpes & Stream Im acts
1. Is any discharge observed from any part of the operation?
❑ Yes Rf No
Discharge originated at: ❑ Lagoon ❑ Spray Field []Other
a. If discharge is observed, was the conveyance man-made'?
❑ Yes 15No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
El Yes J9 No
c. ll' discharge is observed. what is the estimated flow in gal/min?
*) f A
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes No
2. Is there evidence of past discharge from any part of the operation?
❑ Yes] No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
❑ Yes No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
❑ Yes KNo
Structure t Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier:....'..�....................�rks+ ��............ ........ _._ . _
............................................................................................................................
Freeboard (inches): S 3 r
5100 Continued on back

f
Fa';Wty Number: ? — rf Date of Inspection 1 0 Printed on: 10/26/2000
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? ❑ Yesf No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? j �❑ Excessive Ponddiing ❑ PAN ❑ Hydraulic Overload
12. Crop type Ge -^ e- vok ►70.`'f g l/ C Cove,,,
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
13'N+Vi6ratidris :oi- di f cie die 4Wre h ed during this:visit: • Y:oir will-r' eceiye iic Ifurth'r
correspondence: abotit: this visit.
❑ Yes IR No
❑ Yes XNo
❑ Yes J( No
❑ Yes Z] No
❑ Yes JffNo
❑ Yes jo No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Yes ❑ No
❑ Yes 0 No
,Yes ❑ No
❑ Yes jKfNo
❑ Yes §'No
❑ Yes J91 No
❑ Yes 25 No
❑ Yes $ No
[]Yes d2l No
❑ Yes 5d No
❑ Yes No
Comments (refer to gneshon #): Explain any-YES:answers and/or any recommendations orany. other comments :-
Usedrawiings of facility.:t© better explain situations._(use addiitional pages as necessary)_
iS. Growcr "eeAs 40 e-s4ablisk Ck la;4er- crap - o AitoL-J -rrw:j- ee'
°`pf I'������ri. 771;s C-e rhan+eA 6 12�2D
i /U r tQt 4e kaVe C,e.-4,; 'i C of Covei^2 e •b Gene rq P2 ✓ r"t t °lva; ��T b�@.
3 1
f' . "s pq ; s Pp.r4 0-f -die bV 7 04 r05 ram . "96or► 3 en r e To to
a►nof recur -a s v m4i'1- eh .
Reviewer/Inspector Name -54 Q
Reviewer/Inspector Signature: Date: I /-/-'qNO — 5100

facility Number: 31 — Date of Inspection oo Printed on: 10/26/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below A 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 JffNo
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? Of Yes ❑ No
Additional Comments an orDrawings:
J
5100

— 1$ Division of Water Quality
0 Division of Soil and Water Conservation
Q Other Agency
(Type of Visit IV Compliance Inspection O Operation Review O Lagoon Evaluation I
Reason for Visit O Routine O Complaint O Foilow up O Emergency Notification ,igi Other Cl Denied Access
Facility Number
Date of Visit: `� QQ Time: �� � Printed on: 7/21/2000
3 '%3
O Not Operational O Below Threshold
Permitted [3 Certified [3 Conditionally Certified [] Registered Date Last Operated or Above Threshold: ..................
Farm Name: ............�To [ $r i °lk�. ..FO�r !.......................................... Countv:...Ilf................................................................
OwnerName: woe I3r''► K k l ¢ Phone No: .............................................................................I..... ..................................................................
FacilityContact: ................................................ ..............................Title:................................................................ Phone No:...................................................
Mailing Address:
Onsite Representative: ,�l r�G ....g!'..............l. y.................................................
.............. ...... ............... Integrator....
Certified Operator: ................................................... ............................................................. Operator Certification Number:.........................
Location of Farm:
A&
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �• �° ��� Longitude
Design Current
Swine Caaacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
[-]Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons JE1 Subsurface Drains Present ❑ LagZn Area 10 Spray Field Area
Holding Ponds / Solid Traps 10 No Liquid Waste Management System
Discharges & Stream Impac
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 ]low in gal/min'!
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
. tructure Strructurc 2 Structure 3
Identi Fier: A LLA r e) 4 'a' ....... ...........�.........................................................................
Freeboard (inches): 2. .3 Z.
5100
Cl Spillway [:]Yes j9jqo
Structure 4 Structure 5 Structure 6
Continued on back

Facility Number: 31 --� 3 Date of Inspection O� 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
❑ 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 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?
❑ 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
JgNo
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
:: �'V6M61aft6ns.ot• di fciencles •mere nbfed•dtWingtttis:visit:-:Y:oi.r:will-feceiye iW ruirther
correspondence. ab- ' f this visit... .. .. .. .. .. .. .
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):
Z^spec.-4len- (,6ndve+e_d je rev;e&,, rkr1;,eq tr4- of ti. Fc-,c 1 '4y
Ap rs t�v_Tncd Me, 8.,i.l klel zai4J -• 1N^+ 6a i�as f
,o6pu.� silt weeks re-",q i s 9�
9 an ��,a 6� �ta3s nd says
A,,* 4� h&'; been ih �o v eW4 �k�+ c l - n a t� �or let nowt s 511 eu,t' �9 i v►.
;,"v%ied j0t?e[7 11^4e hg os GyC)g ou4 . ��1fs Lvi ll dehg cis PAII of `Re
4vy 01-4 . -
i
673
Reviewer/Inspector Name Z54">)t-eWq t f I'l'1&Jk; S
ReviewerfInspectorSignature: __4P li"711 Date: IVV __ 5100

. Division of Soil and Water Conseryadon Operation Review
Division of Soit and Watert-otiservahon Compughce Inspection K
='Division of Water. Quality - Compliance inspections
:, _
7
0 Other Agency,-- Operation Revtewe: - <;
_ .
_- _
Routine
, Q Q Complaint Q Fallow -up of DWQ inspection Q Follow-up of DSVVC review Other ,
Facility Number
_
Date of Inspection -57— C[
Time of Inspection Q6 24 hr. (lth:mm)
[3 Permitted [j Certified © Conditionally Certified © Registered
113 Not O erational Date Last Operated: ..........................
Farm Name: .... G .... "..5...!� 1 -------------...........................
County:. ............' 1 t'` ..�.. -a.........
OwnerName :......................... .......
Phone No:----.._....._...............................................-----............_.........
Facility Contact: ............................................ ... Title:...............
. Phone No:
MailingAddress: ................w . ........................................................D ............................................................................................ ...................... ..........................
Onsite Representative:......... ............ ............................ ..........................................
!................................................
Integrator• .............. `�
Certified Operator:................................................................................................................
Operator Certification Number:..........................................
Location of Farm:
r........................................................................................................... 1..........1.1.1.1......1.1............................................................................ --........... .
Latitude Longitude'''
Design Current _.; Design_ Current : Design Current <
Swine
;.; Capacity Population Poultry ;.Capacity.. Population Cattle Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts,
❑ Boars
W kuinbirz of Lagoons ❑ Subsurface Drains Present 110 Lagoon Area 10 Spray Field Area
Holding --Ponds / Solid Traps ❑ No Liquid Waste Management System -
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed; was the convevance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches): ........
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
3/23/99 Continued on back

t-_ L
Facility Number: — Date of Inspection g
Odor Issue's
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ❑ No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ❑ No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? [:]Yes []No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e_ broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ❑ No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑ No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
Additio Comments and/or. rawings
U
3< Q : �•it*. vex,
cJ. cam, �-"-. � �3- �-�`S S�c �Q. 1^ i �-�.— Qt.�; �G � � � #•A� `"'` \` c.� ►-� �r. ;.
��1�s tom'►-�- `car �� �1S �+-� ��. G`1 �v,� �+-� �i�El-Qs�.
3/23/99

acuity Number: 3 13 ! 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 maintenarice/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste ekpplication
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
[:]No
[:]Yes
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22- Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
yiol'atiliris :or &flcie dieg •were noted• diWifig this;vis. it. : • :Y:ot} will •i-&6*4y dO further
rorrespondeRce: about: this visit.
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Co4_m' ents referao uestion # * • Ex lain an YES,ans = m
( q P _ y veers aodlor,any recommendations or any'other comments:
Use;drawings of facilttysto better explain srtuatE4ns (use additional pages as necessa y) r
i.,4-V l%Q ► +� [; i.,sZG.-�
FRviewer/Ins ector Nameviewer/Inspector Signature: " p�` Date:
3/23199

Name of FarrrLiFacility
Location of FarrrvTacility
-51- 737
Owner's Name, Address
and Telephone Number
Date of Inspection
Structural Height, Feet
Lagoon Surface Area, Acres
Upstream Slope,xH:1 V
Embankment Sliding?
(Check One, Describe if Yes)
Seepage?
(Check One, Describe if Yes)
Erosion?
(Check One, Describe if Yes)
Condition of
Vegetative Cover
(Grass, Trees)
Lagoon Dike Inspection Report
gr mlde„ 1cce--k 11�4� C# 1 _
CJ"j0l �`7 (�J u fivk ' �—+�t i ►mod urn t0 i�vit'?
1— ! Names of Inspectors M 9F
Freeboard, Feet 3Z
0.7S Top Width, Feet 0
3 a 1 Downstream Slope, xH: l V 2 %l ph F Aeq,f
Yes V No
Yes No t as :+^u CJ'1 YCJUh :�7khDi✓t/
Yes No ledla SA,
Did Dike Overtop? jzYes No
Follow -Up Inspection Needed? Yes
Engineering Study Needed? Yes
Is Dann Jurisdictional to the Dam Safety Law of 1967?
Other Comments
0
If Yes, Depth of Overtopping, Feet U h ow
No
am
Yes _P No
101A,n A IPA . S � 1.0 I y CA, � 11.E rvtiP ' 1
W C-O

Lagoon Dike Inspection Report 3I
Name of Farm/Facility 6ri '
Location of Farm/Facility`
Owner's Name, Address
and Telephone Number
Date of Inspection I L,�"— Names of Inspectors
Structural Height, Feet < t Freeboard, #'vet- _ a Z_12Ck r S'
Lagoon Surface Area, Acres o Top Width, Feet 0
Upstream S1ope,.cH:1 V _ 3 : Downstream Slope, xH:1 V More-
Embankment Sliding? Yes _�ZNo
(Check One, Describe if Yes)
Seepage? Yes L/ No
(Check One, Describe if Yes)
Erosion? Yes No on NE Co r"eir
(Check One, Describe if Yes)
CPV7_ o r , S_7 ���� �ro ►-�-, o�
Condition of
Vegetative Cover
(Grass,. Trees)
Did Dike Overtop? Yes No If Yes, Depth of Overtop ing, Feet noc to "
Follow -Up Inspection Needed? Yes No
Engineering Study Needed? Yes {/ No
Is Dam Jurisdictional to the Dam Safety Law of 1967? Yes ✓ No
Other Comments

Lagoon Dike Inspection Report
IW Name of Farm/Facility
Location of Farm/Facility
1-737
Owner's Name, Address
and Telephone Number
Date of Inspection
Structural Height, Feet
Lagoon Surface Area, Acres
Upstream Slope,xH: IV
Embankment Sliding?
(Check One, Describe if Yes)
%? &_ _JLagC)n� #1 -
1— _d Names of Inspectors M RF
Freeboard, -Feet 3Z
Top Width, Feet
Downstream Slope, xH:IV 2' 1 dh 5- flecrf^
Yes V No
Seepage? Yes No aC-Tsu
C, � YaII l7 '7Z�k)10LCl
(Check One, Describe if Yes)
Erosion? TV—�,' Yes
(Check One, Describe if Yes)
Condition of
Vegetative Cover
(Grass, Trees)
S
Did Dike Overtop? Yes No If Yes, Depth of Overtopping, Feet ut- owLq
Follow-Up.Inspection Needed? ✓Yes No
Engineering Study Needed? � Yes No
Is Dam Jurisdictional to the Dam Safety Law of 1967? Yes No
Other Comments
LV GO
-Tl-,x r..a
Li"-%p,%

Lagoon Dike Inspection Report
Name of Farm/Facility
Location of Fartn/Facility
Owner's Name, Address
and Telephone Number
Date of Inspection r l—Jct Names of Inspectors F
/P7J /
Structural Height, Feet < 1 _ _ Freeboard, Fq!-e� ZZ2C S'
Lagoon Surface Area, Acres 2 a s Top Width, Feet 0
Upstream S1ope,�cH:1 V a� T Downstream Slope, xH:1 V More 94,�M �.
Embankment Sliding? Yes _jZNo
(Check One, Describe if Yes)
Seepage? Yes L No
(Check One, Describe if Yes)
Erosion? Yes No ion YJeu r- A/E Co l(*�yieY`
(Check One, Describe if Yes) , 'w�l
Condition of
Vegetative Cover
(Grass, Trees)
Did Dike Overtop? Yes No If Yes, Depth of Overtop incr. Feet noc..1*? '
Follow -Up Inspection Needed? ✓es No
Engineering Study Needed? Yes {/ No -
Is Dam Jurisdictional to the Dam Safety Law of 1967? Yes V No
Other Comments wad :1 h �✓�

ivision of Soil.and Water
R Conservation - Operation eview
[3 Division oCompliance
f Soil and Water Conservation - Copliace Inspection
9Division of Water Quality - Compli snce Inspection
;Other Agency Operation. Review
Routine O Complaint Q Follow-up of DWQ inspection Q Follow-up of D:SWC review Q Other
Date. of Inspection
Facility Number
Tinto of Inspection 14!jZ 24 hr. (hh:mm)
© Permitted Ce1r-tified 0 Conditionally Certified E3 Registered [3 Not O erational Date Last Operated:
Farm Name: ...---... k V--... !��... D1YH`........................................................ County: ......
bi.tO.).a.................................... ..........................
1 1-�,e,l... t� 1
Owner Name: ......... -.�i LYin......................._........... Phone No: `�-�gi..zz':..,��a30... ............... ... .............
Facility Contact : ......... ..:..................................................................ritle:.......-........_............................................... Phone No: ...................................
:....
NMailinR Address ......PO .... � L /1 Q.L.t p. r.......� SZ
X...:pA................................................................................ in Y 1�1.......................7$.......�..........
Onsite Representative:............ Intel;rotor:........1l.1.......................................................... ... ....
Certified Operator: ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
t.... 1..+?ai.iA...... .....aA
r............ ...--- .............................. ......................................... ..................................................... ............................................................................................................................
� -
Latitude 0 �cc Longitude ' �69
Design Current Design . Current Design Current
Swine Capacity Population Poultry. Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer I I Dairy
Feeder to Finish ❑ ayer If,Non-Dairy Non-L
El Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity 5-72-
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons Z ❑ Subsurface Drains Present ❑ Lagoon Area I0 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
I. Is any discharge observed From any part of the operation (If yes, notify DWQ)?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made"
h. li' discharge is observed. did it reach: ❑ Surface Waters ❑ Waters of the State
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge hypass a lagoon system?
2. Is there evidence of past discharge from any part of the operation?
3. Were there any 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: C016� -z- (Vuw ` 1
Freeboard (inches): 35
......................................................................... ..
❑ Yes 1� No
❑ Yes
0 No
❑ Yes
[O No
N
❑ Yes
P No
❑ Yes
Q) No
❑ Yes
C#Na
❑ Yes 99 No
Structure 4 Structure 5 Structure 6
............... ...... .............................. ......... I..........................
1 /6/99 Continued on back

I aci[it.oNumber: 31 — -73-� [late of Inspection 21
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes 1� 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 maintenance/improvement'? Yes ❑ No
8. Does any pact of the waste management system other than waste structures require maintenance/improvement? ❑ Yes j� No
9. Do any stuctures lack adequate, gauged markers with required top of dike, 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'?[� �❑ Ponding ❑ Nitrogen ❑ Yes No
12. Crop type +�C...........xu''{...........................y1�................................................................................... l I ........................................................
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes (A No
14_ Does the facility lack wettable acreage for land application'? (footprint) [$f Yes ❑ No
15. Does the receiving crop need improvement? [ Yes 0 No
16. Is there a lack of adequate waste application equipment? ❑ Yes •(A No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes UNo
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) CR 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 certified operator in responsible charge? ❑ Yes No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes "No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes No
24. Does facility require a follow-up visit by same agency? ❑ Yes [ No
0 No.violationsor. deficien' ie's .were noted. dlriring.tliis;visit:. You-vill.re�ceive na further.........................
•c-grrespoiidehice;about;this;visit.; ; ; ; ; ; ; ; ; ; ;
eon merit s (refer to question #): Explain any YES answers and/or any recommendation's, -or any, other comments._:_ -
Usedrawings of facility to better explain situations. (use additional pages as necessary) '-
`7_ Cov jAnve_ e f ��{� re
�5 1--4 v �e oars �;I(t Ljalls. A.
Q. oar. iAf�r1+-SW7tiJt� Ip� SiC�l�� 6tr� �G�aGVv Z.
t �w. vw5 )0 - � �°ir we ,loc a;e, - A�fmil\C 10h -
S. Smak1 A kfb 4\CU�� CAl/Oid S &Ai c ` �Y
�_ CcnuL�r wash-c c`� c���rU� aid
k 66_i l Xw -it's G r ti Rsr,-1 (� rn. ,
Reviewer/Inspector Name _
f.rA%^ I-� IA 10.hlA
Reviewer/Inspector Signature: 451A" _ Date: �I.IZ-1.1fl 11/6/99

0 Division of Soil and Water Conservation 0 Other Agency
10 Division of Water Quality
raRoutine O Complaint O Follow=-uti of DWQ inspection O Follow-up of DSWC review O Oth'er
Date of Inspection $�
Facility Number p 24 hr. (hh:mm)
- Time of Inspection
© Registered Certified Applied for Permit © Permitted 113 Not Operational Date Last Operated:
Farm Name: .
f1�.....,IA l�mK............... County:... ��lCh..............................................
tt ..---......
Owner Name: ..............................Aos .p)an , Phone No: Cg IAAUS"-.ZM........................................
� j..................................................
Facility Contact:........................................................................... ... Title:.................... Phone No:
Z.
Mailing Address:..... .Q ............3..1........................................................................ ... (�!J:�v► UNp>... N...G................................. W. ..........
Onsite Representative: ....... 344l M., ........... fj. C.iln.............................................. Integrator: .......... /.�! vrf. y .......................................................
Certified Operator:................................................................................................................. Operator Certification Number:.........................................
[vocation of Farm:
fi........ Q.F......> ....../,.................................................................................
..................................................................................................
Latitude Longitude �• �' ���
Design:: Current
❑ Wean to Feeder
Feeder to Finish
❑ Farrow to Wean
Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
EEJ
Number of I,agoans 1 Holdmg`Ponds © ❑Subsurface Drains Present ❑Lagoon Area ❑Spray Field Area I
❑ No Liquid Waste
General
L Are there any buffers that need maintenancelimprovement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon' ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what"is the estimated flow in-al/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7125/97
❑ Yes ' No
❑ Yes No
❑ Yes IP No
❑ Yes P No
❑ Yes F No
❑ Yes IP No
❑ Yes [% No
❑ Yes P No
❑ Yes g4No
❑ Yes Ij No
Continued on back

Facility Number: I I —
8.
Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
No
Structures (Lagoons.11olding Ponds, Flush Pits, etc.)
9.
Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes
No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier:
Freeboard (ft):.............-3.:.�...,.................... Z'
10_
Is seepage observed from any of the structures'?
❑ Yes
`KA No
11.
Is erosion, or any other threats to the integrity of any of the structures observed'?
❑ Yes
No
12.
Do any of the structures need mainten ance/improvement'?
,yes
❑ No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13.
Do any of the structures lack adequate minimum or maximum liquid level markers'?
❑ Yes
� No
Waste :kpplica€ion
t4.
Is there physical evidence of over application?
❑ Yes
(�,No
(1f in excess of WyM_P, or runoff entering waters of the State, notify DWQ)
15.
Crop type ............ :Yri+hIG�A.................................. SI.,1....(�M-kr............._............. ............... ......
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
In Yes
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
No
18.
Does the receiving crop need improvement?
[9 Yes
❑ No
19.
Is there a lack of available waste application equipment?
❑ Yes
0 No
20.
Does facility require a follow-up visit by same agency?
Yes
*No
21.
Did Reviewer/inspector fail to discuss review/inspection with on -site representative`'
❑ Yes
M No
22.
Does record keeping need improvement?
Yes
❑ No
For Certified or Permitted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
NNo
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
Yes
❑ No
25.
Were any additional problems noted which cause noncompliance of the Permit'?
P� Yes
❑ No
0 No.violations or deficiencies were noted during this: visit.- .Yo_ u 4ill receive no further
correspondence about this.visit:• : - ''
Cotintnentsj(refer to;question #): E*plain any.ITS'answers and/or anF recommendatsons.6r any o„tller ctitrrnnents
a,' a .,
Tise drawings.of facility to fetter explam situations {tise additional pages as necessary
,
e.c"
�- ceded lx.c�C-.�il�
re-scee�ej, �w ivy c4nur df ( oa.#-i s� bC-c-se4d•
Q � J , WL 1 5 (na0) � t1Mzi} p11 � &,-'C'c- &&'Cab ar+
fig- z c� {a in.�+('dv�2 �De�W(r,
nv
ZZ. CoC_ tt . � �-thy r.-- � W Uu 1
,6 Ide i' [a`O e 4 in � t � rc4 r "O_tkyy}
aA, \n V� �1. `C""*L�S1 Sr V� � 'lid 1,! •µ►n Ys• ]1�1� ��i`
el' G Ct`Dit n: es. iri ►c l c] I a�� s+(►�+GII r e� o ac 3o f bS/Qc!/25/97
iPlfli 7+ 1.A.ra —n� fh fA*ifl_ Z- T
.- I '. , " -"- — .. � � _ I ­­ �" ., �. � . '�­.. ::!!: ..
Reviewer/Inspector Name , 4Q
Reviewer/Inspector Signature: n���f /� Date: -719 19f(

ro
10 Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Date of Inspection - 5-17_
Facility Number '� 7 Time of Inspection [3= 24 hr. (hh:mm)
Total Time (in fraction of hours
FarmStatus- KRegistered ❑ Applied for Permit (ex:1.25 for 1 hr 15 min)) Spent on Review Z.
❑ Certified ❑ Permitted or Ins ection Qncludes travel andprocessing)
❑ Not Operational Date Last Operated:
Farm Name:
Land Owner Narae:.. G. ...... 3.Z.>' i LLl _ ...._ ....
Facility Conctact:... _....._ ... _ .... ......... ....... .... Title: .... ..... .._.�.
Mailing Address:.. ...li'_�:.. ..... _................................................
Onsite Representative:.
Certified Operator:
Location of Farm:
IA
Phone No: 9.��.S J '3.Q.............. ,........ ...
,(n.�...44..--....... Phone No. ..... ...... ............... ......_.....
7—
Integrator.
_ .... _ .....
...._ .
Operator Certification Number: ........... . ....... ..
x►. _ S l si to �x.�cn.�.. t r�-, �Q : m, �� .nx �`h, ...Q _i.t+ .... C.
�... a K.l.....__.............................................. ..... _ .... _.............. ......_....... _...............w .... ..........
_
Latitude C�• �� u Longitude �• �• 0
Type of Operation and Design Capacity
ne # � Current Design. Cuuetth �y Des gn Cu en#
4 ..:. . 'Ca- aci d ulatian }Poultry Ca achy .Po" Mahon: Cattle Ca acr I -Po ulahon -.
❑ Wean to Feeder FQ_
ElDa'
❑ Feeder to Finish &Non -Layer ❑ Non -Dairy
arrow o
Farrow to Wean
t
FtFeeder Toial Design Capacta<y €P
Farrow tEj o FinishME
❑ Other.,
a
Number ofbLagoons l Holding -Ponds ❑Subsurface Drains Present
m� a `' ` n ❑ Lagoon Area ❑Spray Field Area_
._ . .. .r
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes,.notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
4/30/97 maintenance/improvement?
❑ Yes t' No
❑ Yes ['No
❑ Yes R No
❑ Yes ( No
❑ Yes No
❑ Yes El No
❑ Yes ® No
® Yes ❑ No
Continued on back

Facility Number:
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes '@ No
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
allo
8. Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
® No
Structures (Lagoons and/or Holding „Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes
9LNo
Freeboard (fl:): Structure 1 Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
3.3 7 3
10. Is seepage observed from any of the structures?
❑ Yes
N No
11. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
No
12, Do any of the structures need maintenance/improvement?
Yes
❑ No
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes
[RNo
Waste Application
14. Is there physical evidence of over application? ❑ Yes BNo
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type �7 rrs�,.n..... _ ..... .... _ .... ._...................__.... _ .... _ _ .
16.,, Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes 0 No
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes ® No
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
F_or_Certified Fari ities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
❑ Yes
® No
❑ Yes
® No
❑ Yes
® No
❑ Yes
B No
❑ Yes
® No
❑ Yes
® No
E9 Yes
❑ No
r.� s
Or e-%L- a w o r G­-� d �` 1+� • S t S p {=t Q L� S. i'^ a L'L 4 d Q
�•. �. s p t- r,. ,,. ,.� ; 4 �"'�j ti +..-S �a. 1`C 4 s L �. f n_ t S s C•Q-�..�-�1 �+.�, a,,,,, e a 4n.� ,� ` �.
t L C %J S� E a. �^ w d- t i of A-LS q�
W a 11.
Sn ►'t-t-rL't ` t-r e e-s 1 d its {p S S 1^-a V Ld• L @. '✓' �+^+-t'ry-C� �-vo �...t, w a. ! t o � `� o-
+L Q. b Y S �►�C ...--. l a-e� o o �' I F; . 0. t i�•�� V �v Q- � a ]
pvt to o11n 3wa.11S. V 1 1_- + I
2 `i • rr t t v r ,r. �vt C w S C C (`'. �"1- S 1 S L� � 4 V �c�µ_ � W -.r- t' &-r Q w L`
e .r c, �- - o a g i V �^-� S "a "i �. A k
e.d tt t i p r r C oV [-f rre- [ VI-CL t-o Ls V •�,.• : - �,• •..
F
ewerllnspectorNameewer/Inspector Signature: �,�,,41ir ,�--j�Q_ �. Date: f `7
z.
n
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

• ' Facility Number:Date of Inspection: 7 1 tS
4/30/97

Site Requires Immediate Attention:
Facility No. -
DIVISION OF ENVIRONMENTAL MANAGEMENT
• ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: K , . 1995 .
Time:
Farm Name/Owner:
Mailing Address: 0. 'P2O a-2— ��� 1N AlL
U County: 1 <✓ <—T
Integrator:._/N4.0e A✓ Pho : u .a .2 11
On Site Representative: , !.!C 2 rt PhLe.) 2 g- 5__ k 7 fl ` f
Physical Address/Location: NC S 12
1
Type of Operation: Swine Poultry Cattle 3 Ic
Design Capacity: 3 X VaaL 9 6 U Number of Animals on Site: 3
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: fM ' !V_'�o " Longitude: 11 ` . <D' _ ! 5" Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm � en
(approximately 1 Foot + 7 inches) es r No Actual Freeboard: Ft. ® Inc '� _
• Was any seepage observed from th agoon(s)? Yes or Was any erosion observed? Yes or
Is adequate land available for spray? or No Is the cover crop adequate? or No
Crop(s) being utilized: 621-W4I '1PfM.J1_
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings?oe or No
100 Feet from Wells? C�r 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 org 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(1�Q
Additional Comments: UW G" 1 r)!/
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Cr9(r4o �_✓ _
Inspector Name
Signature
cc. Facility Assessment Unit Use Attachments if Needed._